RCOG GUIDELINE Management of Third and Fourth Degree Perineal Tears Part 2
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When the OB tells the patient: “You’ll have to go to the OR for repair of your 4th-degree laceration.”🩸🩺 A 4th-degree tear is the deepest type of perineal laceration — it extends through the vaginal tissue, perineal muscles, and rectal lining. Because of its depth, the repair is done in the OR to ensure proper layers are closed and infection is prevented.✨ The repair healing process: •Repaired under anesthesia with dissolvable sutures •Antibiotics stool softeners are given •Healing takes about
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