Re: sulcus tears (repost)

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One of the great things about the vagina and perineum from a surgical standpoint is how wonderfully it all heals. I am continually amazed at how well this area heals after even severe tearing. In particular, the vagina will heal very well. Just keep the area as clean as possible to avoid any infections that would hinder healing.

>2. Am I likely to tear again if I choose to have a second baby? Am I a
>candidate for an episiotomy?

You may tear again, but that has so many variables, that it is impossible to give any reasonable percentages. I don't think that this is a situation that would be improved with an episiotomy next time.

>3. While I've been able to find lots of information on second degree
>tears on this site, I have found very little on sulcus tears. I'm
>gathering these aren't all that common. Does anyone know how likely I
>am to heal properly from this injury?

You will almost certainly heal very well. Sulcus tears are not all that common, but not truly rare. They are most common with forcep deliveries, but they can occur with any delivery, especially those characterized with very rapid descent of the fetal head.

>Thank you, Anne

--
William D. McIntosh, MD, FACOG
Clarksville, TN

This is for educational purposes only.  It is not intended
 to replace consultation and examination by your physician
 or other health care provider.

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• In reply to: anne: "sulcus tears (repost)"