7. Q2Â OASIS
A primipara, who just delivered by forceps is found to have a perineal tear. On examination, almost the entire external anal sphincter ( EAS) is torn. What is the degree of the perineal tear ?
Right.
Obstetric anal sphincter injuries (OASIS) encompass both third- and fourth-degree perineal tears. The classification is as follows-
Grade 3a tear: Less than 50% of external anal sphincter (EAS) thickness torn.
Grade 3b tear: More than 50% of EAS thickness torn.
Grade 3c tear: Both EAS and internal anal sphincter (IAS) torn.
Fourth-degree tear: Injury to perineum involving the anal sphincter complex (EAS and IAS)
and anorectal mucosa.
Obstetric anal sphincter injuries (OASIS) encompass both third- and fourth-degree perineal tears. The classification is as follows-
Grade 3a tear: Less than 50% of external anal sphincter (EAS) thickness torn.
Grade 3b tear: More than 50% of EAS thickness torn.
Grade 3c tear: Both EAS and internal anal sphincter (IAS) torn.
Fourth-degree tear: Injury to perineum involving the anal sphincter complex (EAS and IAS)
and anorectal mucosa.