[Intrapartal injuries of the pelvic floor--clinical diagnosis and obstetrics algorithm of repair].

Most women which give birth vaginally, undergo some form of perineal trauma. Although cesarean section is the only alternative for avoiding vaginal birth, it is associated with a certain percentage of morbidity and mortality. Therefore it is imperative to make every effort to minimize perineal trauma and make vaginal delivery safer. In this review we try to promote safe obstetric practices and preventive steps in the form of algorithm, established in the light of the best theoretical and practical evidence to minimize perineal lacerations and obstetrics damage the anal sphincter. Intervention in time in similar obstetric conditions is crucial to the health and quality of life of our patients.