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Journal of Midwifery and Reproductive Health، جلد ۱۰، شماره ۳، صفحات ۳۴۲۹-۳۴۳۳
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عنوان انگلیسی Rectal Buttonhole Tear Following Operative Vaginal Delivery
چکیده انگلیسی مقاله Background & aim: A rectal buttonhole tear during childbirth is an isolated laceration of rectal mucosa and vagina without involvement of anal sphincter that its management is challenging in obstetrics. The aim of this study was to report a case of rectal buttonhole tear following operative vaginal delivery.Case report: A 31-year-old primigravid woman was admitted to the Maternity ward of a teaching hospital of Mashhad University of Medical Sciences for pregnancy termination. The patient underwent an induction of labor. She had a successful assisted vaginal delivery with vacuum. A Rectal buttonhole tear was found in in the rectovaginal septum, which was repaired immediately after delivery in operation room. Six weeks’ follow-up visit showed a completely cured laceration and the patient reported no complaints of fecal incontinence or foul discharge.Conclusion: Rectal examination before and after suturing perineal tears following vacuum extraction can help the diagnosis of isolated laceration. Accurate evaluation and using the optimal surgical techniques are the main points to achieve the best results.
کلیدواژه‌های انگلیسی مقاله Digital Rectal Examinations, Vacuum Extraction Delivery Obstetric Delivery, Obstetric Labor Complication
نویسندگان مقاله | Atiyeh Vatanchi
Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran


| Leila Pourali
Associate Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran


| Asieh Maleki
Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran


| Maede Khosravi
Resident, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran


| Shima Hatami
Resident, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
نشانی اینترنتی https://jmrh.mums.ac.ir/article_20579.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Case Report
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