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Strategies that led to successful clinic implementation were reviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 247 patients were seen during the 4\u2010year period. Indications for referral included lacerations, pain, urinary and fecal incontinence, and fistulas. The most common referral indication was a third\u2010 or fourth\u2010degree laceration, which affected 154 (62.3%) patients. Overall, 53 (21.5%) patients required a procedure, of whom 20 (8.1%) underwent surgery. Most women were counseled about pelvic floor exercises, and 39 (15.8%) were referred for pelvic floor physical therapy. Nurse\u2010led triage, patient education, and follow\u2010up were key to the success of the program.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The postpartum perineal clinic is sustainable and offers an opportunity for early assessment and treatment of pelvic floor dysfunction after a complicated vaginal delivery.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2014.07.026","type":"journal-article","created":{"date-parts":[[2014,9,6]],"date-time":"2014-09-06T15:54:44Z","timestamp":1410018884000},"page":"68-71","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":33,"title":["Experiences during the first four years of a postpartum perineal clinic in the USA"],"prefix":"10.1002","volume":"128","author":[{"given":"Cynthia","family":"Brincat","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin","family":"Crosby","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"McLeod","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dee E.","family":"Fenner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,9,6]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"65","volume-title":"Postpartum Problems and the Role of a Perineal Clinical","author":"Thakar R.","year":"2007"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2003.371"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0b013e3182a5f98e"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2011.03150.x"},{"issue":"6","key":"e_1_2_6_6_2","first-page":"1021","article-title":"Risk of repetition of a severe perineal laceration","volume":"93","author":"Peleg D.","year":"1999","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(98)00207-0"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2000.tb03330.x"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)11205-9"},{"issue":"6","key":"e_1_2_6_10_2","first-page":"955","article-title":"Obstetric events leading to anal sphincter damage","volume":"92","author":"Donnelly V.","year":"1998","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1996.tb09557.x"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.02.064"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(94)90070-1"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1998.tb10130.x"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(01)00427-4"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/01443610410001685538"},{"issue":"1","key":"e_1_2_6_17_2","first-page":"46","article-title":"The appearance of levator ani muscle abnormalities in magnetic resonance images after vaginal delivery","volume":"101","author":"DeLancey J.O.","year":"2003","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000194063.63206.1c"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-007-0458-x"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182479611"}],"container-title":["International Journal of Gynecology &amp; 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