Perineal tears + Episiotomy Flashcards
1
Q
What are the categories of perineal tears and what is involved?
A
2
Q
What are the categories of perineal tears and what is involved?
A
3
Q
What is the management of perineal tears?
A
1st degree: analgesia, no repair required unless bleeding.
2nd + 3rd degree: analgesia and dissolvable sutures
4th degree:
- OT repair = better outcomes.
- antibiotic prophylaxis
- physiotherapy and pelvic floor exercises
- OnG review 6-12 weeks post partum.
4
Q
What are the risk factors of perineal tears?
A
Baby
- macrosomic
- fetal anomalies
- breech
Mother
- rape history
- nullparity
Delivery
- instrumental
- uncontrolled 2nd stage
- labor induction
- epidural anaesthesia
- shoulder dystocia
- midline episiotomy
5
Q
What is the definition of an episiotomy? What are the 2 categories?
A
Incision made through the perineum to enlarge the diameter of the vulval outlet. Done in the second stage of labor.
Midline/Mediolateral.
Mediolateral = favorable.
