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Database - Alliance francophone pour l'accouchement respecté (AFAR)

Description of this bibliographical database (AFAR website)
Currently 3067 records
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Created on : 06 Jan 1904
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Third degree anal sphincter tears: risk factors and outcome. Aust N Z J Obstet Gynaecol. 1998 Nov;38(4):414-7.

Author(s) :

Wood J, Amos L, Rieger N.

Year of publication :


URL(s) :…

Résumé (français)  :

Abstract (English)  :

The aim of this retrospective study was to determine the incidence, risk factors and anal symptoms related to third degree tears after vaginal delivery. There were 9,631 vaginal deliveries during the 5-year period studied, with 116 (1.2%) having a third degree tear. Statistically significant risk factors for a third degree tear were primiparity, forceps delivery, episiotomy, fetal birth-weight greater than 4,000 g and increased duration of the second stage of labour. Eighty four of the 116 women were able to be interviewed, and 21 (25%) had anal symptoms related to the tear. Only 3 women had sought help for their symptoms. Twelve women experienced anal incontinence and 2 more required delayed repair of the anal sphincter for incontinence. Third degree tears are a major cause of perinatal and postnatal morbidity. Attention needs to be directed to the prevention of such tears by awareness of the women at risk and to better follow-up and counselling of the women sustaining a tear.

Sumário (português)  :

Resumen (español)  :

Comments :

Argument (français) :

Facteurs de risques des déchirures du 3e degré du sphincter anal

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ prevention ; perineal/vaginal tears ; incontinence/prolapsus ; episiotomy ; instrumental delivery ; forceps delivery ; morbidity

Author of this record :

Cécile Loup — 06 Jan 1904
➡ latest update : Marion Corbe — 02 Dec 2007

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