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The greatest risk factors for third-degree perineal tears during vaginal delivery are midline episiotomy forceps delivery and oxytocin use, said Dr. Barbara Bodner-Adler of the University of Vienna, and her colleagues.
Although third-degree perineal tears are rare in vaginal births, they can eventually lead to long-term pain and incontinence.
In a retrospective, multicenter study of 1,118 singleton vaginal births, 3.3% of the women suffered third-degree vaginal tears.
Of the 242 women who underwent episiotomy 9.1% had third-degree tears, compared with 1.7% of women who didn't have ...
Source: HighBeam Research, Risk of bad perineal tear higher with midline episiotomy. (Long-Term...