Définitions, épidémiologie et facteurs de risque des lésions périnéales du 3e et 4e degrés. RPC Prévention et protection périnéale en obstétrique CNGOF

Thubert, Thibault; Cardaillac, Claire; Fritel, Xavier; Winer, Norbert; Dochez, Vincent

doi:10.1016/j.gofs.2018.10.028

Cited by 33 publications

(39 citation statements)

References 49 publications

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“…The possibility of fecal incontinence in women is generally underestimated by doctors, even though it affects about 0.25-6% [3] of the population. Some of the most common causes of these problems are changes resulting from iatrogenic trauma in young women, systemic diseases, and inadequate hygiene habits, which lead to symptoms at a later age.…”

Section: Discussionmentioning

confidence: 99%

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Physiotherapy for Prevention and Treatment of Fecal Incontinence in Women—Systematic Review of Methods

Mazur-Biały

Kołomańska-Bogucka

Opławski³

et al. 2020

JCM

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Fecal incontinence (FI) affects approximately 0.25–6% of the population, both men and women. The most common causes of FI are damage to/weakness of the anal sphincter muscle and/or pelvic floor muscles, as well as neurological changes in the central or peripheral nervous system. The purpose of this study is to report the results of a systematic review of the possibilities and effectiveness of physiotherapy techniques for the prevention and treatment of FI in women. For this purpose, the PubMed, Embase, and Web of Science databases were searched for 2000–2020. A total of 22 publications qualified for detailed analysis. The studies showed that biofeedback (BF), anal sphincter muscle exercises, pelvic floor muscle training (PFMT), and electrostimulation (ES) are effective in relieving FI symptoms, as reflected in the International Continence Society recommendations (BF: level A; PFMT and ES: level B). Research has confirmed that physiotherapy, by improving muscle strength, endurance, and anal sensation, is beneficial in the prevention of FI, both as an independent method of conservative treatment or in pre/post-surgery treatment. Moreover, it can significantly improve the quality of life of patients. In conclusion, physiotherapy (in particular, BF, PFMT, or ES, as effective methods) should be one of the key elements in the comprehensive therapy of patients with FI.

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Section: Discussionmentioning

confidence: 99%

“…The intimate nature of the condition makes it difficult to accurately determine its prevalence [2]. It has been estimated that FI affects 0.25-6% of the population [3]. It concerns both men and women.…”

Section: Introductionmentioning

confidence: 99%

Physiotherapy for Prevention and Treatment of Fecal Incontinence in Women—Systematic Review of Methods

Mazur-Biały

Kołomańska-Bogucka

Opławski³

et al. 2020

JCM

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“…The methods and rationale are detailed in the texts that accompany this synthesis [1][2][3][4][5][6][7][8][9]. This recommendation was developed according to the method set forth by the French Health Agency (HAS) [1,10].…”

Section: Introductionmentioning

confidence: 99%

Perineal prevention and protection in obstetrics: CNGOF clinical practice guidelines

Ducarme

Pizzoferrato

Tayrac

et al. 2019

Journal of Gynecology Obstetrics and Human Reproduction

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Introduction: The objective of these clinical practice guidelines was to analyse all of the interventions during pregnancy and childbirth that might prevent obstetric anal sphincter injuries (OASIS) and postnatal pelvic floor symptoms.Material and methods: These guidelines were developed in accordance with the methods prescribed by the French Health Authority (HAS).Results: A prenatal clinical examination of the perineum is recommended for women with a history of Crohn's disease, OASIS, genital mutilation, or perianal lesions (professional consensus). Just after delivery, a perineal examination is recommended to check for OASIS (Grade B); if there is doubt about the diagnosis, a second opinion should be requested (Grade C). In case of OASIS, the injuries (including their severity) and the technique for their repair should be described in detail (Grade C). Perineal massage during pregnancy must be encouraged among women who want it (Grade B). No intervention conducted before the start of the active phase of the second stage of labour has been shown to be effective in reducing the risk of perineal injury. The crowning of the baby's head should be manually controlled and the posterior perineum manually supported to reduce the risk of OASIS (Grade C). The performance of an episiotomy during normal deliveries is not recommended to reduce the risk of OASIS (Grade A). In instrumental deliveries, episiotomy may be indicated to avoid OASIS (Grade C). When an episiotomy is performed, a mediolateral incision is recommended (Grade B). The indication for episiotomy should be explained to the woman, and she should consent before its performance. Advising women to have a caesarean delivery for primary prevention of postnatal urinary or anal incontinence is not recommended (Grade B). During pregnancy and again in the labour room, obstetrics professionals should focus on the woman's expectations and inform her about the modes of delivery.

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“…11 Injuries to the perineum significantly impact women's quality of life. 12 Perineal birth-related tears are classified according to the anatomical structures involved, in increasing order of severity 13 :…”

Section: Human Labor Is a Very Intense Physiological Eventmentioning

confidence: 99%

“…The incidence of any perineal trauma with childbirth has been reported to be as high as 85% 11 . Injuries to the perineum significantly impact women's quality of life 12 …”

Section: Introductionmentioning

confidence: 99%

Physical activity during pregnancy is associated with a lower number of perineal tears

Silva-José

Díaz-Blanco

Barakat

et al. 2020

Transl. Sports. Med.

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Complex processes such as pregnancy and childbirth can be decisive for the health and well-being of both the mother and newborn, both during the process and in their life thereafter. 1,2 During 9 months, almost the entire body of a pregnant woman must change to create an environment adequate for fetal growth and development. It cannot be guaranteed that these changes will occur successfully because there are many alterations and pathologies related to the nature of pregnancy that can develop. Accordingly, the risk of complications with pregnancy is high, but there are several factors in a woman's environment that can increase or decrease this risk. 3 According to numerous scientific studies, modern lifestyles have negative effects on pregnancy, which affect the health of the mother, newborn and infant, and in some cases, all aspects of the human being. 4,5 Thus, the gestational period is a very risky period in a woman's life.

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Définitions, épidémiologie et facteurs de risque des lésions périnéales du 3e et 4e degrés. RPC Prévention et protection périnéale en obstétrique CNGOF

Cited by 33 publications

References 49 publications

Physiotherapy for Prevention and Treatment of Fecal Incontinence in Women—Systematic Review of Methods

Physiotherapy for Prevention and Treatment of Fecal Incontinence in Women—Systematic Review of Methods

Perineal prevention and protection in obstetrics: CNGOF clinical practice guidelines

Physical activity during pregnancy is associated with a lower number of perineal tears

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