Since 2013 Aarhus University Hospital has offered all women a postnatal check-up 2-3 days after birth. We provide services for approx. 4.000 vaginal births annually.
More than 90% of primiparous women sustain perineal injury or lacerations to the labial area that requires surgical repair following vaginal birth.
I will present cases and photos showing examples of normal, delayed and pathological healing of different types of perineal lacerations.
1) Healing of 1st and 2nd degree perineal tears
2) Mediolateral episiotomies
3) Healing of 3rd and 4th degree tears (anal sphincter injuries)
Inadequate primary perineal repair or early suture break down was found in approx. 1% of the population. We wish to share experiences from a case study of 250+ cases including 1st -2nd degree lacerations and mediolateral episiotomies.
Our findings with more than 40 photo documented cases featuring different healing outcomes are available as an online resource through the website GynZone.net.
Learning Objectives:
Objective 1: Describe how women who become mothers for the first time have a 80-90% risk of genital tract trauma resulting in surgical repair
Objective 2: Discuss how women who have suffered perineal trauma appreciate postnatal follow-up including an assessment of healing
Objective 3: Describe how midwives can play a major role in delivering women-centered services to mothers after childbirth and offer to check the stitches
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