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The journey to childbirth is a wonderful experience for the mother for the first time, but there are some unpleasant parts of this trip like. Are you familiar with the term 'perineal tear'? Do you know when it does not occur, and how you should overcome the pain of such a tear? Well, do not worry if you do not! MomJunction covered.
Here, we have collected some useful information on the different types of perineal tears, and listed some tips on how to deal with the situation!
What is a perineal Tear?
A perineal laceration occurs mostly in women having their first vaginal delivery. The tear can be a small nick or deep laceration. A perineal tear happens especially when the baby's head comes out through the vaginal opening. If your child has a large head, which will exert excessive pressure on the vagina during labor, and lead to possible perineal tears.
Tears involving around your vaginal skin usually heal within a few weeks. But, when the vaginal tear seems to be wider, it takes longer to heal. When the pain tends to become excessive and unbearable each day, you must immediately contact your gynecologist. Excessive pain also means the onset of vaginal infection, which can take a correct treatment.
[ Read: Benefits Of Perineal Massage ]
Types Tear perineal:
According to the degree of tear, perineal tears are classified as:
1. First degree perineal laceration
- They are the most mild vaginal tears , and only involve the tearing of the skin around the vaginal opening or perineal skin
- You may experience mild irritation or burning sensation during urination.
- The first degree tears usually heal within a week, and may not require any stitches.
- To overcome the pain during urination, it may take a little 'of warm water in a squeezy bottle and pour it on the vulva. The water soothes irritation, and you can comfortably pass urine for the first week after childbirth.
[ Read: Postpartum Rectal Bleeding ]
2. Second-degree perineal Tear:
- The tearing of the perineal muscles, which is located between the vagina and anus, it requires vaginal tearing of the second degree. The muscle usually perineal supports our uterus and rectum.
- 2nd degree tears often require points and heals damage within the first two to three weeks after giving birth.
- To overcome the pain of second-degree tear, you can follow some simple tips. You can try to sit on a cushion or a cushioned ring to provide additional support to the vagina.
- You can pour warm water using a bottle over the vulva while passing your urine.
- After a bowel movement, try to clean the back in a low voice, so it does not rub against the wounded vaginal region.
- Apply ice pack to the vaginal region injured, to overcome the pain and irritation. You can also place a cold witch hazel pads on your sanitary napkin and wear it.
- Your doctor may prescribe stool softeners suction or painkillers to relieve the unbearable pain of tears.
[ Read: Tips To Deal With Postpartum Perineal Pain ]
3. Third degree perineal laceration
- The tearing of the perineal muscles and delicate muscle around the anus called anal sphincter imposes 3rd degree tear
- the tearing of the perineum is often treated in the operating room, and can take months to heal.
- to overcome the pain, you can try to sit on a cushion or padded ring after delivery.
- You can pour warm water on the vulva during urination or place an ice pack on the injured vaginal region.
4. Fourth degree perineal laceration:
- And 'the most severe form of vaginal laceration that involves tearing of the perineal muscles, anal sphincter and the tissue lining of your rectum
- 4th grade tear is always treated in an operating room, and can take several months to heal.
- Some of the common complications that may occur are painful intercourse, and fecal incontinence.
- your gynecologist can assess your condition to check up post-partum, and can refer to visit a colorectal surgeon, urogynecologist, or some other medical specialists (1).
[ Read: Recovery After Vaginal Birth ]
Risk A lesion of the third or fourth degree:
Here are some of the most common situations in which the probability of experiencing an increase in the third or fourth degree perineal tears:
- When you have your first vaginal delivery.
- When the child is old.
- when you give birth to her baby lying in a posterior position.
- When you press the child for a longer time.
- when you have an episiotomy or have had one in your previous delivery.
- When you undergo an assisted delivery which includes the use of forceps.
[ Read: Precautions After Delivery ]
Tips Caring for a perineal tear:
When it undergoes a perineal tear, the gynecologist often sews vaginal tearing and the point tends to heal gradually. But, it is important for you to follow certain hygiene habits postpartum perineal, to prevent infection, overcome pain and promote healing
Here are some useful tips that can keep your healthy and free of the perineum germs :.
- always clean the vaginal area by spraying a little 'of warm water on it during and after urination.
- after ejecting, attempts to clean your back with gauze or paper towels. Do not rub the skin harshly as you may increase the risk of infections.
- Change your pads after every 4-6 hours.
[ Read: Assisted Vaginal Delivery ]
- Take sufficient rest and avoid touching the perineal region wounded, as it increases the likelihood of infection.
- excessive straining during excretion may complicate the situation. To regularize the passage intake bowel adequate amount of fluids and foods high in fiber. Your doctor may also prescribe a stool softener or mild laxative (2)
Overcoming Pain perineal tear :.
Here are some simple tips to help ease the pain perineal tear:
- Try holding an ice pack to the affected vaginal area, so that eases the pain. You can also try wearing the chilled witch hazel guards with your sanitary napkin to relieve swelling.
- A warm sitz bath for two or three times a day or warm compress can minimize the pain.
[ Read: Sitz Bath After Birth ]
- To avoid excessive efforts, try not to stand or sit for a long time, as it can elevate your perineal pain.
- You can practice some Kegel exercises and opt for a perineal massage, as it makes your soft perineal region and promotes rapid recovery (3)
He has experienced a perineal tear during childbirth? How did you overcome the pain? Share your experiences with other moms here
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