Can A Tear In The Birth Canal After The First Delivery Be Repeated On The Third Delivery?
Introduce me to 31 years IRT with 2 children, domicile in Bandung … my first child was born through labor with assistive devices (vacuum) and 20 months later I became pregnant with my second child … When my second child was born, the midwife who helped in the delivery process (at the puskesmas) said that my vagina / uterus was severely torn (I forgot what was meant by a torn vagina / torn uterus) .. Then I was referred to the clinic for surgery by a specialist because the midwife was unable to. According to the doctor who operated on me, a tear wound This is caused by the scar from the first childbirth not completely healed … Is in my 3rd pregnancy, the tear can be repeated ?? Then how do you deal with it … Thank you …
Thank you, Ummu, for asking at HealthReplies.com.
I will try to help answer.
Normal delivery is the birth process that is carried out through the birth canal. Normal gestational age generally between 37-42 weeks. Normal labor can be marked by contractions appear, the baby's head has dropped into the pelvis, rupture of membranes, mucus and blood coming out of the birth canal.
Furthermore, there are some complications associated with normal labor, such as no contractions of the uterus, premature rupture of membranes, large babies, narrow pelvis, undeveloped labor. Sometimes the doctor will perform an action called an episiotomy, which is the act of making an incision between the birth canal and the anus to prevent a tear in the birth canal.
The incision in an episiotomy can be severe if the baby is too large, too strong to push, uterine contractions suddenly disappear so that the cavum is assisted.
Tears in cesarean section and tears in episiotomy are two different things. That is because a cesarean section is an operation performed by splitting the abdomen to expel the baby. While episiotomy is the act of making an incision between the birth canal and the anus.
Tearing of the birth canal and cesarean section can occur if, the healing process of the wound does not go well, too much activity so that it complicates the healing process, the occurrence of infection, never check the scar from the surgery to an obstetrician. For more details, it is advisable to consult an obstetrician.
Some actions that can help prevent a recurrence of tears are:
1. Avoid excessive activity
2. Avoid lifting heavy loads
3. avoid pushing during bowel movements
4. avoid smoke dust that can cause coughing,
Thus a brief explanation from me, hopefully it helps.