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Severe perineal lacerations after vaginal delivery: are they an anesthesiologist's problem?
Feyce Peralta1, Joseph Bradley Bavaro
1Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Purpose Of Review:
Perineal tears or lacerations are common occurrences after vaginal delivery. Understanding the degree of severity of these tears and the immediate and long-term complications of severe perineal lacerations can assist anesthesiologists with the management of these patients in the immediate postpartum period.
Recent Findings:
Severe perineal lacerations have a high degree of association with postpartum depression. The presence of neuraxial labor analgesia decreases the odds of severe perineal lacerations.
Summary:
Neuraxial labor analgesia does not directly predispose parturients to the development of perineal lacerations, and may even be protective against these injuries.