Perineal and Anal Sphincter Trauma

Perineal and Anal Sphincter Trauma
Author : Abdul H Sultan
Publisher : Springer Science & Business Media
Total Pages : 196
Release : 2007-03-20
ISBN 10 : 9781846285035
ISBN 13 : 1846285038
Language : EN, FR, DE, ES & NL

Perineal and Anal Sphincter Trauma Book Description:

This book clarifies and explains perineal anatomy and the pathophysiology of anal incontinence as well as applied pharmacology. It also institutes the new recommended classification of perineal tears, and describes anal sphincter repair techniques. The emphasis is on correct post-operative management, management of pregnancy following previous anal sphincter injury, and prevention of anal sphincter tears. The book will interest students, colorectal surgeons, physiotherapists, midwives, continence advisors, labour wards and lawyers.

Perineal Trauma at Childbirth

Perineal Trauma at Childbirth
Author : Khaled M. K. Ismail
Publisher : Springer
Total Pages : 191
Release : 2017-04-18
ISBN 10 : 9783319148601
ISBN 13 : 3319148605
Language : EN, FR, DE, ES & NL

Perineal Trauma at Childbirth Book Description:

​This book aims to address all degrees of perineal trauma as well as interventions to reduce the risk of their occurrence and management of future pregnancies​. Perineal trauma affects a significant number of women worldwide every year. The inadequate assessment and management of perineal trauma can cause significant complications to women at a very critical time of their life. These can consequently lead to serious long-term problems.

Clinical and methodological aspects on perineal laceration diagnostics at childbirth

Clinical and methodological aspects on perineal laceration diagnostics at childbirth
Author : Sofia Pihl
Publisher : Linköping University Electronic Press
Total Pages : 68
Release : 2019-12-09
ISBN 10 : 9789179299620
ISBN 13 : 9179299628
Language : EN, FR, DE, ES & NL

Clinical and methodological aspects on perineal laceration diagnostics at childbirth Book Description:

Background: Obstetric perineal lacerations are common after vaginal birth. The degree of obstetric perineal laceration is defined by the extent of tissue involved in the laceration. When a perineal laceration has occurred after vaginal delivery, the examination for correct diagnostics is essential before primary suturing. Standard immediate postpartum care is an inspection and palpation of the obstetric perineal laceration. The aim of this thesis was to explore the diagnostics of obstetric perineal lacerations, and to examine how the methods of bidigital perineal palpation and transperineal ultrasound postpartum can contribute to the clinical diagnostic decisions before primary repair. Material and Methods: Study I is a methodological study of transperineal ultrasound of the anovaginal distance. The learning curve and inter-observer agreement of the method is studied between three examiners in an outpatient gynaecological setting. Study II is a prospective observational study of 150 primiparous women with suspected perineal laceration of degree 2-3 immediately after childbirth and the association between bidigital palpation of the perineal height, the anovaginal distance and the final diagnosis of the perineal laceration. Study III is a retrospective observational study with data from the Swedish national Perineal Laceration Registry, studying maternal and obstetric risk factors for internal anal sphincter injury in 3,333 women with external sphincter injury. Study IV is a follow-up study focusing on the implementation strategies and outcome when introducing a new method, (the Diagnostics After DELivery – DADEL concept) for examining perineal lacerations at a maternity ward. The DADEL concept consists of a combination of bidigital palpation of the perineal tissues and transperineal ultrasound in order to determine the degree of perineal lacerations. Results and conclusions: In study I, the method of transperineal ultrasound measurement of anovaginal distance revealed a short learning period and high interobserver agreement. This indicated that the method can be taught and reliably used in further research and clinical practice. In study II, women with external sphincter injury had a shorter anovaginal distance compared to women without this injury. The palpatory perineal thickness was associated with the anovaginal distance. Study III showed that 33% of primiparous women with an external anal sphincter injury also had an internal anal sphincter injury diagnosed immediately after delivery. When the infant was born with a hand or arm beside the head, there was an increased risk for internal anal sphincter injury. Perineal palpatory thickness of less than 10 mm was significantly associated with an internal anal sphincter injury. In the follow-up study of diagnostic methods showed a significantly higher use of bidigital palpation five years after introduction of the DADEL concept. The use of transperineal ultrasound showed no significant change during the same period.

