In day to day obstetrical practice, every obstetrician are facing perineal tear following normal or instrumental vaginal delivery. Obstetrician, sister and midwife should know how to deliver the baby vaginally, repair perineal tear without damaging the perineal anatomy and identify early complication to prevent maternal mortality.

This book is not only focused on definition, risk factors, classification, indication of episiotomy, how to reduce and diagnose perineal trauma, its management but also focused on role of laxative, future pregnancy including chapter on hemorrhoids, Royal College of Obstetricians and Gynaecologists (rcog ) and National Health Service (nhS) guidelines on use of lactulose.