GynZone

Team GynZone has flown in Congress

BIRTHING POSITIONS & INJURIES
Don't put iatrogen instrumental injuries in the same pot as spontaneous birth injuries!
"Overall, pooled RCT evidence shows no significant difference in perineal tears of any degree or episiotomy between upright and supine/lithotomy positions. Network estimates suggest potential differences between specific positions, but the evidence is limited and heterogeneous. Birthing position should primarily reflect women’s preferences and comfort, while considering other key predictors of perineal trauma (e.g. parity, operative delivery, and episiotomy itself)."

Maternal Positioning in the Second Stage of Labour and its Relationship with Perineal Trauma: A Systematic Review and Network Meta-Analysis - International Urogynecology Journal Introduction and Hypothesis Perineal trauma is frequent after childbirth and may be influenced by maternal position. We aimed to synthesize pooled estimates comparing positions in the second stage of labour and their association with perineal tears and episiotomy, using a network meta-a**lysis (NMA)...

OASI is a known risk factor for FI
Age-related long-term effects of vaginal delivery, pregnancy, and sphincter injury on a**l continence: A matched cohort study

Acta Obstetricia et Gynecologica Scandinavica | NFOG Women's Health Journal | Wiley Online Library Long-term f***l incontinence was more common and severe after two vaginal deliveries and twice as high following obstetric a**l sphincter injury. An age-related increase in f***l incontinence appeare...

ICM Posters in Lisbon Tuesday, June 16th, 12:30 - 14:00, Pavillion 4.
Please drop by and say hello to fabulous midwife and researcher, Peggy Seehafer 👩‍🏫

She is presenting this poster:
"PA 277: Severe perineal injuries among VBAC women with a low risk pregnancy who opted for a homebirth or in a freestanding midwifery unit in Germany".

All posters in this session can be seen through this link:
https://www.czech-in.org/cmPortalv15/Searchable/icm2026/config/normal #!sessiondetails/0000362400_0

GynZone, International Confederation of Midwives

VAGINAL BIRTH AFTER OASI
The recommendation regarding the safety of VB following OASI should be individualized.
Women following OASI were evaluated using a noninvasive transperineal-US algorithm.
Using our algorithm yields higher vaginal delivery rates without recurrent OASI.
De novo a**l incontinence symptoms were similar following subsequent VB or CS.
Assessing women following OASI using our innovative non-invasive algorithm is feasible.

The safety of vaginal delivery following obstetric a**l sphincter injury- A retrospective pilot study using transperineal ultrasound algorithm Obstetric a**l sphincter injury (OASI) is a severe complication of vaginal delivery (VD) [1,2], which increases the risk of a**l incontinence [1]. Following OASI, the optimal mode of a subsequent delivery is debated. The risk of recurrent OASI in a succeeding VD is about 7% [2], which could increase...