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Revista chilena de obstetricia y ginecología

versión impresa ISSN 0048-766Xversión On-line ISSN 0717-7526

Resumen

Comentario sobre la asociación entre la vía de parto y el daño perineal e incontinencia urinaria y fecal. Rev. chil. obstet. ginecol. [online]. 2020, vol.85, n.3, pp.201-207. ISSN 0048-766X.  http://dx.doi.org/10.4067/S0717-75262020000300201.

Vaginal delivery is associated with a higher risk of perineal injury, and urinary and fecal incontinence as compared with caesarean delivery; The risk is higher in case of operative vaginal delivery and lower if the position at delivery takes the weight off the sacrum or is carried out under water immersion; A number of other factors increase the risk of incontinence, including higher parity, duration of labour, fetal weight or size of fetal head, younger age at first delivery, induction of labour, obesity, diabetes, constipation, smoking and history of urinary or fecal incontinence. Social factors such as lack of education, poor living environment, intense manual labour, the absence of physical exercise and divorce, are also associated with incontinence.

Palabras clave : incontinence; vaginal delivery; caesarean delivery; instrumental delivery; injury.

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