Gaps during childbirth. What are the gaps and what are the consequences?

It is impossible to predict the course of childbirth. Unfortunately, many of them are accompanied by breaks, which are related to birth trauma. Having heard from friends about how there are gaps during childbirth, the future mother is afraid not only of childbirth but also of possible complications.

Fortunately, in most cases, gaps can be avoided, this depends on the level of preparation of the woman and the behavior during childbirth. Forewarned is forearmed.

Virtually the entire reproductive system in the female body consists of muscles, and muscles, as you know, can be trained, this is recommended to do during the period of maternity leave during pregnancy. After all, it is the elasticity of the muscles that determines the occurrence of ruptures.

What are the gaps during childbirth?

Spontaneous breaks. In this case, the crotch bursts under the influence of the pressure of the child.

Violent breaks occur due to obstetric manipulation.

What can affect the occurrence of gaps?

  • Age after 35

  • Decreased elasticity of the cervix

  • Surgery on the cervix in a history of

  • Infections

  • Large fruit

  • Pelvic presentation of fetus

  • Incorrect actions of the parturient woman during labor

  • The presence of scars

  • Swelling of the perineum

  • Weak labor activity

  • Prolonged attempts

  • High crotch

  • Incorrect actions of the obstetrician

  • Rapid birth

  • Disorders of the bone structure of the pelvis

  • Narrowing of the exit from the small pelvis

  • High crotch

  • Perineal ruptures

    Degrees of rupture:

  • The first degree - the posterior spike, part of the back wall of the vagina, the skin of the perineum
  • burst.
  • At the second degree of rupture, the pelvic floor muscles
  • are added.
  • The third degree is characterized by rupture of the sphincter of the anus, in some cases - the anterior wall of the rectum

  • The central rupture of the perineum occurs very rarely. In this case, there is a rupture of the back wall of the vagina, pelvic floor muscles, and skin. Rear spike, sphincter are not affected.

    Tears of the cervix during labor

    Six percent of women know what a cervical rupture is not by hearsay. And the risk of rupture in primiparas increases in 4! Time. The consequences of discontinuities can be very different.

    The degree of rupture of the cervix:

  • The first degree is the most common. It is characterized by the presence of lesions on the cervix of not more than two centimeters

  • At the second degree of rupture of the cervix, ruptures of more than two centimeters are observed, and the discontinuities do not pass to the wall of the vagina

  • The third degree is characterized by tissue damage on the vaginal vault

  • Tears of the cervix during labor are accompanied by damage to blood vessels, so bleeding occurs, the intensity of which may be different.

    The absence of a diagnosis of rupture can lead to the development of postpartum ulcers, which becomes the source of infection.

    Absence of stitching of cervical ruptures entails the formation of scars, which provokes an ectropion, that is, an outgrowth of the cervix. And this already causes a chronic inflammation of the cervical canal and erosion of the cervix.

    What are the consequences of cervical ruptures?

    It all depends on the extent of the gap and the correctness of the medical care provided. If the gaps were not stitched, infectious complications occur. In addition, the risk of cervical rupture in subsequent births is significantly increased. If improperly healed in the future, there is a high risk of miscarriage or premature birth. Low-quality cross-linking provokes a reversal of the cervix, which can lead to the development of cancer.