After three days you will need to eat a high fibre diet to assist with the passage of soft, easily expelled bowel motions. If you are usually prone to constipation please talk to your doctor about appropriate management—using softening agents for up to six weeks after the repair may assist your recovery.
Your physiotherapist will teach you how to do gentle pelvic floor contractions to assist healing, improve circulation and decrease swelling and pain. You will also learn how to use your muscles to protect your perineum before and as you move. This is important for early recovery and functional protection of sutures. We recommend you avoid excessively strong pelvic floor exercises for six weeks after the birth of your baby. Your doctor will be able to advise you when you are ready for discharge so ensure that you discuss any concerns you may have at this time.
It is also very important that you continue to look after your perineum when you go home. It is important that you attend all your follow up appointments so that your recovery can be assessed.
Physiotherapy appointment —you will be given an appointment to see a physiotherapist, who specialises in pelvic floor function, to check your progress and review your longer-term strengthening program.
Check-up with your family doctor GP —please make an appointment to see your GP for a check-up six weeks after the birth of your baby, as part of your routine postnatal care.
Contact your GP earlier if you have any concerns about your recovery. You will receive a follow-up phone call from the postnatal clinic at three months. A face-to-face appointment will be arranged if:. Comfortable sexual activity can begin after your body has completely healed which may take from six weeks to several months.
If you experience ongoing discomfort during sexual intercourse it is important that you discuss this with your doctor. Advice about future births will depend on how well you recover from this one. If you are fully recovered there at the time of your next pregnancy there is little evidence to suggest the best way for your baby to be born.
However if you have some ongoing incontinence problems, especially with your bowel, a vaginal birth may make this worse. When you are seen in the Perineal Clinic, via a telephone call or face-to-face appointment , the doctor will discuss with you the most appropriate way for your next baby to be born, depending on your individual situation. If you have any further questions about what happened this time, please ask to speak to your doctors prior to going home.
Please note: we will endeavour to respond to your enquiry within five 5 business days. Follow us on. Recovering from third and fourth degree perineal tears At the very end of your labour the skin and muscles around your vagina thin and stretch to allow your baby to be born. Support from family and friends can help you whilst your body gradually adjusts and gets better.
It's common to be worried by the thought of resuming sexual intercourse after having given birth, particularly if you have experienced a third- or fourth-degree tear. Once your stitches have healed and bleeding has stopped, you can have sex again when it feels right for you.
Prior to commencing intercourse, you should consider a suitable method of contraception. It is possible to get pregnant very soon after giving birth. Perineal massage, either on your own or with your partner, may help you feel more comfortable before you begin having sex again. Sometimes, women who have recently had a baby may notice the vagina is drier than usual, this can be the case particularly if you are breastfeeding.
You may wish to use an appropriate lubricant the first few times you have intercourse if you are using condoms you should use a water-soluble gel. Sex may be a little uncomfortable and feel different at first, but the discomfort should not persist. Chatting with your partner about sex and any anxieties either of you may have and choosing a time when you both feel relaxed can help. If you continue to experience symptoms from the third- or fourth-degree tear, you may wish to consider a planned caesarean section.
You will be able to discuss your options for future births at your follow-up appointment or early in your next pregnancy. Your individual circumstances and preferences will always be taken into account so that you can make a decision that is right for you. Having a third- or fourth-degree tear can be very distressing and disturbing for women, their partners and their families.
For some women who experience any birth trauma there is a risk of post-trauma stress disorder PTSD. If you, or your partner, experience signs of PTSD, contact your healthcare professional as help is available for you. You will usually be offered an appointment with a healthcare professional approximately 6 weeks after you had your baby to make sure that you are recovering well. At that appointment, you will be able to discuss any concerns and ask any questions you may have about the birth of your baby and any of your symptoms or concerns about future pregnancies.
You may be given an appointment with a physiotherapist to help you strengthen your pelvic floor muscles. Birth Trauma Association www. Bladder and Bowel Foundation www. Third- or fourth-degree tear during childbirth. We would like to understand how people are using this resource to help ensure it is relevant and useful. How common are 3rd or 4th degree tears? What increases my risk of a 3rd or 4th degree tear? These types of tears usually happen unexpectedly during birth and most of the time it is not possible to predict when it will happen, however, it is more likely to happen if: This is your first vaginal birth your baby is born facing upwards You have a large baby You have a long labour You need help with the birth by forceps or ventouse You have had a 3rd or 4th degree tear before.
What will happen if I have a 3rd or 4th degree tear? After your repair, it is recommended that you take the following medications: Regular pain killers. Do not wait until you are in pain, but take them on regular basis for the first few days and subsequently as you require them A course of oral antibiotics for one week to reduce the risk of infection that could lead to break down of the repair Laxatives for approximately two weeks to make it easier and more comfortable to open your bowels.
Always wipe, front to back to avoid contamination from your back passage Change your sanitary towels regularly, at least every three to four hours Avoid standing or sitting for long periods Check your perineum for signs of infection. If the area becomes hot, swollen, weepy, smelly, very painful or start to open, or you develop a temperature or start feeling unwell, please let your midwife or GP know Begin doing your pelvic floor exercises as soon as you can — this will strengthen the muscles around the vagina and anus, increase the blood supply and help with healing.
You will be offered physiotherapy advice about pelvic floor exercises before going home. What can I expect to go home? When can I have sex? Follow up If you had a 3rd degree tear, you will be contacted by one of the gynaecology specialist nurses after three months from having your baby to ask whether you are still having problems such as: uncontrollable leakage of wind, staining of underwear with faeces or uncontrollable leakage of faeces.
What about having another baby?
0コメント