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Unfortunately, it is not always possible to predict or prevent these types of tears. There are certain risk factors to look out for, for example, shoulder dystocia , if the second stage of labour is longer than expected, if it is your first vaginal birth, if you have a large baby, if your labour needs to be induced or if you have an assisted birth. In terms of prevalence, previous research I was involved in, published in BJOG , analysed the trends of perineal tearing in all NHS hospitals in England and highlighted a three-fold increase in the rate of reported third or fourth degree perineal tears the most severe types , with the rate rising from 1. The most recent BJOG study , published this week, examined the mode of delivery and recurrence rate in pregnancies following a third or fourth degree perineal tear. The paper found that among women who had a vaginal delivery at second birth, the rate of a severe tear was 7.
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Perineal tears

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Perineal tears during childbirth

Intro-deuce your butt to an 8pk of renewable Bamboo Toilet Paper. Cancel anytime. You can shred some waves on a surfboard, rip the fabric of space and time can we do that yet? I learned the hard way. Today, we are here to walk you through anal fissures so you are well-equipped if you ever meet the same fate.
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Anal fissure

Faeces poo is temporarily stored in the rectum and expelled from the body via the anus. An anal fissure is a tear or split in the lining of the anus anal mucosa. The symptoms and signs include pain when passing a bowel motion and bright red blood from the anus. The problem is common in children younger than one year, and affects around eight out of 10 babies. Common causes in adults include constipation and trauma to the anus such as a difficult childbirth.
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Up to 9 in every 10 first time mothers who have a vaginal birth will experience some sort of tear, graze or episiotomy. It is slightly less common for mothers who have had a vaginal birth before. Anatomy of the perineum. For some women 3. Third- or fourth- degree tears, also known as obstetric anal sphincter injuries OASI , extend into the muscle that controls the anus anal sphincter.
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