Perineal Tears Flashcards
1
Q
What are risk factors for perineal tears?
A
Nulliparity Large baby Shoulder dystocia Asian ethnicity Instrumental delivery
2
Q
How are perineal tears classified?
A
1st degree = frenulum of labia minora + skin
2nd degree = includes perineal muscle
3rd degree = includes anal sphincter
4th degree = rectal mucosa
3
Q
How are perineal tears managed?
A
Sutures
Broad spectrum abx
Laxatives
Physio
4
Q
What are complications of perineal tears?
A
Bleeding Infection Pain Urinary incontinence Faecal incontinence Sexual dysfunction
5
Q
What is an episiotomy?
A
Mediolateral cut made by doctor/midwife
