Post Date August, 27 2023
The condition of perineal laceration is a common occurrence during childbirth, and we must pay attention to it, especially understand its harm, and try to avoid it during childbirth.
Perineal laceration hazards
1. Harmful to normal urination: this situation not only occurs in perineum laceration, maternal pelvis is too small, fetus is too large, labor process is slow and other factors, vagina is supported for a long time, vagina is prone to laceration, and postpartum Urinary incontinence.
2. Impact on Dyspareunia in the future: The reason why a torn wound during childbirth causes postpartum Dyspareunia is that the stitched wound has hard fibrotic tissue compared with the soft pudenda, and it is easy to cause pain when involved in sexual intercourse. The incision or tear of the perineum is not only smooth, but there are no poorly healed scars after repair, so there is no problem.
3. Impact on fertility: Generally speaking, if perineal laceration does not harm the cervix, it will not affect fertility. The perineal blood circulation is good, with sufficient blood flow and excellent wound healing ability, which will not affect the production of a second child. During childbirth, if a woman experiences an emergency delivery (with a total delivery time of less than 3 hours), forceps, or fetal head suction surgery, there may be cervical tears, weakness of the cervical canal, and incomplete occlusion. When pregnant again, the uterine opening becomes too loose, and during pregnancy or under term, the uterine opening expands itself, causing miscarriage or premature birth.
Perineal laceration grading
1 degree perineal laceration: Mild perineal laceration, perineal epidermal surgery, seamless self recovery, common in second delivery mothers.
Degree 2 perineal laceration: moderate perineal laceration, the depth of laceration reaches subcutaneous soft tissue and muscle, but does not damage the anal muscles. This is the grading of lacerations that many mothers experience, which can be easily repaired without leaving any sequelae.
Degree 3 perineal laceration: severe perineal laceration, subcutaneous soft tissue injury, anal Sphincter rupture, and untimely suture may cause postpartum infection.
Degree 4 perineal laceration: severe perineal laceration, mainly characterized by laceration of anal Sphincter and rectal mucosa.
Causes of perineal laceration
1. Maternal physical factors
(1) Age of puerpera: Advanced maternal age over 35 years old who gave birth for the first time have low perineal elasticity, low pelvic activity, and perineal body can not expand freely during childbirth, resulting in laceration. On the contrary, postpartum women have young reproductive age, incomplete development of the external genitalia, fewer wrinkles, and are also likely to experience perineal laceration during fetal head childbirth.
