Childbirth Trauma

This book looks at evidence-based information on the anatomy and physiology of the female pelvis and pelvic organs. The authors bring together comprehensive topics ranging across the whole spectrum of childbirth trauma, to help the reader with the diagnos

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Childbirth Trauma

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Childbirth Trauma

Stergios K. Doumouchtsis Editor

Childbirth Trauma

Editor Stergios K. Doumouchtsis St George’s University of London London UK

ISBN 978-1-4471-6710-5 ISBN 978-1-4471-6711-2 DOI 10.1007/978-1-4471-6711-2

(eBook)

Library of Congress Control Number: 2016945067 Springer London Heidelberg New York Dordrecht © Springer-Verlag London 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer-Verlag London Ltd. is part of Springer Science+Business Media (www.springer.com)

This book is dedicated to my wonderful family, as it would have not been completed without their selfless support, patience and encouragement.

Foreword

Childbirth trauma is an everyday event and is considered as a minor issue and brushed aside. But in reality, the woman suffers in pain, mental anguish and concern for her future sexual and reproductive life. The extent of the injury may be much more serious than what meets the eye on examination, and if not diagnosed properly and managed well, including the post-repair period, there would be short- and longterm consequences. The editor, Dr. Stergios K. Doumouchtsis, and the authors who contributed to this unique book Childbirth Trauma need to be congratulated for their excellent contribution to this important and yet somewhat neglected area. The book consists of 18 well-constructed chapters starting from anatomy of the pelvis and the anorectal anatomy and physiology. This is followed by the effect of pregnancy on the pelvic floor and injuries related to mode of delivery. Episiotomy is one of the most common minor, sometimes unwanted, operations; the details of episiotomy are discussed. The issues related to types of injury, clinical assessment, diagnosis and management are covered next. Short- and long-term follow-up are essential and yet are ignored or not enough attention is paid. These issues are discussed in the next few chapters with an account of the healing process. The final