Obstetrical Anal Sphincter Injuries and the Need for Adequate Care

Female Pelvic Medicine & Reconstructive Surgery
Victoria ElliotJane Schulz

Abstract

An estimated 4% to 6.6% of women delivering vaginally sustain obstetrical anal sphincter injuries (OASI). Despite this, a gap exists in the provision of postpartum care to women globally. Given the negative impact of OASI, action is needed, and multidisciplinary perineal clinics can help. Consequently, such a clinic was established in 2011 at the Royal Alexandra Hospital (RAH), a tertiary care center in Edmonton, Alberta. This study assesses the state of perineal clinics specializing in OASI internationally and locally by investigating the literature for descriptions of specialized perineal clinics for women with OASI, describing the RAH perineal clinic, and assessing the prevalence of OASI at the RAH in the context of the clinic. A search of peer-reviewed literature was conducted on Medline and observations and interviews of RAH perineal clinic staff were conducted, as was a medical chart review. Articles describing only 10 perineal clinics specializing in OASI were found, with varying structures. The multidisciplinary RAH clinic, like one other clinic, has a strong physiotherapy focus, with education and Pilates classes and one-on-one appointments offered by pelvic floor physiotherapists. In 2016, of the 326 (6.9%) vaginal de...Continue Reading

References

Dec 26, 2001·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Myra FitzpatrickColm O'Herlihy
May 15, 2002·BMC Health Services Research·Ruwan J FernandoRichard B Johanson
Jun 19, 2004·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Samantha PretloveS Radley
Aug 4, 2009·Best Practice & Research. Clinical Gastroenterology·Dave ChatoorAnton Emmanuel
Apr 28, 2010·International Urogynecology Journal·Rainbow Y T TinRhonda J Rosychuk
Feb 23, 2013·International Urogynecology Journal·K Ramalingam, A K Monga
Feb 18, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Vasileios PergialiotisGeorgios Vlachos
Sep 30, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Cynthia BrincatDee E Fenner
Dec 5, 2015·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Marie-Andrée HarveyUNKNOWN Society of Obstetricians and Gynaecologists of Canada
Jan 1, 2015·The Journal of Perinatal Education·Lorraine O WalkerFrancine Nichols
Apr 1, 2017·European Journal of Obstetrics, Gynecology, and Reproductive Biology·David IlesFiona Reid
Jan 13, 2018·Obstetrics and Gynecology·Olga RammMiranda L Ritterman Weintraub
Aug 23, 2018·Obstetrics and Gynecology·UNKNOWN Committee on Practice Bulletins-Obstetrics
Sep 27, 2018·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Lore De MeutterJan Willem de Leeuw

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Citations

Nov 1, 2020·International Urogynecology Journal·Katie Propst, Lisa C Hickman
Mar 7, 2020·American Journal of Obstetrics and Gynecology·Lisa C Hickman, Katie Propst
Jul 15, 2021·Female Pelvic Medicine & Reconstructive Surgery·Katarzyna BochenskaChristina Lewicky-Gaupp

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