Is a second-degree tear during vaginal delivery serious?
Mar 02, 2023
Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
Second-degree laceration during vaginal delivery is generally not considered severe. Perineal lacerations during vaginal delivery are classified into first-, second-, and third-degree tears. A second-degree laceration is relatively mild, primarily involving injury to the skin, mucosa of the perineum, and the levator ani muscle, but with the anal sphincter remaining intact and undamaged. Therefore, a second-degree laceration in vaginal delivery is not regarded as particularly serious.
Second-degree lacerations during vaginal delivery are generally not considered serious.
Vaginal delivery lacerations are classified into first, second, and third degrees. A second-degree laceration is relatively mild, primarily involving tears in the perineal skin, mucosa, and the levator ani muscle, while the anal sphincter remains intact and undamaged. Therefore, second-degree lacerations during vaginal delivery are not severe. In fact, most first-time mothers experience either first- or second-degree tears during childbirth.
Timely suturing is necessary after a second-degree vaginal laceration. Suturing helps control bleeding and restores the original anatomical structure; prompt and effective suturing promotes wound healing.
Patients with second-degree lacerations should maintain good local hygiene, regularly disinfect the wound area, and prevent secondary infections. Strenuous exercise should be avoided in the short term, and bowel movements should remain regular. A light diet is recommended—avoid spicy, stimulating, and greasy foods, as these may impair wound recovery. Instead, consume more fresh vegetables and fruits.
