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INTRODUCTION Visible birth tears and levator ani muscle (LAM) traumatization are common after beginning. For the analysis of LAM trauma ultrasound evaluation is advisable. As ultrasound equipment and trained workers aren't offered every-where at all times, we aimed to gauge whether certain overt delivery tears are an indicator for LAM stress. METHODS In a prospective cohort research at our center from March 2017-April 2019, we evaluated vaginal births of nulliparous ladies with singletons