Cervical rupture. Consequences of ruptures and possible complications in case of untimely therapy. Consequences of a breakup

During childbirth, injuries often occur, the main of which are cervical ruptures. They can occur due to the fault of the woman in labor, the doctor, or due to improper management of childbirth. A woman should study in advance the main causes of breakups, possible complications and comply preventive measures so that the child is born without unpleasant consequences.

What are cervical ruptures and why do they appear during childbirth?

The cervix is a canal, one part of which opens into the uterine cavity, and the second into the vagina. During pregnancy, the cervix is closed to protect the fetus from exposure external factors. When contractions occur, it gradually opens, starting from the uterus, where the baby’s head presses. During the first birth, the process occurs rather slowly, which is why stimulation is often required.

Until the canal opens completely, you cannot push. This will lead to excessive pressure on the walls and their damage. The woman in labor needs to listen to the advice of the obstetrician, who makes decisions depending on the speed of cervical dilatation.

Rupture of the cervix is a violation of its integrity. The causes of ruptures can be voluntary or involuntary. The main reasons why ruptures occur during childbirth are:

unfinished treatment inflammatory processes and genital tract infections;
decreased tissue elasticity;
the presence of scars from previous ruptures or operations;
placenta previa in the lower segment of the uterus, which causes the cervical tissue to soften.

Typically, ruptures are observed in primiparous women, especially if they are over 30 years old. Their tissues have fewer elastic fibers, and the genital tract cannot stretch well. The following events during childbirth can lead to injury:

the cervix is not dilated enough, and labor occurs rapidly;
sluggish labor;
stimulation with an undilated cervix;
compression of tissue between the baby’s head and bones (mainly with a narrow pelvis);
premature rupture of amniotic fluid;
the fruit is large;
Incorrect positioning of the child, extraction by the legs.

Often the doctor is forced to use mechanical methods to complete the process, for example, use forceps, a vacuum extractor, etc. This usually leads to ruptures.

Degrees of ruptures and associated symptoms

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The rupture can occur on one or both sides of the cervix. There are cases of complete separation of the canal from the uterus. Based on the size and nature of the cervical rupture, there are 3 degrees:

1st: small cracks on one side. When the canal is stretched, the walls become thinner, causing tears of up to 1–1.5 cm to appear. This usually happens if a woman pushes during contractions before the pushing period begins. Symptoms include slight bleeding. Over time, it may become more intense with the appearance of cramping pain in the lower abdomen.
2nd: damage up to 2 cm. Occurs when the size of the fetus does not correspond to the volume of the pelvis. Possible when choosing the wrong method of delivery due to incorrectly calculated parameters of the child based on ultrasound results.
3rd: obstetric rupture (violent). The channel is torn along its entire length. The damage affects not only the cervix, but also the vagina. Bloody discharge is profuse, with clots. Associated symptoms– paleness skin, increased heart rate, decreased blood pressure, cold sweat.

Types of cervical ruptures can be seen in the photo. Treatment tactics depend on the degree of damage. The obstetrician examines and diagnoses ruptures after labor is completed and the placenta is released. Unnoticed deformities threaten infections, scars, and other unpleasant consequences. Most difficult to identify minor damage(up to 1 cm), which may not even bleed.

Diagnostic methods

Diagnosis occurs directly in maternity ward immediately after the birth of a newborn. During the examination, mirrors are used and the uterine cavity and abdomen are palpated. When found bleeding the time of their appearance is determined. Based on the diagnosis, treatment is prescribed.

Features of treatment of cervical ruptures

Tears in the neck are usually repaired surgically. With correctly performed medical procedures, recovery occurs quickly and without complications.

Breaks occur mainly in the second stage birth process. After the baby is born, stopping the bleeding and providing assistance immediately. IN otherwise possible severe blood loss and hemorrhagic shock.

Treatment depends on the severity of the injury. Cracks up to 5 mm and superficial damage often heal on their own and do not require sutures. 1st and 2nd degree tears are sutured with special self-absorbable threads. Healing lasts up to 3 weeks. Additional drug treatment not assigned. Refusal of sexual activity for 2–3 months is required.

At deep wounds accompanied by ruptures of adipose tissue, perform abdominal surgery. At heavy bleeding it is important to stop it as soon as possible. If blood renewal is required, administration of blood substitutes or transfusion is indicated. The treatment complex includes drugs to prevent inflammation and improve immunity.

