title: Guidelines for the management of third and fourth degree perineal tears after vaginal birth from the Austrian Urogynecology Working Group.
abstract: The purpose of this guideline is to provide a decision aid for diagnosis, treatment, and follow-up of patients with major perineal tears and thus minimize the risk of persistent symptoms. In 2007, the "Guideline for the management of third and fourth degree perineal tears after vaginal birth" was established by members of the Austrian Urogynecologic Working Group (AUB). The guideline was updated in 2011, including literature published up to 30 November 2011. The DELPHI method was used to reach consensus. Evidence-based and consensus-based statements were defined for epidemiology, risk factors, classification, diagnosis, surgery, and follow-up of major perineal lacerations at vaginal birth.
authors.affiliation: Department of Gynecology, Medical University of Graz, Graz, Austria. aigmueller@gmail.com
authors.forename: T
authors.initials: T
authors.lastname: Aigmueller
authors.forename: W
authors.initials: W
authors.lastname: Umek
authors.forename: K
authors.initials: K
authors.lastname: Elenskaia
authors.forename: A
authors.initials: A
authors.lastname: Frudinger
authors.forename: J
authors.initials: J
authors.lastname: Pfeifer
authors.forename: H
authors.initials: H
authors.lastname: Helmer
authors.forename: H
authors.initials: H
authors.lastname: Huemer
authors.forename: A
authors.initials: A
authors.lastname: Tammaa
authors.forename: M
authors.initials: M
authors.lastname: van der Kleyn
authors.forename: K
authors.initials: K
authors.lastname: Tamussino
authors.forename: D
authors.initials: D
authors.lastname: Koelle
mesh_terms: D001317:Austria / Q000453:epidemiology; D005242:Fecal Incontinence / Q000517:prevention & control; D005260:Female; D006801:Humans; D022125:Lacerations / Q000453:epidemiology / Q000601:surgery*; D007744:Obstetric Labor Complications / Q000453:epidemiology / Q000601:surgery*; D010502:Perineum / Q000293:injuries*; D049590:Postpartum Period; D011247:Pregnancy; D017695:Soft Tissue Injuries / Q000453:epidemiology / Q000601:surgery*