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

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Currently 3076 records
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Created on : 02 Aug 2014
Modified on : 02 Aug 2014

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Bibliographical entry (without author) :

Third degree obstetric perineal tears: risk factors and the preventive role of mediolateral episiotomy - BJOG: An International Journal of Obstetrics & Gynaecology - Vol. 104, 5 - ISBN: 1471-0528 - p.563-566

Author(s) :

Poen, A. C.; Felt-Bersma, R. J. F.; Dekker, G. A.; Devillé, W.; Cuesta, M. A.; Meuwissen, S. G. M.

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Résumé (français)  :

Abstract (English)  :

To determine risk factors for third degree obstetric perineal tears and to give recommendations for prevention. Design
Retrospective case–control study. Setting
A teaching hospital in The Netherlands. Participants and methods
One hundred and twenty cases of vaginal delivery complicated by third degree perineal tear and 702 uncomplicated vaginal deliveries were compared, with respect to possible risk factors. Results
In a multivariate model high birthweight, forceps delivery, induced labour, epidural anaesthesia and parity were risk factors for anal sphincter tear. In addition, mediolateral episiotomy was associated with fewer sphincter injuries. Separate analysis of nulli- and multiparous women demonstrated that high birthweight and epidural anaesthesia (increased risk) and mediolateral episiotomy (decreased risk) were factors associated with anal sphincter tear only in nulliparous women. Conclusions
We found several risk factors for anal sphincter tear. Nulliparous women are at higher risk than multiparous women. Mediolateral episiotomy may be sphincter-saving especially in nulliparous women and therefore prevent them from chronic faecal incontinence.

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Keywords :

➡ prevention ; episiotomy

Author of this record :

Import 02/08/2014 — 02 Aug 2014
➡ latest update : Marion Corbe — 02 Aug 2014

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