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      <image:caption>1st degree: tearing of skin and tissue, not involving muscles</image:caption>
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      <image:caption>2nd degree: Tearing of skin, tissue and pelvic floor muscles, most common</image:caption>
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      <image:caption>3rd degree: Tearing of skin tissue and muscles involving part of the rectal muscles</image:caption>
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      <image:caption>4th degree: Tearing of skin, tissue and muscles involving a full tearing of the anal spincter muscle</image:caption>
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