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The effects of warm perineal compress on perineal trauma and postpartum pain: a systematic review with meta-analysis and trial sequential analysis
BackgroundIn order to reduce the complications of perineal damage and the pain caused by it for the mother, this study was conducted to determine the...
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Development and initial validation of a Swedish inventory to screen for symptoms of deficient perineum in women after vaginal childbirth: ‘Karolinska Symptoms After Perineal Tear Inventory’
BackgroundPerineal tears are common after vaginal birth and may result in pelvic floor symptoms. However, there is no validated questionnaire that...
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Time trends in episiotomy and severe perineal tears in Portugal: a nationwide register-based study
IntroductionRates of episiotomy and severe perineal tears (SPT) are indicators of the quality of obstetric care. Time-trends in the reported...
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Impact of perineal pain and delivery related factors on interference with activities of daily living until 1 month postpartum: A longitudinal prospective study
BackgroundInterference with activities of daily living can negatively impact maternal practices both physically and psychologically. This study aimed...
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The relationship between perineal trauma and postpartum psychological outcomes: a secondary analysis of a population-based survey
BackgroundPerineal trauma, involving either naturally occurring tears or episiotomy, is common during childbirth but little is known about its...
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Skeletal Muscle Complex Between the Vagina and Anal Canal: Implications for Perineal Laceration
Introduction and HypothesisThe anatomy of the skeletal muscles located between the vagina and anus is important during complex obstetric laceration...
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Complications 8 weeks after an obstetric second-degree perineal laceration in relation to body mass index
Introduction and hypothesisHow body mass index (BMI) affects pelvic floor function after a second-degree perineal laceration is unknown. The...
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Perineal stress as a predictor of performing episiotomy in primiparous women: a prospective observational study
BackgroundEpisiotomy is a surgical solution to relieve perineal stress, resulting in an easily repairable incision, in comparison to the risks of...
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The infection, cervical and perineal lacerations in relation to postpartum hemorrhage following vaginal delivery induced by Cook balloon catheter
ObjectiveTo identify whether infection, cervical laceration and perineal laceration are associated with postpartum hemorrhage in the setting of...
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Pelvic floor function after third and fourth degree perineal lacerations: a case-control study on quality of life
BackgroundThe primary aim of this study was to compare the quality of life between women with obstetric anal sphincter injury (OASI) and women with...
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What are the factors that may predict the severity of perineal tears in obstetric anal sphincter injuries and how are their outcomes? A 10-year retrospective analysis in a Southeast Asian population
Introduction and hypothesisObstetric anal sphincter injuries (OASIS) complicate around 1–2% of deliveries in low- and middle-income countries. Asians...
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Women’s experiences of the OASI Care Bundle; a package of care to reduce severe perineal trauma
Introduction and hypothesisObstetric anal sphincter injury (OASI) is a severe form of perineal trauma that can occur during vaginal birth. Long-term...
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A core outcome set for clinical trials of first- and second-degree perineal tears prevention and treatment: a study protocol for a systematic review and a Delphi survey
BackgroundPerineal tear is a common consequence of vaginal births affecting females globally. Even mild perineal tears could cause short- and...
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The Risk Factors of Postpartum Urinary Retention for Women by Vaginal Birth: A Systematic Review and Meta-Analysis
Introduction and HypothesisPostpartum urinary retention is one of the most common complications in women during the immediate postpartum period. The...
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One Plus One Equals Two—will that do? A trial protocol for a Swedish multicentre randomised controlled trial to evaluate a clinical practice to reduce severe perineal trauma
BackgroundSevere perineal trauma sustained during childbirth is a serious complication since it can lead to both short- and long-term consequences...
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Establishing a peripartum perineal trauma clinic: a narrative review
Introduction and hypothesisObstetric anal sphincter injury (OASI) is not rare, and its consequences are multiple and potentially severe, especially...
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Selective episiotomy versus no episiotomy for severe perineal trauma: a systematic review with meta-analysis
Introduction and hypothesisWe hypothesized whether a non-episiotomy protocol or administration of selective episiotomy as an intrapartum intervention...
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Risk factors for perineal and vaginal tears in primiparous women – the prospective POPRACT-cohort study
BackgroundThe aim of this study was to estimate the incidence of second-degree perineal tears, obstetric anal sphincter injuries (OASI), and high...
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In vivo measurement of the elastic properties of pelvic floor muscles in pregnancy using shear wave elastography
ObjectiveWe aimed to investigate changes in the elastic properties of levator ani muscle (LAM) and external anal sphincter (EAS) during pregnancy...
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Association of Constipation with Modes of Delivery: A Retrospective Questionnaire-based Study
Introduction and HypothesisPelvic floor damage can contribute to pelvic floor dysfunction, including constipation. Most studies focus on constipation...
