Postpartum care of the perineum
Article first published online: 24 JAN 2011
2007 Royal College of Obstetricians and Gynaecologists
The Obstetrician & Gynaecologist
Volume 9, Issue 3, pages 164–170, July 2007
How to Cite
Fitzpatrick, M. and O'Herlihy, C. (2007), Postpartum care of the perineum. The Obstetrician & Gynaecologist, 9: 164–170. doi: 10.1576/toag.184.108.40.206336
- Issue published online: 24 JAN 2011
- Article first published online: 24 JAN 2011
- biofeedback physiotherapy;
- obstetric anal sphincter injury;
- pelvic floor assessment;
- perineal trauma;
- vaginal delivery
- •Vaginal birth is traumatic to the pelvic floor and perineum.
- •Faecal incontinence, perineal pain, urinary incontinence and dyspareunia can all be long-term effects of such damage.
- •Recognition and management of perineal trauma postpartum is vital.
- •Women rarely volunteer information regarding faecal incontinence and dyspareunia.
- •A dedicated pelvic floor clinic may be the most appropriate setting in which to care for women who are affected.
- •To learn about the guidelines in place for the repair of perineal trauma following delivery.
- •To recognise that anal sphincter damage may require follow-up and appropriate investigation.
- •To learn that direct questioning of women about dyspareunia and faecal incontinence is necessary to elicit information.
- •Is it the responsibility of women to present with their problems or should nursing and medical staff look for them?
- •Financial constraints inappropriately limit the provision of small, highly focused clinics.
Please cite this article as: Fitzpatrick M, O'Herlihy C, Postpartum care of the perineum. The Obstetrician & Gynaecologist 2007;9:164–170.