Vaginal Trauma in Labour Flashcards
1
Q
what are examples of vaginal trauma?
A
vaginal wall tears
labial tears
perineal tears
2
Q
classification of perineal tears
A
1st degree 2nd degree episiotomy 3a 3b 3c 4
3
Q
where is an episiotomy usually done?
A
right medio-lateral
4
Q
define 3a
A
<50% external anal sphincter involved
5
Q
define 3b
A
> 50% external anal sphincter involved
6
Q
define 3c
A
internal anal sphincter involved
7
Q
define 4th degree
A
anal or rectal mucosa
8
Q
management of 3rd and 4th degree
A
repair in theatre with regional anaesthetic
9
Q
management
A
antibiotics
laxatives (lactulose)
physiotherapy
follow-up
