Traumatic transperineal delivery, a tragedy in unassisted vaginal delivery: A case report and review of literature

A. Rabiu, Z. Ahmed, A. Yola
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引用次数: 0

Abstract

Transperineal delivery is a traumatic childbirth whereby the baby is forcefully ejected out through a contraction and pushing-induced laceration of the perineum in the presence of intact vaginal and anal orifices. We presented a 23-year-old primipara who presented 3 days after delivery with infected perineal injury and pains following unsupervised childbirth. She delivered a fresh stillborn baby through the perineum (between the fourchette and the anal orifice). She was, however, continent of urine and feces. She was optimized and repair of the perineal injury was scheduled after puerperium. The postoperative condition was satisfactory. We therefore call and appeal on the relevant stakeholders, to provide more skilled birth attendants, especially at the densely populated areas and ensure their presence and willingness to participate in conducting all deliveries with good supervision in all health facilities, so as to prevent future occurrence of transperineal delivery.
外伤性经会阴分娩,一个悲剧在无辅助阴道分娩:一个病例报告和文献复习
经会阴分娩是一种创伤性分娩,在阴道口和肛门口完好的情况下,婴儿通过会阴的收缩和挤压引起的撕裂被强行排出。我们介绍了一位23岁的初产妇,她在分娩后3天出现了感染性会阴损伤和无监护分娩后的疼痛。她通过会阴(在子宫和肛门之间)接生了一个新鲜的死产婴儿。然而,她是尿和粪便的大陆。她被优化和修复会阴损伤被安排在产褥期后。术后情况令人满意。因此,我们呼吁并呼吁相关利益攸关方提供更多熟练的助产士,特别是在人口稠密地区,并确保她们在场并愿意参与在所有卫生设施中进行的所有分娩,并得到良好的监督,以防止今后发生经会阴分娩。
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