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Keywords: Gut microbiota Metabolic endotoxemia Obesity. Background: The gut microbiota plays an important role in human metabolism; studies suggest that the imbalance can cause a metabolic endotoxemia that may be linked to weight gain and insulin resistance. The purpose of this study was to investigate the relationship between the gut microbiota composition, the lipopolysaccharide levels and the metabolic profile in obese and normal-weight young subjects. Quantification of intestinal bacteria was performed by real-time PCR.

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These reasons can include: A large baby.

Some women experience pain with sex after having a tear. However, there are several reasons why a vaginal tear might happen.

These muscles control your bowel movements. Make sure you check with your healthcare provider before taking any pain relief medications. During a typical vaginal delivery, the skin of your vagina prepares for childbirth by thinning out.

Prevention Can an episiotomy prevent me from tearing? This will also be done with dissolvable stitches.

These can include:. Vaginal Tears During Childbirth A vaginal tear perineal laceration is an injury to the tissue around your vagina and rectum that can happen during childbirth. Keep an eye out for any s of an infection while your tear heals. This is meant to widen the opening in a controlled way. In some cases, your healthcare provider may suggest a Cesarean section C-section delivery to prevent a tear.

If you feel any pain or discomfort after your tear, talk to your healthcare provider. First-degree tear : The least severe of tears, this small injury involves the first layer of tissue around the vagina and perineal area. Cleveland Clinic is a non-profit academic medical center.

The perineal area also called the perineum is the space between the vaginal opening and your anus. Show More.

These can help relieve discomfort from your tear. A few factors that could cause a tear can include:. Also called a perineal laceration, this is a tear in the tissue skin and muscle around your vagina and perineum. In a second- third- and fourth-degree tear, you will receive stitches to repair the injury. Management and Treatment How are vaginal tears treated or repaired? Talk to your healthcare provider about the pros and cons of this procedure.

These tips work with each type of tear. A vaginal tear during childbirth can happen for a variety of reasons.

Gut microbiota and metabolic endotoxemia in young obese mexican subjects

There are several different grades of vaginal tears. Avoid constipation by drinking plenty of water and using a stool softener. If your tear required stitches, they will dissolve within six weeks. If you are of Asian ethnicity. A fever.

Any stitches will dissolve on their own within six weeks. The position of the baby face-up deliveries. Appointments A vaginal tear can happen during childbirth.

These grades are determined by the severity of the tear. Most women feel relief from any pain caused by a vaginal tear in about two weeks. Your healthcare provider may also give you cooling p to wear with your sanitary pad post-delivery.

There are four grades of tear that can happen, with a fourth-degree tear being the most severe. The risk is usually low enough that you can still have a vaginal delivery if you would like to. Use a peri-bottle a squirt bottle to wash yourself clean after using the bathroom.

An episiotomy is a procedure that may be used to widen the vaginal opening in a controlled way. This type of tear involves injury to the skin and muscular tissue of the perineal area, as well as damage to the anal sphincter muscles. In some of the most severe cases, your healthcare provider may need to repair the injury to the anal sphincter. Treatment of a vaginal tear depends on the severity of the injury. An episiotomy is often listed as one of the risks for a more severe tear third- or fourth-degree.

The tear is slightly bigger here, extending deeper through the skin into the muscular tissue of the vagina and perineum. There are a few things you can do to help ease this discomfort.

Use of forceps or a vacuum during delivery. An episiotomy is a procedure where the healthcare provider makes a cut from the edge of your vaginal opening outwards. Going to a Cleveland Clinic location? Fourth-degree tear : This is the least common type of tear during childbirth.

These reasons can include:. Extending from the vagina, through the perineal area and anal sphincter muscles and into the rectum, this injury is the most severe type of tear.

If you have had a third- or fourth-degree tear in the past, you can be at risk for a tear during vaginal childbirth in the future. A large baby more than 8 pounds. How serious are vaginal tears? How long does it take a vaginal tear to heal? Most small tears heal well and will not prevent you from having future vaginal deliveries. Use of forceps during delivery.

You may feel some discomfort in the weeks after delivery while your tear heals. Second-degree tear: This second level of this injury is actually the most commonly seen tear during childbirth. Third-degree tear: A third-degree tear extends from your vagina to your anus.

Gently pat yourself dry with toilet paper instead of wiping. These can include: A foul-smelling discharge. We do not endorse non-Cleveland Clinic products or services.

Vaginal tears during childbirth

Symptoms and Causes What causes a vaginal tear during childbirth? In a first-degree tear, you may not need any stitches. Advertising on our site helps support our mission.