DOI: 10.36347/sjams.2016.v04i03.059

Pages: 934-939

Aim of our study was to sought out the risk factors associated with perinatal tears, its severity and its outcome on the postpartum period. This was a retrospective study carried out at a tertiary teaching institute of central India(Bundelkhand Medical College and associated hospitals, Sagar) from January 2014 to January 2016. Delivery records were analysed with respect to maternal age, parity, gestational age, birth weight, type and severity of perineal tear and its associated complications. At our institute incidence of severe perinteal tear was 0.8%. The most common risk factor was nulliparity followed by fetal weight, fetal malpresentations and instrumental delivery. The most common complication was vulval haematoma (20%) followed by Pregnancy induced hypertension. Perineal tears are a common complication associated with vaginal delivery in our area. Proper antenatal checkups ,identification of high risk cases and their timely referral to a better higher centre with its proper management can reduced the incidence of such tears and associated complications and hence the associated maternal morbidity.