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A 23-year-old G1 undergoes a vaginal delivery and an episiotomy is performed. Upon inspection, you notice that the episiotomy has extended into the rectal sphincter and mucosa. What is the classification for this laceration?

A. 1st degree
B. 2nd degree
C. 3rd degree
D. 4th degree
E. Mediolateral episiotomy

User Brgs
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1 Answer

4 votes

Final answer:

The episiotomy extending into the rectal sphincter and mucosa is classified as a 4th degree laceration, the most severe involving the an*l sphincter and the rectal mucosa (Option D).

Step-by-step explanation:

The classification of the laceration in question, where an episiotomy has extended into the rectal sphincter and mucosa, is a 4th degree laceration. The different degrees of perineal lacerations during childbirth are categorized by the extent of the tissue involvement.

A 1st degree laceration involves only the vaginal mucosa or perineal skin, a 2nd degree laceration extends into perineal muscles and vaginal mucosa, a 3rd degree laceration extends into the an*l sphincter, and a 4th degree laceration extends through the an*l sphincter into the rectal mucosa. In this case, the extension to the rectal mucosa indicates a 4th degree laceration.

Thus, the correct option is D.

User APEALED
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