Perineal tear Flashcards
1
Q
What are the 4 classifications of perineal tear?
A
1st degree - injury to skin only 2nd degree - injury to perineum involving perineal muscles 3rd degree - Injury to perineum involving anal sphincter 4th degree - Injury to perineum involving the anal sphincter complex and anal/rectal epithelium
2
Q
Management for the different types of tears?
A
1st degree - conservative Mx, may not require suturing
2nd degree - Suturing by experienced midwife
3rd/4th degree - Repair by senior clinician in theatre with analgesia. After op, use broad-spectrum antibiotics and laxatives
