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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
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History components for women with suspected obstetric anal sphincter injury (OASIS)

History components for women with suspected obstetric anal sphincter injury (OASIS)
Obstetric components – Immediately following delivery
  • Duration of second stage of labor
  • Infant birth weight
  • Obstetric laceration and degree, if known
  • Use of episiotomy and extension, if known
  • Use of forceps or vacuum
Additional obstetric questions for women remote from vaginal delivery
  • All routine obstetric questions above
  • Did the patient have an obstetric laceration repaired?
  • Did the patient have problems with perineal healing?
  • Did the patient have a wound separation or infection? If so, what treatment did she receive?
Surgical history
  • Prior pelvic surgery: Reconstructive pelvic surgery
  • Prior rectal surgery (eg, hemorrhoidectomy, perianal abscess, anal fissures)
Gastrointestinal
  • Known bowel disorders:
  • Irritable bowel syndrome
  • Inflammatory bowel disorders (eg, Crohn disease, ulcerative colitis)
  • Bowel function history:
  • Frequency of bowel movements
  • Need to strain to defecate
  • Difficulty with evacuation
  • Regular stool consistency
  • Chronic diarrhea
  • Fecal urgency
  • Passage of stool/gas per vagina
  • Incontinence:
  • Flatus
  • Mucus
  • Liquid stool
  • Solid stool
Medication
  • All regularly used medication
  • Use of additional:
  • Fiber supplements
  • Stool softeners
  • Laxative
Behavior
  • Use of protective pads or similar (tissue paper, rags) or clothing changes secondary to fecal incontinence
  • Avoidance of activities (eg, sex or exercise)
Courtesy of Milena M Weinstein, MD, FACOG, FPMRS, and Helai Hesham, MD.
Graphic 116295 Version 2.0

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