Dr. Chapa’s Clinical Pearls. SVD or CS After OASIS?
Jun 27, 2025
Discover the complexities of counseling patients with a history of severe perineal tears and their delivery options. The discussion highlights the importance of merging emotional and clinical factors for informed decision-making. Dive into the statistics and long-term consequences of obstetric anal sphincter injuries, and learn about the evolving insights guiding patient choices between vaginal delivery and cesarean sections. This informative session emphasizes the role of education and support for women's health.
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Real Case of OASIS Tear
- Dr. Hector Chapa shares a real-world case of a patient with a fourth degree tear (OASIS) in a prior delivery.
- This case raises complex questions on counseling for subsequent delivery methods after severe perineal lacerations.
Balanced Delivery Decision Insight
- Neither automatic vaginal birth nor mandatory C-section is always right after OASIS.
- The best approach balances patient emotion with facts for rational evidence-based delivery decisions.
Counsel Patients with Facts
- Counsel patients after OASIS with facts about low recurrence risk and cesarean risks.
- Let patients decide vaginal vs cesarean delivery based on informed consent and personal preferences.