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https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/multimedia/vaginal-tears/sls-20077129
Oct 11, 2019 · Vaginal tears during childbirth, also called perineal lacerations or tears, occur when the baby's head is coming through the vaginal opening and is either too large for the vagina to stretch around or the head is a normal size but the vagina doesn't stretch easily. ... Labor, delivery, and postpartum care FAQ 192. American College of ...
https://www.healthline.com/health/pregnancy/treatment-vaginal-cervical-lacerations
Vaginal tears during childbirth occur most often in first-time mothers, mothers who give birth to large babies, and mothers with long labor times. Taking care of a vaginal tear after childbirth ...Author: Rachel Nall, MSN, CRNA
https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/expert-answers/preventing-vaginal-tearing-during-childbirth/faq-20416226
May 11, 2018 · Your health care provider might also recommend perineal massage at home at the end of your third trimester, before the start of labor. You can do this yourself or with the help of your partner. Deliver in an upright, nonflat position. There are a number of delivery positions that might reduce the risk of a vaginal tear during childbirth.
https://www.uptodate.com/contents/repair-of-perineal-and-other-lacerations-associated-with-childbirth#!
ACOG Practice Bulletin No. 199: Use of Prophylactic Antibiotics in Labor and Delivery. Obstet Gynecol 2018; 132:e103. Schinkel N, Colbus L, Soltner C, et al. Perineal infiltration with lidocaine 1%, ropivacaine 0.75%, or placebo for episiotomy repair in parturients who received epidural labor analgesia: a double-blind randomized study.
https://www.acog.org/en/Clinical/Clinical%20Guidance/Practice%20Bulletin/Articles/2018/09/Prevention%20and%20Management%20of%20Obstetric%20Lacerations%20at%20Vaginal%20Delivery
Severe perineal lacerations, extending into or through the anal sphincter complex, although less frequent, are more commonly associated with increased risk of pelvic floor injury, fecal and urinary incontinence, pain, and sexual dysfunction with symptoms that may persist or be present many years after giving birth.
http://www.hcpro.com/content.cfm?content_id=305393
Jun 11, 2014 · Guidance for coding OB delivery lacerations sometimes differs between the CPT® Manual and the American Congress of Obstetricians and Gynecologists. Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, explains the difference in guidance and documentation necessary to report tears to the proper degree.
https://www.babycenter.com/0_perineal-tears_1451354.bc
This is your first vaginal delivery. You've previously given birth vaginally and had a third- or fourth-degree laceration. You have an assisted vaginal delivery, particularly if forceps are used. You have an episiotomy or you had one in a previous delivery. Your baby is big. Your baby is born in the posterior position (face-up). You push for a ...
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