A perineal haematoma is a blood-filled swelling that can occur due to excessive strain or injury in the perineal area, often after childbirth. This region lies between the anus and the vulva in females, or the anus and the scrotum in males. It often results from tearing or episiotomy during vaginal birth.

Key Takeaways

  1. Perineal haematoma is an obstetric complication that involves the collection of blood in the perineal tissues which often occurs after childbirth due to the strains and pressures exerted.
  2. Some common symptoms consist of pain in the perineal region, discomfort while sitting or walking, and visible swelling or bruise in the perineal area.
  3. Prompt diagnosis and management is important to prevent further complications such as infections. Methods for management can include cold packs, analgesics, rest, or in severe cases, surgical intervention may be required.


The term “Perineal Haematoma” is important in motherhood discussions because it refers to a condition that can occur during childbirth, particularly after a vaginal delivery.

A perineal haematoma is essentially a blood-filled swelling that forms in the perineum (the area between the vagina and the anus). This can occur when blood vessels in this area burst due to the pressure exerted during delivery, causing significant discomfort, pain, and potential complications for the new mother.

It may require treatment ranging from cold compresses and pain relief to, in more severe cases, surgical intervention.

Being aware of this condition, its symptoms, and treatments can better prepare mothers-to-be to manage their postpartum well-being, especially if they experience such a phenomenon.


A perineal haematoma, as it relates to motherhood, is a medical condition often associated with the child-birth process. It’s not something that is ‘used for’ any specific purpose, but rather a physiological occurrence that happens to some women.

An important purpose it serves from a medical perspective, however, is that it’s a clear sign to healthcare providers that there could be a birth trauma or complication that needs urgent attention. A perineal haematoma entails a collection of blood in the perineal region, the area between the vagina and the anus.

This usually happens as a result of ruptured blood vessels during childbirth, especially after a vaginal birth. These haematomas can cause severe pain and discomfort and, in severe cases, necessitate surgical intervention.

Therefore, recognizing a perineal haematoma can be key in ensuring proper medical care to ensure the health and well-being of the mother post-birth.

Examples of Perineal haematoma

“A 35-year-old woman recently gave birth to her first child. The delivery was a long, natural one that ultimately caused some bruising and swelling known as a perineal haematoma. Her doctor explained that this was due to the pressure exerted during the course of labor and delivery, and recommended adequate rest, ice packs and pain relief medication.”

“In a routine post-natal check-up, a healthcare professional noticed that a new mother seemed to be in extreme discomfort while sitting down. Upon examination, it was found that she had a perineal haematoma – a blood-filled swelling in the perineal area. It was likely caused by the straining during delivery. The patient was then advised on how to care for it and alleviate her discomfort.”

“Another case involved a new mother who complained of severe pain in the perineal area following the birth of her child using vacuum-assisted delivery. After a careful examination, she was diagnosed with a perineal haematoma. In this particular case, she required minor surgery to relieve her pain as her haematoma was quite large.”

FAQ Section: Perineal Haematoma

What is a Perineal Haematoma?

A perineal haematoma, also known as “vaginal hematoma”, is a collection of blood in the perineal region. It can occur due to trauma or injury during delivery.

What causes a Perineal Haematoma?

Perineal haematomas are typically caused by damage to blood vessels in the perineal region during a difficult labor, forceps delivery, or any surgical procedure in the area.

What are the symptoms of a Perineal Haematoma?

Symptoms include pain and swelling in the perineal area, difficulty in urinating and bowel movements, and occasionally, systemic signs of blood loss. A visible mass or bruise may also be present.

What is the treatment for a Perineal Haematoma?

Treatment depends on the size and symptoms of the haematoma. Small haematomas may resolve on their own, while larger ones may need surgical drainage. Pain relief, ice packs, and sitz baths can help manage symptoms.

How can a Perineal Haematoma be prevented?

Performing perineal massage and kegel exercises during pregnancy may help reduce the risk of perineal trauma during childbirth. However, it is not always possible to prevent a perineal haematoma, particularly in complex deliveries.

Related Motherhood Terms

  • Postpartum Recovery
  • Episiotomy
  • Pelvic Floor Muscles
  • Vaginal Birth
  • Obstetric Trauma

Sources for More Information

  • Mayo Clinic: Provides credible, easy-to-understand health and medical information.
  • WebMD: Offers trustworthy and timely health and medical news and information.
  • NHS (National Health Service): The UK’s biggest health website, giving reliable advice about health and disease.
  • Healthline: Provides real, science-backed answers to help you live a healthier life.