Department of Obstetrics and Gynecology, First Faculty of Medicine, Charles University in Prague and University Hospital Bulovka, Prague, Czech Republic.
Int J Gynaecol Obstet. 2010 Sep;110(3):252-6. doi: 10.1016/j.ijgo.2010.03.035.
To assess the classification, repair, and follow up of extensive obstetric perineal injuries in the Czech and Slovak Republics.
A survey conducted in 2009 using questionnaires distributed to obstetric departments regarding classification and management of obstetric perineal injuries.
Although 15 centers in the Czech Republic and 2 in the Slovak Republic indicated use of a 4-degree classification system, none of these centers reported using the classification accepted by the Royal College of Obstetricians and Gynaecologists. Use of a 3-degree classification system in accordance with definitions in Czech textbooks was reported by 14 Czech and 3 Slovak maternity hospitals. There was significant heterogeneity in clinical practice regarding techniques to repair extensive obstetric perineal injuries, antibiotic prophylaxis, early postpartum care, and follow up.
There is great inconsistency in the classification and management of extensive obstetric perineal injuries. Uniform recommendations should be created and accepted, not only in the Czech and Slovak Republics, but worldwide.
评估捷克和斯洛伐克共和国广泛产科会阴损伤的分类、修复和随访。
2009 年采用问卷调查的方式，对产科部门进行了一项调查，内容涉及产科会阴损伤的分类和管理。
尽管捷克的 15 个中心和斯洛伐克的 2 个中心表示使用了 4 度分类系统，但这些中心均未报告使用皇家妇产科医师学院认可的分类方法。14 个捷克和 3 个斯洛伐克产科医院报告使用了与捷克教科书中定义一致的 3 度分类系统。在广泛产科会阴损伤修复、抗生素预防、产后早期护理和随访方面，临床实践中存在很大的技术差异。
广泛产科会阴损伤的分类和管理存在很大的不一致性。应制定并接受统一的建议，不仅在捷克和斯洛伐克共和国，而且在全世界范围内。
