K. Ismail – Perineal Trauma at Childbirth (2016)

Автор: K. Ismail
Название книги: Perineal Trauma at Childbirth
Формат: PDF
Жанр: Акушерство
Страницы: 193
Качество: Изначально компьютерное, E-book

This book aims to address all degrees of perineal trauma as well as interventions to reduce the risk of their occurrence and management of future pregnancies?. Perineal trauma affects a significant number of women worldwide every year. The inadequate assessment and management of perineal trauma can cause significant complications to women at a very critical time of their life. These can consequently lead to serious long-term problems. Perineal trauma at the time of childbirth affects hundreds of thousands of women in Europe and millions worldwide every year. A repair for such trauma is one of the commonest procedures undertaken in medicine. However, there are a few issues that are quite peculiar about this subject. It is an area of clinical practice that falls between two subspecialties (maternal medicine and uro-gynaecology), is assessed and repaired by two independent professions (obstetricians and midwives) and its complications managed by a large multidisciplinary team. Accordingly when planning the chapters for this book, we had these issues in mind and invited authors beyond the PEERS group to ensure that there is multidisciplinary input from leading clinicians in those fields. This book is also written and edited with both obstetricians and midwives in mind as target audience. Indeed all the authors of this book are committed to both multiprofessional training and service delivery.
There is high-level evidence demonstrating that proper assessment and repair of perineal trauma can significantly improve outcomes for women. However, nothing beats trauma prevention when it comes to long-term outcomes, particularly for higher grades of perineal trauma. The PEERS group is very keen on the dissemination of this aspect of care and indeed has dedicated several chapters in this book to highlight what practitioners can do to reduce risk of perineal trauma, obstetric anal sphincter injuries, wound complications and postnatal urinary incontinence. In addition to prevention, we present several aspects related to perineal trauma and its management including, a historic perspective, anatomy and physiology, clinical assessment, pelvic floor imaging, perineal mapping, methods and materials for repair and a framework for implementation of evidence into practice. The chapters within this book feed into each other and are interlinked. Nevertheless, each chapter
covers a succinct topic and could be read on its own.