Risk Factors, Management, and Follow-Up of Obstetric Anal Sphincter Injuries: An Audit From a UK District General Hospital

Primiparity and instrumental delivery were common risk factors. Immediate postoperative care met most standards, but documentation and follow-up referrals were inconsistent. A structured OASI proforma and standardized referral pathway are recommended to improve continuity of care. Recognition of high-risk women and consistent use of preventive strategies, together with structured counselling for future deliveries, may further improve outcomes.

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Publication Details

Journal
Cureus
Published
2025-09-16
DOI
https://doi.org/10.7759/cureus.92426
Primary Topic
Pelvic floor disorders treatments
Type
article
Field-Weighted Citation Impact
0.00
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article

Risk Factors, Management, and Follow-Up of Obstetric Anal Sphincter Injuries: An Audit From a UK District General Hospital

Ahsan Akhtar
Cureus
Pelvic floor disorders treatments
article

Risk Factors, Management, and Follow-Up of Obstetric Anal Sphincter Injuries: An Audit From a UK District General Hospital

Ahsan Akhtar
article en

Abstract

Primiparity and instrumental delivery were common risk factors. Immediate postoperative care met most standards, but documentation and follow-up referrals were inconsistent. A structured OASI proforma and standardized referral pathway are recommended to improve continuity of care. Recognition of high-risk women and consistent use of preventive strategies, together with structured counselling for future deliveries, may further improve outcomes.

CureusVol. 17(9)
University Hospital Coventry (GB)
Openalex Percentile: Top 63%
Pelvic floor disorders treatments
DOIOpen Access PDFOpenAlex
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Risk Factors, Management, and Follow-Up of Obstetric Anal Sphincter Injuries: An Audit From a UK District General Hospital — Ahsan Akhtar · Cureus (2025) | TGRS Research Map | TGRS