{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:20:17Z","timestamp":1786119617305,"version":"build-2736575974"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008,8]]},"DOI":"10.1097\/aog.0b013e31817f2867","type":"journal-article","created":{"date-parts":[[2010,11,30]],"date-time":"2010-11-30T07:46:33Z","timestamp":1291103193000},"page":"212-217","source":"Crossref","is-referenced-by-count":45,"title":["Modified Ritgen\u2019s Maneuver for Anal Sphincter Injury at Delivery"],"prefix":"10.1097","volume":"112","author":[{"given":"Eva Rubin","family":"J\u00f6nsson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibtesam","family":"Elfaghi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e5kan","family":"Rydhstr\u00f6m","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Herbst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-3-20210621","doi-asserted-by":"crossref","first-page":"1361","DOI":"10.1111\/j.1471-0528.2004.00138.x","article-title":"Rupture of the sphincter ani: the recurrence rate in second delivery.","volume":"111","author":"Elfaghi","year":"2004","journal-title":"BJOG"},{"key":"R2-3-20210621","first-page":"225","article-title":"Obstetric anal sphincter lacerations.","volume":"98","author":"Handa","year":"2001","journal-title":"Obstet Gynecol"},{"key":"R3-3-20210621","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\u2014a hidden problem.","volume":"27","author":"Haadem","year":"1988","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"R4-3-20210621","doi-asserted-by":"crossref","first-page":"926","DOI":"10.1111\/j.1471-0528.2000.tb11093.x","article-title":"Anal sphincter tears: prospective study of obstetric risk factors.","volume":"107","author":"Samuelsson","year":"2006","journal-title":"BJOG"},{"key":"R5-3-20210621","doi-asserted-by":"crossref","first-page":"1262","DOI":"10.1111\/j.1471-0528.1998.tb10004.x","article-title":"A randomized controlled trial of care of the perineum during second stage of normal labor.","volume":"105","author":"McCandlish","year":"1998","journal-title":"Br J Obstet Gynaecol"},{"key":"R6-3-20210621","first-page":"477","article-title":"Traditional care of the perineum during birth. A prospective, randomized, multicenter study of 1,076 women.","volume":"47","author":"Mayerhofer","year":"2002","journal-title":"J Reprod Med"},{"key":"R7-3-20210621","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1111\/j.1523-536X.2007.00186.x","article-title":"Perineal outcomes and maternal comfort related to the application of perineal warm packs in the second stage of labor: a randomized controlled trial.","volume":"34","author":"Dahlen","year":"2007","journal-title":"Birth"},{"key":"R8-3-20210621","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1016\/j.jmwh.2005.05.012","article-title":"Midwifery care measures in the second stage of labor and reduction of genital tract trauma at birth: a randomized trial.","volume":"50","author":"Albers","year":"2005","journal-title":"J Midwifery Womens Health"},{"key":"R9-3-20210621","first-page":"974","article-title":"Frequency of anal sphincter rupture at delivery in Sweden and Finland\u2014result of difference in manual help to the baby\u2019s head.","volume":"77","author":"Pirhonen","year":"1998","journal-title":"Acta Obstet Gynecol Scand"},{"key":"R10-3-20210621","first-page":"321","article-title":"\u00dcber sein Dammschutzverfahren.","volume":"6","author":"Ritgen","year":"1855","journal-title":"Monatschrift f\u00fcr Geburtskunde und Frauenkrankheit"},{"key":"R11-3-20210621","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/S0266-6138(97)80006-X","article-title":"Reducing perineal trauma: implications of flexion and extension of the fetal head during birth.","volume":"13","author":"Myrfield","year":"1997","journal-title":"Midwifery"},{"key":"R12-3-20210621","first-page":"429","article-title":"Williams obstetrics. 22nd ed.","year":"2005"}],"container-title":["Obstetrics & Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/00006250-200808000-00003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T18:40:14Z","timestamp":1786041614000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/00006250-200808000-00003"}},"subtitle":["A Randomized Controlled Trial"],"short-title":[],"issued":{"date-parts":[[2008,8]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2008]]}},"URL":"https:\/\/doi.org\/10.1097\/aog.0b013e31817f2867","relation":{},"ISSN":["0029-7844"],"issn-type":[{"value":"0029-7844","type":"print"}],"subject":[],"published":{"date-parts":[[2008,8]]}}}