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THE DESIGN OF LACERATIONS OF PERINEUM DURING VAGINAL DELIVERY

Dr Kawish shafqat, Dr Rabia Murad, Dr Kinza Anwar

Objective: The purpose of this research work is to conclude the design of the lacerations of perineum at the time of delivery through vagina in a specialized health care center. Methodology: This study is an elaborate research work conducted in maternity department of Jinnah Hospital Lahore. The duration of the study was from September 2016 to August 2017. Females having a single child pregnancy either primi-gravida or multi-gravida in labor were the part of this research work. Every patient gave his willing to participate in the research work. Females having twins were not the part of this research work. Age of the patient, number of the child, degree of laceration, delivery method, and weight of the baby at the time of birth, dangerous aspects & problems were recorded. Results: There were total two thousand five hundred and sixty-three deliveries; two hundred and fifty-six patients found some amount of lacerations to perineum providing a rate of about ten percent. Out of 256, one hundred selected for this research work in which thirty-seven were multiparous & sixty-three were prim parous. A high occurrence of 1st & 2nd degree laceration was recorded & occurrence was very high when the delivery from vagina carried out lacking episiotomy & the weight of fetal was greater than four kilograms. The period of labor, support to perineum and availability of edema of perineum were the significant risk features. Conclusion: Lacerations of perineum at delivery time are very frequent as described by this case study. Deficiency in care of perineum, low economic conditions & no experience is some of the contributing elements in the increase of the perineal tears. Key Words: Perineum, laceration, vagina, delivery, risk, case, multiparous.

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