Severe perineal lacerations after vaginal delivery: Are they an anesthesiologist's problem?

Feyce Mabel Peralta*, Joseph Bradley Bavaro

*Corresponding author for this work

Research output: Contribution to journalReview article

Abstract

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.

Original languageEnglish (US)
Pages (from-to)258-261
Number of pages4
JournalCurrent opinion in anaesthesiology
Volume31
Issue number3
DOIs
StatePublished - Jun 1 2018

Fingerprint

Lacerations
Tears
Analgesia
Postpartum Depression
Postpartum Period
Anesthesiologists
Parturition
Wounds and Injuries

Keywords

  • acute perineal pain
  • obstetrical anal sphincter injuries
  • perineal lacerations
  • postpartum analgesia
  • postpartum depression

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

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title = "Severe perineal lacerations after vaginal delivery: Are they an anesthesiologist's problem?",
abstract = "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.",
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T2 - Are they an anesthesiologist's problem?

AU - Peralta, Feyce Mabel

AU - Bavaro, Joseph Bradley

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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.

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KW - obstetrical anal sphincter injuries

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KW - postpartum depression

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