Hot issues and management strategies for severe perineal tears following vaginal delivery

VernacularTitle:阴道分娩后严重会阴裂伤的热点问题及管理策略
Author: Yike YANG ¹ ; Yangyu ZHAO
Author Information

1. 北京大学第三医院妇产科（国家妇产疾病临床医学研究中心；国家产科专业医疗质量控制中心），北京　100191
Keywords: Perineal tears; Rectal laceration; Delivery; Complication
From: Chinese Journal of Perinatal Medicine 2024;27(11):881-884
CountryChina
Language:Chinese
Abstract: Severe perineal tears include isolated rectal injuries such as rectal buttonhole tears and obstetric anal sphincter injuries that cause damage to the anal sphincter and anorectal region. Severe perineal tears can lead to a series of long-term complications, including chronic pain, fecal incontinence, sexual dysfunction, and rectovaginal fistulas, severely affecting the quality of life. The National Health Commission has listed "Reducing the Incidence of Complications from Vaginal Delivery" as one of the top ten national medical quality and safety improvement goals. This article discusses the hot issues surrounding severe perineal tears and proposes management recommendations suitable for China's national conditions. It aims to correctly prevent and treat severe perineal tears, reducing short- and long-term complications, based on the management goals of lowering the cesarean section rate and episiotomy rate.