Re: Delivery mode in a patient with a previous rectovaginal

From: Rjwoolley@aol.com
Fri Aug 29 20:28:46 1997


BTW to me a 3rd degree is tear of some or all of the sphincter without tear of the rectal mucosa and a 4th involves the mucosa. How do others define it?

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I can assure you with great confidence that the vast majority of the research on episiotomies and tears makes no distinction between these. My impression from reading the papers is that most European docs don't routinely make the distinction clinically; it seems to be mostly an American nuance.





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