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This medical dissertation by Linda Hjertberg explores the impact of maternal body mass index (BMI) on the pelvic floor during labor and postpartum, particularly following obstetric anal sphincter injuries (OASI). The study utilizes various research methods, including observational cohort studies and nationwide register studies, to analyze pelvic floor function in relation to BMI. It also presents a study protocol for a randomized controlled trial examining a new anesthetic approach for repairing perineal lacerations. The research reveals that obese women have a higher anovaginal distance and report fewer wound complications and a lower risk of anal incontinence shortly after childbirth than their normal-weight counterparts, although they experience higher rates of urinary incontinence. This work aims to inform tailored postpartum care and is intended for medical professionals in obstetrics and gynecology.

Pelvic floor. --- Body mass index.