Perineal Tears

THE DEGREES AND HOW TO CARE

FOR THEM
KAZIA VRYANT
MIDWIFE CLINIC LAB 1
HOW MANY DEGREES ARE
THERE IN PERINEAL TEARS?

Rehabilitation (2022)
FIRST DEGREE

Characteristics
The least severe
Involves only the perineal skin
Mild pain or stinging with urination
Usually heals quickly without intervention
Unlikely to cause longtime problems
(Vaginal Tears (Perineal Lacerations), n.d.)
SECOND DEGREE

Characteristics
Involve the skin and the muscle of the perineal area
Extends into the vagina
Mild pain or stinging with urination
Usually require stiches
Unlikely to cause longtime problems
Can be very sore (Vaginal Tears (Perineal Lacerations), n.d.)
THIRD DEGREE

Characteristics
Includes and extends into the muscles that control the anus
Can occur in 6 out of 100 births
Can require a repair with anesthesia in the OR
May take longer than a few weeks to heal
Complications like stool leakage, and painful intercourse
(Vaginal Tears (Perineal Lacerations), n.d.)
FOURTH DEGREE

Characteristics
The most severe
Extends through the anal sphincter into the rectal mucosa
Require repair with anesthesia or specialized repair
Will take longer than a few weeks to heal
Complications like stool leakage, and painful intercourse
(Vaginal Tears (Perineal Lacerations), n.d.)
 GING A
A

TEAR
MAN
KEEPING THE AREA DRY AND CLEAN
WARM SITZ BATHS
USE OF HERBS IN SITZ BATHS
SITTING ON SOFT SURFACES
OVER THE COUNTER PAIN MEDICATIONS
USE OF WITCH HAZEL ON AREA
Maidansky (2022)
Preventing tears
HIGH PROTEIN DIET
PERINEAL MASSAGE
SLOWED AND CONTROLLED PUSHING
PUSHING WITH CONTRACTIONS

 RELATIOIN TO MIDWIFERY CARE

Being educated on perineal tears is important to Midwifery
care is important because it is something that I will have to
manage and assess to some degree. Being able to accurately
assess tears following delivery is very important because it
goes hand in hand in making sure that the the healing process is
productive. Also if bleeding is noted following delivery it is
important for me to be able to differentiate if it is from a
tear or laceration or it's orgin is from something else. Also
being educated will allow me to asertain whether or not they
will need to be transffered to the hospital for repair
 IN MY PRACTICE

EDUCATING MY CLIENTS
PREPARING MY CLIENTS
ENCOURAGING MY CLIENTS
 REFERENCES
Rehabilitation, M. (2022). Physical Therapy for Episiotomy and Perineal Tears-Mangiarelli Rehabilitation. Mangiarelli
Rehabilitation. https://www.mangiarellirehabilitation.com/blog/physical-therapy-for-episiotomy-and-perineal-
tears
Vaginal Tears (Perineal Lacerations). (n.d.). Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/21212-
vaginal-tears-during-childbirth

Maidansky, R. (2022). Managing Perineal Pain Following Tearing or Episiotomy — Lady Bird PT. Lady Bird PT.
https://www.ladybirdpt.com/post/managing-perineal-pain-following-childbirth
THANK YOU!