Pereneal tears

[Arch Stanton]

* 1st degree tears are where the fourchette and vaginal mucosa are damaged and the underlying muscles are exposed, but not torn.

* 2nd degree tears are to the posterior vaginal walls and perennial muscles, but the anal sphincter is intact.

* 3rd degree tears extend to the anal sphincter that is torn, but the rectal mucosa intact.

* 4th degree tears are where the anal canal is opened, and the tear may spread to the rectum.

[Jonone]

Arch, you're once, twice three times a lady !