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Consider C-section after anal sphincter tear. (Preventing Anal Incontinence).

OB GYN News

| March 01, 2002 | Jancin, Bruce | 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

SAN DIEGO -- Subsequent vaginal delivery after surgically repaired rupture of the anal sphincter during childbirth increases a woman's risk of long-term anal incontinence, Dr. Johan Pollack said at the annual meeting of the American Society of Colon and Rectal Surgeons.

Even without subsequent vaginal deliveries, however, a substantial proportion of women who undergo immediate surgical repair after sustaining an anal sphincter tear during vaginal delivery will experience anal incontinence 5 years later.

This underscores the point that anal sphincter tear at vaginal delivery is a serious complication with potential long-term consequences, said Dr. Pollack of Karolinska Hospital, Stockholm.

He reported on a prospective study of 266 consecutive nulliparous women who gave birth vaginally at the Swedish hospital.

On three occasions, they filled out questionnaires assessing bowel function: prior to childbirth, again at 9 months, and 5 years after childbirth.

Overall, 14% of the women sustained an anal sphincter tear that was immediately repaired ...

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