17/07/2025
The perineum is the area located between the va**nal opening and the a**s.
It's quite common for this area to experience some tearing during childbirth.
Tears can also happen inside the va**na or on other parts of the v***a, such as the l***a.
Around 9 out of 10 first-time mothers who give birth va**nally will have some form of tear, graze, or may need an episiotomy. This is slightly less common for those who have had a va**nal birth before.
Most of these tears are minor and tend to heal quickly.
What is the difference between a tear and an episiotomy?
An episiotomy is a surgical cut made by a healthcare provider in the perineum and va**nal wall to help create more space for the baby during birth.
This procedure is only performed with your consent.
It’s typically done when the baby needs to be delivered quickly—such as during an assisted birth using forceps or a vacuum—or when there’s a high risk of a severe tear.
What happens if I do have a tear?
After the birth of your baby, your healthcare professional will carefully examine your va**na, perineum and re**um to see if you have a tear, and if so, what type. They will then advise you if you need stitches.
If you have sustained a more severe tear, you will be transferred to the operating theatre where your muscles will be repaired. You will be given an epidural or spinal anaesthesia, so that you have good pain relief.
Speak to your midwife or health professional about what you can do to reduce your likelihood of experiencing a tear during va**nal childbirth. Also book onto a pelvic health information session to learn about perineal massage and how to do this during pregnancy to help.
