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Experience with an obstetric perineal clinic
Myra Fitzpatrick1, Mary Cassidy, P Ronan O'Connell
1Department of Obstetrics and Gynaecology, National Maternity Hospital, University College Dublin, Holles Street, 2, Dublin, Ireland.
European Journal of Obstetrics, Gynecology, and Reproductive Biology
|December 26, 2001
Summary
This study reviewed patients at a perineal clinic, finding it a valuable resource for postpartum perineal injury investigation and treatment. The clinic effectively managed conditions like third-degree tears and fecal incontinence.
Area of Science:
- Obstetrics and Gynecology
- Pelvic Floor Disorders
- Maternal Health
Background:
- Postpartum perineal injuries can significantly impact women's quality of life.
- Dedicated clinics are essential for managing complex perineal issues.
- Understanding patient demographics and referral reasons is crucial for service optimization.
Purpose of the Study:
- To characterize patients referred to a specialized perineal clinic.
- To evaluate the range of conditions managed within the clinic.
- To assess the clinic's role in addressing postpartum perineal complications.
Main Methods:
- Retrospective case-note review of new referrals over a two-year period (1998-1999).
- Analysis of patient demographics, including age, parity, and duration of symptoms.
- Categorization of referral reasons and subsequent treatments or investigations.
Main Results:
- 399 women were referred, with a mean age of 34 years.
- Common reasons for referral included third-degree perineal tears (53%) and fecal incontinence (20%).
- Treatments involved physiotherapy (21%), dietetic manipulation (11%), and surgical interventions for specific conditions.
Conclusions:
- The perineal clinic serves as a vital resource for the comprehensive management of postpartum perineal injuries.
- The clinic facilitates appropriate investigation and treatment pathways for a diverse range of perineal conditions.
- Specialized care is effective in addressing both acute and chronic sequelae of perineal trauma.