OBJECTIVE To evaluate the relation between midline episiotomy and postpartum anal incontinence. DESIGN Retrospective cohort study with three study arms and six months of follow up. SETTING University teaching hospital. PARTICIPANTS Primiparous women who vaginally delivered a live full term, singleton baby between 1 August 1996 and 8 February 1997: 209 who received an episiotomy; 206 who d...

OBJECTIVE To evaluate the association between median episiotomy and severe (third- and fourth-degree) perineal lacerations in primiparous women. DESIGN Retrospective cohort study. SETTING University-affiliated hospital providing secondary obstetric care in Quebec City. PATIENTS A total of 6522 primiparous women who gave birth vaginally to a single live baby in cephalic position between 19...

OBJECTIVE To estimate the association between maternal obesity and risk of three different degrees of severity of obstetric anal sphincter injury. METHODS The study population consisted of 436,482 primiparous women with singleton term vaginal cephalic births between 1998 and 2011 identified in the Swedish Medical Birth Registry. Women were grouped into six categories of BMI. BMI 18.5-24.9 was...

Abstract: Purpose: This study aimed to summarize the general history, physical findings, and treatment of a patient with traumatic perineal tears grade 3A. Research Methodology: A case report from Obstetrics Gynecology RSUD Abdoel Moeloek Lampung. The subject this is 9-year-old girl, hospitalized in hospital ward Result: girl complaints vaginal bleeding after an accident 4 hours before hospital...