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Obstetric Anal Sphincter Injury (OASI)
Released Date: 2025-01-01
🩺 Obstetric Anal Sphincter Injury (OASI) Treatment in India
Obstetric Anal Sphincter Injury is a tear of the anal sphincter muscles that can occur during vaginal childbirth. With timely repair and follow-up care, most women recover full function and comfort.
3.6-6%
Incidence in Vaginal Births
48h
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🔬 What is OASI?
OASI refers to third-degree tears (involving the anal sphincter muscles) or fourth-degree tears (additionally involving the rectal lining) that occur during vaginal delivery. Left unrepaired or inadequately treated, it can lead to perineal pain, painful intercourse, or flatal/faecal incontinence.
✅ Treatment & Recovery
- ✓ Primary repair is performed immediately at the time of delivery in the majority of cases
- ✓ Secondary repair is needed in 2.6–3% of cases where healing is incomplete, and can be safely performed early (within 21 days) rather than waiting months
- ✓ Strict pelvic rest for 6 weeks post-repair supports proper healing
- ✓ Follow-up visits at 1–2 weeks check for wound separation, infection, or hematoma
- ✓ Pelvic floor physiotherapy supports full functional recovery
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