Childbirth Trauma

Childbirth Trauma
Author : Stergios K Doumouchtsis
Publisher : Springer
Total Pages : 329
Release : 2016-07-29
ISBN 10 : 9781447167112
ISBN 13 : 1447167112
Language : EN, FR, DE, ES & NL

Childbirth Trauma Book Description:

This comprehensive and authoritative text takes an integrated approach to childbirth trauma, focusing on anal sphincter injuries and perineal morbidity, as well as other lower urinary tract dysfunctions secondary to childbirth. ​In recent years there has been an increasing emphasis on childbirth injury. Research based on clinical evaluation and anal ultrasound has improved our understanding of these significant childbirth related complications, their associated morbidity and their long-term sequelae. Despite extensive research interest, clinical focus and institutional national and international guidelines, outcomes are still not optimal and debates continue. Complete with full-color illustrations, Childbirth Trauma is a useful guide for clinicians and researchers in this field.

Managing Obstetric Emergencies and Trauma

Managing Obstetric Emergencies and Trauma
Author : Kate Grady
Publisher : RCOG
Total Pages : 396
Release : 2007-03
ISBN 10 : 1904752217
ISBN 13 : 9781904752219
Language : EN, FR, DE, ES & NL

Managing Obstetric Emergencies and Trauma Book Description:

The Managing Obstetric Emergencies and Trauma (MOET) course teaches the practical skills and procedures needed to save the mother and fetus in life-threatening circumstances. This accompanying Manual provides readers with a structured preparation and revision system for the course.

Anal Sphincter Injuries

Anal Sphincter Injuries
Author :
Publisher :
Total Pages :
Release : 2016
ISBN 10 : OCLC:1021274201
ISBN 13 :
Language : EN, FR, DE, ES & NL

Anal Sphincter Injuries Book Description:

Best Practice in Labour and Delivery

Best Practice in Labour and Delivery
Author :
Publisher : Cambridge University Press
Total Pages :
Release :
ISBN 10 :
ISBN 13 :
Language : EN, FR, DE, ES & NL

Best Practice in Labour and Delivery Book Description:

Childbirth Related Pelvic Floor Dysfunction

Childbirth Related Pelvic Floor Dysfunction
Author : Diego Riva
Publisher : Springer
Total Pages : 197
Release : 2015-11-30
ISBN 10 : 9783319181974
ISBN 13 : 3319181971
Language : EN, FR, DE, ES & NL

Childbirth Related Pelvic Floor Dysfunction Book Description:

​This book offers an up-to-date overview of childbirth-related pelvic floor dysfunction covering prevention, diagnosis, and management. It encompasses all relevant conditions, with particular focus on genital prolapse, urinary incontinence, and fecal incontinence. Risk factors for pelvic floor damage related to childbirth are identified, and a 3D simulation of delivery is presented. The role of various diagnostic tools, including pelvic floor ultrasonography and magnetic resonance imaging and anal sphincter electromyography, is clearly described. The importance of physiotherapy in preventing future alterations is explained, and the indications for surgery, which is reserved for more severe situations, are discussed. The book highlights the need for a multidisciplinary approach involving obstetricians, gynecologists, urologists, midwives, radiologists, physiotherapists, muscle laboratory engineers, and computer technicians.

Fecal Incontinence

Fecal Incontinence
Author : Carlo Ratto
Publisher : Springer Science & Business Media
Total Pages : 362
Release : 2007-06-08
ISBN 10 : 9788847006379
ISBN 13 : 8847006376
Language : EN, FR, DE, ES & NL

Fecal Incontinence Book Description:

Fecal incontinence is a common and embarrassing condition with a devastating impact on patients’ lives. Since it may result from a variety of pathophysiological situations, an accurate diagnostic work-up is crucial. A range of therapies is available, but choosing the correct option is pivotal to successful management. This book reviews the latest advances in the epidemiologic, socio-economic, psychological, diagnostic, and therapeutic aspects of fecal incontinence, helping to establish effective treatment guidelines.

Can Obstetric Anal Sphincter Injuries OASIS be Reduced by Using a Hands on Perineal Technique Compared to a Hands off Perineal Technique in the Second Stage of Labour

Can Obstetric Anal Sphincter Injuries  OASIS  be Reduced by Using a Hands on Perineal Technique Compared to a Hands off Perineal Technique in the Second Stage of Labour
Author :
Publisher :
Total Pages :
Release : 2015
ISBN 10 : OCLC:926998496
ISBN 13 :
Language : EN, FR, DE, ES & NL

Can Obstetric Anal Sphincter Injuries OASIS be Reduced by Using a Hands on Perineal Technique Compared to a Hands off Perineal Technique in the Second Stage of Labour Book Description: