Résumé :
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Perineal trauma involves any form of injury to the female genitalia during labour, which may occur naturally or iatrogenically (Kettle & Tohill 2011) and can affect the anterior and posterior vaginal wall, urethra, clitoris, labia, perineal muscle, perineal body, external and internal anal sphincters and anal canal (Goh et al 2018). Almost all women who have a spontaneous vaginal birth will experience perineal morbidity (Andrews et al 2008) with an estimated 85% of these women sustaining some degree of perineal trauma (Table 1), most commonly a second-degree perineal tear (Frohlich & Kettle 2015). This figure equates to around 350,000 women a year in the UK who require perineal suturing with an estimated 20% experiencing longer-term effects which can include physical, emotional and psychological trauma arising from poorly-repaired perineal tears (Bick 2005)
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