How is perineal laceration to return a responsibility?

summary

Perineal laceration is still a big trauma for women who give birth naturally. Children will never jump out of the stone like a joke. Every birth will cause great pain to the puerpera. The wound caused by production is what every puerpera has to face. Is there any way to avoid perineal laceration? The article is very comprehensive, follow me slowly ~ so we must do a good job in the related work of this disease, so what's the matter with perineal laceration?.

How is perineal laceration to return a responsibility?

First: the laceration of the cervix, primipara childbirth, the cervix is often damaged, the degree is very light, the depth is not more than 1 cm, neither bleeding, and no other performance, such as not careful examination, often can not be detected, postpartum can naturally heal. After healing, the outer orifice of uterus was slightly loose and showed oval transverse fissure. Doctors often identify the cervix as multiparous or nulliparous by whether it is transverse fissure. If childbirth, cervical deep laceration, and there are varying degrees of bleeding, called cervical laceration. Deep laceration can be found after delivery. The depth of severe laceration can reach the vaginal vault. After healing, irregular lacerations can be seen in the cervix, just like cleft lip.

Second: vaginal and perineal laceration, vaginal wall and perineal laceration, is the most common maternal complications in childbirth. The light ones are limited to the damage of mucous membrane or skin; In severe cases, the deep vaginal wall, pelvic floor muscle tissue and fascia were involved; When the perineal laceration is serious, the anal sphincter and the anterior wall of rectum are also torn. After the laceration, the naked eye can see that there is blood outflow from the laceration. If the laceration is serious and deep, the amount of bleeding is also large.

Third: after the occurrence of perineal laceration, regardless of the degree, it should be repaired and sutured immediately. When suturing, the edge of the wound must be aligned. The outer edge is marked by hymen, and sutured layer by layer from the inside to the outside. There is no gap between the tissues. When suturing, we must pay attention to aseptic operation and hemostasis to avoid hematoma and infection. If the cervical laceration is serious, it should be sutured immediately. If the laceration is mild and there is no bleeding, it does not need to be treated.

matters needing attention

For women, childbirth is an upgrade, but also a rebirth, absolutely can not completely ignore the existence of risk. In addition to the high fatal risk of amniotic fluid embolism, we should also pay close attention to the common clinical delivery complications such as vaginal tear, placenta previa, placental abruption, umbilical cord prolapse and postpartum hemorrhage. Some of them can be found and even intervened in advance. If these problems are brought to the delivery room, it will undoubtedly increase the risk of delivery