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Oral contact with the anus can put both partners at risk for hepatitis, herpes, hpv, and other infections. If theres a problem during labor, your doctor may need to change the way they proceed with the delivery. Vaginal tears during childbirth occur most often in first-time mothers, mothers who give birth to large babies, and mothers with long labor times. Following a uk supreme court ruling in 2015, doctors are considering offering pregnant women official advice on the risks of vaginal. Obstetric anal sphincter injuries (oasis) are a serious complication of vaginal birth with a reported uk incidence ranging from 0 to 8. They are recognised to be a major risk factor for anal incontinence (ai), resulting in concern amongst some women considering subsequent mode-of-delivery after having sustained an oasis. obstetric anal sphincter injury (oasi) is a rare but serious outcome of vaginal birth. Based on concerns about the increasing number of women who commence childbearing later than previous generation, this study aimed at investigating age-related risk of oasi in women of different parity. The two study groups consisted of all women in the swedish medical birth register who gave birth by one, two, or three caesarean deliveries or vaginal deliveries during the period 19732015 and who were diagnosed with anal incontinence in the swedish national patient register during the period 200115.