The impact of soft birth canal lacerations
Release time : 03/05/2025 09:30:01
Women's health is very noteworthy.
Many women do not pay attention to their health for various reasons, which leads to situations that endanger themselves, such as soft childbirth to lacerations.
What is the impact of soft birth canal laceration? What are the causes of soft birth canal laceration? Soft birth canal laceration affects many people, the most important being postpartum hemorrhage. So everyone must pay enough attention to it. So what is the impact of soft birth canal laceration? The biggest impact of soft birth canal laceration is postpartum hemorrhage. During this period, the uterine contractility is too strong, the progress is too fast, and the fetus is too large, which often causes the fetus and vagina to be torn, and the fetus has not yet been delivered.
Protecting the perineum is inappropriate, and improper delivery with midwife can lead to perineum vaginal laceration.
By incising the perineum for a short while, it is easy to form a serious perineal laceration.
Premature perineal incision may also lead to excessive bleeding from the incision.
Vaginal lacerations can extend to the pelvic floor, intersacral space, and even into the pelvic wall. In cases near the anus, severe bleeding from the vagina deep within can lead to hematoma expansion into the broad ligament.
In childbirth, a slight cervical tear is almost inevitable.
The laceration is usually shallow, there is no significant bleeding, and no cervical laceration is diagnosed.
When the fetus passes too quickly through the cervix that has not yet been fully opened, more bleeding cervical laceration occurs.
In severe cases, vaginal fistulas can sag, causing massive bleeding in the lower part of the uterus.
Regarding postpartum hemorrhage caused by soft birth canal laceration, this can allow people to better understand postpartum hemorrhage, and also understand that mothers should prohibit soft birth canal laceration, otherwise it will affect their health.
What are the symptoms of soft tissue tearing? Soft tissue tearing is a relatively common occurrence in women, and for those affected, understanding the symptoms is crucial.
1. Perineal lacerations, the most common type of injury during childbirth, are classified into three degrees based on the depth of the damage.
Grade I perineal laceration: Indicates lacerations of the vaginal epithelium, hymen, and vaginal mucosa without reaching the muscle layer, generally with minimal bleeding.
Grade II perineal lacerations: refer to lacerations of the perineal muscles that have reached the perineal body, which may affect the posterior wall or even the posterior cavity of the vagina. These lacerations are often irregular and tend to bleed more frequently.
III degree perineal lacerations: refer to partial or complete tearing of the anal sphincter, or even a section of the anterior rectal wall.
2. Vaginal mucosa laceration. More laceration on the posterior wall of the vagina can extend to the transverse vaginal groove and even reach the vaginal fornix.
3. Bilateral cervical lacerations occur, and the anterior lip of the cervix can rupture due to swelling.
Severe cervical laceration extending to the lower part of the uterus, potentially damaging the bladder and even showing a circular laceration in the vaginal-uterine area.
What is the cause of a soft pelvic floor tear? a) The baby and the pelvis are incompatible: If the baby's head is too large and the pelvis too small, including the baby's pelvis, or the diameter of the fetal head is too large, such as posterior position or breech position, the pelvic cavity expands excessively, easily tears or does not re-form.
B) Overdelivery: The soft tissue is too late to stretch and rupture.
C) Improper operation in obstetrics and gynecology: such as forceps traction, fetal head aspiration, breech aspiration, etc., traction is too fast, traction direction or method is improper, excessive pressure on the soft birth canal or incomplete expansion of the cervix. For traction, the tissue around the cervix is too expanded, and it is not easy to tear the cervix.
D) Pathological changes in the birth canal: such as cervical edema or cervical scarring due to excessive delivery, and hardening of the perineum.
E) Pelvic arch constriction: When the fetal head is pressed forward into the back of the birth canal, stretching the levator ani muscle excessively, and thus causing pressure on the perineum, it can lead to perineal injury.
F) Improper production technology: In order to protect the perineum from rupturing, the perineum is over-protected, pushing the fetal head forward causes premature rupture of the membranes of the vestibule and labia minora, which can lengthen the fetal head and cause the same consequences as maternal forceps. The fetal head is mistakenly aspirated and does not perform lateral episiotomy in time, unwilling to pull out and damage the pelvic fascia muscles.
The pelvis is small and the fetal head is too long to perform a caesarean section.
The cervix is not fully expanded to gain strong traction, allowing the vesicorvaginal fascia to separate from the pubic bone, i.e., the anterior wall of the vagina prolapses.
The treatment of soft birth canal laceration is still very worthy of everyone's attention. If everyone can detect a disease in time, they must find a way to treat it as soon as possible.
So what are the treatment methods for soft birth canal laceration? Due to the laceration of the soft birth canal, sutures were needed.
However, the anatomical structure of this meridian should be cleaned before stitching and again. The sutures should start at the top of the wound and not leave dead space for continuous or interrupted stitching.
The wound margins should be handled through the innominate membrane to ensure that the wound is well sealed.
At the same time, pregnant women should pay attention to their own bodies and rest in bed, strengthen nutrition, so as to heal wounds quickly.
For women, soft birth canal laceration is a serious condition that requires prompt treatment.
Usually, doctors will give professional treatment opinions, but which measure to take depends on the actual situation.
Therefore, it is best to follow the doctor's instructions and not to believe rumors blindly.
Prevention of soft birth canal lacerations, soft birth canal lacerations must be prevented in a timely manner, so everyone must pay attention to these things in their daily lives.
What is the prevention of soft pelvic floor tear? (1) Encourage pregnant women to participate in physical exercise before pregnancy, increase skin elasticity, prevent obesity.
(2) Strengthen prenatal health education and implement common sense education.
Change the traditional focus on prenatal care and purely biomedical delivery, and incorporate maternal psychological counseling and general knowledge into obstetric surgery to help pregnant women eliminate fear, anxiety, impatience and other unhealthy mentalities, and expect to achieve the best mental state.
(3) Actively prevent and treat obstetrics and gynecology complications during pregnancy, pay attention to the prevention and early treatment of vulva and vaginitis, and strengthen perineal self-education.
During pregnancy, if the fetus is found to be excessively large or the delivery is too large, timely treatment should be administered.
If you have diabetes, you should actively seek treatment and, after 36 weeks of pregnancy, selectively induce or perform a cesarean section based on the fetal maturity, placental function assessment, and diabetes control.
Prenatal examination should guide normal pelvis, and estimate fetal weight to be less than 4,000 grams.
Women with natural childbirth conditions should perform Kegel exercises 1 to 2 weeks before the due date, once or twice daily for 5 to 10 minutes each session.
The medical information provided in this text is for reference only.
If you feel unwell, it is recommended to seek medical attention immediately, and the medical diagnosis and treatment will be subject to offline diagnosis.