Perineal laceration during delivery, unspecified Save
ICD-10 code: O70.9
Chapter: Pregnancy, childbirth and the puerperium
Perineal Laceration During Delivery, Unspecified: Causes, Symptoms, and Treatment
Perineal lacerations are common during childbirth, especially for first-time mothers. A perineal laceration is a tear in the skin and tissues between the vagina and anus. This type of injury is classified based on its severity, with first-degree lacerations being the mildest and fourth-degree lacerations being the most severe. When a perineal laceration occurs, it can cause discomfort and pain, and may require medical treatment.
- Causes of Perineal Lacerations During Delivery
- The baby’s head size or position
- The use of forceps or vacuum extraction during delivery
- Rapid delivery, which can cause the perineum to stretch too quickly
- Episiotomy, a surgical incision made in the perineum area to widen the vaginal opening for delivery
- Symptoms of Perineal Lacerations During Delivery
- Pain or discomfort in the perineal area
- Bleeding or swelling around the area
- Difficulty urinating or having a bowel movement
- Feeling of pressure or fullness in the vaginal or rectal area
- Treatment for Perineal Lacerations During Delivery
- First-degree lacerations typically heal on their own and may not require stitches.
- Second-degree lacerations may require stitches to help the area heal.
- Third and fourth-degree lacerations are more severe and may require surgery to repair the torn tissues.
Perineal lacerations can occur during vaginal delivery due to various reasons, including:
Symptoms of perineal lacerations can vary depending on the severity of the tear, but may include:
Minor perineal lacerations may not require medical treatment, and can be managed with pain relief medication and proper hygiene. However, more severe perineal lacerations may require surgical repair. The type of treatment recommended will depend on the severity of the laceration.
It is important for women to discuss all their options with their healthcare provider and understand the risks and benefits of each treatment option.
In conclusion, perineal lacerations during delivery are common, but can be uncomfortable and require medical attention. Women should discuss their options with their healthcare provider and seek medical treatment if necessary. Proper perineal care and hygiene can help prevent infection and promote healing.