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Table 1 Definition of perineal trauma [2]

From: “A patchwork of services” – caring for women who sustain severe perineal trauma in New South Wales – from the perspective of women and midwives

Degree

Trauma to Perineum

First degree

Laceration of vaginal epithelium or perineal skin

Second degree

Involvement of perineal muscles, not anal sphincter

Third degree

Disruption of anal sphincter muscles –

3a: <50% external sphincter torn

3b: >50% external sphincter torn

3c: external and internal sphincter torn

Fourth degree

Third degree tear with rupture of trauma to anal epithelium