Why South Dakota is Ready for a Perineal Clinic: A Research-Based Proposal and Review.

Perineal trauma is a significant complication of childbirth that can drastically influence an individual's quality of life. Pain, infection, fecal incontinence, and many other adverse outcomes can impact and endanger a woman's life following perineal injury. Early identification, referral and multi-disciplinary care are vital in the correct management of these injuries. The purpose of this manuscript is to discuss the prevalence and etiology of perineal trauma, explain the management of perineal injury and to highlight the important role a perineal clinic would play in South Dakota, especially rural areas, which could improve pelvic floor function and quality of life for these women.