External stitches take several weeks to heal. Caring for them involves lubricating them with peroxide and brilliant green. In the maternity hospital, this is done by a nurse, and after discharge, the woman does it herself. You also need to follow general recommendations:

wear cotton loose underwear;
periodically take air baths while lying on the bed without underwear;
wash after each visit to the toilet, use soap twice a day;
Wash the outer seam carefully, do not rub or wipe (it is permissible to dip it in a towel);
avoid overcrowding Bladder, which puts pressure on the uterus and prevents it from contracting.

Consequences of ruptures and possible complications in case of untimely treatment

Timely diagnosed and treated ruptures do not have any impact harmful influence on the internal processes of the body. Untreated pathology threatens erosion and inflammation, which can lead to cancer or complications next births. In particular, this can cause miscarriage or premature birth. Other unpleasant consequences are also possible. They depend on the degree of damage to the cervix and the quality of care provided:

suppuration, causing endometritis, sepsis, which may require complete removal uterus;
the appearance of ulcers;
inversion of the cervix due to arbitrary scarring (without suturing);
neoplasia.

If a canal rupture is accompanied by damage to the perineum, the following consequences arise:

hematomas, swelling;
malfunctions urinary system, rectum;
loss of sensation;
scar formation in the perineum;
divergence of seams.

Prevention of ruptures during childbirth

To avoid unpleasant consequences, you need to not lose your composure and listen to your obstetrician. You can't push unless there is a command. In most cases, rupture occurs when medical recommendations are not followed. Since the occurrence of complications during childbirth also depends on the woman’s condition, you should prepare in advance:

register for pregnancy in a timely manner;
undergo all prescribed examinations and tests;
take vitamins and sedatives if prescribed by a doctor;
exclude heavy physical activity;
Healthy food;
have a good rest;
massage the perineum;
train muscles (relaxation, contraction);
take courses to prepare for childbirth.

Definitely worth attending classes on breathing exercises. Proper breathing at each stage reduces pain and helps you focus on the birth process.

Doctors prescribe antispasmodics or painkillers for prevention. When using tools or removing a child by the legs, injuries occur in most cases. Their degree depends on the accuracy and professionalism of the obstetrician.

If a woman in labor has already had ruptures in previous births, erosions or other disorders in the genital tract, the risk of rupture increases. In some cases, in order not to provoke it, a caesarean section is prescribed.

Not the last factor when planning pregnancy and preparing for childbirth is emotional condition women. It is important not to be nervous, to tune in for the best, to avoid negative thoughts and focus on preparing for the process of childbearing.

The cervix plays a very important role in the birth process. In fact, the beginning of the second stage of labor - pushing - depends on its opening. During contractions (when the muscles of the uterus actively contract), a uterine os (circle) forms on the cervix, through which the fetus will move out of the uterus. The diameter of this circle should reach 10-12 cm, and only after this the woman enters the second stage of labor: she begins to push and “push out” the fetus.

In practice, everything can go wrong. Attempts come, but the cervix is not dilated. If a woman begins to push, the cervix naturally cannot withstand the pressure and ruptures. This is exactly what it is common cause ruptures, so many doctors claim that the mothers themselves are to blame for the fact that the cervix breaks. You need to push according to the instructions of the medical staff. But is everything really like that? Let's figure it out.

Causes of cervical rupture

There are several reasons for this birth pathology. At the same time, observations show that most often ruptures occur in primiparas, and they can be varying degrees(there are 3 degrees of ruptures), spontaneous and violent (as a result of surgery).

So, the reasons:

premature attempts when the cervix has not opened to the desired size;
decreased elasticity of the cervix;
women;
cervical surgery;
presence of scars after abortion or childbirth;
infections in the uterus;
childbirth in ;
surgical delivery with forceps, etc.

It cannot be said that in all these cases cervical ruptures necessarily occur. Most often, the cervix ruptures if several factors are present at the same time. For example, large fetus and incomplete dilation. In any case, the phenomenon, although unpleasant, is often inevitable. According to some data, in 50% of cases, childbirth ends in ruptures of both the perineum and the cervix.

