A second degree tear during childbirth include muscle tissue of the perineum near the anus. (Mayo Clinic, 2014). These muscles give support to the rectum, vagina and bladder function. These tears usually require stitches and take a few weeks to begin the healing process (Mayo Clinic, 2014). Perineal tears are a common occurrence in spontaneous vaginal births and research has shown that up to 85 % of women will experience some form of tearing during the process (Herrera, Schneiderman & Perez, 2011). Pain from tearing can bring hardship and restriction in day-to-day normality on top of caring for the new baby. Tearing of the area can be often caused by forecep use during delivery, inability of the infant’s shoulder to pass through the birth
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This will help any swelling and hopefully lower any pain. Soak the area in warm water two to three times a day for the first week after birth can also bring down pain (Mayo clinic, 2015). This will expand vessels and increase blood supply to the laceration. Applying witch hazel pads should bring comfort to the affected area. Applying a squirt bottle filled with warm water to cleanse the area rather than wiping with toilet tissue is recommended. Avoid sitting for long periods. When possible, lie on your back or side. Refraining from any strenuous activity during the healing process is recommended. Kegel exercise should strengthen the pelvic floor muscles (Mayo Clinic, …show more content…
He was present upon arrival but left around 1 pm. The patient started to breastfeed after her husband left and continued to do so intermittently (with formula) until the end of our care (4 pm). She was given stadol 2mg as a one-time dose (IV push) for pain, prescribed Ducosate Sodium (Colace) 100 mg PO bid as needed, Ibuprofen (PO) 600 mg every 6 hours, and lanolin topical (prn) every hour.
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Sources
Mayo Clinic (2014). Labor and delivery-post partum care. Retrieved from http://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/multimedia/vaginal-tears/sls-20077129?s=4
Mayo Clinic (2015) Pregnancy week by week. Perineal tears: Dealing with discomfort. Retrieved from http://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/expert-blog/perianal-tear/bgp-20137694
Herrera, I., Schneiderman, R., Perez, L. (2011). Therapy for management of childbirth, perineal tears and post-partum pain. Practical pain management, 11(1). Retrieved from
This will help any swelling and hopefully lower any pain. Soak the area in warm water two to three times a day for the first week after birth can also bring down pain (Mayo clinic, 2015). This will expand vessels and increase blood supply to the laceration. Applying witch hazel pads should bring comfort to the affected area. Applying a squirt bottle filled with warm water to cleanse the area rather than wiping with toilet tissue is recommended. Avoid sitting for long periods. When possible, lie on your back or side. Refraining from any strenuous activity during the healing process is recommended. Kegel exercise should strengthen the pelvic floor muscles (Mayo Clinic, …show more content…
He was present upon arrival but left around 1 pm. The patient started to breastfeed after her husband left and continued to do so intermittently (with formula) until the end of our care (4 pm). She was given stadol 2mg as a one-time dose (IV push) for pain, prescribed Ducosate Sodium (Colace) 100 mg PO bid as needed, Ibuprofen (PO) 600 mg every 6 hours, and lanolin topical (prn) every hour.
.
Sources
Mayo Clinic (2014). Labor and delivery-post partum care. Retrieved from http://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/multimedia/vaginal-tears/sls-20077129?s=4
Mayo Clinic (2015) Pregnancy week by week. Perineal tears: Dealing with discomfort. Retrieved from http://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/expert-blog/perianal-tear/bgp-20137694
Herrera, I., Schneiderman, R., Perez, L. (2011). Therapy for management of childbirth, perineal tears and post-partum pain. Practical pain management, 11(1). Retrieved from