OC34.04: Postpartum evaluation of the anal sphincter by transperineal 3D US in primiparous women after normal vaginal delivery and after surgical repair of 3rd-degree tears

2005 ◽  
Vol 26 (4) ◽  
pp. 369-369
Author(s):  
D. V. Valsky ◽  
R. Patkova ◽  
B. Messing ◽  
D. Rozenak ◽  
S. Y. Yagel
Keyword(s):  
Vaginal Delivery ◽  
Anal Sphincter ◽  
Surgical Repair ◽  
Normal Vaginal Delivery ◽  
Primiparous Women

scholarly journals Primiparous Women’s Experiences of Normal Vaginal Delivery in Iran: A Qualitative Study

2020 ◽  
Author(s):  
Marzieh Khamehchian ◽  
Mohsen Adib-Hajbaghery ◽  
Nastaran HeydariKhayat ◽  
Mahboubeh Rezaei ◽  
Mahdieh Sabery
Keyword(s):  
Qualitative Study ◽  
Vaginal Delivery ◽  
Emotional Support ◽  
Major Effect ◽  
Study Data ◽  
Normal Vaginal Delivery ◽  
Spiritual Support ◽  
Structured Interviews ◽  
Women's Lives ◽  
Primiparous Women

Abstract Background: Childbirth is considered as the most challenging psychological event in a woman's life. It has a major effect on women’s lives with long-term positive or negative impacts. Cultural, religious, and socioeconomic differences can affect women’s perception about normal vaginal delivery (NVD) experience. Therefore, it is necessary to explore the primiparous women's perception about it.Methods: This qualitative study, with a descriptive content analysis approach, was conducted in Kashan, a city in the center of Iran. Purposive sampling was used to recruit the participants of the current study. Data was gathered by semi-structured interviews during 24 hours after normal vaginal birth among primiparous women. The sampling started from June to October in 2016. Interviews continued until data saturation which was achieved in the 14th interview but for assurance, it continued until the 17th one. Results: The following three main themes were extracted "immersion in stress", "pain, the essence of NVD" and "strategies for situation management". Furthermore, seven subthemes were obtained including 'loss threat’, ‘stressful context', temporary impairment in physiologic harmony, paradoxical emotions, self-management, emotional support, and spiritual support. Conclusions: This study showed that stress and pain were two highlighted issues in NVD process. Increasing women's awareness about NVD process, familiarizing the primiparous women with the simulated delivery room, accompanying these women for emotional support, and providing spiritual support can be effective in situation management to make the child delivery a pleasant and satisfying experience.

OC39: Postpartum evaluation of the anal sphincter after surgical repair of third-degree tear by 3D transperineal ultrasound in primiparous women

2006 ◽  
Vol 28 (4) ◽  
pp. 370-370
Author(s):  
D. V. Valsky ◽  
B. Messing ◽  
D. Rosenak ◽  
D. Hochner-Celnikier ◽  
S. M. Cohen ◽  
...  
Keyword(s):  
Anal Sphincter ◽  
Surgical Repair ◽  
Transperineal Ultrasound ◽  
Primiparous Women

scholarly journals OASIS: clinical audit in a tertiary care centre

2018 ◽  
Vol 7 (5) ◽  
pp. 1958
Author(s):  
Sruthy Soman ◽  
Sobha S. Nair ◽  
Janani J. N. ◽  
Radhamany K. ◽  
Ann John Kurien
Keyword(s):  
Epidural Analgesia ◽  
Vaginal Delivery ◽  
Anal Sphincter ◽  
Gestational Age ◽  
Rectal Mucosa ◽  
Shoulder Dystocia ◽  
Induction Of Labour ◽  
Normal Vaginal Delivery ◽  
Perineal Tear ◽  
Vertex Presentation

Background: Obstetric anal sphincter injury involves injury to the anal sphincter and rectal mucosa sustained at time of vaginal delivery and can result in significant long-term morbidity. These injuries have been defined as 3rd and 4th degree lacerations that involve disruption of the anal sphincter and rectal mucosa respectively. Objectives of this study were to find out the incidence of obstetrical anal sphincter injuries, to identify the risk factors for of OASIS and the outcome of primary repair in terms of anal incontinence and its associated complications.Methods: We did a descriptive study of OASIS by retrospective analysis of the labour case records. The study period was 1 year between August 2016 to July 2017. Inclusion criteria were singleton pregnancy, vertex presentation, instrumental and normal vaginal delivery. Exclusion criteria were multiple pregnancy, non-vertex presentation and caesarean section. Proforma was developed to capture the age, parity, gestational age in weeks, induction of labour, epidural analgesia, delivery duration, type of episiotomy, instrumentation, shoulder dystocia, occipito posterior position,manual support, weight of the baby, suturing method. Postnatal evaluation after 6 weeks and 6 months for perineal discomfort, pain, incontinence, wound infection, breakdown, fistula were noted. Results: The incidence of OASIS was 1.4%. 81.8% women had 3rd degree perineal and 18.1% had 4th degree perineal tear. The mean age of the patients were 27.9 years, gestational age of 39.45 weeks, 72.7% were primiparous. Induction of labour with prostaglandins was done in 36.36% and Pitocin augmentation for 81.81%. The duration of second 36.36% had 60-89 min and 27.27% had duration more than 90 min. 54.54% had epidural analgesia, 36.36% had shoulder dystocia, 36.36% had instrumental delivery. 72.72% babies had birth weight between 3-3.5 kg, 9% between 3.5-4 kg. Ano vaginal fistula developed in 9%.Conclusions: Appropriate training, anticipating and identifying major degrees of perineal tear helps in reducing the complications. Anovaginal fistula is distressing and disabling the patient and to her near ones.

