Perineal injuries during vaginal birth in low-resource countries.
Best Pract Res Clin Obstet Gynaecol
; 94: 102484, 2024 Jun.
Article
in En
| MEDLINE
| ID: mdl-38422604
ABSTRACT
Birth related perineal trauma (BRPT) and obstetric anal sphincter injuries (OASIS) are leading causes of anal incontinence in women, which negatively impacts on their quality of life, resulting in low self-esteem and abandonment. In low resource countries (LRC), the true incidence is not known and since most births are unattended or occur in community-based health care systems, one can anticipate that it is a significant problem. Dissemination of information to women, education of traditional birth attendants, improvement of resources and transport, and training of health professionals on the detection and appropriate surgical management of these injuries will reduce morbidity and improve outcome. Intrapartum measures such as controlled head descent and perineal support, correct episiotomy techniques and selective use of instruments to assist vaginal births is pivotal in avoiding these injuries. Policy makers should prioritize maternity care in LRC, and research is urgently needed to address all aspects of BRPT.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Anal Canal
/
Perineum
/
Delivery, Obstetric
/
Developing Countries
/
Episiotomy
/
Obstetric Labor Complications
Limits:
Female
/
Humans
/
Pregnancy
Language:
En
Journal:
Bailliere's best practice & research. Clinical obstetrics & gynaecology
/
Best Pract Res Clin Obstet Gynaecol
/
Best pract. res., Clin. obstet. gynaecol
Journal subject:
GINECOLOGIA
/
OBSTETRICIA
Year:
2024
Document type:
Article
Country of publication: