9 frightening birthing injuries new mums face

Pain when you pee and pooping from your vagina ― these are signs of injuries sustained during labour and delivery.

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When you give birth, all that stands between a smooth delivery and a complicated experience is your gynae’s skill.

Obstetrician-gynaecologist Dr Peter Chew explains that the following steps taken by your doctor can reduce your risk of injuries:
-  vaginal delivery;
-  Careful monitoring of your and your foetus’s health during labour; and
-  Ensuring that the correct instruments are used during assisted delivery.

Dr Chew says mothers also tend to be at a higher risk of suffering from birth injuries than their newborns. The good news is the rate of birthing injuries for women is low in Singapore, since we have plenty of trained healthcare workers. 

SmartParents expert and Gleneagles Hospital consultant ob-gyn, Dr Christopher Chong, notes that surgery is usually unavoidable in the treatment of birthing injuries. So, new mothers should stay alert, spot the signs of possible complications and get it promptly treated to avoid potentially life-threatening consequences. Dr Chong and Dr Chew give you the lowdown on common birthing injuries you may encounter…

1. Vaginal tears
WHAT Tears can occur in and around the vaginal area due to the stresses caused by pushing a baby out of your womb. These painful splits, cracks or breaks in the skin can occur on the inner or outer labia, around the clitoris and clitoral hood, or on the perineum — the area between the vagina and anus. Dr Chong explains that as Asian women tend to have a shorter perineum, they are more susceptible to suffering tears. You may feel pain or a stinging sensation whenever you pee because these cuts can also occur on the inside. Dr Chew says that even your anal sphincter or episiotomy wounds may sometimes be torn, which causes faecal incontinence.
LIKELY TO HAPPEN DURING Vaginal and forceps birth.
SOLUTION Minor tears and cuts can be left to heal on their own, along with practising good hygiene. Dr Chong stresses,Difficult repairs may need to be done in the operating theatre instead of the labour ward for better visualisation, pain relief and better outcomes.” Dr Chew adds that trained medical staff will need to attend to the cuts in your episiotomy wounds and anal sphincter immediately.

2. Vulvar haematoma
WHAT Caused by the improper healing or repair of an episiotomy wound. Dr Chew explains that when blood from a ruptured deep vein collects in a closed space around the vulva, it can cause pain. As the excess blood isn’t drained properly, your vulva will swell, which produces excruciating pain.
LIKELY TO HAPPEN AFTER Vaginal births.
SOLUTION Incisions will have to be made to remove any possible blood clots or allow the collected blood to drain. Antibiotics may also be prescribed to help you avoid infection.

As Asian women tend to have a shorter perineum, they are more susceptible to suffering tears.

3. Uterine rupture
WHAT This birth injury is potentially life-threatening and relates to mothers attempting a vaginal birth after C-section (VBAC). The strong uterine contractions during childbirth can tear your weak or unhealthy C-section scar. A uterine rupture is potentially fatal for your little one. The good news is that the risk of uterine rupture is low — occurring only in 0.5 per cent of spontaneous labour.
LIKELY TO HAPPEN DURING VBAC births.
SOLUTION Your ob-gyn will advise you to get an immediate emergency C-section. However, this procedure may not save your foetus’s life. You may also have to undergo an emergency hysterectomy to stop the bleeding.

4. Haemorrhage
WHAT Massive bleeding as a result of burst blood vessels in the womb.
LIKELY TO HAPPEN DURING C-sections.
SOLUTION You’ll need to have surgery. If you have blood-clotting disorders, a haemorrhage can be potentially life-threatening. Your doctor may carry out an emergency hysterectomy.

Five more birthing injuries to wise up to… Next!