What hurts women when giving birth

Vaginal tear

Birth | Complications | Puerperium
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A vaginal tear is very rare. With an uncomplicated vaginal birth, the risk is negligible. Nevertheless, every pregnant woman has a vague fear of it. Here are the facts!

How does a vaginal tear occur?

An injury to the vaginal mucosa is usually the result of a complicated birth, e.g. a forceps delivery or suction cup delivery. Other risk factors for a vaginal tear are a deep perineal tear or a too small perineal incision (Episiotomy). Excessive pressure during childbirth, poor elasticity of the vaginal tissue (e.g. due to scarring of a previous vaginal tear) and fear and cramping in the parturient increase the risk of a vaginal tear. Last but not least, the child also plays a role: a big child, an unfavorable head position and a breech position (breech position) or transverse position.

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How is a vaginal tear noticeable?

The vaginal tear usually occurs in the side or back of the vagina and can bleed more or less heavily and be very painful. If the bleeding is weak, the blood can drain into the body; the rupture of the vagina is often only recognized during a postnatal examination by the gynecologist and has to be checked by others, postpartum bleeding differentiated, e.g. uterine atony (insufficient contraction of the uterus), incomplete detachment of the placenta (placenta accreta), perineal tear and blood clotting disorders.

Can you prevent a vaginal tear?

In order to reduce the risk of vaginal rupture even before the birth, you can target your Exercise the pelvic floor muscles. The targeted tensing and relaxing of the muscles can be practiced. Even a daily one Perineum massage in the last three to five weeks before the birth, the tissue can become more elastic.

Warm, moist compresses on the perineum help during childbirth - and good relaxation! It can also be helpful to crouch or quadruped to relieve pressure on the perineum. To prevent uncontrolled tearing in the perineal area, a perineal incision is often performed.

How is a vaginal tear treated?

A simple tear in the vagina is closed immediately after birth with a surgical suture. The two sides of the tear are sewn together again under local anesthesia. If bruises (hematomas) occurred when tearing, they must be removed so as not to impair wound healing.

A ruptured vagina usually heals within a few days. The sutures are mostly self-dissolving, but the ends can harden and hurt or itch. Your gynecologist may then be able to remove them.

As with all birth injuries, physical rest is helpful. This includes lying down consistently, also when breastfeeding, because too much pressure is exerted on the seam when sitting and standing. Above all, sitting cross-legged is taboo at first!

After every use of the toilet, the vaginal area must be rinsed externally, e.g. with the addition of calendula essence. Warm hip baths with chamomile, oak bark, black tea or calendula are also pleasant and promote healing.

Torn vagina

Should not just a simple rupture of the vagina, but a rupture of the vagina from the cervix (Colporrhexis) are present, surgical treatment via an abdominal opening (laparotomy) is likely to be required. A ruptured vagina often bleeds profusely and can be life threatening.

Since many arteries in the area of ​​the uterus are damaged by the tear, sometimes the uterus even has to be removed to save the patient's life.

Labia tear

A tear in the labia is usually very painful because the labia have many nerve endings. If a rupture of the labia occurs while the child is exiting the head, a so-called one can often be seen in the newborn's neck Blood collar.

A longitudinal labial tear does not always have to be closed surgically, whereas a transverse labial tear does.

Frequently asked questions on the topic

Some midwives recommend a steam bath with linden or hay flowers once a week. To do this, you put the flowers in a pot with boiling water, put it in a bidet or the toilet and sit on it after a short cooling phase. Raspberry leaf tea is also said to be ...

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An uncomplicated perineal incision or tear usually only causes pain for a few days because the tissue heals quickly.

In addition, it is good to use chamomile seat baths or creaming with chamomile or calendula ointment (available in the pharmacy) or another wound ointment ...

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News ticker

Better not to cut | 01.09.2016

Although most vaginal deliveries result in injuries to the birth canal, the US Society of Obstetricians and Gynecologists (ACOG) advises against a perineal incision (episiotomy) in its current guideline. The gynecologists should take other measures to avoid injuries in the perineal area, e.g. a perineal tear. The US obstetricians recommend a perineal massage, which should be performed either in the last few weeks of pregnancy or during the second stage of childbirth (the opening phase). Another measure is the use of warm compresses on the perineum during the expulsion phase of childbirth.

Last updated: 17-05-21, BH