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Classification and management of extensive obstetric perineal injuries in the Czech and Slovak Republics
J. Zahumensky, E. Menzlova, M. Korbel, B. Zmrhalova, I. Vasicka, O. Sottner
Language English Country Ireland
Document type Journal Article, Research Support, Non-U.S. Gov't
- MeSH
- Anal Canal injuries surgery MeSH
- Humans MeSH
- Perineum injuries surgery MeSH
- Intraoperative Complications classification MeSH
- Hospitals, Maternity statistics & numerical data MeSH
- Pregnancy MeSH
- Delivery, Obstetric adverse effects MeSH
- Check Tag
- Humans MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Geographicals
- Czech Republic MeSH
- Slovakia MeSH
OBJECTIVE: To assess the classification, repair, and follow up of extensive obstetric perineal injuries in the Czech and Slovak Republics. METHODS: A survey conducted in 2009 using questionnaires distributed to obstetric departments regarding classification and management of obstetric perineal injuries. RESULTS: Although 15 centers in the Czech Republic and 2 in the Slovak Republic indicated use of a 4-degree classification system, none of these centers reported using the classification accepted by the Royal College of Obstetricians and Gynaecologists. Use of a 3-degree classification system in accordance with definitions in Czech textbooks was reported by 14 Czech and 3 Slovak maternity hospitals. There was significant heterogeneity in clinical practice regarding techniques to repair extensive obstetric perineal injuries, antibiotic prophylaxis, early postpartum care, and follow up. CONCLUSIONS: There is great inconsistency in the classification and management of extensive obstetric perineal injuries. Uniform recommendations should be created and accepted, not only in the Czech and Slovak Republics, but worldwide.
References provided by Crossref.org
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- $a Záhumenský, Jozef $7 xx0081962 $u Department of Obstetrics and Gynecology, First Faculty of Medicine, Charles University in Prague and University Hospital Bulovka, Prague, Czech Republic. jozef.zahumensky@gmail.com
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- $a OBJECTIVE: To assess the classification, repair, and follow up of extensive obstetric perineal injuries in the Czech and Slovak Republics. METHODS: A survey conducted in 2009 using questionnaires distributed to obstetric departments regarding classification and management of obstetric perineal injuries. RESULTS: Although 15 centers in the Czech Republic and 2 in the Slovak Republic indicated use of a 4-degree classification system, none of these centers reported using the classification accepted by the Royal College of Obstetricians and Gynaecologists. Use of a 3-degree classification system in accordance with definitions in Czech textbooks was reported by 14 Czech and 3 Slovak maternity hospitals. There was significant heterogeneity in clinical practice regarding techniques to repair extensive obstetric perineal injuries, antibiotic prophylaxis, early postpartum care, and follow up. CONCLUSIONS: There is great inconsistency in the classification and management of extensive obstetric perineal injuries. Uniform recommendations should be created and accepted, not only in the Czech and Slovak Republics, but worldwide.
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