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

Description of this bibliographical database (AFAR website)
Currently 3106 records
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Created on : 12 Jun 2004
Modified on : 01 Dec 2007

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Bibliographical entry (without author) :

Childbirth-induced trauma to the urethral continence mechanism: review and recommendations. Urology. 2003 Oct;62(4 Suppl 1):39-44.

Author(s) :

Baessler K, Schuessler B.

Year of publication :


URL(s) :…

Résumé (français)  :

Abstract (English)  :

To summarize the literature on immediate pelvic floor damage from childbirth and episiotomy, a MEDLINE search of English language articles published from 1983 to 2001 was performed. Vaginal delivery causes varying degrees of muscular, neuromuscular, and connective tissue damage. This damage may result in urinary and/or fecal incontinence. Routine midline episiotomy increases the risk of third- and fourth-degree perineal lacerations, which may lead to fecal incontinence. Routine use of mediolateral episiotomy does not prevent urinary incontinence (UI) or severe perineal tears. It is possible to reduce the rate of mediolateral episiotomy to as low as 20% in primiparas without increasing the risk of anal sphincter damage. Control of obesity before delivery, as well as pelvic floor exercises and regular physical exercise both before and after delivery, seem to reduce the risk of postpartum UI.

Sumário (português)  :

Resumen (español)  :

Comments :

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Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ perineal/vaginal tears ; incontinence/prolapsus ; episiotomy

Author of this record :

Cécile Loup — 12 Jun 2004

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This database is managed by Alliance francophone pour l'accouchement respecté (AFAR,
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