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contributions, and the nature and effect of signi cant matters affecting comparability of information for all periods presented The amount of pension cost recognized during the period For the purposes of SFAS No 87, any plan that is not a de ned contribution pension plan is considered a de ned bene t pension plan (j) NON-US PENSION PLANS SFAS No 87 does not make any special provision for nonUS pension plans In some foreign countries it is customary or required for an employer to provide bene ts for employees in the event of voluntary or involuntary severance of employment In this event, if the substance of the arrangement is a pension plan (ie, bene ts are paid for substantially all terminations), it is subject to the provisions of SFAS No 87 The discount rate used for valuing liabilities for non-US plans should be based on the yields available on bonds issued in the country where the plan exists Therefore, most companies with international operations will have discount rates for valuing non-US plans that are well below the rates used for valuing US liabilities Plans in Puerto Rico or other US territories are considered US plans (k) MULTIEMPLOYER PLANS A multiemployer plan is a plan to which more than one employer contributes, usually pursuant to a labor union agreement Under these plans, contributions are pooled and separate employer accounts do not exist As a result, assets contributed by one employer may be used to provide bene ts to the employees of other participating employers SFAS No 87 provides no change in the accounting for multiemployer plans A participating employer should recognize pension cost equal to the contribution required to the plan for the period The disclosures required by the Statement for multiemployer plans are similar to those for de ned contribution pension plans a description of the plan, including the employee groups covered and type of bene ts provided, and the amount of pension cost recognized in the period An underfunded multiemployer plan may assess a withdrawing employer a portion of its unfunded bene t obligations If this withdrawal liability becomes either probable or reasonably possible, the provisions of SFAS No 5, Accounting for Contingencies, apply (l) MULTIPLE EMPLOYER PLANS A multiple employer plan is similar to a multiemployer plan except that it usually does not include any labor union agreement It is treated under ERISA as a collection of single-employer plans sponsored by the respective participating employers If separate asset allocation is maintained among the participating employers (even though pooled for investment purposes), SFAS No 87 applies individually to each employer with respect to its interest and bene t obligations within the plan If assets are not allocated among the participating employers (eg, when a number of subsidiaries participate in a plan sponsored by their parent), the organization sponsoring the plan, if one exists, should account for the plan as a single-employer plan, whereas each participating employer should account for this arrangement as a multiemployer plan in its separate nancial statements Disclosure of net periodic pension cost and the reconciliation of the funded status should be for the plan as a whole, with each participating employer further disclosing its own pension cost with respect to this arrangement.

On reviewing the available evidence, it appears that there are suf cient grounds to assume that vaginal delivery (or even the attempt at vaginal delivery) can cause damage to the pudendal nerve, the inferior aspects of the levator ani muscle, and fascial pelvic organ supports [48] Risk factors for such damage have been de ned and variously include operative vaginal delivery, a long second stage, and macrosomia It is much less clear, however, whether such trauma is clinically relevant, and how important it is in the etiology of pelvic oor morbidity later in life [48] Fecal incontinence has a female-to-male preponderance of 8 : 1, consistent with childbirth as the principal causative factor, although most symptomatic women do not seek medical advice until after menopause Similarly, urinary stress incontinence is an almost exclusively female phenomenon Obstetric injury may take the form of direct muscular damage to the anal sphincter, as occurs during a third-degree tear, and/or may be the result of cumulative damage to the pudendal nerves Mechanical, neural, and endocrine factors may all play a causative role in fecal incontinence [49] Both fecal and urinary incontinence may deeply affect women s sexual function and sexual relationship Early rehabilitation of the pelvic oor may reduce the impact of childbirth-related urinary and fecal comorbidities and associated sexual disorders in mildmoderate cases [3,34]

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