scholarly journals Management of Obstetric Perineal Tears: Do Obstetrics and Gynaecology Residents Receive Adequate Training? Results of an Anonymous Survey

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
A. Cornet ◽  
O. Porta ◽  
L. Piñeiro ◽  
E. Ferriols ◽  
I. Gich ◽  
...  

Background/Aim. To evaluate the obstetrics and gynaecology residents' perspective of their training and experience in the management of perineal tears that occur during assisted vaginal delivery. We hypothesised that residents would perceive room for improvement in their knowledge of pelvic floor anatomy and the training received in tears repair.Design. Descriptive cross-sectional study.Population/Setting. Seventy-two major residents from all teaching hospitals in Catalonia.Methods. A questionnaire was designed to evaluate experience, perception of the training and supervision provided.Results. The questionnaire was sent to all residents (), receiving 46 responses (64%). The participants represented 15 out of the 16 teaching hospitals included in the study (94% of the hospitals represented). Approximately, 52% of residents were in their third year while 48% were in their fourth. The majority of them thought that their knowledge of pelvic floor anatomy was poor (62%), although 98% felt confident that they would know when an episiotomy was correctly indicated. The survey found that they lacked experience in the repair of major degree tears (70% had repaired fewer than ten), and most did not carry out followup procedures.Conclusion. The majority of them indicated that more training in this specific area is necessary (98%).

2018 ◽  
Vol 25 (10) ◽  
pp. 1532-1536
Author(s):  
Rashida Parveen ◽  
Quratulain Sadiq ◽  
Syeda Ali

Objectives: To arbitrate the frequency and severity of perineal tears amongthe patients of Vaginal delivery. Study Design: A Cross-sectional study. Place and Durationof Study: Nishtar Hospital Multan from 29 December 2014 to 28 June 2015. Methodology:The study was conducted after obtaining the approval of ethical committee for collecting datafrom patients. The patients aged 20-40 years were included in the study, both multipara andprimipara. An examination was performed on the perineum, vulva, vagina, and cervix at thethird stage of labor in order to discover any tears or injuries. All the informations were collectedon per designed Performa. Collected data was entered and analyzed by using SPSS software.Results: The incidence of perineal tears was calculated to be 79.89%. The most commonlyobserved injury was the first-degree perineal tear. it accounted for 101(68.70%) cases. whilethe second-degree perineal tear was found to be 39(26.53%) cases. third and fourth degreeperineal tear remained the least in observed frequency as in 2.72% and 2.04% of casesrespectively. Conclusion: The observations of our study concluded that majority of patientsdelivered vaginally experienced perineal tear, among those first degree perineal tear was moreprevalent.


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Alzbeta Binkova ◽  
Marion Uebelhart ◽  
Patrick Dällenbach ◽  
Michel Boulvain ◽  
Angèle Gayet-Ageron ◽  
...  

Abstract Background Female Genital Mutilation/Cutting (FGM/C) concerns over 200 million women and girls worldwide and is associated with obstetric trauma and long-term urogynaecological and psychosexual complications that are often under-investigated and undertreated. The aim of this study was to assess the pelvic floor distress and the impact of pelvic floor and psychosexual symptoms among migrant women with different types of FGM/C. Methods This cross-sectional study was conducted between April 2016 and January 2019 at the Division of Gynaecology of the Geneva University Hospitals. The participants were interviewed on socio-demographic and background information, underwent a systematic gynaecological examination to assess the presence and type of FGM/C and eventual Pelvic Organ Prolapse (POP), and completed six validated questionnaires on pelvic floor and psychosexual symptoms (PFDI-20 and PFIQ7 on pelvic floor distress and impact, FISI and WCS on faecal incontinence and constipation, PISQ-IR and FGSIS on sexual function and genital self-image). The participants’ scores were compared with scores of uncut women available from the literature. The association between selected variables and higher scores for distress and impact of pelvic floor symptoms was assessed using univariate and multivariable linear regression models. Results 124 women with a mean age of 31.5 (± 7.5), mostly with a normal BMI, and with no significant POP were included. PFDI-20 and PFIQ-7 mean (± SD) scores were of 49.5 (± 52.0) and 40.7 (± 53.6) respectively. In comparison with the available literature, the participants’ scores were lower than those of uncut women with pelvic floor dysfunction but higher than those of uncut women without such disorders. Past violent events other than FGM/C and forced or arranged marriage, age at FGM/C of more than 10, a period of staying in Switzerland of less than 6 months, and nulliparity were significantly associated with higher scores for distress and impact of pelvic floor symptoms, independently of known risk factors such as age, weight, ongoing pregnancy and history of episiotomy. Conclusions Women with various types of FGM/C, without POP, can suffer from pelvic floor symptoms responsible for distress and impact on their daily life. Trial registration. The study protocol was approved by the Swiss Ethics Committee on research involving humans (protocol n°15-224).


2021 ◽  
Vol 36 (2) ◽  
pp. 72-77
Author(s):  
Prachita Walankar ◽  
Ninisha Patil

OBJECTIVE: To explore the prevalence of musculoskeletal pain in dhol players in India. METHODS: A cross-sectional study was conducted in 96 dhol players. A self-administered questionnaire comprising of demographic profile, dhol player characteristics, presence of musculoskeletal pain, and specific area of pain according to the body region was used to collect information from the dhol players. RESULTS: The mean age and duration of playing dhol experience were 22.26+3.05 and 6.08+1.27 years, respectively. Among 96 dhol players, 93 (96.9%) and 55 (57.3%) reported presence of musculoskeletal pain with respect to the 12-month prevalence and 7-day prevalence, respectively. In 12-month prevalence, the most common site of pain was the low back (67.7%), followed by shoulder (54.2%) and wrist and hand (24%). In 7-day prevalence, the most common site of pain was the low back (41.7%), followed by shoulder (24%) and upper back (15.6%). Logistic regression analysis revealed that age (p=0.002) and duration of playing dhol (p<0.001) were associated with 7-day prevalence of musculoskeletal pain. CONCLUSION: The findings of this study indicated high prevalence of musculoskeletal pain in dhol players. Low back, shoulder, wrist/hand, and upper back were common sites of pain. Identification of these factors in dhol players may assist in further research on targeted prevention, scientific recommendations, and rehabilitation.


2015 ◽  
Vol 14 (2) ◽  
pp. e356
Author(s):  
H. Neels ◽  
S. De Wachter ◽  
J-J. Wyndaele ◽  
W. Tjalma ◽  
M. Wyndaele ◽  
...  

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Chi Chiung Grace Chen ◽  
Jacob T. Cox ◽  
Chloe Yuan ◽  
Lauren Thomaier ◽  
Sonia Dutta

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