Childbirth Trauma

This comprehensive and authoritative text takes an integrated approach to childbirth trauma, focusing on anal sphincter injuries and perineal morbidity, as well as other lower urinary tract dysfunctions secondary to childbirth. ​In recent years there has been an increasing emphasis on childbirth injury. Research based on clinical evaluation and anal ultrasound has improved our understanding of these significant childbirth related complications, their associated morbidity and their long-term sequelae. Despite extensive research interest, clinical focus and institutional national and international guidelines, outcomes are still not optimal and debates continue. Complete with full-color illustrations, Childbirth Trauma is a useful guide for clinicians and researchers in this field. Front Matter....Pages i-xv Female Pelvic Anatomy....Pages 1-13 Anorectal Anatomy and Physiology....Pages 15-30 Epidemiology of Childbirth Trauma and Associated Pelvic Floor Disorders....Pages 31-41 The Effect of Pregnancy on the Pelvic Floor....Pages 43-56 Mode of Delivery and Perineal Trauma....Pages 57-68 Episiotomy....Pages 69-99 Types of Pelvic Floor Injury During Childbirth....Pages 101-109 Principles of Assessment of Childbirth Injury....Pages 111-118 Management of Childbirth Injury....Pages 119-130 Further Investigations and Follow-Up: Pelvic Floor Ultrasound....Pages 131-150 Childbirth and Lower Urinary Tract Complications....Pages 151-179 Childbirth Trauma and Lower Gastrointestinal Tract Complications....Pages 181-194 Healing Process and Complications....Pages 195-211 Pregnancy, Puerperium and Pelvic Organ Prolapse....Pages 213-230 Obstetric Fistula....Pages 231-247 Prediction, Risk Assessment, and Prevention of Childbirth Trauma....Pages 249-270 Pelvic Floor Physiotherapy for the Prevention and Management of Childbirth Trauma....Pages 271-301 Prognosis of Childbirth Trauma....Pages 303-314 Back Matter....Pages 315-329 This comprehensive and authoritative text takes an integrated approach to childbirth trauma, focusing on anal sphincter injuries and perineal morbidity, as well as other lower urinary tract dysfunctions secondary to childbirth. In recent years there has been an increasing emphasis on childbirth injury. Research based on clinical evaluation and anal ultrasound has improved our understanding of these significant childbirth related complications, their associated morbidity and their long-term sequelae. Despite extensive research interest, clinical focus and institutional national and international guidelines, outcomes are still not optimal and debates continue. Complete with full-colour illustrations, Childbirth Trauma is a useful guide for clinicians and researchers in this field This book looks at evidence-based information on the anatomy and physiology of the female pelvis and pelvic organs. The authors bring together comprehensive topics ranging across the whole spectrum of childbirth trauma, to help the reader with the diagnosis, management and treatment of different types of traumas, including prognosis, prediction and prevention. Childbirth Trauma is a useful resource for gynecologists, urologists, coloproctologists and physiotherapists, as well as all professionals who provide care for women in pregnancy and in labor and those who manage women with childbirth trauma