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NMH Annual Report 2024

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NMH | 2024 239 Appendices Table 14: Perineal Trauma after Spontaneous and Operative Vaginal Delivery (SVD & OVD) Nullip Multip Overall Episiotomy 994 230 1224 Incidence % of OVDs 52.2% 10.6% 30.1% First Degree Tear 167 491 658 Incidence % of OVDs 8.8% 22.7% 16.2% Second Degree Tear 526 722 1248 Incidence % of OVDs 27.6% 33.4% 30.7% 30.7% Third Degree Tear* 57 18 75 Incidence % of OVDs 3.0% 0.8% 1.8% Fourth Degree Tear 6 0 6 Incidence % of OVDs 0.3% 0.0% 0.1% Intact 155 703 858 Incidence % of OVDs 8.1% 32.5% 21.1% Total Operative Vaginal Deliveries 1905 2164 4069 *includes Episiotomy with sphincter damage (n=12) Table 14(a): Perineal Trauma after Spontaneous Vaginal Delivery (SVD) Nullip Multip Overall Episiotomy 468 148 616 Incidence % of SVDs 35.3% 7.3% 18.3% First Degree Tear 162 479 641 Incidence % of SVDs 12.2% 23.5% 19.0% Second Degree Tear 506 707 1213 Incidence % of SVDs 38.2% 34.7% 36.0% Third Degree Tear* 32 16 48 Incidence % of SVDs 2.4% 0.8% 1.4% Fourth Degree Tear 4 0 4 Incidence % of SVDs 0.3% 0.0% 0.1% Intact 153 690 843 Incidence % of SVDs 11.5% 33.8% 25.1% Total Spontaneous Vaginal Deliveries (excl. Operative) 1325 2040 3365 *includes Episiotomy with sphincter damage (n=1)

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