The injury can be described as laceration of remnants of the hymen, the fourchette, the lower part of the vagina, and the perineal skin (and involving the perineum and posterior vaginal wall-with tear of the perineal body including the anal sphincter). What is this injury called?
Explanation
Answer: C - Third degree perineal tear
Third degree perineal tear is more severe than either second degree or first degree perineal tear. In first degree perineal tear, there is laceration of remnants of the hymen, the fourchette, the lower part of the vagina, and the perineal skin (but the perineal body remains 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.
