Recovery of vaginal tearing after childbirth

The article is consulted professionally by Specialist I – Obstetrics and Gynecology Department – Share99 Hai Phong International Health Hub

Vaginal tearing is an obstetric situation common during labor and vaginal birth, especially in pregnant women who give birth to their first child. This tear stretches the vagina, making it easier for the baby to cross the vagina.

1. What is vaginal tearing?

Vaginal tearing is a condition that occurs after women give birth often or give birth thanks to supporting procedures such as forceps clips, suction … Vaginal tearing is often accompanied by a torn rye. Other factors that cause vaginal tearing include:

  • Overweight maternity;
  • Rapid labor;
  • Prolonged labor period;
  • Pregnant buttocks with heads facing upwards put a lot of pressure on the mother;
  • The first maternity gave birth, so the vaginal muscle tissue has not adapted and stretched wide enough.

2. Classification of vaginal tearing

Depending on the degree of damage, vaginal tearing is divided into 3 types:

  • Low vaginal tearing: this type of tearing is 1/3 below the vagina, usually accompanied by lacerations of the larye and peror perormum (area between the vagina and rectum).
  • Vaginal tearing in the middlepart : this is a less common case, causing more severe damage and bleeding, but if it is not clearly revealed, it is difficult to detect.
  • High vaginal tearing: is a type of tearing in 1/3 of the vagina, which is a rare case of vaginal tearing that is often accompanied by tearing of the same item.

Vaginal tearing if not detected in time can lead to blood loss, stun and sometimes death for the maternity. To some extent, tearing the vagina makes the patient feel very painful, even difficult to sit upright on the back. In case of minor vaginal tearing, unpleasant symptoms will last from 1 to 2 weeks. During this time, actions that put pressure on the lower body such as going to the toilet, coughing or sneezing … also causes pain to the maternity. By the second week the vaginal tear will gradually heal and sutures to self-dedgestion, however muscle strength and nerves still need a few more weeks to fully recover.

When the maternity has a more severe vaginal tear, the recovery process also takes longer. Women will feel aches and pains that can last from weeks to months. If the vaginal tear is too severe, there is also a risk of leading to disorders of the pelvic region functions, fallath of the uterus and cause problems related to excreted and sexual activity.

Low vaginal tearing

Low vaginal tearing

3. Vaginal tear recovery techniques

The procedure for stitching and recovering from vaginal tearing due to an incision of the mesority during normal birth or using a supporting instrument is as follows:

  • The assistant holds the vaginal express valve while the obstetrician or nurse has experience in vaginal, biological and urinary disinfection;
  • Local anesthesia with Lidocain 2% 2 ml + 3 ml of distilled water to relieve pain, but if the maternity has been anestievered in the scroum to relieve pain during and after birth there is no need to apply additional doses;
  • Stitch the vaginal tear from top to bottom;
  • If the vaginal tear is shallow, stitch 1 layer of squeezing with vicryl or other types of self-dissolving only; if the tear is deep and complex, it must be stitched in several layers, the nose is separated by self-dissolving only;
  • After stitching, it is necessary to reseptic the vagina;
  • Check if there is stitching in the rectum by put 1 finger in the anus, if there is a need to cut the index and stitch it up;
  • The last step is to reseptic the anus.

It should be noted that during the recovery of vaginal tearing, theupper layer must overlap the lower layer to avoid hematoma. Stitching the lower layer requires just close to the bottom of the lesion, which not only helps to prevent hematoma, but also avoids stitching into the rectum.

Vaginal tear recovery

Vaginal tear recovery

4. Monitoring and handling accidents after vaginal tear recovery

  • Full-state monitoring: pulse, blood pressure, breathing rate, temperature.
  • Monitoring the level of vaginal bleeding: if bleeding must be carried out checks and stitches in a timely manner.
  • Monitor hematoma signs: there is a hematoma, the maternity usually has a feeling of vaginal anger, there is a feeling of insertion in the rectal area and a sensation of squeezing. Re-examine the vagina and cut off only the hematoma, stitching up the bottom, stitching the nose out of layers to create a gap.
  • Monitor blood loss and hemoglobin tests when blood transfusions are needed.
  • Take antibiotics 5 days after stitching the vaginal tear.

In good condition, normal maternity stitches to tear the vagina after birth will be completely in about 2-3 weeks, restoring a normal feeling. After giving birth about 10 days the can give out bad gas, this is a normal psychological development, about a few days will run out. If the pain persists, it may be caused by an infection or because the sutures are too tight you should go to the gynecologist to check for vaginal tearing.

For direct advice, please click hotline number or register online HERE. In addition, you can register for remote consultation HERE

SEE MORE:

  • Stitches and recovery from vaginal tearing
  • Can a year after birth stitch up the rye?
  • Cutting techniques, mesmenity stitching and things to know

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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