Possible consequences

The consequences of this pathology depend primarily on the severity of the rupture and the assistance provided. Diagnosing a cervical rupture is quite simple. Usually, if it occurs, the woman begins to bleed, but not always. In modern maternity hospitals, every woman is examined, and doctors use mirrors to detect postpartum pathologies on the cervix. Any ruptures (complicated or not) are sutured with Kedgood. Special care these stitches are not required. You just need to abstain from sexual relations for 2 months.

If the sutures are applied incorrectly (or a cervical rupture is not detected), then the woman faces very unpleasant consequences. The vaginal and uterine area may become inflamed; a damaged and improperly healed cervix may not be able to withstand subsequent births and even pregnancies, resulting in miscarriages or.

Well, the most dangerous complication unsutured rupture is cervical inversion, which in the future may even cause oncological diseases.

Prevention

The main prevention of cervical ruptures is the correct course of labor, which largely depends on the woman in labor. Doctors strongly recommend listening to your body and the advice of obstetricians. At first labor activity it is important to withstand the first periods of pushing until full disclosure(that is, do not push) and breathe correctly.

It is also recommended to use for prevention antispasmodics, which will facilitate the opening of the cervix, if necessary, anesthetize labor, and most importantly, try to provide for possible infringement of the cervix.

Have an easy birth without any ruptures!

Especially for- Tanya Kivezhdiy

The uterus is female organ, without which procreation would be impossible. It is in it that the development and gestation of the fetus occurs. During the birth process, the cervix plays one of the main roles. Their results directly depend on how quickly it opens. Due to the active contraction of the uterine muscles during contractions, the fetus moves towards the pharynx and is pushed out. The process of the baby passing through the cervix is facilitated by pushing.

Despite the naturalness of the birth process, complications sometimes occur in obstetric practice. One of them is cervical rupture during childbirth.

Many doctors say that damage occurs when a woman pushes incorrectly without listening to instructions. medical personnel. In such cases, active attempts begin before the cervix has time to open. The result is ruptures of varying degrees.

Symptoms depend on the cause, type, stage and extent birth trauma. This can happen both during and after childbirth. On general condition And clinical picture also reflects the presence concomitant diseases, infections, mental condition women.

Trauma to the cervix is accompanied by internal and external bleeding.

Depending on the size of the damage, it can be massive or scanty; the woman in labor experiences bloody issues with clots. There is also profuse cold sweat, weakness, and pallor. With minor damage (up to 1 cm), there are often no symptoms.

If injury occurs during childbirth, it can be combined with rupture of the uterus itself, which significantly changes the clinical picture. In this situation, the woman behaves restlessly, labor becomes overly active and is accompanied by severe painful contractions.

The uterus is deformed according to the type hourglass, swelling of the cervix, vagina and vulva appears.

When uterine rupture begins, the clinical picture is accompanied by convulsive contractions, bloody or bloody discharge from the vagina, and blood in the urine. When the rupture has already occurred, after a sudden sharp pain in the abdomen and burning, labor stops.

Due to pain and hemorrhagic shock a woman experiences:

depressed state;
pale skin;
sweating;
nausea and vomiting;
drop in blood pressure;
rapid pulse.

After uterine rupture, the fetus can be palpated in abdominal cavity. The complication leads to the death of the child, so his heartbeat at this moment can no longer be heard.

Classification of ruptures

The cervix ruptures more often in the direction from bottom to top, that is, from the outer to the inner edge of the pharynx. Organ damage can occur before, during, and after childbirth. If a rupture occurs after childbirth, the cervix is usually only slightly injured.

There are unilateral and bilateral injuries, and there are three degrees of severity. Small tears (up to 2 cm) are classified as grade I; grade II is characterized by a size of more than 2 cm, but the injury does not reach the vagina. At III degree the divergence of the tissue reaches the vaginal vault or extends to it. The most serious clinical case a rupture of the cervix extending to the body of the reproductive organ is considered.

Causes and risk factors

Birth ruptures can occur due to the woman’s fault or be the result of injury from medical forceps, as well as the result of rough palpation of the uterus and other actions of the doctor. But there are several predisposing factors.

The prerequisite for ruptures is poorly treated genital infections, which reduce the elasticity of the walls of the cervix. In addition, ruptures are almost inevitable during rapid labor.

Active early attempts and contractions with insufficient dilatation can lead to serious breaks not only the cervix, but also the body of the uterus itself.

With sluggish attempts, labor is stimulated special drugs, which also contributes to organ injuries. For women who have previously practiced gymnastics or dancing, it is typical increased tone pelvic muscles, which also contributes to ruptures due to improper management of labor.

