Definitions:
METeOR: The state of the perineum following birth, as represented by a code. 1 = Intact; 2 = 1st degree laceration/vaginal graze: Graze, laceration, rupture or tear of the perineal skin during delivery that may be considered to be slight or that involves one or more of the following structures, fourchette, labia, vagina, vulva; 3 = 2nd degree laceration: Perineal laceration, rupture or tear as in Code 2 occurring during delivery, also involving pelvic floor, perineal muscles, vaginal muscles. Excludes laceration involving anal sphincter; 4 = 3rd degree laceration: Perineal laceration, rupture or tear as in Code 3 occurring during delivery, also involving anal sphincter, rectovaginal septum, spincter not otherwise specified (NOS). Excludes laceration involving the anal or rectal mucosa; 5 = Episiotomy; 7 = 4th degree laceration: Perineal laceration, rupture or tear as in Code 4 occurring during delivery, also involving anal mucosa, rectal mucosa. 88. Other perineal laceration, rupture or tear: May include haematoma or unspecified perineal tear.
S/T Perinatal Data Collections:
NSW: 1st degree tear or graze: A perineal graze or laceration or tear involving one of the following: the fourchette, hymen, labia, skin, vagina or vulva. 2nd degree tear: A perineal laceration or tear involving the pelvic floor or perineal muscles or vaginal muscles. 3rd degree tear: A perineal laceration or tear involving the anal sphincter or recto vaginal septum. 4th degree tear: A third degree perineal laceration or tear that also involves the anal mucosa or rectal mucosa. Other: Unspecified perineal tear, vulval or perineal haematoma. VIC: Perineal laceration: Only refers to lacerations of the perineum which does not include vaginal wall, labial or clitoral lacerations. The degree of the laceration should be reported in Degree/type (specify). QLD: Note that more than one box may be ticked to indicate if there is multiple damage to the perineum. None: There is no damage to the perineum following delivery. Graze/tear—vagina, labia, vulva: A slight abrasion to the vagina, labia, vulva following delivery. Lacerated: If the perineum is lacerated following delivery, indicate the degree of laceration. 1st degree: Tear or laceration involving one of the fourchette, hymen, labia, skin, vagina or vulva. 2nd degree: Tear or laceration involving the pelvic floor or perineal muscles or vaginal muscles. 3rd degree: Tear or laceration involving the anal sphincter or recto vaginal septum.4th degree: Third degree tear or laceration also involving the anal mucosa or rectal mucosa. Episiotomy: Surgical incision into the perineum and vagina to assist delivery. WA: The status of the perineum following the birth of all infants. From Jan 2013, may report more than one option. Intact: There is no episiotomy and the perineum and vagina has no trauma that could be considered a 1st degree tear or worse. 1st degree tear/vaginal tear: There is no episiotomy and the trauma that occurred during delivery was determined as a perineal laceration, rupture or tear (involving) fourchette, labia, skin, vagina or vulva. 2nd degree tear: The trauma that occurred during delivery was determined as a perineal laceration, rupture or tear that involved pelvic floor, perineal muscles or vaginal muscles. 3rd degree tear: The trauma that occurred during delivery was determined as a perineal laceration, rupture or tear that involved the anal sphincter and/or rectovaginal septum. Episiotomy: An episiotomy was performed during delivery that did or did not extend beyond the incision performed.
An extension of the episiotomy should be reported by selecting both Episiotomy and one of the other options i.e. 2nd degree tear. 4th degree tear: The trauma that occurred during delivery was determined as a perineal laceration, rupture or tear that involved the anal mucosa and/or rectal mucosa. Other: The perineal trauma that occurred during delivery was determined as none of the above but significant i.e. haematoma, clitoral tear, female mutilation management etc. TAS: 1st degree tear - Includes those which require no suturing; 2nd degree tear: Involves the perineal body and vagina, but not the anal sphincter(s). 3rd degree tear: Involves the external sphincter, and the anal mucosa. 4th degree tear: Includes the anal canal/rectum. NT: Same definitions and options as METeOR. OTHER S/T: No definitions specified.