Conclusion
In this randomized trial of women with anal sphincter lesions resulting
from their first delivery, anal incontinence was rare 6 months after
second delivery and planned CS was not associated with a decrease of
this risk. These findings are not in favor of recommending CS for
subsequent deliveries in case of asymptomatic obstetrical anal sphincter
lesions. Acknowledgmen ts
We thank Coralie Gernez, Amandine Fauquembergue, Aline Dechanet and
Marion Schneider from the Unité de Recherche Clinique of Hôpital
Bichat–Claude-Bernard for their efforts in project management,
enrollment, data collection, monitoring and data management of the
trial, all the staff members of the participating maternities, the women
who participated.
We also thank Drs Anabela RODRIGUES, Amélie BENBARA and Guillaume GIRARD
for strong motivation of womens inclusions.