Perineal Tears Flashcards

1
Q

1st degree

A

Superficial skin + labia minoria

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2
Q

2nd degree

A

Involves perineal muscles

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3
Q

3rd degree
- a + b + c

A

Involves the external sphincter
3a = involves < 50% of the external anal sphincter
3b = involves > 50% of the external anal sphincter
3c = involves both external and internal anal sphincter

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4
Q

4th degree

A

Involves rectal mucosa

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5
Q

Management

A

1st - no suture
2nd - suture in labour ward
3rd + 4th - suture in theatre

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