NMH | 2024
240 Appendices
Table 14(b): Perineal Trauma after Operative Vaginal Delivery (OVD) Nullip Multip Overall
Episiotomy 526 82 608
Incidence % of OVDs 90.7% 66.1% 86.4%
First Degree Tear 5 12 17
Incidence % of OVDs 0.9% 9.7% 2.4%
Second Degree Tear 20 15 35
Incidence % of OVDs 3.4% 12.1% 5.0%
Third Degree Tear* 25 2 27
Incidence % of OVDs 4.3% 1.6% 3.8%
Fourth Degree Tear 2 0 2
Incidence % of OVDs 0.3% 0.0% 0.3%
Intact 2 13 15
Incidence % of OVDs 0.3% 10.5% 2.1%
Total Operative Vaginal Deliveries 580 124 704
*includes Episiotomy with sphincter damage (n=11)
Table 16: Neonatal Encephalopathy Inborn Outborn
Neonatal Encephalopathy - with HIE 7 12
Neonatal Encephalopathy - no HIE 2 0
Seizures – No Encephalopathy 0 0
Therapeutic Hypothermia 9 12
Table 15: Severe Maternal Morbidity Mo
Major Obstetric Haemorrhage 15
ICU/CCU admission 9
Renal / Liver Dysfunction 9
Uterine Rupture 5
Cerebral Vascular Accident 2
Interventional Radiology 2
Peripartum Hysterectomy 2
Pulmonary Embolism 1
Septic Shock 1
Acute Respiratory Dysfunction 0
Anaesthetic Problems 0
Cardiac Arrest 0
Coma 0
Eclampsia 0
Pulmonary Oedema 0
Status Epilepticus 0
Total 40 patients 46 SMM events
Some women had more than one SMM – in this table only the major SMM is reported
