Concerning the Article by Bodner-Adler et al: “Management of the Perineum during Delivery with the Kiwi Omnicup: Effects of Mediolateral Episiotomy on Anal Sphincter Tears in Nulliparous Women”

2018 ◽  
Vol 83 (4) ◽  
pp. 415-416
Author(s):  
Roxana Knobel ◽  
Maíra L.S. Takemoto ◽  
Mariane O.  Menezes ◽  
Claudia G. Magalhães ◽  
Carla B. Andreucci ◽  
...  
Keyword(s):  
Anal Sphincter ◽  
Mediolateral Episiotomy ◽  
Nulliparous Women ◽  
Anal Sphincter Tears

Management of the Perineum during Delivery with the Kiwi Omnicup: Effects of Mediolateral Episiotomy on Anal Sphincter Tears in Nulliparous Women

2017 ◽  
Vol 83 (2) ◽  
pp. 171-178 ◽  
Author(s):  
Barbara Bodner-Adler ◽  
Oliver Kimberger ◽  
Andreas Käfer ◽  
Peter Husslein ◽  
Klaus Bodner
Keyword(s):  
Anal Sphincter ◽  
Mediolateral Episiotomy ◽  
Nulliparous Women ◽  
Anal Sphincter Tears

The role of mediolateral episiotomy during labour. Analysis of risk factors for obstetric anal sphincter tears

2006 ◽  
Vol 85 (7) ◽  
pp. 856-860 ◽  
Author(s):  
Pauliina Aukee ◽  
Helena Sundström ◽  
Matti V. Kairaluoma
Keyword(s):  
Risk Factors ◽  
Anal Sphincter ◽  
Mediolateral Episiotomy ◽  
Anal Sphincter Tears

A dynamic prediction score for obstetric anal sphincter injury among nulliparous women delivering vaginally

2021 ◽  
Author(s):  
Raanan Meyer ◽  
Anat Schwartz ◽  
Nir Horesh ◽  
Menachem Alcalay ◽  
Edward Ram ◽  
...  
Keyword(s):  
Anal Sphincter ◽  
Prediction Score ◽  
Obstetric Anal Sphincter Injury ◽  
Sphincter Injury ◽  
Dynamic Prediction ◽  
Anal Sphincter Injury ◽  
Nulliparous Women

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

Immediate or delayed repair of obstetric anal sphincter tears-a randomised controlled trial

2008 ◽  
Vol 115 (7) ◽  
pp. 857-865 ◽  
Author(s):  
J Nordenstam ◽  
A Mellgren ◽  
D Altman ◽  
A López ◽  
C Johansson ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Anal Sphincter ◽  
Controlled Trial ◽  
Delayed Repair ◽  
Randomised Controlled ◽  
Anal Sphincter Tears

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

Childbirth trauma

2020 ◽  
pp. 727-742
Author(s):  
Stergios Doumouchtsis
Keyword(s):  
Pelvic Floor ◽  
Anal Sphincter ◽  
Well Being ◽  
Anal Sphincter Injury ◽  
Nulliparous Women ◽  
Childbirth Trauma ◽  
Multiparous Women ◽  
Short And Long Term ◽  
Tissue Rupture ◽  
Nerve Muscle

Pelvic floor disorders are strongly associated with childbirth and are more prevalent in parous women. Pelvic floor trauma commonly occurs at the time of the first vaginal childbirth. Conventionally, childbirth trauma refers to perineal and vaginal trauma following delivery and the focus has been on the perineal body and the anal sphincter complex. However, childbirth trauma may involve different aspects of the pelvic floor. Pelvic floor trauma during vaginal childbirth may involve tissue rupture, compression, and stretching, resulting in nerve, muscle, and connective tissue damage. Some women may be more susceptible to pelvic floor trauma than others due to collagen weakness. Childbirth trauma affects millions of women worldwide. The incidence of perineal trauma is over 91% in nulliparous women and over 70% in multiparous women. A clinical diagnosis of obstetric anal sphincter injury (OASIS) is made in between 1% and 11% of women following vaginal delivery. Increased training and awareness around OASIS is associated with an increase in the reported incidence. Short- and long-term symptoms of childbirth trauma can have a significant effect on daily activities, psychological well-being, sexual function, and overall quality of life.

Impact of mediolateral episiotomy on incidence of obstetrical anal sphincter injury diagnosed by endoanal ultrasound

Midwifery ◽  
2017 ◽  
Vol 51 ◽  
pp. 40-43 ◽  
Author(s):  
Kristina Drusany Staric ◽  
Adolf Lukanovic ◽  
Petra Petrocnik ◽  
Vita Zacesta ◽  
Corrado Cescon ◽  
...  
Keyword(s):  
Anal Sphincter ◽  
Endoanal Ultrasound ◽  
Sphincter Injury ◽  
Mediolateral Episiotomy ◽  
Anal Sphincter Injury ◽  
Obstetrical Anal Sphincter Injury

scholarly journals Anal sphincteric neurogenic injury in asymptomatic nulliparous women and fecal incontinence

2012 ◽  
Vol 303 (2) ◽  
pp. G256-G262 ◽  
Author(s):  
Adil E. Bharucha ◽  
Jasper Daube ◽  
William Litchy ◽  
Julia Traue ◽  
Jessica Edge ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Muscle Injury ◽  
Normal Values ◽  
Substantial Agreement ◽  
Sphincter Injury ◽  
Squeeze Pressure ◽  
Anal Sphincter Injury ◽  
Nulliparous Women ◽  
Κ Statistic

While anal sphincter neurogenic injury documented by needle electromyography (EMG) has been implicated to cause fecal incontinence (FI), most studies have been uncontrolled. Normal values and the effects of age on anal sphincter motor unit potentials (MUP) are ill defined. The functional significance of anal sphincter neurogenic injury in FI is unclear. Anal pressures and EMG were assessed in 20 asymptomatic nulliparous women (age, 38 ± 5 yr; mean ± SE) and 20 women with FI (54 ± 3 yr). A computerized program quantified MUP duration and phases. These parameters and MUP recruitment were also semiquantitatively assessed by experienced electromyographers in real time. Increasing age was associated with longer and more polyphasic MUP in nulliparous women by quantitative analysis. A higher proportion of FI patients had prolonged (1 control, 7 patients, P = 0.04) and polyphasic MUP (2 controls, 9 patients, P = 0.03) at rest but not during squeeze. Semiquantitative analyses identified neurogenic or muscle injury in the anal sphincter (11 patients) and other lumbosacral muscles (4 patients). There was substantial agreement between quantitative and semiquantitative analyses (κ statistic 0.63 ± 95% CI: 0.32–0.96). Anal resting and squeeze pressures were lower ( P ≤ 0.01) in FI than controls. Anal sphincter neurogenic or muscle injury assessed by needle EMG was associated ( P = 0.01) with weaker squeeze pressures (83 ± 10 mmHg vs. 154 ± 30 mmHg) and explained 19% ( P = 0.01) of the variation in squeeze pressure. Anal sphincter MUP are longer and more polyphasic in older than younger nulliparous women. Women with FI have more severe neurogenic or muscle anal sphincter injury, which is associated with lower squeeze pressures.

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