Banco de dados - (CIANE)

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https://ciane.net/id=793

Criado em : 12 Jun 2004
Alterado em : 01 Dec 2007

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Nota bibliográfica (sem autor) :

Childbirth-induced trauma to the urethral continence mechanism: review and recommendations. Urology. 2003 Oct;62(4 Suppl 1):39-44.

Autores :

Baessler K, Schuessler B.

Ano de publicação :

2003

URL(s) :

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=…

Résumé (français)  :

Abstract (English)  :

To summarize the literature on immediate pelvic floor damage from childbirth and episiotomy, a MEDLINE search of English language articles published from 1983 to 2001 was performed. Vaginal delivery causes varying degrees of muscular, neuromuscular, and connective tissue damage. This damage may result in urinary and/or fecal incontinence. Routine midline episiotomy increases the risk of third- and fourth-degree perineal lacerations, which may lead to fecal incontinence. Routine use of mediolateral episiotomy does not prevent urinary incontinence (UI) or severe perineal tears. It is possible to reduce the rate of mediolateral episiotomy to as low as 20% in primiparas without increasing the risk of anal sphincter damage. Control of obesity before delivery, as well as pelvic floor exercises and regular physical exercise both before and after delivery, seem to reduce the risk of postpartum UI.

Sumário (português)  :

Resumen (español)  :

Comentários :

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Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Palavras-chaves :

➡ rasgaduras ; incontinência/prolapso ; episiotomia

Autor da esta ficha :

Cécile Loup — 12 Jun 2004