2017
DOI: 10.18332/ejm/78588
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Hands-on or hands-off the perineum at childbirth: A re-appraisal of the available evidence

Abstract: Obstetric anal sphincter injuries (OASIS), or third-degree and fourth-degree perineal tears, represent a serious complication of vaginal birth. There are reports that OASIS is a risk factor for the development of anal incontinence [1][2][3][4] , with significantly worse bowel symptoms and anorectal function with the higher degree of OASIS 5,6 . In addition, the economic cost of anal incontinence management following OASIS has been estimated to be approximately £1625 per patient 7 or £78 million per annum in th… Show more

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