Understanding Perineal Hematoma: Causes, Symptoms, and Treatment

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Author: Hegenberger Medical

Childbirth is a miraculous experience, but it can also be one of the most physically challenging experiences a woman will ever go through. A perineal hematoma is a rare complication. In this blog post, we will discuss everything you need to know about perineal hematoma, including its causes, symptoms and the available treatment options.

A perineal hematoma occurs when there is a collection of blood in the perineum, which is the area between the vulva and the anus. It is caused by the rupture of blood vessels in the perineum during childbirth. It is noteworthy that a perineal hematoma is very different from a bruise, as a hematoma is a solid mass of clotted blood outside the blood vessels.

There are several causes of perineal hematoma, including prolonged or difficult delivery, the use of forceps during delivery, and fetal macrosomia, which means the baby is larger than average. Women who have previous vaginal deliveries, particularly those that resulted in tears to the perineum, may also be more prone to experiencing perineal hematoma.

What are the symptoms of perineal hematoma?

The most common symptom of perineal hematoma is pain in the perineal area, which may be worsened by sitting or walking. There may also be a bulging swelling in the perineal area that is firm to the touch, and the skin may also appear bruised and discoloured. Other symptoms can include swollen and painful lymph nodes, fever, and difficulty urinating.

If you experience any of the symptoms mentioned above, it is essential to seek medical attention promptly. Treatment typically involves draining the blood from the hematoma, providing pain relief with medication, and antibiotics to prevent infection. For larger hematomas, surgery may be necessary, but this is very rare indeed. Perineal massage is also an effective measure that can help prevent perineal tearing during delivery and reduce the risk of perineal hematoma.

Childbirth is an incredible and transformational event in a woman’s life, and complications such as perineal hematoma can be daunting. By learning more about the condition, women can better prepare themselves and make informed decisions that can help prevent and effectively manage perineal hematoma. If you have any concerns or questions about perineal hematoma, speak to your midwife, or obstetrician for prompt medical advice and care.

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