| Autor: |
Hals, Elisabeth, Øian, Pål, Pirhonen, Tiina, Gissler, Mika, Hjelle, Sissel, Nilsen, Elisabeth Berge, Severinsen, Anne Mette, Solsletten, Cathrine, Hartgill, Tom, Pirhonen, Jouko |
| Zdroj: |
Obstetrical and Gynecological Survey; January 2011, Vol. 66 Issue: 1 p12-13, 2p |
| Abstrakt: |
Third- or fourth-degree perineal lacerations are common; the incidence of obstetric anal sphincter injuries in Norway increased 4-fold from less than 1% in the late 1960s to 4.3% in 2004. Despite adequate primary repair at delivery, up to 50% of women have persistent anal incontinence symptoms. Interventions protective against obstetric anal sphincter injury have been investigated with varying results. Methods evaluated include replacing forceps with vacuum extraction, using mediolateral instead of medial episiotomy, and the use of manual support of the perineum. The results of a short-term (1.5-year) pilot study suggested that use of a strategy based on such interventions could lower the frequency of anal sphincter tears. |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
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