What should I do if I have a second degree perineal tear?

Second degree perineal tear. This situation is mostly likely to occur during childbirth and can be divided into different levels of tearing. If it is a second degree tear, the doctor will also make a judgment based on the situation and suture the wound to avoid infection.

1. Generally speaking, only second-degree lacerations need to be repaired, but it depends on the doctor's judgment. Sometimes, even if there is only a first-degree laceration, the doctor will still repair it if he thinks it is necessary.

2. The degree is divided into four degrees

First degree: damage to the vaginal mucosa.

Second degree: Injury to the vaginal mucosa and submucosal soft tissue. Second degree perineal tear

Third degree: Injury to the anal sphincter.

Fourth degree: damage to the rectal mucosa.

3. Suture time

Repair surgery can be performed after the fetus is born.

Generally speaking, only second-degree lacerations require suturing, but this depends on the doctor’s judgment. Sometimes, even if there is only a first-degree laceration, the doctor will still suturing it if he thinks it is necessary.

4. How to use the toilet

(1) If there is no serious tear, the mother can use the toilet normally, but the wound will be painful in the first few days, so she needs to be patient and pay attention to cleanliness to avoid bacterial infection.

(2) If the tear has affected the urethra (the wound is torn upwards), causing difficulty in urination, catheterization may be required.

5. Time for stitch removal

Experts say that perineal repair surgery uses sutures that can be absorbed by the human body, so there is no problem of removing stitches. Generally speaking, the wound will heal in about a week, but the sutures are not absorbed that quickly by the human body.

6. Wound recovery time

Generally, minor wounds will stop hurting in about 3-4 days, and the blood supply around the vagina is sufficient. As long as it is not infected by bacteria, the wound will heal in about a week.