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Trauma sustained during childbirth is not always recognized, and damage to tissues and nerves may lead to long-term sequelae that can have a huge impact on the physical, social, and psychological well-being of women. However, even when trauma is recognized and repaired, the outcome may be suboptimal. Focused training in identification and appropriate repair is therefore mandatory. The two most important...
Résumé Les traumatismes périnéaux sont rares et peu rapportés dans la littérature en dehors du contexte particulier des traumatismes obstétricaux pour lesquels les conséquences fonctionnelles sont largement évaluées. Les traumatismes anopérinéaux peuvent être responsables à long terme de séquelles fonctionnelles qui concerneront les différents compartiments du périnée: la filière digestive avec des...
The aim of this study was to assess the impact of a new guideline on the outcome of repair of obstetric anal sphincter tears by examining adherence to the guideline and the effect upon the incidence of symptoms of anal incontinence. An audit of third-degree perineal tears was conducted in 1997. A reaudit was completed in 1998 and 1999 after the introduction of a new guideline. The audits were conducted...
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