Husam Abed, MD
DR. ABED is Clinical Faculty, Division of Female Pelvic Medicine and Reconstructive Surgery, University of New Mexico, Albuquerque, N.M.
Grand Rounds: Managing future pregnancies after a severe perineal laceration
What do you tell a pregnant patient with a previous third- or fourth-degree tear, for whom another vaginal delivery raises the risk of further injury? Can some women safely have a trial of labor? Diagnose occult tears with ultrasound, advise these experts—and use it to assess the anal sphincters of all incontinent women.