Bridging the Gap between Obstetric and Colorectal services after OASI | Shachi Joshi
Summary :
The primary aim of this study was to determine the prevalence of pelvic dysfunction symptoms following OASI. The secondary aim was to assess the scope of a dedicated perineal trauma clinic in identifying and investigating women that have experienced faecal incontinence after OASI and if a transitional clinic arrangement to colorectal or continence services would be useful.The clinical database was used to identify and obtain information about 118 women who sustained an OASI (3rd/ 4th degree tear) between August 2016 and July 2017. A questionnaire was designed to assess symptoms of pelvic dysfunction; this was sent via the post in November 2018.Urinary and bowel dysfunction and pelvic pain is highly prevalent following an OASI. Perineal trauma clinic attendance alone is not sufficient for identification and follow up of symptoms as loss to follow up can occur. Transitional care is needed between obstetric and colorectal teams, to recognise and treat women with ongoing faecal incontinence.
About Author :
An Obstetrics and Gynaecology doctor who is deeply passionate about patient education and women’s health. She believes empowering patients to be confident & knowledgeable about their conditions builds physician-patient relationships and improves patient outcomes. Someday, she would love to get involved in medical volunteering and her family loves globetrotting . Thanks to these travel goals she has moved a lot of countries - Born in India , did her schooling in Dubai , went back to India for med school and residency in Ob Gyn ( Civil Hospital , Ahmedabad ) , moved to the UK for a Royal college fellowship and worked in the UK for 3 years and has just moved back to Dubai and am working with the Medcare Hospital Group . She has advanced training in Maternal medicine , Urogynaecology and Menopause and is accredited by the european board in aesthetic gynaecology.
