Since the fetus presses the head during labor, a so-called "protrusion" of the perineum occurs. The crotch at this time is trying to restore the old form. A considerable load is experienced by the cervical spine of the baby, so it can easily be injured, which will lead to undesirable consequences, in particular headaches, disruption of the operation of the leg and hand muscles. In this case, only the cut of the perineum can help, as a result of which its resistance will decrease, and the spinal cord injuries will become childish.
It often happens that only the incision helps to accelerate the blood vessels, which are delayed for various reasons, and to prevent the baby's oxygen starvation.
If there is a danger of rupture of the perineum, doctors, in order to prevent it, prescribe apernotomy, and dissect the perineum towards the anus, or perform a side incision - an episiotomy. Perineotomy is also performed by women who have high perineum.
The most effective type of cut is the first one, however, in this case, there can be different complications. These include the difficulties of emptying, painful sensations in the field of sewing of tissues, during the six months that cause discomfort, as well as discomfort after the toilet, itching and burning sensation in the wound area.
The second option is not so dangerous, and it is most often used during operations. However, here there is a minus - in this case, there are problems with healing.
What to do to avoid a gap
To avoid this complex operation, it is necessary to prepare the perineal muscles in advance and make them more elastic. Be sure to attend courses for pregnant mothers, where the program of training includes strengthening the muscles of the pelvis.
But nevertheless, the main prevention of ruptures should be conducted by doctors and doctors. They should in time to detect signs indicating a gap in the crotch, competently perform the delivery and timely cut the perineum, if this is necessary.
Doctors and midwives should protect the perineum with otterm from the moment the baby has the lower pole of the head from the birth canal. It is in this moment that the head of the child is inflated, because of which the pressure on the muscles of the blood vessel increases.
The obstetrician must perform the task of preventing rapid and pre-limb extension of the head during the attempt. Undoubtedly, a specialist who takes in the body knows how to protect the perineum during childbirth. Therefore, describe this process is not worth it.
Differences in the dissection of crotch
The difference of the gaps from the incisions is that they are much deeper, with uneven edges and occupy more area of the skin. That is why, they last much longer, in contrast to the incisions, which are performed with a neat surgical scalpel.
Among other things, crotch gaps often lead to bad consequences. Damage to the skin helps to ensure that tears become vulnerable to infection. As a result of infection, the inflammation of the vagina, cervix and so on can begin.
If a break happened
If there is a rupture of the perineum, it is necessarily accompanied by hemorrhage. Of particular importance is the degree of injury. Immediately after, as the latter came out - the shell of the fetus and placenta, and the fruit was extracted, torn. If the bleeding is severe, then even before the latter comes out, they put a clamp on the crotch.
Sutures are applied to the perineum under local anesthesia. Exclusion is the third degree of perineal rupture. In this case, general anesthesia is used to apply sutures. For suturing the crotch, vikrilovorassovasyvayuschimisya threads on the ninetieth-ninety-sixth day are most often used.
Seam Care
Sutures need to be dried after a certain time. After the birth is over, the seams on the perineum and labia are treated with manganese and hydrogen peroxide once a day. At that time, while the young mother in the hospital, this is a wok. At home, the young mother will have to do everything herself.
If the ruptures are of great depth, then the doctor can prescribe antibiotic drugs, since the rectum is located in proximity and is probably infected. If a woman is accompanied by severe pain, the doctor prescribes pain medication, which must be used after giving birth for three days. If there was swelling, use a bubble with ice.
Complications
In the area of suturing, edema can occur, hematoma, wound infection, abscesses, bruises, pain. Depending on what kind of complication, the doctor will choose and prescribe suitable therapy.
When uterine ruptures are significant, deep, and accompanied by inflammatory processes, immediately after the seams have been applied, the connective tissue of the scars can deform the uterus. Eliminate the defects that appear only with the use of a laser, and if the lesion is very deep, plastic can spend.
The healing of the vagina and small labia passes well. The scars disappear. However, if there are breaks in the clitoral region, this leads to problems of reduced sensitivity of this zone. However, it is not worth worrying about. Usually for a few months the sensitivity is fully restored.
The period of healing of the perineum goes without complications. If there is an inflammation of the vagina, the sutures can disperse. Sutures on the perineum may disperse after the inflammation of the vagina. In this case it is necessary to call the doctor.