Platinum Enthusiast
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I think you mean hematoma, a collection of blood under the skin. Lacerations and hematomas of the perineal structures, including labia, are common with childbirth. It probably did not result directly from using the vacuum assist device, but rather from the general trauma of childbirth, especially if the baby was large relative to the birth canal, which was probably why the vacuum device was necessary in the first place. This is a modern alternative to the large metal delivery forceps that used to be common. The labia have a spongy structure that makes them quite expandable, so any bleeding can make an impressive-sized hematoma. These also occur with straddle injuries. I know of a child who was climbing a tree and fell straddling a branch below, developing a labial hematoma the size of a baseball. In time, everything should return to normal. The only relevant Internet reference I could find on this topic was this. Hope that helps.
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Diamond Enthusiast


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Apply ice packs (FLAT ones  ) that are covered with cloth that is smooth and not nubbly. (You don't want to apply ice packs directly to damaged tissue) Is she still in the hospital or back home? She can alternate Tylenol with Ibuprofen every 2-3 hours to have better pain management. Also, cool sitz bath soaks can help with discomfort. Keep herself very clean, gently patting dry cleansing after using the bathroom.
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