Patient's question:
I have an itchy lower body, and my underwear is always yellow. What's going on? Why do women have a vaginal cut during childbirth?Doctor's answer:
1) Primiparas have tighter perineums, and varying degrees of tearing often occur during delivery. To prevent irregular tearing of the perineum and damage to the anus, thereby avoiding future pain for the mother, a slight incision is made in the perineum. This not only avoids perineal damage but also creates a neat, easily sutured wound that heals well, with stitches typically removed after 3 to 5 days, leaving no aftereffects.(2) During surgical assisted delivery, such as forceps or vacuum extraction, an incision is usually made in the perineum to facilitate the procedure and prevent tearing.
(3) If fetal asphyxia occurs during delivery, an incision is often necessary to quickly deliver the fetus.
(4) Even with premature infants, who are small, an incision is required to protect the delicate fetus from injury.
A perineal incision can shorten delivery time, reduce the relaxation of pelvic floor tissues, and decrease postpartum vaginal wall prolapse and uterine prolapse.
Of course, a perineal incision is performed based on specific circumstances. If the fetus is not large, the perineal tissues are loose, and the delivery team properly protects the perineum, an incision may not be needed.