Repair of third- and fourth-degree tears, how to care for stitches, and what to expect when healing. For some women, a tear may be deeper and extend to the muscle that controls the anus the anal sphincter. A rectal buttonhole is a rare injury that occurs when the anal sphincter does not tear, but there is a hole between the back passage and the vagina. This means that wind and faeces may be passed through the vagina instead of via the anus. If you have sustained a third-degree, fourth-degree or rectal buttonhole, you will be transferred to an operating theatre as soon as possible after your baby is born.
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Third- and fourth-degree tears (OASI) | RCOG
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How To Avoid Re-Tearing After Childbirth, Cuz Ouch
Many women experience tears to some extent during childbirth as the baby stretches the vagina. Therefore, it is very important to identify a 3rd or 4th degree tear and repair it properly. If the tear involves only the anal sphincter muscle, it is called a 3rd degree tear.
Pregnancy and delivery ask a lot from your body. Some people are eager to get back to sex after healing from birth, while others are content to wait. Usually, your doctor or midwife will advise abstaining from having sex during the first six weeks after delivery. When possible, keep your partner informed so they can support you.