Index

Recent Advances in Obstetrics & Gynecology: Perineal Disorders Dilip Kumar Dutta

CHAPTER 1:Introduction
CHAPTER 2:Risk Factors for Perineal Tear
CHAPTER 3:Classification of Perineal Tear
CHAPTER 4:Indications of Episiotomy
CHAPTER 5:Performing an Episiotomy
- ▪ MEDIAN EPISIOTOMY
- ▪ MEDIOLATERAL EPISIOTOMY
CHAPTER 6:How to Reduce Perineal Trauma
- ▪ ANTENATAL PERINEAL MASSAGE FOR REDUCING PERINEAL TRAUMA
- ▪ PERINEAL TECHNIQUES DURING THE SECOND STAGE OF LABOR FOR REDUCING PERINEAL TRAUMA
CHAPTER 7:Antibiotic Prophylaxis for Third- and Fourth-Degree Perineal Tear during Vaginal Birth
CHAPTER 8:Diagnosis of Perineal Trauma and Identification of Obstetric Anal Sphincter Injuries
- ▪ ASSESSMENT OF PERINEAL TRAUMA
CHAPTER 9:Management of Perineal Tear
- ▪ SURGICAL MANAGEMENT OF ANAL INCONTINENCE
CHAPTER 10:Laxative Use Recommendations, Antibiotic Use and Pelvic Floor Exercises
- ▪ PELVIC FLOOR EXERCISES
CHAPTER 11:Complications of Perineal Trauma and the Role of Perineal Clinic
- ▪ ROLE OF PERINEAL CLINIC
CHAPTER 12:Concerns in Future Pregnancy and Mode of Delivery
CHAPTER 13:Hemorrhoids in Pregnancy and its Management
CHAPTER 14:Managing Constipation in Pregnancy

INDEX

ABCDEFHILMNPRSTW

Page numbers followed by ‘f’ refer to figure

Anal sphincter 1

complex 18f

defect 24

Anoscopy 39f

Antenatal perineal massage 13, 13f

perineal trauma 1

urogenital triangle 1

Approximation of

bulbocavernosus muscle 12f

levator muscles 10f, 12f

Artificial anal sphincter 25

Assessment of perineal trauma 19

Bartholin's duct 2

Cardiac disease 7

Classification of perineal tear 5

Combined mechanical and neurologic trauma 19

Complications of perineal trauma 32

Direct mechanical injury 19

Epidural analgesia 3

Episiotomy 1

incisions 2f

Escherichia coli 41

Fecal continence scoring system 34

Female genital mutilation 3

Fetal weight 3

Fistula formation 26

Flexion technique 15, 15f

Hemorrhoidectomy 41

Hemorrhoids 37, 37f, 39f

in pregnancy 37, 38

Indications of episiotomy 7

Induction of labor 3

Instrumental birth 3

International guidelines in management of constipation in pregnancy 44

Loss of rectal tone 19

LUCK study 44

Management of

constipation in pregnancy 44

perineal tear 21

Managing constipation in pregnancy 43

Median

episiotomy 9, 10f

incision 10f

Mediolateral

episiotomy 11

incision 12f

Midline toward ischial tuberosity 12f

Muscle transfers 25

Needing episiotomy 13

Neurologic injury 19

Pelvic floor

exercises 28, 29

neuropathy 26

Performing episiotomy 9, 11f

Perineal

management techniques 15

muscles 1

tears 3, 5f, 6f

techniques 14

trauma 1, 13, 14

Perineotomy 1

Posterior

anal triangle 1

perineal trauma 1

vaginal wall 1

Proximal retraction of tissue with voluntary tightening 19

Pudendal neuropathy 24

Reconstruction of urogenital diaphragm 10f, 12f

Repair of

complete perineal tear 23f

vaginal mucosa 12

Ritgen's maneuver 15, 16f

Role of perineal clinic 32, 33

Shoulder dystocia 3

Skin closure 10f, 12f

Sphincter

and pelvic floor plication 24

injuries 18

Stimulating laxatives 28

Surgical management of anal incontinence 24

Traumatic obstetric injury requiring repair 3

Two methods of anal sphincter repair 22f

Water-binding laxatives 28

Wound infection 26

TOC
Index

Chapter Notes