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Perineal Tears Flashcards

1
Q

What are the main RF for perineal tears?

A

primigravida
large babies
precipitant labour
shoulder dystocia
forceps delivery

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2
Q

What is a first degree perineal tear?

A

Superficial damage with no muscle involvement

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3
Q

What is the management of a first degree perineal tear?

A

Do not require any repair

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4
Q

What is a second degree perineal tear?

A

Injury to the perineal muscle, but not involving the anal sphincter

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5
Q

What is the management of a second degree perineal tear?

A

Suturing on the ward

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6
Q

What is a third degree perineal tear?

A

Injury to perineum involving the anal sphincter complex

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7
Q

What is the anal sphincter complex?

A

External anal sphincter, EAS and internal anal sphincter, IAS

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8
Q

What is the management of a third degree perineal tear?

A

Repair in theatre

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9
Q

What is a fourth degree perineal tear?

A

External anal sphincter, EAS and internal anal sphincter, IAS and rectal mucosa

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10
Q

What is the management of a fourth degree perineal tear?

A

Repair in threatre

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Reproduction (88 decks)

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