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A 32-Year-Old Woman, Gravida 2 Para 1, at 39 Weeks

Question 118

Multiple Choice

A 32-year-old woman, gravida 2 para 1, at 39 weeks gestation had a normal vaginal delivery of a 4000-g boy. The delivery went normal without any serious complications to the baby. After the delivery, that patient was observed to have vaginal bleeding. On examination, a posterior vaginal laceration in the mucosa and submucosa is noted. Which of the following structures is damaged in this patient?


A) Internal anal sphincter
B) Levator ani muscle
C) Perineal body
D) Sacrotuberous ligament

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