| 內容簡介 | This book details the prevention and management of perineal trauma during childbirth, which affects millions of women worldwide every year. A repair for such trauma is one of the commonest procedures undertaken in medicine, but this procedure is not without a number of issues. It is an area of clinical practice that falls between two subspecialties (maternal medicine and urogynecology), is assessed and repaired by two independent professions (obstetricians and midwives), and its complications are managed by a large multidisciplinary team. The book is also written and edited with all of these medical professions in mind. Perineal Trauma at Childbirth provides high-level evidence demonstrating that proper assessment and repair of perineal trauma can significantly improve outcomes for women, while reviewing the considerable benefits of trauma prevention to long-term outcomes, particularly for higher grades of perineal trauma. There are dedicated chapters on reducing the risk of perinea trauma, anal sphincter injuries, wound complications and postnatal urinary incontinence. The anatomy and physiology, clinical assessment, pelvic floor imaging, perineal mapping, methods and materials for repair and a framework for implementation of evidence into practice are also covered in depth. |