What to do if vaginal injury and bleeding occurs?

In daily life, the female vagina is a relatively delicate and fragile part. If there is excessive or intense sexual activity, it will easily cause damage to the vaginal lining and lead to symptoms of vaginal bleeding. Generally, this is a bleeding symptom caused by laceration of the vaginal lining. If the amount of bleeding is not much, it will heal on its own. Pay more attention to observation, pay attention to personal hygiene, and avoid sexual activity. If there is still heavy bleeding, treatment is required.

What to do if vaginal injury and bleeding occurs?

In the case of bleeding, there may be some vaginal laceration. In this case, you can do a check-up. If it is not serious, do not have sex for the time being. It will heal gradually on its own. If it is more serious, you need to consider anti-inflammatory treatment or even surgery to recover.

Causes

Vaginal laceration refers to tearing damage to the perineum and vagina due to various reasons. Vaginal laceration is more common in two situations: one is caused by obstetric delivery, and the other is caused by trauma and other reasons. Vaginal lacerations caused by vaginal delivery in obstetrics are more common. They can occur during natural delivery or be caused by damage caused by some instrument operations during delivery.

Clinical manifestations

According to the degree of laceration, it can be divided into the following four types. ① Abrasion: damage to the surface mucosa and skin. ②First-degree laceration: laceration of the skin, subcutaneous tissue and mucous membrane, without involving muscle tissue, with a depth between 0.2 and 1 cm. ③II-degree laceration: Perineal laceration involves the muscle layer and fascia. ④III degree laceration: anal sphincter rupture or combined recto-vaginal septum rupture.

examine

When examining a third-degree laceration, it can be seen that the perineum has disappeared and the ends of the vagina and rectum are connected. The skin behind the anus is radially wrinkled, and the retracted ends of the sphincter form small depressions on both sides of the anus. During anal examination, ask the patient to retract his/her anus to test the control function of his/her sphincter. If the rectum is also torn, the rectal mucosa will be red and turn outward.

treat

In mild cases, gauze compression is used; in severe cases, absorbable sutures can be used. Stay in bed for 5 to 6 days after the operation, eat a low-residue diet, clean the perineum after each bowel movement, and use antibiotics and painkillers as appropriate. The stitches are removed 5 to 7 days after the operation.

Prognosis

The prognosis of this disease is generally good. If the degree of laceration is severe and not treated in time, it may affect women's physiological functions and normal life.

prevention

1. Accurately estimate the size of the fetus, understand its fetal position, and be fully prepared before delivery.

2. Take the initiative to interact with the mother, tell her how to push during delivery, and cooperate with the midwife.