Anal Sphincter Tears During Vaginal Delivery: A New Challenging Problem for the Health System in Iran

2016 ◽  
Vol 4 (4) ◽  
Author(s):  
Alimohammad Bananzadeh ◽  
Mohammad Yasin Karami
Keyword(s):  
Health System ◽  
Vaginal Delivery ◽  
Anal Sphincter ◽  
Challenging Problem ◽  
Anal Sphincter Tears

The Natural History of Clinically Unrecognized Anal Sphincter Tears Over 10 Years After First Vaginal Delivery

2008 ◽  
Vol 111 (5) ◽  
pp. 1058-1064 ◽  
Author(s):  
Andrea Frudinger ◽  
Martina Ballon ◽  
Stuart A. Taylor ◽  
Steve Halligan
Keyword(s):  
Natural History ◽  
Vaginal Delivery ◽  
Anal Sphincter ◽  
History Of ◽  
Anal Sphincter Tears

Anal Sphincter Tears at Vaginal Delivery

1999 ◽  
Vol 94 (1) ◽  
pp. 21-28 ◽  
Author(s):  
JAN ZETTERSTRÖM ◽  
ANNIKA LÓPEZ ◽  
BO ANZÉN ◽  
MARGARETA NORMAN ◽  
BO HOLMSTRÖM ◽  
...  
Keyword(s):  
Vaginal Delivery ◽  
Anal Sphincter ◽  
Anal Sphincter Tears

Immediate or Delayed Repair of Obstetric Anal Sphincter Tears–A Randomized Controlled Trial

2008 ◽  
Vol 63 (11) ◽  
pp. 686-687
Author(s):  
J Nordenstam ◽  
A Mellgren ◽  
D Altman ◽  
A López ◽  
C Johansson ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Anal Sphincter ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Delayed Repair ◽  
Anal Sphincter Tears

scholarly journals Risk Factors for Obstetric Anal Sphincter Injuries among Women Delivering at a Tertiary Hospital in Southwestern Uganda

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Mahad Ali ◽  
Richard Migisha ◽  
Joseph Ngonzi ◽  
Joy Muhumuza ◽  
Ronald Mayanja ◽  
...  
Keyword(s):  
Risk Factors ◽  
Vaginal Delivery ◽  
Anal Sphincter ◽  
Tertiary Hospital ◽  
Monthly Income ◽  
Obstetric Anal Sphincter Injuries ◽  
Perineal Tear ◽  
Fourth Degree ◽  
Anal Sphincter Injury ◽  
Second Stage Of Labour

Background. Obstetric anal sphincter injuries (OASIS) arise from perineal trauma during vaginal delivery and are associated with poor maternal health outcomes. Most OASIS occur in unattended deliveries in resource-limited settings. However, even in facilities where deliveries are attended by skilled personnel, a number of women still get OASIS. Objectives. To determine the incidence and risk factors for obstetric anal sphincter injuries among women delivering at Mbarara Regional Referral Hospital (MRRH). Methods. We conducted an unmatched hospital-based case control study, with the ratio of cases to controls of 1 : 2 (80 cases and 160 controls). We defined a case as a mother who got a third- or fourth-degree perineal tear after vaginal delivery while the controls recruited were the next two mothers who delivered vaginally without a third- or fourth-degree perineal tear. A questionnaire and participants’ medical records review were used to obtain sociodemographic and clinical data. We estimated the incidence of OASIS and performed univariable and multivariable logistic regression to identify the associated risk factors. Results. The cumulative incidence for OASIS during the study period was 6.6%. The risk factors for OASIS were 2nd stage of labour ≥1 hour (aOR 6.07, 95%CI 1.86–19.82, p=0.003), having episiotomy performed during labour (aOR 2.57, 95%CI 1.07–6.17, p=0.035), perineum support during delivery (aOR 0.03, 95%CI 0.01–0.12, p<0.001), and monthly income of >50,000 shillings (aOR 0.09, 95%CI 0.03–0.28, p<0.001). Conclusions and Recommendations. The risk factors for obstetric anal sphincter injury were prolonged second stage of labour and performing episiotomies during deliveries while higher monthly income and perineum support during delivery were protective. We recommend routine support to the perineum during delivery. Care should be taken in mothers with episiotomies, as they can extend and cause OASIS.

Pubovisceral muscle and anal sphincter defects in women with fecal or urinary incontinence after vaginal delivery

2018 ◽  
Vol 23 (2) ◽  
pp. 117-128 ◽  
Author(s):  
S. M. Murad-Regadas ◽  
F. S. P. Regadas ◽  
F. S. P. R. Filho ◽  
L. B. Borges ◽  
A. da Silva Vilarinho ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Vaginal Delivery ◽  
Anal Sphincter ◽  
Sphincter Defects ◽  
Anal Sphincter Defects

The incidence, risk factors and obstetric outcome in primigravid women sustaining anal sphincter tears

2003 ◽  
Vol 82 (8) ◽  
pp. 736-743 ◽  
Author(s):  
Nandini Gupta ◽  
Talakere Usha Kiran ◽  
Varsha Mulik ◽  
Jackie Bethel ◽  
Kiron Bhal
Keyword(s):  
Risk Factors ◽  
Anal Sphincter ◽  
Obstetric Outcome ◽  
Incidence Risk ◽  
Anal Sphincter Tears
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