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https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/multimedia/vaginal-tears/sls-20077129
Oct 11, 2019 · Vaginal tears during childbirth, also called perineal lacerations or tears, occur when the baby's head is coming through the vaginal opening and is either too large for the vagina to stretch around or the head is a normal size but the vagina doesn't stretch easily. These kinds of …
https://www.acog.org/en/Clinical/Clinical%20Guidance/Practice%20Bulletin/Articles/2018/09/Prevention%20and%20Management%20of%20Obstetric%20Lacerations%20at%20Vaginal%20Delivery
Severe perineal lacerations, extending into or through the anal sphincter complex, although less frequent, are more commonly associated with increased risk of pelvic floor injury, fecal and urinary incontinence, pain, and sexual dysfunction with symptoms that may persist or be present many years after giving birth.
https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/multimedia/vaginal-tears/sls-20077129?s=2
Oct 11, 2019 · First-degree tears are the least severe, involving only the perineal skin — the skin between the vaginal opening and the rectum and the tissue directly beneath the skin. You might experience some mild pain or stinging during urination. These tears might or might not require stitches and typically heal within a few weeks.
https://www.jotscroll.com/forums/11/posts/178/perineal-tear-lacerations-types-1st-2nd-3rd-4th-degree-repair-care.html
Perineal tear or perineal laceration is a trauma to the perineum that occurs during delivery. This injury is very common in women who are undergoing childbirth for the first time ( Primipara) or those who are pregnant for the first time ( Primigravida) because their perineum is more rigid.
https://www.safetyandquality.gov.au/sites/default/files/migrated/SAQ7730_HAC_ThirdandFourthDegreePerineal_LongV2.pdf
THIRD AND FOURTH DEGREE PERINEAL LACERATION DURING DELIVERY 5 Developing the patient’s comprehensive care plan to support best practice in perineal laceration prevention and management Clinicians should partner with patients and carers in assessing risk, in providing appropriate information to support shared decision making, and inFile Size: 519KB
https://www.uptodate.com/contents/repair-of-perineal-and-other-lacerations-associated-with-childbirth#!
After vaginal delivery, the vagina, perineum, and anorectum are examined to identify and repair significant injuries. In particular, occult injury to the anal sphincter complex may occur at the time of an otherwise uncomplicated delivery and, if neglected, can contribute to anal and fecal incontinence [1].
http://www.hcpro.com/content.cfm?content_id=305393
Jun 11, 2014 · CPT considers the repair of a first- or second-degree spontaneous vaginal or perineal laceration an inherent part of the delivery code and not to be separately reported. A third- or fourth-degree laceration or a cervix laceration repair can be considered separately identifiable and reported separate from the global delivery code.
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