622: Trends in antibiotic use with third and fourth degree perineal lacerations

The Management of Third- and Fourth-Degree Perineal Tears

Third- and fourth-degree perineal tears: prevalence and risk factors in the third millennium.

OBJECTIVE We sought to assess the modern prevalence and risk factors for third- and fourth-degree perineal tears. STUDY DESIGN The study population comprised 38,252 women who delivered in one medical center, from January 2005 through December 2009, and met the following inclusion criteria: singleton pregnancy, vertex presentation, and vaginal delivery. Of these, 96 women (0.25%) sustained thi...

Nurse-midwives’ ability to diagnose acute third- and fourth-degree obstetric lacerations in western Kenya

BACKGROUND Obstetric fistula devastates the lives of women and is found most commonly among the poor in resource-limited settings. Unrepaired third- and fourth-degree perineal lacerations have been shown to be the source of approximately one-third of the fistula burden in fistula camps in Kenya. In this study, we assessed potential barriers to accurate identification by Kenyan nurse-midwives of...

Preconceptional counseling of women with previous third and fourth degree perineal tears

More than 85% of women in the United Kingdom (UK) sustain some form of perineal trauma during childbirth1. In the majority of instances, only the perineal skin, vaginal epithelium and superficial muscles are involved, and such tears are only rarely associated with serious sequelae. Tears involving the anal sphincter, however, can have long-term impact on a woman’s quality of life. Sultan2 origi...

Evaluation of Modified Surgical Technique in Repair of Third-Grade Perineal Lacerations in Mare

Objective- introduce and evaluate modified surgical technique in repair of third grade perinea lacerations in mares. Design- descriptive study. Animals- ten mares. Procedures- The tissue between rectal and vagina mucosa was incised in the way that the lower rectal mucosa was entirely separated from upper vaginal mucosa and a flap was consequently induced in both sides. The septum between rectum...