TEAR OF THE CERVIX (Laceration)
Categories: Diseases of WomenThis is a tear in the lower part of the
cervix. There may be one or more. The left one-sided tear is the usual
form. Next comes the tear on both sides (bilateral). Tears on front and
behind are not frequent. Tears are found in about thirty per cent of women
who have had children.
Causes. The majority of cases are caused by labor, and is due to a cervix
that is not perfectly dilated. Very hurried, quick labors ca
sometimes, but the greatest injuries are due to the various operations for
delivering the child through a cervix that is not fully dilated.
Symptoms. Immediate and remote. On the immediate, when the tear is
severe, there is bleeding; later, sub-involution, that is, the womb does
not return to its normal size and weight.
Remote symptoms. Leucorrhea, thick and mucus in character; profuse
menstruation and inability to become pregnant. When the tear has extended
through the internal opening the woman win not be able to carry the child
to full term, even if she becomes pregnant.
Treatment. Tampons of ichthyol (ten per cent), mixed with glycerin,
introduced twice a week against the cervix and permitted to remain
forty-eight hours will often afford relief.
The tear should be repaired after child-birth, if possible. If not then,
and if it does not heal, it should be repaired later when the tear extends
through the internal (opening) or in case of extensive raw surface on the
cervix.
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