Consequences of injury

Cervical rupture is mainly diagnosed after the birth of the baby and placenta. The doctor carefully examines the woman using mirrors to identify injuries and prevent complications.

If diagnosis is untimely, poor-quality stitching or improper care of the sutures, cervical ruptures during childbirth cause serious consequences:

Suppuration of wounds. Poor quality service medical care leads to sepsis, which can lead to removal of the uterus or death.
The appearance of a postpartum ulcer.
Spontaneous scarring, forming an inversion of the cervix.

Most often, ruptures are isolated, without transfer to the body of the uterus, and occur in the second stage of labor. In such cases, the outcome is usually favorable for both the mother and the child. However, the consequences of serious injuries can only be avoided if timely diagnosis and emergency care.

Any untreated damage threatens the appearance and development of chronic inflammatory processes and even cancer. Also, rupture of the cervix during childbirth can provoke consequences in the form of isthmic-cervical insufficiency.

This makes carrying subsequent pregnancies more difficult, increased or premature appearance baby into the world.

Treatment for cervical rupture

Treatment begins immediately after ruptures are detected. The main method of eliminating damage is surgery. Lacerations are sutured using absorbable sutures under general or local anesthesia.

Sewing begins from the upper corner of the tear, heading towards the outer pharynx. If the tissue divergence has spread to the body of the uterus, a laparotomy is performed and the issue of extirpation (removal) or preservation of the organ is decided.

At repeated births with the presence of old tears, plastic surgery is performed using a special technique. Dead and scarred tissue is cut off, and when stitching, the mucous membrane is carefully stretched to form a new, more even scar and prevent future deformation.

Except surgical intervention, with heavy blood loss, intravenous infusions with hemostatic drugs and saline solution. To prevent infection and the development of inflammation, antibiotics and local antiseptics are prescribed.

Sexual relations are prohibited in the next 2 months after suturing. If you follow your doctor's instructions, the consequences of cervical rupture will be minimal.

Prevention

Preventive measures to prevent injury to the cervix include both the professional actions of the doctor and the attentive attitude of the mother to her health. When planning a pregnancy, it is necessary to carefully examine and treat all chronic diseases.

To prevent cervical rupture during childbirth, you should exercise special gymnastics to strengthen the vaginal muscles, take vitamins and minerals, eat right and get proper rest. It is recommended to enroll in courses for expectant mothers.

During the birth process, a woman should listen carefully to the midwife and doctor, and push according to their instructions.

Plays an important role correct breathing. Timely, sufficient in depth and rhythm breathing movements reduce pain and allow you to concentrate on labor.

To reduce pain and to prevent premature pushing, painkillers are used. In order to ensure normal dilatation of the uterus, antispasmodics are prescribed.

The obstetrician leading the birth should not do sudden movements when using medical instruments, or removing the fetus during breech presentation, since injury in such situations is almost inevitable.

It should be taken into account that in patients with a history of injuries reproductive organs, the risk of a repetition of the situation increases significantly.

To ensure that subsequent births after cervical rupture occur without serious consequences, the woman should follow all the recommendations of the obstetrician-gynecologist. Coherence in the team of doctors and women in labor is the key natural birth with a favorable outcome.

Useful video: why do gaps occur during childbirth?

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The uterus is an organ that is the most important link reproductive system women. It was created in such a way that it was possible to carry a child in it with maximum safety. Bottom part The uterus is called the cervix, it looks like a tube connecting the uterus to the vagina.

How the cervix works during childbirth

The opening of the external pharynx of the cervix enters the vagina, and the internal pharynx, accordingly, exits into the uterus. A path is formed between the uterus and vagina, which is called cervical canal. At healthy pregnancy the cervix is closed tightly: this protects the uterus and the fetus in it from all external threats. And only before birth can the neck protection begin to slowly open so that the baby can birth canal could have been born.

Cervical dilatation starts with internal pharynx. This is where the baby's head presses. Women who give birth for the first time are more likely to experience a slow expansion of the external pharynx. Even the beginning of labor does not always contribute to the opening of the uterus, which leads to stimulation of the birth process.

