Dis Colon Rectum. Dec;32(12) Anorectal complications of vaginal delivery. Venkatesh KS(1), Ramanujam PS, Larson DM, Haywood MA.
Rectal tear during normal vaginal delivery with an intact anal sphincter: a case Labor Complications/pathology*; Parturition*; Pregnancy; Rectum/injuries*.
We cannot dispute the risks. To improve the outcome and reestablish confidence in vaginal delivery, more training is needed, as is more identifying how to prevent, identify, and manage anal sphincter injury following vaginal delivery.