Frequency of Obstetrical Anal Sphincter Injuries in Nulliparous Women Undergoing Normal Vaginal Delivery in Tertiary Care Hospital at Khyber Pakhtunkhwa: OASI in Nulliparous Women Undergoing Normal Vaginal Delivery

Nazish Farooq; Paghunda Roghani; Nuzhat Afza; Aisha Saleem; Asma Farooq

doi:10.54393/pjhs.v6i3.2756

Authors

Nazish Farooq Department of Gynaecology and Obstetrics, Lady Reading Hospital, Peshawar, Pakistan
Paghunda Roghani Department of Gynaecology and Obstetrics, Lady Reading Hospital, Peshawar, Pakistan
Nuzhat Afza Department of Gynaecology and Obstetrics, Lady Reading Hospital, Peshawar, Pakistan
Aisha Saleem Department of Gynaecology and Obstetrics, Lady Reading Hospital, Peshawar, Pakistan
Asma Farooq Department of Gynaecology and Obstetrics, Lady Reading Hospital, Peshawar, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i3.2756

Keywords:

Obstetric Anal Sphincter Injury, Normal Vaginal Delivery, Nulliparous Women, Complications

Abstract

Obstetric Anal Sphincter injury is one of the most devastating complications of vaginal delivery. The incidence is higher in instrumental deliveries, but OASI can be avoided with proper techniques, such as mediolateral episiotomy, and pre-assessment of fetal head position, such as vertex mal-presentation and progress of labour. Objectives: To find the frequency of Obstetric anal sphincter injury during normal vaginal deliveries in nulliparous female from August 2023 to September 2024. Methods: It was a cross-sectional study conducted in the Gynaecology and Obstetrics Department, Lady Reading Hospital. The study included 162 nulliparous women with Cephalic presentation undergoing Normal Vaginal Delivery, among them the patient with Obstetric Anal Sphincter Injury were identified to find the frequency. The data were collected by a structured questionnaire and analyzed with SPSS version 26.0. Results: Out of the total 162 populations, 6 (3.92%) individual had their OASIs. Five individuals had 3^rd while one individual had a 4th-degree injury. The mean age was 26.33 years with a standard deviation of 4.73. The oldest mother was 38 years old, and the youngest was 18 years old. BMI from 18.5 to 21.9 (Kg/m²) was more frequent in a population of 67. Regarding the presentation of the fetus’s head at birth, 146 presented Cephalic, 5 as transverse and 11 as oblique on presentation. Conclusions: It was concluded that the study shows the frequency of Obstetric Anal Sphincter injuries as 6 out of 162 individuals, having injuries of different degrees.

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