What every pregnant woman should know about vaginal tearing, according to a board-certified OB/GYN:
I’ve delivered thousands of babies, but it still amazes me to see a baby’s big noggin fit through that small space. Even in the best of circumstances, the vagina usually ends up with a few battle scars. The majority of vaginal tears are minor, but severe tearing and complications can also occur. If childbearing is in your near future, it can be helpful to know the different types of tearing that could occur, how to prevent bad tearing, and how to heal a tear.
Using a lubricant like mineral oil or KY jelly in the vaginal canal as the baby is delivered has been shown to help reduce tears as has applying warm, moist cloths to the perineum while pushing. Massaging the muscles of the perineum while pushing also reduces tears. Performing perineal massage in the weeks before delivery may or not help – study outcomes have been conflicting – but isn’t harmful, so may be worth trying.
The use of vacuum or forceps with delivery has been shown to increase your risk of having a more severe tear, but the purpose of these is to avoid a cesarean section, which is likely to also have risk of major complications.Most women describe the pain from their mild laceration to be an achy and burning type of discomfort for a couple weeks. For more severe tears, pain can be quite sharp and intense for a couple months.
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