Third degree perineal laceration during delivery Save
ICD-10 code: O70.2
Chapter: Pregnancy, childbirth and the puerperium
Third Degree Perineal Laceration During Delivery: Causes, Symptoms, and Treatment
Childbirth is a beautiful yet challenging process that can sometimes result in complications. One of the most common complications during delivery is perineal laceration. A third-degree perineal laceration is a severe tear that involves the perineal muscles and the anal sphincter. It can cause significant pain and discomfort and requires immediate medical attention.
Causes of Third Degree Perineal Laceration
Third degree perineal lacerations occur during vaginal delivery when the baby's head stretches the perineum, causing a tear. Several factors increase the risk of perineal laceration, including:
- Large baby size
- Prolonged second stage of labor
- Assisted delivery with forceps or vacuum
- Episiotomy (a surgical cut made to the perineum to widen the vaginal opening)
- Previous perineal laceration
Symptoms of Third Degree Perineal Laceration
The symptoms of third-degree perineal laceration are intense pain, swelling, and difficulty sitting or walking. Women may also experience difficulty controlling bowel movements and urine leakage. It is essential to seek medical attention immediately if you experience any of these symptoms.
Treatment of Third Degree Perineal Laceration
In most cases, a third-degree perineal laceration requires sutures to repair the tear. The repair procedure may take place in the delivery room or the operating room under anesthesia. Women may also be prescribed pain medication and stool softeners to ease pain and discomfort. It is crucial to follow your healthcare provider's instructions carefully to ensure proper healing and avoid infection.
Prevention of Third Degree Perineal Laceration
While perineal lacerations may be unavoidable in some cases, there are steps women can take to reduce the risk of third-degree perineal tears. These include:
- Doing perineal massage during pregnancy to help stretch the muscles.
- Using warm compresses during labor to help soften the perineum.
- Avoiding an episiotomy unless it is medically necessary.
- Changing positions during labor to reduce pressure on the perineum.
- Using delivery techniques that minimize the risk of perineal laceration.
Third-degree perineal laceration is a severe complication that requires immediate medical attention. Women should consult with their healthcare