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Table 2 Classification of Injury[32]

From: Management of obstetric anal sphincter injury: a systematic review & national practice survey

Injury

Definition

Second Degree

Injury to the perineum involving perineal muscles but not involving the anal sphincter

Third Degree

Injury to the perineum involving the anal sphincter complex (EAS and IAS)

 

3a : Less than 50% of EAS thickness torn

 

3b : More than 50% of EAS thickness torn

 

3c : IAS torn

Fourth Degree

Injury to the perineum involving the anal sphincter complex (EAS and IAS) and rectal mucosa.