Anal Sphincter Damage After Vaginal Delivery

Anal sphincter damage is a common, yet often under-discussed, complication that can occur in women after a normal vaginal delivery. This type of injury typically affects the muscles controlling the anal sphincter, which play a crucial role in maintaining bowel continence. During childbirth, the intense pressure and stretching involved as the baby passes through the birth canal can cause tearing or weakening of these muscles, especially in cases where forceps or episiotomies are used, or when the baby is large. While some women may experience mild symptoms, others may face significant challenges, including difficulty controlling bowel movements, gas, and rectal urgency. Early diagnosis and treatment are essential to manage symptoms and improve quality of life, and options may include pelvic floor therapy, muscle-strengthening exercises, or, in some cases, surgical repair. Raising awareness about this condition is crucial so that women feel supported in seeking help and receive timely, effective care.