Why does female childbirth cause perineal laceration? How should perineal laceration be done

Generally, women who give birth will have perineal laceration. The first and second perineal laceration is shallow, with little bleeding, and can be healed after normal suture. However, the third laceration is severe perineal laceration, vaginal opening laceration, rectal wall extension, and fecal incontinence

Why does female childbirth cause perineal laceration?

1. Fetal factors

The fetus with abnormal fetus, eldest son or hydrocephalus is hard and difficult to deform. It is necessary to expand the intestines to deliver successfully. The extension of the vaginal orifice is limited. When the fetus enters the tissue of the birth canal, the perineum will expand excessively, causing laceration. The shoulder of the eldest son is difficult to deliver after the delivery of the head, and the chance of vaginal laceration is increased.

2. Midwifery factor

The doctor's technique is improper or unskillful, unable to better protect the perineum, failed to assist the fetal head to fully bend according to the way of delivery, and failed to continue to protect the perineum when delivering the shoulder, resulting in perineal laceration.

3. Maternity factors

The puerpera is too young or too old, especially for the first time women over 35 years old, the elasticity of perineum is very poor, the possibility of pelvis is small, and cannot expand better during childbirth, causing laceration. In addition, for younger women, vulva development is not very perfect, and less wrinkled arms will also cause laceration during delivery.

How should perineal laceration be treated?

After giving birth to a child, the torn perineum should be repaired immediately to prevent infection of the wound. Otherwise, it will affect the healing. Some women's perineum will split after suture removal. The wound tissue is fresh and there are many secretions, and cannot be sutured. Under the guidance of the doctor, you can choose potassium permanganate solution hip bath, take antibiotics to prevent infection, and heal after local formation of scars. In addition, the work of family planning, multiple fetuses and multiple fetuses may cause relaxation and tear of pelvic floor muscles.

Never make love within 6 weeks after delivery. Start activities the next day after delivery to promote blood circulation of the small pelvis, improve local muscle tension, and strengthen physical exercise. Never do heavy physical labor, nor extract heavy physical labor.

reminder

Usually, eat more high-fiber foods to prevent constipation. Constipation after a woman has given birth may lead to more wounds. It is necessary to form the good habit of regular defecation. Make sure that there is 2000 milliliters of water every day. Do not over-nourish.