Disturbed anal sphincter function following vaginal delivery.

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Disturbed anal sphincter function following vaginal delivery.

BACKGROUND Recently interest in idiopathic (neurogenic) faecal incontinence has swung from denervation of the external anal sphincter to the internal sphincter. AIMS To evaluate the effects of vaginal delivery on the internal sphincter. SUBJECTS 1372 mothers were studied antenatally and 1202 were accepted into the study. METHODS Sphincter pressures were measured antenatally, in the early ...

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Risk factors for anal sphincter tear during vaginal delivery.

OBJECTIVE To identify risk factors associated with anal sphincter tear during vaginal delivery and to identify opportunities for preventing this cause of fecal incontinence in young women. METHODS We used baseline data from two groups of women who participated in the Childbirth and Pelvic Symptoms (CAPS) study: those women who delivered vaginally, either those with or those without a recogniz...

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Effect of vaginal delivery on endosonographic anal sphincter morphology.

OBJECTIVE To describe the effect of vaginal delivery with no clinically recognized sphincter tear on endosonographic anal sphincter morphology and sphincter pressure and to relate endosonographic results to anal sphincter pressure and anal incontinence score. STUDY DESIGN Thirty-two nullipara underwent anal endosonography and anal manometry in the third trimester of pregnancy, 2 weeks and 6 m...

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Do changes in anal sphincter anatomy correlate with anal function in women with a history of vaginal delivery?

OBJECTIVES To evaluate anal sphincter anatomy using three-dimensional ultrasonography (3-DAUS) in incontinent women with vaginal delivery, correlate anatomical findings with symptoms of fecal incontinence and determine the effect of vaginal delivery on anal canal anatomy and function. METHODS Female with fecal incontinence and vaginal delivery were assessed with Wexner's score, manometry, and...

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Mode of Vaginal Delivery: A Modifiable Intrapartum Risk Factor for Obstetric Anal Sphincter Injury

The aim of this study was to analyze the comparative risks of this anal sphincter injury in relation to the type of intervention in vaginal delivery. We performed an observational, retrospective study of all vaginal deliveries attended at a tertiary university hospital between January 2006 and December 2009. We analyzed the incidence of obstetric anal sphincter injury for each mode of vaginal d...

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ژورنال

عنوان ژورنال: Gut

سال: 1996

ISSN: 0017-5749

DOI: 10.1136/gut.39.1.120