Theperineumis the area between the genitals and anus.
Duringchildbirth, this fleshy area is strained as you bear down and push out your baby.
The pressure can lead to tears in the perineum.
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This can allow for an easier delivery, but it could lead to some complications.
It also covers how to treat a torn perineum.
What Is the Perineum?
Just behind the vagina is thepubis symphysis(the joint between the two pubic bones).
Resting on this joint is the perineum.
The area has less hair than the rest of the genitals.
The pelvic floor supports organs such as theintestinesandbladder.
It plays a key role in bathroom function to help control urine and bowel movements.
These tears occur as the baby is being pushed out of the birth canal.
Perineum tears are very common during childbirth.
There are four degrees of perineum tears, ranging from least severe to most severe.
What Is an Episiotomy?
Your doctor should discuss the procedure and the risks in detail with you before your labor progresses too far.
According to the WHO, mothers should give full consent to an episiotomy before it’s performed.
If an episiotomy is necessary, your doctor will numb the perineum to reduce pain.
Recap
The perineum is the area between the vagina and anus.
But that’s now discouraged in most cases, as it can lead to more severe tears.
you’re able to also discuss the use of medicated creams or numbing sprays.
Do not use tampons or have sex until your OBGYN clears you to do so.
Be sure to keep your postpartum checkup to ensure your perineum is healing correctly.
Perineum tears usually heal within two weeks.If you received stitches, they should dissolve within six weeks.
Complications
There is a risk of infection with a perineum tear.
If you have any of these symptoms, call your doctor.
The goal is to learn to relax your pelvic floor muscles and stretch the vaginal opening.
Your obstetrician or midwife can show you how to give a perineal massage.
Summary
The perineum is an often-overlooked area of your body, but it supports your internal organs.
It also houses nerves and muscles that are important to a range of body functions.
During childbirth, this area needs to stretch to allow the baby to pass through the birth canal.
you’re free to prepare for this by spending time massaging the area before your delivery date.
However, it’s common for the perineum to tear during childbirth.
You should discuss both possible scenarios with your doctor before you are in active labor.
The female perineum is found between the anus and the vagina.
In males, its located between the anus and the scrotum.
Muscles and nerves that run through this small area control sexual function and the urinary and excretory systems.
2014;47(1):44. doi:10.5115/acb.2014.47.1.44
Cleveland Clinic.Vaginal tears during childbirth.
2017;2:CD000081.
doi:10.1002/14651858.CD000081.pub3
World Health Organization.WHO recommendation on episiotomy policy.
Xiong K, Boehrer RH.Improving physician behavior with an obstetric dashboard.Obstetrics & Gynecology.
2017;129(1):140S-140S.
doi:10.1097/01.AOG.0000514701.26361.13
Siccardi MA, Bordoni B.Anatomy, abdomen and pelvis, perineal body.StatPearls Publishing.
Johns Hopkins Medicine Health Library.Episiotomy.
