Frequency and Severity of Perineal tears among women during vaginal delivery

Abstract

Objective: to arbitrate the frequency and severity of perineal tears among the patients of Vaginal delivery. Study Design: A Cross-sectional Study.Place and Duration of study: Department of Obstetrics and Gynecology Nishtar Hospital Multan and Allied Hospital, Faisalabad from 29 December 2016 to 28 June 2017.  Methodology: the study was conducted after obtaining the approval of ethical committee for collecting data from patients. The patients aged 20-40 years were included in the study, both multipara and  primipara. An examination was performed on the perineum, vulva, vagina, and cervix at the third stage of labor in order to discover any tears or injuries. All the informations were collected on per designed Performa. Collected data was entered and analyzed by using SPSS software. Results: the incidence of perineal tears was calculated to be 79.89%. The most commonly observed injury was the first-degree perineal tear. it accounted for 101(68.70%) cases. while the second-degree perineal tear was found to be 39(26.53%) cases. third and fourth degree perineal tear remained the least in observed frequency as in 2.72% and 2.04% of cases respectively. Conclusion: The observations of our study concluded that majority of patients delivered vaginally experienced perineal tear, among those first degree perineal tear was more prevalent.

KEY WORDS: Perineal tear, perineal trauma, severity of perineal tears.