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Introduction to perioperative trauma

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Perioperative trauma is one of the most common obstetric complications related to delivery. It can occur spontaneously in the form of a perineal tear or secondary to an obstetric intervention like operative delivery, which may be either an instrumental delivery or a caesarean section.

Most often the trauma is minor but in some cases may be associated with complications, both immediate and delayed, including rapid deterioration of the clinical condition secondary to haemorrhage or sexual problems. It is therefore important to recognise these complications and manage them appropriately.

Learning objectives

When you have completed this tutorial you will:

  • be aware of potential complications of spontaneous and operative deliveries
  • be able to recognise and manage intraoperative complications
  • be able to recognise, investigate and manage delayed complications

Last updated: 27/06/11 (tutorial reviewed and updated by Dr Shalini Patni)

14/06/10 (tutorial reviewed and updated by Dr Suganthi Chandru and Dr Joanna Gullam)

22/01/10 (Images showing the classification of perineal trauma, vulvul haematoma and para-vaginal haematoma replaced with new, higher quality versions)

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