aquaphor on perineal tear

Repairing hemostatic first- and second-degree lacerations does not improve short-term outcomes compared with conservative care. If your tear is severe, only sit or stand for short periods at a time, so you don't put pressure on your tear. You can also lessen the likelihood of experiencing a tear by taking additional precautions. Tears in the vagina, labia, and perineum are all possible. Third- or fourth-degree tears only occur in about 3 percent of first vaginal deliveries and 0.8 percent of subsequent deliveries. of women who sustain childbirth related perineal trauma (through either surgical episiotomy or spontaneous tear), 70% require suturing. The doctor will also determine if you have any underlying conditions that lead to the vaginal tear. Read on to learn more about what causes vaginal tears and the best ways to prevent and treat them. Several maternal and fetal factors are reported to be associated with perineal trauma (box 2). Adequate foreplay can reduce the risk of these tears. The anal sphincter is the muscle that helps you hold in and release stool. The apex of the rectal mucosa is identified, and the mucosa is approximated using closely spaced interrupted or running 4-0 polyglactin 910 sutures (Figure 10). Ospemifene (Osphena), a selective estrogen receptor modulator (SERM) medication taken by mouth is used to treat painful intercourse associated with vaginal atrophy. Your perineum is the thin layer of skin between your genitals (vaginal opening or scrotum) and anus. The majority of obstetric anal sphincter injuries are third-degree lacerations that involve the anal sphincter complex without disrupting the rectal mucosa.1 The anal sphincter complex comprises the larger external anal sphincter containing striated muscle and a distinct capsule plus the small internal anal sphincter of involuntary smooth muscle that often cannot be identified. Laceration of this sphincter is associated with anal incontinence.4 Interestingly, repair of the internal anal sphincter is not described in standard obstetric textbooks.7,8. You shouldnt resist a bowel movement if you feel the urge to go, as it can lead to constipation. 1st degree tear: least severe, involving only the perineal skin the skin between the . During the second stage of labor, perineal massage and application of a warm compress to the perineum are beneficial. {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/f\/f7\/Recognize-and-Avoid-Vaginal-Infections-Step-4-Version-3.jpg\/v4-460px-Recognize-and-Avoid-Vaginal-Infections-Step-4-Version-3.jpg","bigUrl":"\/images\/thumb\/f\/f7\/Recognize-and-Avoid-Vaginal-Infections-Step-4-Version-3.jpg\/aid8833231-v4-728px-Recognize-and-Avoid-Vaginal-Infections-Step-4-Version-3.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"