Here's How to Reduce the Risk of Vaginal Tearing During Labor

Every woman who undergoes a normal delivery has the possibility to experience a vaginal tear during childbirth. This tear in the vagina can be mild, can be severe. However, don't worry. There are several efforts that can be done to reduce the risk of vaginal tears during labor. Tear vagina is a condition that is often experienced by women when undergoing a normal delivery, especially women who are giving birth for the first time. Usually, tears occur in the perineum, which is the area located between the vagina and anus. In some conditions, such as the size of a large baby, severe vaginal tears can occur. To prevent this, the doctor or midwife will usually perform an episiotomy or incision in the vagina to help the baby come out. Actually, episiotomy also causes vaginal tears. It's just that, an episiotomy incision is made in such a way that the damage to the tissue in this area is not severe. The incision can also be made slightly sideways, away from the anus, to prevent damage to the anus that can cause fecal incontinence. Even so, severe vaginal tears can still occur despite episiotomy.

Prevents Vaginal Tearing when Childbirth

As explained above, there is no single method that is sure to be able to prevent vaginal tears during delivery. Nevertheless, there are several efforts you can do to reduce the risk of severe tears. These efforts include:

1. Routine exercise during pregnancy

Exercising regularly and doing Kegel exercises can increase the strength of the pelvis and muscles of the birth canal. This is useful for preparing the body of pregnant women undergoing labor. Some research also shows that women who regularly exercise and do Kegel exercises during pregnancy have a lower risk of having severe birth canal tears.

2. Massage the perineum

Perform regular perineal area massage starting from 3-4 weeks before the date of birth prediction. This action can flex the perineal tissue for later labor. You only need to do it for about 5 minutes per day. Use special water-based oils or lubricants when massaging.

3. Compress warm water

Compressing the perineal area with a cloth soaked in warm water before delivery can make the birth canal muscles become more flexible, thereby reducing the risk of experiencing tears during childbirth. You can ask the nurse for help with this compress.

4. Straining well

During the second stage of labor or the impulse stage, don't be in a hurry or push yourself too much. So that the process of pushing the baby out can be more smooth and effective, the midwife or doctor will guide you to push. Follow the instructions or cue from the midwife or doctor during the birth process. A good way to push is important so that the tissue around the birth canal can stretch perfectly and make room for the baby to come out.

5. Applying oil or lubricant

During labor, rubbing the perineal area with oil or lubricants, such as olive oil and vitamin E oil, can also help smooth labor. This method will help the baby out more easily and reduce friction. In addition to the methods above, choosing the right position during delivery can also reduce the risk of vaginal tears. Compared to lying on your back, sitting upright makes it easier to give birth. Your doctor or midwife will help you determine the right position for labor later.

Handling of a Ripped Vaginal during Labor

The main treatment for a torn vagina during labor is suturing a torn wound. Before suturing the wound, the doctor or midwife will apply local anesthesia to the area that is torn. The goal is that you feel more comfortable and not in pain when the wound is stitched. After labor and suturing, the doctor will tell you what you can and should not do during recovery and home care. For example, you need to routinely compress a tear with ice water, get enough rest, and you should never have sex. This is done so that the wound heals quickly. Although it cannot be completely prevented, the risk of vaginal tears during labor can be minimized by the above methods. Also, make sure you regularly check with your obstetrician during pregnancy, so that you and your fetus can continue to be monitored.

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