Pelvic Floor, Perineal, and Anal Sphincter Trauma During Childbirth

Ranee Thakar is a Subspecialist in Urogynaecology and Consultant Obstetrician and Gynaecologist at Croydon University Hospital and honorary senior lecturer at St. George’s University of London. She is the current RCOG President and past President of the International Urogynecological Association. Ranee is the Lead for the urogynaecology service at her Trust which is accredited by the British Society of Urogynaecology. Ranee has experience across a wide range of areas within obstetrics and gynaecology including psychosexual medicine, female genital mutilation (FGM) and the prevention and management of obstetric anal sphincter injury (OASI). Ranee has an impressive academic profile with over 200 publications and has made a significant contribution to improving perineal trauma outcomes by training obstetricians and midwives to provide safer maternity care for women globally.She leads the national obstetric anal sphincter injuries (OASI) Care Bundle Project focussing on reduction of OASI rates. Regionally, Ranee leads the Perinatal Pelvic Health Project and Urogynaecology network for South-West London, developing multi-disciplinary collaboration with urologists, midwives, physiotherapists, nurses and GPs. Dr. Christina Lewicky-Gaupp is fellowship-trained and board-certified in Obstetrics & Gynecology and Urogynecology and Reconstructive Pelvic Surgery. She completed her Female Pelvic Medicine & Reconstructive Surgery fellowship at the University of Michigan after completing an Obstetrics & Gynecology Residency at University of Chicago. She is a Professor of Obstetrics & Gynecology. Dr. Lewicky-Gaupp founded one of the first maternal recovery clinics in the United States and is the Medical Director of the University of Chicago Peripartum Evaluation and Assessment of the Pelvic Floor around Delivery (PEAPOD) Clinic.  Her research interests focus on maternal birth trauma and she has published over 80 peer-reviewed papers.

Anatomy Of The Pelvic Floor, Perineum And Anal Sphincter.- Pathophysiology Of Childbirth.- Diagnosis Of Obstetric Anal Sphincter Injuries (Oasis).- Episiotomy And Management Of Minor Perineal Trauma.- Third And Fourth Degree Tears (Oasis).- Caesarean Section – Short And Long-Term Outcomes.- Sexual Dysfunction After Childbirth.- Impact Of Pregnancy And Childbirth On Pre-Existing Bowel Conditions.- Perineal And Anal Sphincter Wound Healing Complications.- Post-Partum Problems And The Perineal Clinic.- Management Of Subsequent Pregnancy After OASIS, Incontinence And Prolapse Surgery.- Prevention Of Perineal Trauma.- Female Genital Mutilation.- Anorectal And Physiology And Investigations.-  Anal Sphincter Imaging Of Obstetric Trauma.- Pelvic Floor Imaging Of Obstetric Trauma.- Conservative Management Of Anal Incontinence.- Surgical Management Of Anal Incontinence.- Obstetric Rectovaginal Fistulae.- Patient Reported Outcomes After Childbirth Following Obstetric.- Training And Education.- Litigation After OASIS.