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. 2014 Jul 18;14:236. doi: 10.1186/1471-2393-14-236

Table 1.

Definition of perineal trauma [2]

Degree Trauma to Perineum
First degree
Laceration of vaginal epithelium or perineal skin
Second degree
Involvement of perineal muscles, not anal sphincter
Third degree
Disruption of anal sphincter muscles –
3a: <50% external sphincter torn
3b: >50% external sphincter torn
3c: external and internal sphincter torn
Fourth degree Third degree tear with rupture of trauma to anal epithelium