TY - JOUR
T1 - Severe perineal lacerations after vaginal delivery
T2 - Are they an anesthesiologist's problem?
AU - Peralta, Feyce
AU - Bavaro, Joseph Bradley
N1 - Funding Information:
The work was supported by the Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Publisher Copyright:
Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.
Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2018/6/1
Y1 - 2018/6/1
N2 - Purpose of review Perineal tears or lacerations are common occurrences after vaginal delivery. Understanding the degree of severity of these tears and the immediate and long-term complications of severe perineal lacerations can assist anesthesiologists with the management of these patients in the immediate postpartum period. Recent findings Severe perineal lacerations have a high degree of association with postpartum depression. The presence of neuraxial labor analgesia decreases the odds of severe perineal lacerations. Summary Neuraxial labor analgesia does not directly predispose parturients to the development of perineal lacerations, and may even be protective against these injuries.
AB - Purpose of review Perineal tears or lacerations are common occurrences after vaginal delivery. Understanding the degree of severity of these tears and the immediate and long-term complications of severe perineal lacerations can assist anesthesiologists with the management of these patients in the immediate postpartum period. Recent findings Severe perineal lacerations have a high degree of association with postpartum depression. The presence of neuraxial labor analgesia decreases the odds of severe perineal lacerations. Summary Neuraxial labor analgesia does not directly predispose parturients to the development of perineal lacerations, and may even be protective against these injuries.
KW - acute perineal pain
KW - obstetrical anal sphincter injuries
KW - perineal lacerations
KW - postpartum analgesia
KW - postpartum depression
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U2 - 10.1097/ACO.0000000000000599
DO - 10.1097/ACO.0000000000000599
M3 - Review article
C2 - 29652745
AN - SCOPUS:85048141268
VL - 31
SP - 258
EP - 261
JO - Current Opinion in Anaesthesiology
JF - Current Opinion in Anaesthesiology
SN - 0952-7907
IS - 3
ER -