The cervix opens in several stages:

Slow period. The contractions are not strong, there is no regularity, and there is also no particular pain. The neck at this stage opens to 4 fingers.
Middle period. IN active phase contractions intensify, they become stronger and longer, the neck opens from 4 to 8 fingers.
Full disclosure stage. The transition from the second stage to the third is sometimes rapid. This is the most painful period, requiring maximum composure from the woman in labor.

The safety of its tissues may depend on the correct behavior during childbirth, especially the final stage of dilatation of the cervix. It is very important to listen to the instructions of the doctor and midwife, not to push ahead of time, and if you push, then push correctly. But the situation when the cervix is torn does not always depend on the competent actions of the woman in labor.

Why can cervical rupture occur during childbirth?

It is believed that with age, the natural elasticity of tissues decreases. Thus, after 30 years, a woman experiences the first stages of tissue aging: potentially, they are no longer so ready for healthy birth as in more at a young age. These are only average data, but they cannot be ignored.

Possible causes of a ruptured cervix:

Insufficient elasticity of cervical tissue due to abortion;
Scars on the cervix left after a previous birth;
Large child;
Breech presentation of the baby;
Narrow pelvis of a woman in labor;
Long labor;
Rigidity (poor uterine distension);
Early rupture of amniotic fluid.

Of course, professional errors by doctors cannot be ruled out. But all the same, these will be spontaneous forms of cervical rupture. And there are also violent forms. These include the use by doctors of tools for emergency fetal extraction - these are either obstetric forceps or vacuum extraction of the fetus. Naturally, when several causes occur during one birth, the risk of rupture increases.

How is the cervix sutured after childbirth?

Gaps are usually ranked by degrees. The first degree cervical rupture is less than 2 cm, with the second degree the rupture will exceed these 2 cm, but it does not reach the vagina by more than 1 cm. And third degree ruptures are considered complicated, since the wound goes into the vaginal vault or simply reaches it .

The tear must be stitched up; if this is not done, it may heal incorrectly. And this is already fraught with cervical inversion, such consequences can become a threat reproductive health women.

If suturing is not done, a hematoma of the fatty tissue surrounding the cervix may form. Finally, the situation of blood loss by a woman in labor is dangerous. Therefore, it is necessary to sew gaps.

The cervix is sutured:

Most often with self-absorbing threads, under local anesthesia;
Sew tears from the upper corner on the way to the outer pharynx;
During repeated births, the scarred tissue is cut off, and the mucous membrane is stretched while stitching until a more even new scar is obtained, which will prevent subsequent deformation.

The suture heals quickly, but in order for the scar to form correctly, the young mother must follow all medical recommendations. Rest, including sexual rest, is needed for a certain period of time. As a rule, it reaches two months or more.

Prevention and treatment of ruptures during childbirth

If ruptures are accompanied heavy blood loss, the woman is prescribed intravenous infusions using hemostatic drugs and saline solution. To prevent inflammation, your doctor may prescribe antibacterial therapy. Local antiseptics are also a mandatory part of the treatment of cervical ruptures.

Prevention of cervical injury:

Gymnastics to strengthen the vaginal muscles (during pregnancy) is an effective and productive way. Suitable for both first-time mothers and multiparous women. Old seam on the neck is not an obstacle to exercise.
Correct breathing. Reduces the pain of childbirth, stimulates healthy development labor activity, prevents the formation of complications.
Use of special gels. Indicated on the recommendation of a doctor for women at risk of ruptures. The gel facilitates the movement of the baby through the birth canal and reduces the risk of tissue injury.

And although the picture described looks frightening, according to various estimates, from 10 to 39% of women in labor encounter such a pathology as cervical ruptures. Competent treatment, following all recommendations, a healthy and calm attitude towards the situation will help the young mother recover as quickly as possible.

What does a cervical rupture look like (video)

Don’t rush to get back on track as quickly as possible: don’t bend too low, don’t make sudden movements, be careful when hygiene procedures. Take care of yourself, remember that this is a phase postpartum recovery- this is not a time of exploits, but a soft and delicate process of returning to the normal state of the body.

Ruptures during childbirth are quite frequent complications birth process. They can be either spontaneous or caused by the intervention of doctors. Many expectant mothers are interested in why ruptures occur during childbirth, what their consequences are, and whether this phenomenon can be avoided.

Perineal lacerations

This type of rupture occurs when the baby’s head presses on the skin and muscles of the perineum, and soft fabrics in this area they are not elastic enough. To avoid perineal ruptures, a woman in labor should try to follow all the midwife’s recommendations. Typically, the doctor asks the woman not to push for a while, during which time he moves the soft tissue away from the baby's head.

