Elective cesarean delivery for women with a previous anal sphincter rupture

The purpose of this study was to evaluate elective cesarean delivery for women with a history of anal sphincter rupture. The effectiveness of cesarean delivery in parous women with a previous anal sphincter rupture was determined by decision analysis. The outcomes were excess cesarean deliveries and...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2003-11, Vol.189 (5), p.1251-1256
Main Authors: McKenna, David S, Ester, John B, Fischer, John R
Format: Article
Language:English
Subjects:
Anal Canal - injuries
anal incontinence
Biological and medical sciences
Cesarean delivery
Cesarean Section - adverse effects
Cesarean Section - mortality
Cohort Studies
Fecal Incontinence - prevention & control
Female
Gastroenterology. Liver. Pancreas. Abdomen
Gynecology. Andrology. Obstetrics
Humans
Medical Records
Medical sciences
Other diseases. Semiology
Pregnancy
Risk Factors
Rupture
sphincter rupture
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
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Summary:The purpose of this study was to evaluate elective cesarean delivery for women with a history of anal sphincter rupture. The effectiveness of cesarean delivery in parous women with a previous anal sphincter rupture was determined by decision analysis. The outcomes were excess cesarean deliveries and morbidity and mortality rates per prevented case of anal incontinence. We needed 2.3 cesarean deliveries to prevent one case of anal incontinence. A woman who chooses a cesarean delivery has a 11.3% risk of morbidity compared with a 4.2% risk for vaginal delivery (relative risk, 2.7; 95% CI, 2.6-2.8; P
ISSN:0002-9378
1097-6868
DOI:10.1067/S0002-9378(03)00621-5