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Management of obstetric anal sphincter injury
The Obstetrician & Gynaecologist, 2003Obstetric anal sphincter trauma is the most common cause of faecal incontinence and can have a devastating effect on quality of life. Therefore, recognition of the tear is of utmost importance. However, despite repair, up to 59% of women suffer from impaired faecal continence.
Ranee Thakar, Abdul H Sultan
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Obstetric rectal laceration in the absence of an anal sphincter injury
BMJ Case Reports, 2021Rectal laceration in the absence of concurrent anal sphincter injury at the time of parturition is not a frequently reported finding. This rarely encountered injury is also referred to as a buttonhole injury. It is a disruption of the vaginal and rectal tissue with resultant disruption of the anal epithelium in the setting of an intact external anal ...
Adeola Awomolo +2 more
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Fecal incontinence after obstetric anal sphincter injuries
International Journal of Gynecology & Obstetrics, 2013AbstractObjectiveTo determine obstetric variables associated with the long‐term prevalence of flatal and/or fecal incontinence among women who sustained obstetric anal sphincter injuries (OASIS).MethodsIn a retrospective study of women who gave birth between January 1974 and December 1983 at the University Women's Hospital, Tuebingen, Germany, women ...
Huebner M +5 more
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Postpartum Management After Obstetric Anal Sphincter Injuries
Obstetrics & Gynecology, 2017A 26-year-old woman, gravida 1 para 1, experiences a severe perineal laceration that extends through the rectal mucosa after a vaginal delivery. She asks you, “What can be done to optimize my recovery?”
Allison, Eubanks, Scott M, Petersen
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Obstetric Anal Sphincter Injuries
2014Care during vaginal birth has vastly improved over the last two decades. However, more than 85 % of women sustain various degrees of perineal trauma during vaginal delivery in the UK. The incidence of severe perineal trauma varies between 0.5 and 3 % in Europe and 6–9 % in the USA.
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Obstetric Anal Sphincter Injury [OASI]
2018Obstetric Anal Sphincter Injury has seen an increasing incidence in the past few years which may be related to improved detection and diagnosis. The risk factors for OASI are not modifiable and therefore strategies aimed at reducing incidence during childbirth as well as adequate diagnosis of the grade of tear and its appropriate management reduces ...
Swati Jha, Abdul Sultan
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Anal sphincter repair for obstetric injury
Diseases of the Colon & Rectum, 1991Anal manometry before and after surgical repair on a homogeneous group of patients with anterior sphincter defect caused by obstetric injury defined the parameters affected by the repair to achieve anal continence. Between November 1985 and April 1989, 28 patients who underwent anterior anal sphincter reconstruction were studied using anal manometry ...
J W, Fleshman +3 more
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Wound Complications After Obstetric Anal Sphincter Injuries
Obstetrics & Gynecology, 2015To estimate the incidence of and risk factors for wound complications in women who sustain obstetric anal sphincter injuries.This was a prospective cohort study of women who sustained obstetric anal sphincter injuries during delivery of a full-term neonate between September 2011 and August 2013. Women were seen in the urogynecology clinic within 1 week
Christina, Lewicky-Gaupp +4 more
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Obstetrical Anal Sphincter Injuries and the Need for Adequate Care
Female Pelvic Medicine & Reconstructive Surgery, 2019Background An estimated 4% to 6.6% of women delivering vaginally sustain obstetrical anal sphincter injuries (OASI). Despite this, a gap exists in the provision of postpartum care to women globally. Given the negative impact of OASI, action is needed, and multidisciplinary perineal clinics can help.
Victoria, Elliot +2 more
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Management of obstetric anal sphincter injury
British Journal of Midwifery, 2012Obstetric anal sphincter injury (OASIS) and the long-term morbidity associated with it can have a devastating impact on the lives of women and their families. Although the majority of women will not sustain a third or fourth degree tear there is the risk of long-term morbidity if these more severe injuries go unrecognised or mismanaged.
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