title: Intrapartal pelvic floor protection: a pragmatic and interdisciplinary approach between obstetrics and urogynecology.
abstract: Pelvic floor protection is an issue of increasing relevance. This article sought to summarize the session at last year's annual meeting of the German Society of Gynecology and Obstetrics (DGGG) in Stuttgart (10/2016) called "Urogynecology 2020-what is the optimal rate of cesarean section-does urogynecology have to deal with Obstetrics?". The main focus was set on the two important anatomical structures, the levator ani muscle and the anal sphincters. Operative vaginal delivery, epidural anesthesia, and episiotomy are subject to discussion.
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital of Tuebingen, Tuebingen, Germany. markus.huebner@med.uni-tuebingen.de.
authors.forename: Markus
authors.initials: M
authors.lastname: Huebner
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital of Tuebingen, Tuebingen, Germany.
authors.forename: Sara Y
authors.initials: SY
authors.lastname: Brucker
authors.affiliation: Department of Urogynecology, German Pelvic Floor Center, St. Hedwig Hospital, Berlin, Germany.
authors.forename: Ralf
authors.initials: R
authors.lastname: Tunn
authors.affiliation: Department of Obstetrics and Gynecology, Helios-Klinikum Erfurt, Erfurt, Germany.
authors.forename: Gert
authors.initials: G
authors.lastname: Naumann
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital of Tuebingen, Tuebingen, Germany.
authors.forename: Christl
authors.initials: C
authors.lastname: Reisenauer
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital of Tuebingen, Tuebingen, Germany.
authors.forename: Harald
authors.initials: H
authors.lastname: Abele
mesh_terms: D001003:Anal Canal / Q000293:injuries / Q000503:physiopathology; D000767:Anesthesia, Epidural / Q000009:adverse effects; D002585:Cesarean Section / Q000009:adverse effects; D036861:Delivery, Obstetric / Q000009:adverse effects; D004841:Episiotomy / Q000009:adverse effects; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000473:pathology* / Q000517:prevention & control; D009772:Obstetrical Forceps / Q000009:adverse effects; D009774:Obstetrics / Q000379:methods; D017773:Pelvic Floor / Q000033:anatomy & histology / Q000293:injuries / Q000503:physiopathology; D059952:Pelvic Floor Disorders / Q000209:etiology / Q000473:pathology / Q000517:prevention & control*; D011247:Pregnancy; D014620:Vacuum Extraction, Obstetrical / Q000009:adverse effects
keywords: Levator ani muscle; OASIS; Pelvic floor protection; Vaginal operative delivery