episiotomy and tears Flashcards Preview

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Flashcards in episiotomy and tears Deck (7)
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1
Q

what is an episiotomy

A

incision of tissues to enlarge the outlet and hasten birth

2
Q

when is episiotomy performed

A

distressed baby, instrumental or breech delivery, protect premature head, try to prevent 3rd degree tears

3
Q

problems with episiotomy

A

bleeding, infection, haematoma

4
Q

what is a first degree tear

A

superficial, don’t damage muscle, suture unless skin edges well apposed to healin

5
Q

what is a second degree tear

A

involve perineal muscle, repair similar to episiotomy

6
Q

what is a third degree tear

A

damage involves anal sphincter mucscle. a- external sphincter 50%, c- both external and internal

7
Q

fourth degree

A

rectal mucosa involved