Abstract
Background The incidence of obstetric anal sphincter ruptures (OASR) is considered a good indicator of the quality of obstetric care because of its impact on anal incontinence for women and its association with obstetric practices. OASR rates have increased in some countries. The dramatic decrease in episiotomies, after publication of a meta-analysis favouring restrictive use, might contribute to this trend. We compared OASR rates in European countries and investigated …
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