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Postpartum Management After Obstetric Anal Sphincter Injuries

Eubanks, Allison MD; Petersen, Scott M. MD

doi: 10.1097/AOG.0000000000002211
Contents: Clinical Conundrums

A 26-year-old woman, gravida 1 para 1, experiences a severe perineal laceration that extends through the rectal mucosa after a vaginal delivery. She asks you, “What can be done to optimize my recovery?”

Limited information is available for the optimal postpartum treatment of women with obstetric anal sphincter injuries.

Department of Obstetrics and Gynecology, Walter Reed National Military Medical Center, Bethesda, Maryland.

Corresponding author: Scott M. Petersen, MD, USU; email:

Financial Disclosure The authors did not report any potential conflicts of interest.

The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Departments of the Army or Navy, nor the Department of Defense.

Each author has indicated that he or she has met the journal’s requirements for authorship.

© 2017 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.