What should you know about second degree tear birth?

Birth can stretch or split the perineum, the tissue between the vagina and anus. In a second-degree tear, the injury reaches muscle beneath the skin but remains separate from the anal sphincter. The birth team checks the wound, controls bleeding, and may close it with stitches using local anaesthetic. Tenderness and a pulling sensation can be noticeable as the tissues settle.

Rinse with lukewarm water, keep pads changed, and dry gently. Rest when possible while taking short, easy walks as comfort allows. Fluids, fibre, and any recommended stool-softening plan can make bowel movements easier. Avoid inserting anything into the vagina until your clinician says healing is adequate. If symptoms continue, [Postnatal Physiotherapy](/treatments/pelvic-floor-and-rehabilitation/postnatal-physiotherapy/) can provide tailored support for pelvic-floor coordination and scar discomfort.

Arrange a review if pain or swelling is increasing rather than easing, the stitches separate, or discharge becomes foul-smelling. Fever, chills, feeling unwell, new bleeding, or pus may signal infection. Seek urgent assessment for heavy bleeding, collapse, severe pain, or new loss of bowel control. Your clinician may recommend [Perineal Repair](/treatments/pregnancy-and-birth-care/perineal-repair/) assessment when the wound needs closer examination or treatment.

Ask which muscles were affected, how to recognise normal healing, what to use for pain, and when you may resume exercise or sex. Ask for a clear contact number for concerns about the wound, urination, or bowel movements.