Episiotomy Clinical Trial
Official title:
Prospective Evaluation of Perineal Ultrasound in Thr Delivery Room to Improve the Diagnosis of OASIS
The aim of the study is to evaluate the role of routine perineal scan using 2D ultrasound immediatly after delivery to diagnose hidden perineal trauma that might affect patient's fecal continance
In countries where there is high prevalence of doing episiotomy in primiparous women, the
incidence of sustained obstetric anal sphincter injuries is increasing.
When the tear extend beyond the external anal sphincter its called 'OASIS' that might lead to
either immediate of delayed anal incontinence. Anal incontinence is associated with
significant medical, hygiene and social problems. Use of perineal ultrasound as a bedside
test immediately after vaginal delivery could improve the diagnosis and determining the
degree of these perineal traumas. This increased detection could lead to improved primary
repair of the external and internal anal sphincter resulting in reduced rates of anal
incontinence and improved quality of life for women
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