CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

The injury can be described as laceration of remnants of the hymen, the fourchette, the lower part of the vagina, and the perineal skin (but with the perineal body intact). What is this injury called?
  1. First degree perineal tear
  2. Second degree perineal tear
  3. Third degree perineal tear
  4. Fourth degree perineal tear
Explanation
Answer: A - First degree perineal tear
First degree perineal tear involves the laceration of remnants of the hymen, the fourchette, the lower part of the vagina, and the perineal skin (but with the perineal body intact). In second degree perineal tears, there is tearing of the perineal body (excluding the anal sphincter). In third degree perineal tears, there is tearing of the anal sphincter.
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