The accurate assessment, recognition, and treatment of pelvic floor trauma during pregnancy and following birth has gained increasing importance over the last decade. Formerly viewed as unavoidable sequelae of vaginal birth, pelvic floor changes following birth are common, and in some cases carry adverse long-term problems including pain, sexual dysfunction, bowel and bladder incontinence, and pelvic organ prolapse. On the other hand, the majority of women give birth without the development of serious pelvic floor problems. The challenge for practitioners is to both identify women at risk for problems and implement preventive practices that decrease the incidence of these disorders, without subjecting the many women not at risk for pelvic floor disorders to unnecessary interventions.
KeywordsPelvic Floor Pelvic Organ Prolapse Sexual Dysfunction Vaginal Birth Anal Incontinence
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