What does it mean to have numerous small lacerations after a natural childbirth without episiotomy, and what should be done?
Feb 02, 2024
Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
Vaginal delivery without episiotomy but with numerous small lacerations may be caused by excessive straining, large fetal size, improper handling, poor wound healing, or infection. It is recommended to seek medical attention promptly, identify the underlying cause, and receive appropriate treatment under the guidance of a qualified healthcare provider. In daily life, maintain healthy habits and avoid spicy or irritating foods such as Sichuan pepper, chili peppers, and garlic to prevent worsening of discomfort.
In general, the presence of numerous small lacerations after a normal vaginal delivery without episiotomy may be caused by excessive straining, large fetal size, improper delivery technique, poor wound healing, or infection. It is recommended to seek medical attention promptly, identify the underlying cause, and receive appropriate treatment under the guidance of a healthcare professional. Specific causes are analyzed as follows:
1. Excessive Straining
During vaginal delivery, if the mother exerts too much force or excessive assistance is applied by the healthcare provider, the vaginal tissues may experience excessive stretching and pressure, leading to perineal muscle strain and resulting in the aforementioned symptoms. Adequate rest is important for recovery.
2. Large Fetal Size
If the fetus is particularly large, vaginal tearing may occur during delivery. If fetal well-being is not compromised, an episiotomy may not be necessary. Local suturing after delivery is usually sufficient.
3. Improper Technique
Improper handling during vaginal delivery may prevent the baby from being delivered smoothly and can lead to the described lacerations. It is advisable to inform the doctor promptly and receive appropriate suturing based on the specific situation.
4. Poor Healing
If adequate rest is not observed after delivery and physical activity is resumed too early, wounds may裂 (split) open, resulting in multiple small lacerations, possibly accompanied by pain. Prompt medical evaluation is recommended for wound debridement and resuturing to promote healing. Sufficient rest and avoidance of strenuous activities are essential.
5. Infection
Poor personal hygiene after vaginal delivery may lead to infection, which can cause small lacerations along with symptoms such as discharge, redness, swelling, itching, and pain. Antibiotic treatment—such as amoxicillin capsules, levofloxacin tablets, or azithromycin tablets—may be prescribed by a physician to manage infection. Maintaining good personal hygiene supports recovery.
It is important to maintain healthy lifestyle habits, avoiding spicy and irritating foods such as pepper, chili, and garlic, to prevent worsening of discomfort.
