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4 Ways to Treatment Perineal Rupture Level 1-2

4 Ways to Treatment Perineal Rupture Level 1-2

Windowofworld.com – Level 1–2 perineal rupture is a condition when there is a tear in the birth canal, namely the vagina and the surrounding area, after delivery. Tearing of the skin and muscle tissue in the area can occur due to stretching or strong pressure in the birth canal when the mother pushes to give birth to her baby.

Perineal rupture is a condition that is quite common in normal labor. This condition is more at risk for mothers who are giving birth for the first time, giving birth to large fetuses, undergoing prolonged labor, or needing childbirth assistance, such as forceps or vacuum.

To reduce the risk of severe perineal tears, the doctor or midwife will usually perform an episiotomy. This action is also done to facilitate the delivery process.

Severity of Perineal Rupture

Based on the depth or length of the tear, perineal rupture can be classified into 4 levels, namely:

1. Perineal rupture level 1

Grade 1 perineal rupture is the smallest and mildest type of tear. At this level, the torn part is the skin around the surface of the mouth of the vagina or perineal skin. Grade 1 perineal rupture usually does not require stitches and can heal in about 1 week.


Although the tear is relatively mild, this condition can cause slight pain or tenderness when urinating, sitting, coughing, sneezing, or having sex.

2. Perineal rupture level 2

In level 2 perineal rupture, the torn part is the skin and muscles of the perineum inside the vagina. This condition needs to be treated with stitches and takes about a few weeks to heal.

Just like rupture of type 1 perineum, this type of tear will also cause discomfort when doing certain activities.

3. Perineal rupture level 3

Grade 3 perineal rupture occurs when tears occur in the skin and muscles of the vagina, perineum, and anus. This condition needs to be treated by a doctor because it can cause heavy bleeding.

4. Perineal rupture level 4

Grade 4 perineal rupture is the most severe level of perineal rupture. This condition occurs when the tear has reached the anus and rectum or even the large intestine. This condition needs to be treated with surgery.

How to Relieve Pain Due to Level 1–2 Perineal Rupture?

To relieve pain due to level 1–2 perineal rupture and accelerate the healing process, Mother can take the following steps:

1. Reducing pressure on the vagina and perineum

Try to rest or sleep in an oblique position and use a pillow or a soft pad when sitting to reduce pressure on the vaginal area and perineum. During rest, Mother is also advised not to push too much and lift heavy loads.

2. Keep the injured area clean and dry

During recovery, you need to keep the wound or stitches on the perineum to keep it clean and dry so as not to become infected. Clean the vagina and perineum after urinating or defecating and drying.

3. Give a cold compress

To reduce pain and swelling in the injured perineum, Mother can give a cold compress with ice wrapped in a clean cloth on the perineum for 10-20 minutes. Cold compresses to the perineum may be repeated up to 3 times a day.

4. Taking pain medication

If some of the above methods do not succeed in reducing pain due to level 1–2 perineal rupture that you experience, you can use pain relievers, such as paracetamol, as prescribed and recommended by your doctor.

Stage 1–2 perineal rupture is indeed quite common and usually can recover within a few weeks after normal delivery. However, to reduce the risk of mild or severe perineal rupture, Mother can do the following tips:

  • Do Kegel exercises to strengthen the pelvic floor muscles and increase the flexibility of the birth canal.
  • Perform perineal massage regularly during pregnancy and before delivery.
  • Compress the perineum with a warm towel before delivery to increase blood flow and relax muscles.
  • Maintain a healthy condition during pregnancy by undergoing a healthy diet and regular exercise and taking prenatal vitamins.

During childbirth, pregnant women are at risk of experiencing level 1-2 perineal rupture. However, this condition can usually be treated immediately by a doctor or midwife.

If during the recovery period of the perineum rupture, you feel certain symptoms, such as fever, torn sores or suppurated stitches, or very severe pain, immediately consult a doctor to get the right treatment.

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