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VAGINAL TEARS at birth are AVOIDABLE

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In the last issue, we explored how vaginal tears (perineal lacerations) occur and when to seek specialist treatment. In this issue, we answer the question whether you can avoid tearing altogether and also give you tips to a speedy recovery when you get a tear.

For years, many within the medical fraternity believed that a routine episiotomy (the surgical incision of the tissue below the vaginal opening during childbirth), taken as a cautionary move, could reduce the risk of tearing.

However, research has shown the premise could not be further from the truth. Obstetric bodies worldwide have called for the reduction of routine episiotomies (not to be confused with episiotomies for specific emergency situations such as foetal distress) and instead emphasised better handling of patients and procedures to mitigate or avoid tears altogether.

Unfortunately, for many women especially on this side of the hemisphere, this information is unknown. There are many known ways of helping a woman avoid vaginal tearing during birth. Below are some of them:

Perineal massage

According to research, massaging the perineum for 10 minutes can reduce the chances of a tear by 10 per cent and an episiotomy by 16 per cent especially in first time births, as it increases the elasticity of the perineum.

Avoiding the urinary tract and using clean hands and a lubricant such as petroleum jelly, place your thumb inside the vagina and press downwards and sideways towards the rectum and hold for one to two minutes until you get a tingling sensation. Then slowly, massage the lower half of the vagina. Once a day should be enough.

Expectant mothers can start this manoeuvre at 33 weeks and continue all the way to childbirth. Avoid the massage if you have active herpes lesions to avoid infection to other areas.

Birthing position

Research has shown that standing, squatting or kneeling positions during childbirth has far less tearing consequences as opposed to the more traditional lying down on the back position.

Discuss with your caregiver about the appropriate position for you. Being on free government maternal healthcare does not mean your right to know is stripped away. Ask about your options and air your concerns to avoid any future regrets.

Warm compresses

This is recommended during the second stage of labour where your caregiver places a warm cloth on the perineum to soften it up and make it more flexible.

Support

Having the right support system at your side be it a family member, spouse or caregiver has been shown to help expectant mothers have a stress-free delivery.

As a value add, enroll with your partner for childbirth classes to learn a few tricks such as breathing and relaxation techniques and to help you become aware of what your body will undergo during delivery.

Healing

Common tears do not require hospitilisation once the doctor puts in the sutures. With antibiotics, some home based tips and proper hygiene, the wound should heal easily and completely anywhere between two weeks to six months. Here are some tips to speed up the process with minimal pain.

Do…

Aerate:Going panty-free for up to 10 minutes a day will keep infections at bay.

Drink:Water goes a long way to ensure you do not suffer urine burns when peeing.

Eat:Constipation coupled with stitches on your nether regions inspires only one word: Ouch! Bulk up on high fibre foods to ease bowel movements.

Sit bath:Women from all generations can attest to the healing, relieving and comforting powers of a saline sit bath. A 10 – 20 minute sit down once to three times a day is enough. If you cannot be bothered to sit, warm compresses on the area are a great alternative.

Dry: Always dab a towel on the area after a shower or tissue after passing urine. Be sure to use front to back strokes.

Swallow:In such trying times, painkillers trump diamonds as a girl’s best friend. Just ensure that they are breastfeeding friendly.

Consult:In case complications occur, for instance if the abdomen or vaginal area becomes painful, bloody or smelly, then its time for a check-up. The same applies if you experience high temperature or cannot control your bowel movements.

Don’t…

Wear tight fitting clothes as it reduces aeration.

Blow-dry the area as this excessively dries out the area, inhibiting healing.

Insert a tampon, exercise heavily or resume sex unless your doctor gives a go-ahead.

Published in June 2015

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Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

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While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

Continue Reading

Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

Published

on

While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

Continue Reading

Cover Story

Endometriosis and sex: How to make intimacy pain-free

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There is no doubt that endometriosis can affect a woman’s way of life. The condition slews a couple of conditions, painful sex being one of them. Penetration pulls and pushes any tissue growth behind the vagina and lower uterus.

Although symptoms may differ from woman to woman, here are some things you can do to lessen your pain and ensure you have some good time:

Take a dose of painkillers

Take an over the counter painkiller that sits well with your body before intercourse and incase pain persists, take another one as prescribed.

Track your cycle and try at certain times of the month

Most women with endometriosis experience excruciating pain during their period and ovulation. Keep track of your cycle so that you can know when you are ovulating. You can use apps like my calendar and flo period tracker to track your periods. This will help you know when best to engage in sexual intercourse.

READ ALSO: Crucial Facts About Endometriosis Everyone Should Know About

Use lube

Vaginal dryness is not something to be ashamed of and if you happen to have it, lube should be your best buddy. Make sure to use any silicon or water based lubricant anytime you feel like your vagina is dry. Ensure the application is of good amount to achieve a wet area.

Explore alternatives

Talk with your partner about things that turn you on and bring you pleasure. Just to mention a few; mutual masturbation, foreplay, kissing and mutual fondling. Sex does not have to mean intercourse.

Try different positions

Experimenting different positions can teach you and your partner which ones hurt and the ones that bring direct pleasure with no or less pain. Positions that are considered better vary from person to person so take the time to explore and learn yourself with your partner.

Find the right rhythm

Finding the right rhythm can help you experience less discomfort during sex. Quick thrusting or deep penetration can aggravate pain. Talk to your partner about that which you do not like and find ways that will satisfy the both of you like exchanging positions so that you can control the speed and rhythm.

Bottom line

Intimacy does not have to be boring, painful or make you hate the condition that you have. Talk openly about your feelings around sex and penetration and what would help to ease your concerns.

Our FREE  e-paper March Issue is here!
As we celebrate our women this month, we bring you the best stories and the most inspiring features to get you going.
Click HERE to read!

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