Incidence and Audit of Treatment on Third and Fourth Grade Perineal Tear

  • Budi I Santoso, Faculty of Medicine Universitas Indonesia Dr. Cipto Mangunkusumo Hospital Jakarta
  • Satriyo Pamungkas Faculty of Medicine Universitas Indonesia Dr. Cipto Mangunkusumo Hospital

Abstract

Objective: To describe the incidence of 3rd and 4th grade perineal tear in Dr. Cipto Mangunkusumo hospital on the period of 2011 - 2014 and its compatibility of treatment based on RCOG guidelines. Methods: Data were collected through medical records on women who had vaginal delivery in Dr. Cipto Mangunkusumo hospital from January 2011 to December 2014. This was a descriptive study with cross sectional design. Results: The incidence of 3rd and 4th grade perineal tear each year were 3.55%, 4.35%, 3.95%, and 1.77% consecutively. About 100% treatment were accompanied by consultant; 3.5% performed in operating theatre; 90.7% were given postoperative antibiotic; 42.2% were given urinal catheter in 1x24 hour postoperative; 100% were given analgesic. About 61.4% of procedures were not compatible with RCOG guidelines. Conclusion: The study showed that the incidence of 3rd and 4th grade of perineal tear was 3.66% for 4 years and the compliance to RCOG standard was 38.6%. [Indones J Obstet Gynecol 2017; 5-1: 35-41] Keywords: incidence, RCOG, third and fourth grade of perineal tear, treatment

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Author Biographies

Budi I Santoso,, Faculty of Medicine Universitas Indonesia Dr. Cipto Mangunkusumo Hospital Jakarta
Department of Obstetrics and Gynecology
Satriyo Pamungkas, Faculty of Medicine Universitas Indonesia Dr. Cipto Mangunkusumo Hospital
Department of Obstetrics and Gynecology
Published
2017-06-08
Section
Research Article