Perineal injuries in childbirth. Analysis of causes

Abstract

One of the most significant problems of obstetrics are perineal injuries, in the structure of which dominate ruptures. According to Russian and world literature data, the frequency of perineal ruptures ranges from 7 to 25 % of all the childbirths. The article considers the most significant predictors of this condition, including violation of vaginal microbiocenosis, perineal injuries in the anamnesis and instrumental birth. In addition, perineal injuries lead to immediate and long-term complications that significantly reduces the quality of women's life. Among the consequences of ruptures, most often pain and discomfort in the perineum area, impaired urination and fecal incontinence, as well as the development of infectious complications are observed.