Xavier Fritel : Connect in order to contact the contributor. Search Access content directly Footer. Sign in. Search Loading Search using SolR syntax. Search using SolR syntax Run the search. Abstract en. Just after delivery, a perineal examination is recommended to check for OASIS Grade B ; if there is doubt about the diagnosis, a second opinion should be requested Grade C.
Perineal massage during pregnancy must be encouraged among women who want it Grade B. No intervention conducted before the start of the active phase of the second stage of labour has been shown to be effective in reducing the risk of perineal injury. The crowning of the baby's head should be manually controlled and the posterior perineum manually supported to reduce the risk of OASIS Grade C.
When an episiotomy is performed, a mediolateral incision is recommended Grade B. The indication for episiotomy should be explained to the woman, and she should consent before its performance.
Advising women to have a caesarean delivery for primary prevention of postnatal urinary or anal incontinence is not recommended Grade B. During pregnancy and again in the labour room, obstetrics professionals should focus on the woman's expectations and inform her about the modes of delivery. Keywords en. Domains Gynecology and obstetrics. Files and preview Fichier principal. Origin Files produced by the author s. Cited literature Loading Dates and versions inserm , version 1 Journal of Gynecology Obstetrics and Human Reproduction , , 48 7 , pp.
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