Tristi Muir

Third and Fourth Degree Lacerations after Vaginal Delivery Anal sphincter injury 1. What every clinician should know Clinical features and incidence One of the most common surgical procedures for an obstetrician is primary repair of a perineal laceration, whether spontaneous or after episiotomy. Although anal sphincter injury is not common, with an incidence of 0.6%-6.0%,…

Prior 3rd and 4th Degree LACS 1. What every clinician should know Initial visit A woman who has experienced an anal sphincter injury with her previous delivery may come to you with questions about recurrence and which route of delivery is the best for her. She needs careful counseling regarding the management subsequent pregnancies. Most…