Perineal Echography in the Delivery Room for the Detection of Anal Lesions

Perineal Echography in the Delivery Room for the Detection of Anal Lesions Among Primiparous Mothers: a Randomized Study

The main objective of this study is to compare the rate of anal incontinence (measured by the Wexner score, qualitative and quantitative (> 4)) at 3 months post partum among primiparas with vaginal tears ≥ 2nd degree who receive a sphincter injury screening at delivery by conducting a sphincter ultrasound in the delivery room versus a similar group of women who do not benefit from screening.

Inclusion Criteria:

• The patient must have given his/her informed and signed consent
• The patient must be insured or beneficiary of a health insurance plan
• The patient is available for 3 months of follow up
• The patient is delivering her first child; vaginal delivery
• The patient has a minimum stage 2 perineal lesion
• The patient accepts perineal echography

Exclusion Criteria:

• The patient is under judicial protection, under tutorship or curatorship
• The patient refuses to sign the consent
• It is impossible to correctly inform the patient
• Cesarien section
• No perineal lesion (intact perineum)
• Emergency situation which hinders screening for anal lesions under good medical conditions
• Previous vaginal delivery