During a vaginal delivery, it is common for women to experience a small tear or cut in your perineum.
This is the area between the vagina and anus, and how it stretches to accommodate the baby’s head, it becomes thin paper.
About half of all women who give birth vaginally are discovered to have at least a small tear after birth.
A small percentage of women will tear more severe, which may require surgery to repair.
The tears are classified as:
- Tears of the first instance
- Tears of second degree
- A third-degree tear extends downward from the vaginal wall and perineum anal sphincter, the muscle that controls the anus
- Fourth-degree tear extends to the rectum and anus
Postpartum Graves tearing
Third and fourth-degree tears that occur in the first place of work seems to be rising. In the United Kingdom, the rate of serious tears tripled from 1.8% to 5.9% between 2000 and 2012. One study showed an increased risk of serious tears during childbirth in women who have had such a grating in a past life.
What makes a serious tear more likely?
It is very difficult to predict who will experience a serious tear during childbirth. There are some factors that are known to increase the risk:
- First child
- Shoulder dystocia
- Long pushing stage of labor
- Very fast push phase of labor
- Baby is big or have his head in an awkward position
- The child is in the rear position
- Forceps-assisted childbirth
- Episiotomy is performed, expanding further
- Under an epidural
- Labor induced
- Give birth lying down or with legs up in the Stirrups
My next birth can be natural?
If you have experienced a serious tear, it is important to discuss with your doctor, as it may have happened. Were you induced or having an epidural? Her baby was born very quickly when you push? What position were you? Please be aware of the factors that may have led to the allocation original may help prevent or limit the rip back in your next life.
It is very common for women who have suffered a serious tear to be afraid and anxious for their next life. To be able to discuss these questions with your health care provider can help you make the best decision about how you want to give birth.
You may be offered the choice between having an elective caesarean section. Or you can choose to have a normal vaginal birth. How you decide to give birth at the end of your decision and shall take into account all factors.
Avoid another tear?
There are some things you can do to minimize the risk of a more serious tear during your next birth:
• Have continuity of care from an experienced midwife, who will not be on your hands, unless necessary. A review of the hands-on techniques show that the trauma to the perineum is more likely to occur than if operators see waiting for the need for physical support.
• During pregnancy, ensures an optimal positioning of the fetus to be aware of your posture and body therapy seek help if the child’s position is not optimal
• Education independent birth can teach relaxation exercises and how you work with your body during labor so that they do not wear a lot of fear and excitement in your next birth
• Avoid induction and any interference that restricts movement during childbirth, such as continuous electronic fetal monitoring and epidural
• remain upright and active during childbirth-avoid lying on their backs or reclining, as this limits your pelvic opening and can encourage your child in an awkward position for birth
• the birth of your child choose positions that reduce stress on the perineum, as on all four, page lying or leaning forward. Squatting and kneeling with her legs spread may increase the tension on the perineal skin
• Avoiding episiotomy unless required in cases of medical emergency. Current evidence that episiotomy is not the best practice and can cause increased tear that is less likely to heal well
During the boost phase, the breath with contractions, rather than pushing with all their strength can help your perineum stretch gently and let the baby’s head to pass smoothly. Most women, of course, change the weather right now and should be supported by their midwife to do what feels right for them.
Sarah tells his story about birth after a 3. degree Tear:
“After experiencing a third-degree tear that required surgery with my second child, I was very afraid that this happens again with my third. I expressed this fear to almost every meeting I had with my health care providers for the entire pregnancy and was aware that this was a big problem for me. I was reassured by my gynecologist, having had a previous third-degree tear does not guarantee that will happen again in subsequent births.
I continued to give birth to a child £9 my largest yet! I remember the first thing I asked was “how bad I grab?” I was so surprised to hear that there had been ripping, only a small scratch. The factor, which I think I’ve made the difference this time is that the boost phase was much slower, so my body enough time to stretch properly. ”
Have a second child and the birth, after a serious tear can seem daunting, daunting and impossible. Taking the time to give your body to heal and take care of yourself physically and emotionally is important. The preparation and planning for the birth of your next child are to be informed and to choose health care providers to help you make the best choice for your individual situation.