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International Urogynecology Journal

Erschienen in:

01.09.2009 | Original Article

Mode of delivery after previous obstetric anal sphincter injuries (OASIS)—a reappraisal?

verfasst von: Inka Scheer, Ranee Thakar, Abdul H. Sultan

Erschienen in: International Urogynecology Journal | Ausgabe 9/2009

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Abstract

Introduction and hypothesis

To prospectively evaluate anorectal symptoms, quality of life (QoL), sphincter integrity and function after subsequent childbirth following previous obstetric anal sphincter injuries (OASIS).

Methods

A validated Manchester Health Questionnaire, endoanal sonography and manometry were performed during the third trimester and 13 weeks postpartum. Women without objective compromise of anal function were recommended a vaginal delivery and the others a caesarean section.

Results

Seventy-three consecutive women with previous OASIS were seen during a subsequent pregnancy of whom 59 were reviewed 13 weeks following delivery. Anal manometry findings did not change significantly following a subsequent vaginal delivery or caesarean section. Only one new defect (internal sphincter) occurred after a vaginal delivery. There was no significant change in symptoms or QoL. Three (6.8%) sustained repeat OASIS.

Conclusions

Women who have no antenatal evidence of objective compromise of anal sphincter function can be reassured that a vaginal delivery is not associated with any significant deterioration in function or QoL.

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Titel: Mode of delivery after previous obstetric anal sphincter injuries (OASIS)—a reappraisal?
verfasst von: Inka Scheer
Ranee Thakar
Abdul H. Sultan
Publikationsdatum: 01.09.2009
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 9/2009
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-0908-8

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Mode of delivery after previous obstetric anal sphincter injuries (OASIS)—a reappraisal?

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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