Experts distinguish three degrees of perineal ruptures:

1st degree– minor tears that damage the skin of the perineum and small area vaginal mucosa;
2nd degree– damage partially affects the muscles of the perineum;
3rd degree– in addition to the skin and muscles of the perineum, the sphincter is damaged.

The main method of preventing ruptures is a perineal incision. The indication for the incision, in addition to the threat of rupture, is breech presentation of the fetus or high risk development of oxygen starvation.

There are two ways to cut the vagina. The first is an episiotomy, in which the skin is cut to the side, and the second is a perineotomy, where the incision is made down towards the rectum.

After a rupture or incision in the vagina damaged tissue stitches are placed. Stitching is carried out using one of two methods. In one case, absorbable sutures are applied to the muscles and vagina, and to the skin of the perineum. suture material, which is removed 4-5 days after birth. In another method, all layers are captured with an absorbable thread, which does not require removal.

Complications of a perineal rupture may include suture separation or inflammation. This significantly lengthens and complicates the period of postpartum rehabilitation.

Vaginal lacerations

The cause of such ruptures is premature pushing or the child’s head remaining in one place for a long time. Wherein this pathology childbirth may manifest as bleeding during the birth process or be detected during examination of the birth canal in the form of hemorrhage under the vaginal mucosa.

Vaginal tears are sutured using absorbable sutures. Usually severe consequences This type of rupture does not occur. Only in rare cases is it possible to develop an inflammatory process in the scar area. If the uterine cavity connects with the cavity of the bladder or rectum, the formation of a vaginal-vesical or vaginal-intestinal fistula occurs. This is a rather complex pathology, which, fortunately, occurs very rarely.

Cervical ruptures

For the birth of a baby, the cervix must be fully dilated. At the same time, the woman has a desire to push, that is, pushing. Different women in labor experience them at different times. Some people begin to push even before the cervix is fully dilated, when it covers the baby's head. In this case, the fetal head moving through the birth canal during pushing can rupture the cervix.

There are three degrees of cervical rupture:

1st degree– gaps up to 2 cm on one or both sides of the cervix;
2nd degree– the length of the tears is more than 2 cm;
3rd degree– ruptures reach the area of transition of the cervix into the body of the uterus or pass to the body of the organ.

Usually small tears (up to 1 cm) do not manifest themselves in any way. Signs of deeper damage are bleeding, which can occur immediately after their formation, intensifying after the birth of the child. However, sometimes this pathology does not manifest itself as bleeding after childbirth. But in postpartum period inflammation occurs, which will be indicated by yellowish or greenish discharge with an unpleasant odor.

Absorbable suture material is used to close cervical tears. In case of a 3rd degree rupture, the doctor first conducts manual examination cervix to determine the size of the lesion, and only after that sutures are applied.

This pathology often causes serious consequences. Most often, the development of inflammatory processes in the cervix and vagina is observed. To prevent inflammation, a woman is usually prescribed antibacterial therapy.

In some cases, the sutures on the cervix may diverge. This condition can lead to some complications:

Ectropion of the cervix. This pathology is characterized by inversion of the mucous membrane of the cervical canal, in which it is exposed to external influence. A woman's vagina is characterized by acidic environment, and in the cervical canal the natural environment is alkaline. Constant contact of mucous membranes with different pH results in the occurrence of cervical ectopia, which, in fact, is a precancerous condition.
Isthmic-cervical insufficiency. With this pathology, the cervix is not able to perform its obturator function. As a result, miscarriage of the subsequent pregnancy is observed, which is usually terminated at 16-18 weeks.

Recovery period

If a woman had ruptures during childbirth, she should especially carefully monitor her condition during the recovery period. Special requirements are placed on the personal hygiene of a new mother. It is important to change pads every 2-3 hours and wash after urination and defecation. Those women who have had perineal ruptures are not allowed to sit for 10 days.

For speedy healing In wounds after ruptures, it is recommended to carry out air baths for the sutures. You can use special ointments that promote tissue regeneration and alleviate the condition. To such medicines include Bepanten and Solcoseryl.

Ruptures during childbirth are not a serious pathology. Competent actions of the doctor during the birth process and proper care behind stitches in the postpartum period allows you to avoid serious complications.