Postpartum Traumatic Rectal Tear After Normal Vaginal Delivery with an Intact Anal Sphincter

2012 ◽  
Vol 28 (2) ◽  
pp. 176-178 ◽  
Author(s):  
Stavros Athanasiou ◽  
Athanasios Mousiolis ◽  
Themistoklis Grigoriadis ◽  
Aris Antsaklis
Keyword(s):  
Vaginal Delivery ◽  
Anal Sphincter ◽  
Normal Vaginal Delivery

scholarly journals Clinical and Ultrasonographic Evaluation of the Pelvic Floor in Primiparous Women after Normal Vaginal Delivery with Episiotomy and without Episiotomy

2020 ◽  
Vol 7 (1) ◽  
pp. 4-8
Author(s):  
Nora H. K. Elabady ◽  
◽  
Ahmed M. Awara ◽  
Amr M. El-Badry ◽  
Nareman El-Hamamy ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Vaginal Delivery ◽  
Levator Ani ◽  
Clinical Findings ◽  
University Hospital ◽  
Normal Vaginal Delivery ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
Primiparous Women

Objective The aim of this prospective study is clinical and ultrasonographic evaluation of the pelvic floor in primiparous women after normal vaginal delivery with episiotomy and without episiotomy. Methods This is a cross-section study of primiparous women with a history of delivery at Tanta University Hospital from August 2018 to August 2019. The sample power was calculated based on avulsion (major and minor) in two groups (vaginal delivery with episiotomy and without episiotomy) of total forty-primiparous women with an interval after delivery (20 cases after normal vaginal delivery with episiotomy and 20 cases after normal vaginal delivery without episiotomy). Results Twenty-four hours of delivery there was a highly significant difference between group A (with episiotomy) and group B (without episiotomy) regarding to ultrasound abnormalities, degree of tear, blood loss, hemoglobin concentration and clinical findings, while no difference regarding levator ani weakness. Two months later from delivery there was no significant difference between group A and group B regarding to ultrasound abnormalities and levator ani weakness while there was a difference between the two groups in regarding with clinical findings. Conclusion Normal vaginal delivery without episiotomy in primiparous women is better than normal vaginal delivery with episiotomy as there is no perineal tenderness, no dyspareunia. Low incidence of urinary, rectal incontinence, tear and perineal infection.

scholarly journals Primiparous Women’s Experiences of Normal Vaginal Delivery in Iran: A Qualitative Study

2020 ◽  
Author(s):  
Marzieh Khamehchian ◽  
Mohsen Adib-Hajbaghery ◽  
Nastaran Heydari Khayat ◽  
Mahdieh Sabery ◽  
Mahboubeh Rezaei New
Keyword(s):  
Qualitative Study ◽  
Vaginal Delivery ◽  
Emotional Support ◽  
Normal Vaginal Delivery ◽  
Spiritual Support ◽  
Structured Interviews ◽  
Women’S Experiences ◽  
Women's Experiences ◽  
Data Saturation ◽  
Primiparous Women

Abstract Primiparous Women’s Experiences of Normal Vaginal delivery in Iran: A qualitative study Abstract Background: Childbirth is considered as the most challenging psychological event in women's life. It has a powerful effect on women’s lives with long-term positive or negative impacts. Cultural, religious, and socioeconomic differences can affect women’s perception about normal vaginal delivery (NVD) experience, it is necessary to explore the primiparous women's perception about it. Methods: This qualitative study with a descriptive content analysis approach was conducted in Kashan, a city in the center of Iran. Purposive sampling was used to recruit the participants of the current study. Data was gathered by semi-structured interviews during 24 hours after normal vaginal birth among primiparous women. The Sampling started from June to October in 2016. Interviews continued till data saturation. Data saturation was achieved in the 14th interview but for assurance, it continued until the 17th one. Results: The following three main themes were extracted "immersion in stress", "pain, the essence of NVD" and "strategies for situation management". Also, seven sub themes were obtained including 'loss threat’, ‘stressful context', temporary impairment in physiologic harmony, paradoxical emotions, self-management, emotional support, and spiritual support. Conclusions: This study showed that stress and pain were two highlighted issues in NVD process. Increasing women's awareness about NVD process and what they experience during this process, familiarizing the primiparous women with the simulated delivery room, accompanying these women for emotional support, and providing spiritual support can be effective in situation management to make the child delivery a pleasant and satisfying experience.

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