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Medical tests and treatment

Medical Practises

The delivery of the baby may cause trauma to the perineum area which is the area of tissue between your vagina and your anus.

Definitions of trauma
Intact perineum
  • This means no sutures but you may have bruising and swelling from the birth.
Labial grazes
  • These are slits in your skin normally found on your labia following the birth. These will normally only be sutured if they are bleeding. They can sting when you pass urine in the first few days after giving birth. This can be sutured by a Midwife or a Doctor.
1st  degree tear
  •  This is a small tear on the entrance to your vagina near your perineum. This tear will not involve any of your perineum muscle. These tears may be sutured but sometimes they are so small that are not stitched. This can be sutured by a Midwife or a Doctor.
2nd degree tear
  • This involves the entrance to your vagina as well as the muscle to your perineum. This can be sutured by a Midwife or a Doctor.
3rd degree tear
  • This involves the entrance to your vagina, your perineum muscle as well as damage to your anal sphincter. This has to be sutured by a Doctor and you will probably go to the operating theatre for this type of suturing. You are eligible to claim ACC for this type of tear.
4th degree tear
  • This involves the entrance to your vagina, your perineum muscle as well as damage to your anal sphincter and extends into the rectum. This has to be sutured by a Doctor and you will  go to the operating theatre for this type of suturing. You are eligible to claim ACC for this type of tear.
Episiotomy
  • This is a cut that involves the entrance to your vagina as well as the muscle to your perineum. This can also sometimes extend into a tear. This can be done and sutured by a Midwife or a Doctor.