Understanding Vaginal Tears and Recovery
Understanding Vaginal Tears
Bringing a baby into the world is an exciting time, but for many women, the worry of tearing during birth can be a real source of anxiety during what should be, an exciting time. It's common to feel anxious, especially when you hear stories likening birth to pushing a watermelon out of your bum! However, it's important to know that our bodies are cleverly designed to handle birthing a baby, and tearing, although scary, can be a normal part of the process.
Types of Vaginal Tears
During birth, the area between the vagina and anus, called the perineum, stretches a lot than normal and sometimes it may get grazed or torn, and in some cases, doctors may need to make a small cut, called an episiotomy, to help the baby come out. An important thing to note is that nothing should be done to your bits without your fully informed consent.
Vaginal tearing, also known as perineal tearing, is more common for first-time mums, but it can happen in later births too. Tears come in four degrees of severity, with third and fourth-degree tears being more serious as they involve the anal area and can cause long-term problems.
Types of perineal tears
Preventing Vaginal Tears
If tearing still gives you the fear, there are things you can do to lower the chances of it happening:
Perineal massage: Massaging your perineum from around 34 weeks of pregnancy might help you feel more confident about your body's ability to stretch. Learn how to do it in this hand guide from My Expert Midwife.
Upright birthing positions: Sitting or standing up during labour can make it easier for your baby to come out gradually, putting less strain on your perineum.
Water births: Giving birth in water can soften the tissue around your perineum.
Relaxation techniques: Keeping relaxed, especially in your jaw, face, shoulders, and hands, can help your pelvic floor muscles relaxed too. A great mantra to remember is “Floppy Face - Floppy Fanny!”.
Hands-off approach: Letting your body guide the birth process, instead of being told when to push, can prevent unnecessary strain and reduce the likelihood of tearing too.
Home births: Research shows that giving birth at home might reduce the need for a cut or severe tear.
Tips for Recovery
After birth, taking good care of yourself can help your perineum heal:
Stay clean: Keep the area clean to avoid infections. Blow dry your bits after a shower too, on the cold setting, obviously!! Give yourself a wee treat too!
Warm water: Pouring warm water over yourself when you pee can ease any discomfort and stop it stinging.
Witch hazel: Using witch hazel on a pad and cooling it in the fridge can help soothe the area. Putting your knickers in the fridge can be a game-changer too!
Loose clothes: Wear comfy, loose-fitting clothes to reduce irritation.
Pain relief: If you're in pain, take pain medication as recommended by your midwife or GP.
When to Get Help
Most tears get better within about six weeks, but if you're still in pain or have other problems, it's important to get help. Speak to your midwife, health visitor, or doctor if you're having trouble with pain, leaking urine, or anything else that worries you. Ignoring these symptoms could make things worse.
So, in conclusion, while the idea of tearing during birth might be scary, it's important to stay positive and informed. By understanding the types of tears, taking preventive steps, and seeking help when needed, you can approach your birth feeling more confident. Remember, your body is amazing, and with the right care, you'll be on your way to a smooth recovery and enjoying time with your new baby.