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

Background: Third and fourth grade of perineal tear can cause morbidity for women and potentially impact to quality of life. The success predictor of a guideline is its compliance. This research aims to describe the incidence of 3 rd and 4th grade of perineal tear in Cipto Mangunkusumo hospital on the period of 2011 – 2014 and its compatibility of treatment based on RCOG guidelines. Methods: Data were collected through medical record on women who had vaginal delivery in Cipto Mangunkusumo hospital from January 2011 to December 2014. This was a descriptive study with cross sectional design. Results: The incidence of 3 rd and 4th grade of perineal tear each year were 3.54%; 4.34%; 3.95%; and 1.77%, consecutively. About 100% treatment were accompanied by consultant; 3.5% performed in operating theatre; 49.3% used overlapping method; 90.7% were given postoperative antibiotic; 42.2% were given urinal catheter in 1x24 hour postoperative; 100% were given analgesic. About 42.2% were not compatible with RCOG guidelines. Conclusion: The study showed that the incidence of 3 rd and 4th grade of perineal tear was 3.65% for 4 years and the compliance to RCOG standard was 57.8%