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Cesarean indicated after Anal sphincter tears: Persistent anal incontinence a problem. (Subsequent Deliveries).

OB GYN News

| January 15, 2002 | Tucker, Miriam E. | COPYRIGHT 2002 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

CHICAGO -- Anal sphincter tears during vaginal delivery increase the risk for persistent anal incontinence with subsequent vaginal deliveries.

Cesarean section should be considered for these women, Dr. Jan Zetterstrom said at the annual meeting of the American Urogynecologic Society cosponsored by Loyola University.

Both urinary and anal incontinence symptoms appear to increase over rime after vaginal delivery, but this may be related more to natural aging than to childbirth, said Dr. Zetterstrom, Karolinska Institute, Stockholm.

In a 5-year prospective study of 247 initially nulliparous women, 36 women had a clinical sphincter tear during their first ...

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