Perineal Tears

Question 1

Describe a first degree tear

Answer 1

Involves the perineal skin and/or vaginal mucosa

Question 2

Describe a second degree tear

Answer 2

Involves the perineal skin and muscle

Question 3

What’s the difference between 3a,3b and 3c tears?

Answer 3

3a- less than 50% of external anal sphincter involved
3b- more than 50% of external anal sphincter
3c- involves both internal and external anal sphincter

Question 4

Describe a fourth degree tear

Answer 4

Involves anal/rectal and vaginal mucosa