Anal sphincter tears at vaginal delivery: Risk factors and clinical outcome of primary repair

Obstetrics and Gynecology

Volumn 94, Issue 1, 1999, Pages 21-28

  Zetterström, Jan ^a   López, Annika ^a   Anzén, Bo ^a   Norman, Margareta ^a   Holmström, Bo ^a   Mellgren, Anders ^a  

^a DANDERYD HOSPITAL   (Sweden)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL PRESSURE; ADULT; ANUS SPHINCTER; ARTICLE; CALCULATION; ECHOGRAPHY; EPISIOTOMY; FECES INCONTINENCE; FEMALE; FETUS WEIGHT; FOLLOW UP; HIGH RISK POPULATION; HUMAN; MAJOR CLINICAL STUDY; MULTIPLE REGRESSION; NULLIPARA; PELVIS FLOOR; PRIORITY JOURNAL; PUERPERIUM; QUESTIONNAIRE; RISK FACTOR; VAGINAL DELIVERY;

ADULT; ANAL CANAL; FECAL INCONTINENCE; FEMALE; FLATULENCE; HUMANS; OBSTETRIC LABOR COMPLICATIONS; PREGNANCY; RISK FACTORS; TREATMENT OUTCOME;

EID: 0344483907     PISSN: 00297844     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0029-7844(99)00248-3     Document Type: Article

References (38)

