Rapid versus stepwise application of negative pressure in vacuum extraction-assisted vaginal delivery: a multicentre randomised controlled non-inferiority trial

2011 ◽  
Vol 118 (10) ◽  
pp. 1247-1252 ◽  
Author(s):  
B Suwannachat ◽  
M Laopaiboon ◽  
S Tonmat ◽  
T Siriwachirachai ◽  
S Teerapong ◽  
...  
Keyword(s):  
Vaginal Delivery ◽  
Negative Pressure ◽  
Vacuum Extraction ◽  
Assisted Vaginal Delivery ◽  
Randomised Controlled

Obstetric anal sphincter injury and anal incontinence

2021 ◽  
Vol 86 (2) ◽  
pp. 118-122
Author(s):  
Jan Dvořák ◽  
◽  
Jaromír Mašata ◽  
Kamil Švabík ◽  
Alois Martan
Keyword(s):  
Vaginal Delivery ◽  
Anal Sphincter ◽  
Anal Incontinence ◽  
Vacuum Extraction ◽  
Sphincter Injury ◽  
Assisted Vaginal Delivery ◽  
Anal Sphincter Injury ◽  
Current State ◽  
Complex Approach ◽  
Risk Patients

Overview Objective: The aim of our study is to clarify the problems of OASI (obstetric anal sphincter injuries) and anal incontinence and prevention of this injury. Methods: Review of articles in peer reviewed journals with the usage of Google Scholar function and PubMed. Conclusion: OASI is a severe injury which is more commonly associated with assisted vaginal delivery. This injury cannot be fully prevented, but its incidence can be averted by the usage of selective mediolateral episiotomy, or by other precautionary moves in high risk patients. The treatment of anal incontinence after OASI requires a complex approach and thorough examination. At first delivery, OASI is not a stern indication for caesarean section in accordance with current state of knowledge. Keywords: OASI – sphincter injury – anal incontinence – assisted vaginal delivery – vacuum-extraction – forceps

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