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Management of obstetric anal sphincter injury
Author(s) -
Thakar Ranee,
Sultan Abdul H
Publication year - 2003
Publication title -
the obstetrician and gynaecologist
Language(s) - English
Resource type - Journals
eISSN - 1744-4667
pISSN - 1467-2561
DOI - 10.1576/toag.5.2.72
Subject(s) - anal sphincter , medicine , sphincter , fecal incontinence , quality of life (healthcare) , clinical practice , surgery , physical therapy , intensive care medicine , nursing
Obstetric anal sphincter trauma is the most common cause of faecal incontinence and can have a devastating effect on quality of life. Therefore, recognition of the tear is of utmost importance. However, despite repair, up to 59% of women suffer from impaired faecal continence. Poor technique and inadequate training are important contributing factors. This article provides guidelines for safe clinical practice and discusses options for the management of subsequent pregnancy. There is a need for more focused training in perineal anatomy and anal sphincter repair.