Severe lacerations after childbirth.
We have reviewed the literature on third and fourth degree perineal lacerations, with respect to occurrence, risk factors, repair, short and long term morbidity, and secondary treatment. Suggestions of delivery procedures aiming to reduce the extent of perineal trauma are given. The long term sequelae of severe lacerations are clearly underestimated.
Department of Obstetrics and Gynecology, Haukeland Hospital, University of Bergen, Norway.
K
K
Hordnes
P
P
Bergsjø
D001004:Anus Diseases / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D004841:Episiotomy; D005260:Female; D006801:Humans; D015994:Incidence; D007744:Obstetric Labor Complications / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D010502:Perineum; D011247:Pregnancy; D012002:Rectal Diseases / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D012307:Risk Factors; D012422:Rupture, Spontaneous; D012720:Severity of Illness Index; D013536:Suture Techniques; D013997:Time Factors; D014623:Vaginal Diseases / Q000453:epidemiology / Q000209:etiology / Q000628:therapy