THIRD- AND FOURTH-DEGREE PERINEAL TEARS AFTER CHILDBIRTH: LONG-TERM CARE AND PELVIC FLOOR MUSCLE FUNCTION RECOVERY

Abstract

Obstetric anal sphincter injuries (OASIS) of the third and fourth degree are severe childbirth complications that pose significant challenges in clinical practice and long-term maternal care. Two illustrative clinical cases highlight the importance of structured postpartum follow-up and comprehensive pelvic floor rehabilitation. National and international OASIS management guidelines are reviewed, emphasizing early urogynecological and rehabilitative intervention. An interdisciplinary approach is highlighted as essential to reducing long-term complications and improving physical and emotional outcomes for affected women.