Intrapartal pelvic floor protection: a pragmatic and interdisciplinary approach between obstetrics and urogynecology

• Published in: Archives of gynecology and obstetrics Vol. 295; no. 4; pp. 795 - 798
• Main Authors: Huebner, Markus, Brucker, Sara Y., Tunn, Ralf, Naumann, Gert, Reisenauer, Christl, Abele, Harald
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.04.2017; Springer Nature B.V
• Subjects: Anal Canal - injuries; Anal Canal - physiopathology; Anesthesia, Epidural - adverse effects; Cesarean Section - adverse effects; Delivery, Obstetric - adverse effects; Endocrinology; Episiotomy - adverse effects; Female; Gynecology; Human Genetics; Humans; Medicine; Medicine & Public Health; News & Views; Obstetric Labor Complications - pathology; Obstetric Labor Complications - prevention & control; Obstetrical Forceps - adverse effects; Obstetrics; Obstetrics - methods; Obstetrics/Perinatology/Midwifery; Pelvic Floor - anatomy & histology; Pelvic Floor - injuries; Pelvic Floor - physiopathology; Pelvic Floor Disorders - etiology; Pelvic Floor Disorders - pathology; Pelvic Floor Disorders - prevention & control; Pregnancy; Vacuum Extraction, Obstetrical - adverse effects; OASIS; Levator ani muscle; Vaginal operative delivery; Pelvic floor protection
• ISSN: 0932-0067; 1432-0711; 1432-0711
• DOI: 10.1007/s00404-017-4316-x

Pelvic floor protection is an issue of increasing relevance. This article sought to summarize the session at last year’s annual meeting of the German Society of Gynecology and Obstetrics (DGGG) in Stuttgart (10/2016) called “Urogynecology 2020—what is the optimal rate of cesarean section—does urogynecology have to deal with Obstetrics?”. The main focus was set on the two important anatomical structures, the levator ani muscle and the anal sphincters. Operative vaginal delivery, epidural anesthesia, and episiotomy are subject to discussion.