Vaginal lacerations are tears in the vagina or in the skin and muscle around the vaginal opening. Tears most commonly occur in the perineum. The perineum is the area between the anus and the opening of the vagina.
There are four degrees of vaginal laceration:
The deeper vaginal lacerations may occur during vaginal delivery. Examples of causes include:
Minor lacerations can occur during sexual intercourse.
Tell your doctor if you have any of these risk factors:
Your doctor will be with you during labor and will see any tearing if it happens. The seriousness will be based on the size of the tears and what muscles are affected. If the doctor thinks you may tear during pushing, she may recommend an episiotomy. This is a surgical incision of the perineum. An episiotomy will make the vaginal opening temporarily larger so that the baby does not tear the vagina or the surrounding muscles.
Talk with your doctor about the best treatment plan for you. Treatment options:
First degree tears are superficial. They often do not require stitches and will heal naturally. Second degree tears are deeper into the tissue, require a few stitches, and then heal well afterward. Third and fourth degree tears require more stitches to be repaired correctly.
Other treatments that can be used at home to lessen the pain of the stitches include:
If you have a more serious laceration, your doctor may recommend that you take a stool softener and follow a special diet.
If you are diagnosed with vaginal laceration, follow your doctor's instructions.
To help reduce your chance of getting vaginal laceration, take the following steps:
The American Congress of Obstetricians and Gynecologists
Women's Health Matters
Clinical management guidelines for ostetrician: gynecologists. ACOG Practice Bulletin. 2000;17.
Leeman L, Sprearman M, Rogers R. Repair of obstetric perineal lacerations. Am Fam Physician. 2003;68(8):1585-1590.
Perineal massage in pregnancy. American College of Nurse-Midwives website. Available at: http://www.midwife.org/ACNM/files/ccLibraryFiles/Filename/000000000656/Perineal%20Massage%20in%20Pregnancy.pdf. Accessed August 9, 2012.
Last reviewed September 2013 by Andrea Chisholm, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.