Is the Outcome Indicator “3rd/4th Degree Perineal Tear in Spontaneous Singleton Births” a Reliable Quality Parameter in Obstetrics?

Abstract Obstetric sphincter damage is the most common cause of fecal incontinence in women. Between one-third and two-thirds of women who sustain a recognized third-degree tear during delivery subsequently suffer from fecal incontinence. We should therefore try to reduce the rate of high-grade tear...

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Bibliographic Details
Published inGeburtshilfe und Frauenheilkunde Vol. 75; no. 2; pp. 145 - 147
Main Authors Franz, H. B. G., Erxleben, C. W. J.
Format Journal Article
LanguageEnglish
German
Published Stuttgart · New York Georg Thieme Verlag KG 01.02.2015
Subjects
Statement
delivery
tear
external anal sphincter
Geburt
Dammriss
externer analer Sphinkter
anale Inkontinenz
Qualität
fecal incontinence
quality
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Summary:Abstract Obstetric sphincter damage is the most common cause of fecal incontinence in women. Between one-third and two-thirds of women who sustain a recognized third-degree tear during delivery subsequently suffer from fecal incontinence. We should therefore try to reduce the rate of high-grade tears as much as possible. But this rate can only be used as an outcome indicator for the quality of obstetric departments if the recognition and classification of sphincter injury is similar across departments in different hospitals.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0016-5751
1438-8804
DOI:10.1055/s-0035-1545703