Sökning: "Obstetric sphincter injury"

Visar resultat 1 - 5 av 10 avhandlingar innehållade orden Obstetric sphincter injury.

  1. 1. Anal incontinence and obstetric sphincter tears

    Författare :Johan Nordenstam; Karolinska Institutet; Karolinska Institutet; []
    Nyckelord :;

    Sammanfattning : PURPOSE: To evaluate the prevalence of anal incontinence (AI) in primiparous women five years after their first delivery; to investigate if an 8-12 hour time delay of primary repair affects AI at 1-year follow-up; to study the association between endoanal ultrasonography and anorectal manometry in relation to AI in primiparous women; to evaluate whether an endoanal ultrasonographic derived sphincter length-index correlates to subjective AI. METHODS: Primiparous women were prospectively followed with questionnaires before the pregnancy, at 5 and 9 months, and 5 years after the delivery. LÄS MER

  2. 2. Sphincter injuries and anal incontinence after vaginal delivery : a clinical and physiological study

    Författare :Jan Zetterström; Karolinska Institutet; Karolinska Institutet; []
    Nyckelord :Obstetric sphincter injury; anal sphincter defect; anal incontinence; perineal body; endoanal ultrasonography; anorectal manometry; pudendal nerve terminal motor latency;

    Sammanfattning : Objective: To investigate the frequency and degree of anal incontinence after vaginal delivery in primiparous women, to determine risk factors for obstetric sphincter tears and to evaluate outcome of primary repair, to evaluate perineal body measurement (PBM) in patients with obstetric sphincter injuries, to study anal sphincter morphology and function before and after delivery, and to evaluate primiparous women who had sustained a sphincter tear or developed anal incontinence after delivery. Methods: Questionnaires regarding anal incontinence before pregnancy, at five and nine months after delivery were used. LÄS MER

  3. 3. Maternal overweight and obesity : impact on obstetric outcomes in adolescents and oxytocin in labor

    Författare :Anna Ramö Isgren; Marie Blomberg; Preben Kjölhede; Sara Carlhäll; Gunilla Ajne; Linköpings universitet; []
    Nyckelord :MEDICIN OCH HÄLSOVETENSKAP; MEDICAL AND HEALTH SCIENCES;

    Sammanfattning : Objectives: The overall aim of this thesis was to evaluate the impact of maternal body mass index (BMI) on obstetric and neonatal outcomes in adolescents as well as on treatment with oxytocin infusion during labor regarding cumulative oxytocin dose and plasma levels of oxytocin.Material and Methods: Studies I and II were nationwide Swedish register studies including 31,386 primiparous adolescents subdivided in BMI groups and obesity classes according to early pregnancy BMI. LÄS MER

  4. 4. Vacuum extraction and pelvic floor injury : a randomized controlled trial and cohort studies

    Författare :Sandra Bergendahl; Karolinska Institutet; Karolinska Institutet; []
    Nyckelord :;

    Sammanfattning : BACKGROUND AND AIMS: Pelvic floor dysfunction (PFD) affects many women, especially after complicated childbirth. The impact of a prolonged second stage on PFD is not clear, while the effects of operative vaginal birth (OVB) and obstetric anal sphincter injury (OASI) are better known, especially concerning the risk of anal incontinence (AI). LÄS MER

  5. 5. Clinical and methodological aspects on perineal laceration diagnostics at childbirth

    Författare :Sofia Pihl; Marie Blomberg; Eva Uustal Fornell; Siw Carlfjord; Pepe Salvesen; Linköpings universitet; []
    Nyckelord :MEDICIN OCH HÄLSOVETENSKAP; MEDICAL AND HEALTH SCIENCES;

    Sammanfattning : Background: Obstetric perineal lacerations are common after vaginal birth. The degree of obstetric perineal laceration is defined by the extent of tissue involved in the laceration. When a perineal laceration has occurred after vaginal delivery, the examination for correct diagnostics is essential before primary suturing. LÄS MER