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. 2022 Dec 7;83(2):165–183. doi: 10.1055/a-1933-2647
Consensus-based recommendation 4.E6
Expert consensus Level of consensus +++
When treating a 3rd or 4th degree perineal tear, the surgical team must include a specialist with sufficient expertise (preferably a specialist for gynecology and obstetrics or a consultant with coloproctological expertise). In exceptional cases, surgery may be delayed for up to 12 hours postpartum to ensure that treatment will be carried out by a specialist.