Complications of vaginal tearing | Torn vagina during birth – Is prevention possible?

Complications of vaginal tearing

A possible complication of a vaginal tear is the formation of a haematoma. This is where blood accumulates in the tissue, which can lead to swelling and pain. It can also disrupt wound healing, which is why haematomas are usually cleared out.

Furthermore, an infection of the wound can occur during the healing process. In addition, the suture may tear again if it is exposed to too much tension. If severe pain or bleeding occurs during the healing process, a doctor should therefore be consulted.

A mucous membrane injury usually heals with scarring. During this process a so-called scar hypertrophy can occur. In this case, there is excessive growth of the scar tissue.

The scar is thickened visible and palpable and can lead to movement restrictions. Usually a vaginal tear heals without any problems. Sterile suturing of the wound makes it more difficult for germs to enter.

The body’s own immune system also helps to prevent infection. Despite all this, the wound is exposed to a constant supply of germs through the vaginal secretion and urine. It is therefore very difficult to keep it clean.

If the wound becomes inflamed, pain, itching, swelling and redness can occur. If this is noticed, a doctor should be consulted immediately. If an accumulation of pus (abscess) has formed, the wound must be opened. In case of bacterial colonization, an antibiotic is also prescribed.

Duration of healing

Wound healing proceeds in several stages. In the first few hours a scab forms to roughly close the wound. In addition, wound secretion is formed, which is intended to flush germs out of the wound.

Then the tissue defect is gradually replaced by new tissue. This process takes about eight days. Afterwards, the final skin layers are built up or the scar tissue is formed.

Diagnosis of a vaginal tear

After the birth, the gynecologist performs a vaginal examination. He pays particular attention to birth injuries, such as blood accumulation (haematomas) or wounds. An indication of an injury can be an unusually long lasting bleeding. Pain or burning sensation in individual areas can also be an indication of a wound.