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.