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(O70.3) Fourth degree perineal laceration during delivery
More details coming soon
3 748 541 in individuals diagnosis fourth degree perineal laceration during delivery confirmed
Diagnosis fourth degree perineal laceration during delivery is diagnosed Prevalent in Women Only
0
Men receive the diagnosis fourth degree perineal laceration during delivery
0 (No mortality)Died from this diagnosis.
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3 748 541
Women receive the diagnosis fourth degree perineal laceration during delivery
0 (less than 0.1%)Died from this diagnosis.
Risk Group for the Disease fourth degree perineal laceration during delivery - Men aged 0 and Women aged 30-34
No Cases of the Disease Fourth degree perineal laceration during delivery identified in Men
Less common in men the disease occurs at Age 0-95+Less common in women the disease occurs at Age 0-9, 50-59, 70-79, 85-95+
In Women diagnosis is most often set at age 10-49, 60-69, 80-84
Disease Features fourth degree perineal laceration during delivery
Absence or low individual and public risk
Fourth degree perineal laceration during delivery - what does this mean
Fourth degree perineal laceration during delivery is a tear that extends through the entire thickness of the perineum, including the anal sphincter and rectal mucosa. it typically occurs when the baby's head is too large or the mother's pelvic bones are too small to accommodate the baby's head during delivery. the tear can be caused by an episiotomy or by the baby's head pushing against the perineum.
What happens during the disease - fourth degree perineal laceration during delivery
Fourth degree perineal laceration during delivery is a tear that extends through the anal sphincter, rectal mucosa, and into the rectal wall. this type of laceration is usually caused by a large baby, prolonged delivery, or instrument-assisted delivery. it can also be caused by a lack of perineal support during delivery, which can lead to an increase in pressure on the perineum and cause a tear.
Clinical Pattern
More details coming soon
How does a doctor diagnose
- Obtain a detailed history from the patient
- Conduct a physical examination
- Order laboratory tests, such as a complete blood count
- Perform an ultrasound to assess the extent of the laceration
- Perform an anoscopy to assess the extent of the laceration
- Perform a colposcopy to assess the extent of the laceration
- Order imaging tests, such as an MRI or CT scan
- Conduct a biopsy to confirm the diagnosis
Treatment and Medical Assistance
Main goal of the treatment: To reduce the risk of infection and promote healing of the fourth degree perineal laceration.
- Administer antibiotics to reduce the risk of infection.
- Clean the wound with antiseptic.
- Monitor the patient's vital signs.
- Apply a topical ointment to the wound to promote healing.
- Apply a dressing to the wound to keep it clean and protected.
- Provide pain relief medications to the patient.
- Encourage adequate rest and nutrition.
- Monitor the wound for signs of infection.
- Refer the patient to a specialist if necessary.
4 Days of Hospitalization Required
Average Time for Outpatient Care Not Established
Fourth degree perineal laceration during delivery - Prevention
To prevent fourth degree perineal laceration during delivery, it is important for the medical team to monitor the progress of labor closely and intervene when necessary, such as providing episiotomy or other perineal support measures to facilitate the delivery. it is also important to ensure that the patient is adequately hydrated and that the labor is progressing normally. additionally, it is important to ensure that the patient is in the best possible position for delivery, such as being in a squatting or semi-reclined position.