1. Sultan A.H., Kamm M.A., Hudson C.N., Thomas J.M., Bartram C.I. Anal-sphincter disruption during vaginal delivery. N Engl J Med. 329:1993;1905-1911.
2. Snooks S.J., Setchell M., Swash M., Henry M.M. Injury to innervation of pelvic floor sphincter musculature in childbirth. Lancet. 2:1984;546-550.
3. Snooks S.J., Henry M.M., Swash M. Faecal incontinence due to external anal sphincter division in childbirth is associated with damage to the innervation of the pelvic floor musculature A double pathology . Br J Obstet Gynaecol. 92:1985;824-828.
4. Sandridge D.A., Thorp J.M., Roddenberry P., Kuller J., Wild J. Vaginal delivery is associated with occult disruption of the anal sphincter mechanism. Am J Perinatol. 14:1997;527-533.
5. Browning G.G., Motson R.W. Results of Parks operation for faecal incontinence after anal sphincter injury. BMJ. 286:1983;1873-1875.
6. Buekens P., Lagasse R., Dramaix M., Wollast E. Episiotomy and third-degree tears. Br J Obstet Gynaecol. 92:1985;820-823.
7. Borgatta L., Piening S.L., Cohen W.R. Association of episiotomy and delivery position with deep perineal laceration during spontaneous delivery in nulliparous women. Am J Obstet Gynecol. 160:1989;294-297.
8. Haadem K., Dahlstrom J.A., Ling L., Ohrlander S. Anal sphincter function after delivery rupture. Obstet Gynecol. 70:1987;53-56.
9. Moller Bek K., Laurberg S. Intervention during labor Risk factors associated with complete tear of the anal sphincter . Acta Obstet Gynecol Scand. 71:1992;520-524.
10. Fornell E.K., Berg G., Hallbook O., Matthiesen L.S., Sjodahl R. Clinical consequences of anal sphincter rupture during vaginal delivery. J Am Coll Surg. 183:1996;553-558.
11. Statistics of the National Board of Health and Welfare. Medical birth registration. Örebro, Sweden: SCBtryck, 1995.
12. Gardeberg B., Magnusson B., Sultan B., Wennerholm U.-B., Wennergren M., Hagberg H. Birth in standing position A high frequency of third-degree tears . Acta Obstet Gynecol Scand. 73:1994;630-633.
13. World Health Organization. International classification of diseases, 9th revision, clinical modification (ICD-9-CM). Geneva, Switzerland, 1996.
14. Hosmer D.W. Jr, Lemeshow S. Applied logistic regression. 1989;J Wiley and Sons, New York.
15. Legino L.J., Woods M.P., Rayburn W.F., McGoogan L.S. Third- and fourth-degree perineal tears. 50 years' experience at a university hospital. J Reprod Med. 33:1988;423-426.
16. Thacker S.B., Banta H.D. Benefits and risks of episiotomy An interpretative review of the English language literature, 1860-1980 . Obstet Gynecol Surv. 38:1983;322-338.
17. Haadem K., Ohrlander S., Lingman G. Long-term ailments due to anal sphincter rupture caused by delivery - a hidden problem. Eur J Obstet Gynecol Reprod Biol. 27:1988;27-32.
18. Sorensen M., Tetzschner T., Rasmussen O.O., Bjarnesen J., Christiansen J. Sphincter rupture in childbirth. Br J Surg. 80:1993;329-334.
19. Crawford L.A., Quint E.H., Pearl M.L., DeLancey J.O. Incontinence following rupture of the anal sphincter during delivery. Obstet Gynecol. 82:1993;527-531.
20. Sultan A.H., Kamm M.A., Hudson C.N., Bartram C.I. Third-degree obstetric anal sphincter tears Risk factors and outcome of primary repair . BMJ. 308:1994;887-891.
21. Tetzschner T., Sorensen M., Lose G., Christiansen J. Anal and urinary incontinence in women with obstetric anal sphincter rupture. Br J Obstet Gynaecol. 103:1996;1034-1040.
22. Walsh C.J., Mooney E.F., Upton G.J., Motson R.W. Incidence of third-degree perineal tears in labour and outcome after primary repair. Br J Surg. 83:1996;218-221.
23. Poen A.C., Felt-Bersma R.J.F., Dekker G.A., Devillé W., Cuesta M.A., Meuwissen S.G. Third-degree obstetric perineal tears Risk factors and the preventive role of mediolateral episiotomy . Br J Obstet Gynaecol. 104:1997;563-566.
24. Green J.R., Soohoo S.L. Factors associated with rectal injury in spontaneous deliveries. Obstet Gynecol. 73:1989;732-738.
25. Combs C.A., Robertson P.A., Laros R.K. Jr. Risk factors for third-degree and fourth-degree perineal lacerations in forceps and vacuum deliveries. Am J Obstet Gynecol. 163:1990;100-104.
26. Petersen L.K., Uldbjerg N. Cervical hydroxyprolin concentration in relation to age. Lippert P.C., Woessner J.F. The extracellular matrix of the uterus, cervix and the fetal membranes. 1991;138-139 Perinatology Press, New York.
27. Cosner K.R. Use of fundal pressure during second-stage labor - A pilot study. J Nurse Midwifery. 41:1996;334-337.
28. World Health Organization. Maternal and newborn health/safe motherhood unit, family and reproductive health. Care in normal birth: A practical guide. Geneva, Switzerland, 1996.
29. Coats P.M., Chan K.K., Wilkins M., Beard R.J. A comparison between midline and mediolateral episiotomies. Br J Obstet Gynaecol. 87:1980;408-412.
30. Shiono P., Klebanoff M.A., Carey J.C. Midline episiotomies More harm than good? Obstet Gynecol. 75:1990;765-770.
31. Labrecque M., Baillargeon L., Dallaire M., Tremblay A., Pinault J.J., Gingras S. Association between median episiotomy and severe perineal lacerations in primiparous women. Can Med Assoc J. 156:1997;797-802.
32. National Center for Health Statistics. Vital and Health Statistics. Detailed diagnosis and procedures, national hospital discharge survey, 1994. Hyattsville, Maryland, 1997.
33. Klein M.C., Janssen P.A., MacWilliam L., Kaczorowski J., Johnson B. Determinants of vaginal-perineal integrity and pelvic floor functioning in childbirth. Am J Obstet Gynecol. 176:1997;403-410.
34. Sultan A.H., Kamm M.A., Bartram C.I., Hudson C.N. Anal sphincter trauma during instrumental delivery. Int J Gynaecol Obstet. 43:1993;263-270.
35. Nielsen M.B., Hauge C., Rasmussen O.O., Pedersen J.F., Christiansen J. Anal endosonographic findings in the follow-up of primarily sutured sphincteric ruptures. Br J Surg. 79:1992;104-106.
36. Haadem K., Dahlstrom J.A., Lingman G. Anal sphincter function after delivery A prospective study in women with sphincter rupture and controls . Eur J Obstet Gynecol Reprod Biol. 35:1990;7-13.
37. Haadem K., Ling L., Ferno M., Graffner H. Estrogen receptors in the external anal sphincter. Am J Obstet Gynecol. 164:1991;609-610.
38. Schellart R.P., Schouten W.R., Huikeshoven F.J. Anorectal manometry before, during and after estrogen replacement therapy. Int Urogynecol J Pelvic Floor Dysfunct. 7:1996;77-80.