How do you treat perineal lacerations?

Wound care

  1. Put ice or a cold pack on the sore area for 10 to 20 minutes at a time.
  2. Sit in 8 to 10 centimetres of warm water (sitz bath) for 15 to 20 minutes 3 times a day and after bowel movements.
  3. Keep the area clean by pouring or spraying warm water over the area outside your vagina and anus after you use the toilet.

What are the types of perineal lacerations?

First Degree: superficial injury to the vaginal mucosa that may involve the perineal skin. Second Degree: first-degree laceration involving the vaginal mucosa and perineal body. A: Less than 50% of the anal sphincter is torn. B: Greater than 50% of the anal sphincter is torn.

What is perineal laceration?

Vaginal tears during childbirth, also called perineal lacerations or tears, occur when the baby’s head is coming through the vaginal opening and is either too large for the vagina to stretch around or the head is a normal size but the vagina doesn’t stretch easily. These kinds of tears are relatively common.

What is the most common complication of the perineal laceration?

Managing complications of perineal lacerations

  • Diagnosis: Fecal incontinence.
  • Diagnosis: Rectovaginal fistula/perineal-rectal fistulas.
  • Diagnosis: Puerperal genital hematomas.
  • Diagnosis: Perineal infection/wound breakdown.
  • Diagnosis: Necrotizing fasciitis.
  • Diagnosis: Puerperal urinary retention.
  • Diagnosis: Dyspareunia.

What is a 3rd degree perineal laceration?

A third-degree laceration is a tear in the vagina, the skin and involves the muscles between the vagina and anus (perineal skin and perineal muscles), and the anal sphincter (the muscle that surrounds your anus).

What is a first-degree perineal laceration?

First-degree tears are the least severe, involving only the perineal skin — the skin between the vaginal opening and the rectum and the tissue directly beneath the skin. You might experience some mild pain or stinging during urination.

How is perineal laceration diagnosed?

Visual and digital examination of the wound has been and is the most common way to assess and classify a perineal tear. However resent studies indicate that many tears diagnosed with this method are misclassified.

What is a 3a perineal laceration?

Third-degree tear: A third-degree tear extends from your vagina to your anus. This type of tear involves injury to the skin and muscular tissue of the perineal area, as well as damage to the anal sphincter muscles. These muscles control your bowel movements.

What is a 3c perineal laceration?

If you are told that you have a 3c tear, it means that you have a tear involving the vaginal epithelium, perineum and anal sphincter muscles – with tearing of both the external and internal sphincters.

What is 3rd degree perineal tear?

A third-degree tear is a tear that extends into the muscle that controls the anus (the anal sphincter). If the tear extends further into the lining of the anus or rectum it is known as a fourth-degree tear. Image 1 shows a perineum without tears. Image 2 shows where the different types of tears occur.