{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T14:59:21Z","timestamp":1782313161665,"version":"3.54.5"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[1993,3,1]],"date-time":"1993-03-01T00:00:00Z","timestamp":730944000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1993,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Thirty-eight women with rupture of the anal sphincter occurring during childbirth were followed for 3\u201312 months. Nineteen had complete rupture of the external and sphincter, 14 had a lesion involving more than half of the sphincter muscle and five had a superficial rupture. Fourteen patients presented with continence disturbances: nine to solid or liquid faeces and five to flatus. Incontinence was present in nine women 3 months after childbirth. Anal manometry and electromyography were performed in patients 3\u20135 days after delivery and repeated at 3,6 and 12 months. Manometry and electromyography were also performed in 16 control subjects who were nulliparous or had given birth more than 2 years previously and 24 primiparous controls, who were investigated at 3\u20135 days and at 3 months. There were significant differences between both incontinent and continent patients compared with nulliparous and primiparous controls. Primiparous control subjects had decreased anal squeeze pressure as well as decreased electromyographic activity on the first days after delivery compared with nulliparous controls. After 3 months no differences were found. Continence disturbances are frequent after sphincter rupture; these patients should be monitored after delivery and those with persisting incontinence offered sphincter repair.<\/jats:p>","DOI":"10.1002\/bjs.1800800343","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T17:50:27Z","timestamp":1172944227000},"page":"392-394","source":"Crossref","is-referenced-by-count":72,"title":["Sphincter rupture in childbirth"],"prefix":"10.1093","volume":"80","author":[{"given":"M","family":"S\u00f8rensen","sequence":"first","affiliation":[{"name":"Department of Surgery D, Glostrup Hospital, University of Copenhagen , Glostrup,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T","family":"Tetzschner","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology G, Glostrup Hospital, University of Copenhagen , Glostrup,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O \u00d8","family":"Rasmussen","sequence":"additional","affiliation":[{"name":"Department of Surgery D, Glostrup Hospital, University of Copenhagen , Glostrup,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Bjarnesen","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology G, Glostrup Hospital, University of Copenhagen , Glostrup,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Christiansen","sequence":"additional","affiliation":[{"name":"Department of Surgery D, Glostrup Hospital, University of Copenhagen , Glostrup,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1993,3,1]]},"reference":[{"key":"2024092811582202600_bib1","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/S0028-2243(88)80007-8","article-title":"Long-term ailments due to anal sphincter rupture caused by delivery \u2013 a hidden problem","volume":"27","author":"Haadem","year":"1988","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2024092811582202600_bib2","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1002\/bjs.1800760121","article-title":"A study of the physiological variance in anal manometry","volume":"76","author":"Petersen","year":"1989","journal-title":"Br J Surg"},{"key":"2024092811582202600_bib3","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1136\/gut.32.9.1031","article-title":"Relation between electromyography and anal manometry of the external anal sphincter","volume":"32","author":"S\u00f8rensen","year":"1991","journal-title":"Gut"},{"key":"2024092811582202600_bib4","first-page":"315","article-title":"Perineal rupture following vaginal delivery. Long-term consequences","volume":"67","author":"S\u00f8rensen","year":"1988","journal-title":"Acta Obstet Gynecol Scand"},{"key":"2024092811582202600_bib5","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/0002-9378(89)90428-6","article-title":"Association of episiotomy and delivery position with deep perineal laceration during spontaneous delivery in nulliparous women","volume":"160","author":"Borgatta","year":"1989","journal-title":"Am J Obstet Gynecol"},{"key":"2024092811582202600_bib6","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1007\/BF01646870","article-title":"The composition of anal basal pressure","volume":"4","author":"Lestar","year":"1989","journal-title":"Int J Colorectal Dis"},{"key":"2024092811582202600_bib7","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1016\/S0140-6736(84)90766-9","article-title":"Injury to innervation of pelvic floor sphincter musculature in childbirth","volume":"ii","author":"Snooks","year":"1984","journal-title":"Lancet"},{"key":"2024092811582202600_bib8","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1007\/BF02554337","article-title":"Traumatic anal incontinence: results of surgical repair","volume":"30","author":"Petersen","year":"1987","journal-title":"Dis Colon Rectum"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800800343","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/80\/3\/392\/59399336\/bjs1800800343.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/80\/3\/392\/59399336\/bjs1800800343.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T11:58:30Z","timestamp":1727524710000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/80\/3\/392\/6175590"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,3,1]]},"references-count":8,"journal-issue":{"issue":"3","published-online":{"date-parts":[[1993,3,1]]},"published-print":{"date-parts":[[1993,3,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800800343","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1993,3]]},"published":{"date-parts":[[1993,3,1]]}}}