Severe obstetrical injuries and anal incontinence

Authors: J. Záhumenský
Authors‘ workplace: Gynekologicko-porodnická klinika 1. LF UK a FN Na Bulovce, Praha, přednosta prof. MUDr. M. Halaška, DrSc.
Published in: Čes. Gynek.2010, 75, č. 4 s. 292-296


Commentary to article.

Review article.

Gynecological and obstetrical clinic, First Faculty of Medicine and Faculty hospital Bulovka, Prague.

Subject and method:
A summary of findings of the newest studies indicated on Medline.

The problem of anal incontinence has a significant impact on the quality of life after its occurence and has an incidence of about 1.4% of the population. One of the risk factors is vaginal delivery. The prevalence of postpartal anal incontinence was found in one individual study to be 3-29%, the differences are certainly based on the type of questions. The same fluctuations and prevalence of anal sphincter injuries in one individual study was from 1.6 to 26.9%. The problem calls for a simple classification of obstetrical injuries and lacks a recommended approach to preventing and providing care for women with obstetrical injuries of the anal muscle sphincter.

Key words:
anal incontinence, fetal incontinence, delivery, obstetrical injuries.


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Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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