Preventing Anal Sphincter Tears During Delivery. An Update from Scandinavia
Journal Title: World Journal of Gynecology & Womens Health (WJGWH) - Year 2018, Vol 1, Issue 3
Abstract
A common outcome of vaginal delivery is perineal trauma. The most serious among these injuries are third- and fourth-degree lacerations or obstetric anal sphincter injuries. Studies have reported that 30–50% of women with these lacerations experience anal incontinence. Symptoms of anal incontinence may affect a woman’s social, psychological, and sexual life; moreover, a previous anal sphincter injury can increase the risk of recurrence in subsequent deliveries. Therefore, it is important to prevent these injuries.The frequency of anal sphincter injuries varies a lot between countries in Europe. The highest rates are being reported from Switzerland, Iceland, Sweden and Denmark, and a frequency counting to 6 % of all vaginal deliveries is reported. The lowest rates are usually found in Eastern Europe, Israel, Italy, and Finland where the tear rates have been below 1 % but even close to 0.5 %.
Authors and Affiliations
Jouko Pirhonen
Keywords
Related Articles
- EP ID EP609277
- DOI 10.33552/WJGWH.2018.01.000513
- Views 120
- Downloads 0
Hormone Replacement Therapy – Computer Assisted Individualized Approach
The onset of menopause occurs at around the age of 50.1 Some health issues, including but not limited to cardiovascular disease, metabolic syndromes, osteoporosis, cancer, and cognitive decline, are more...
Case Based Discussion of Surgical Approach to Deep Infiltrating Endometriosis
Endometriosis presents a diagnostic challenge as clinical symptoms do not correlate well with the extent of disease [1]. Cramer, et al. [2] found that menstrual cycle length shorter than 27 days,...
Placenta Percreta Presenting as an Acute Abdomen in Second Trimester of Pregnancy: Case Report from Middle East
Abnormal Placentation carries life-threatening consequences to the mother. Placenta percreta is a rare complication of pregnancy. It occurs mostly in the third trimester and presents with severe postpartum...
Ovarian Granulosa Cell Tumors: A Retrospective Study of 21 Cases and a Review of the Literature
Background: Granulosa cell tumors are rare tumors with a relatively favorable prognosis. The aim of this study was to report the epidemiologic, anatomo-clinical characteristics and to determine treatment modalities and s...
Therapeutic Role of Dance in the Treatment of Endometriosis-Related Chronic Pelvic Pain: A Proof-of-Concept Study
Background: Endometriosis causes chronic pelvic pain in many of the women affected, which may not remit after surgery or pharmacological treatment. Physical exercise as complementary therapy has already shown to be benef...