Cishe u-85% wabesifazane uzokhala izinyembezi noma i-episiotomy ngesikhathi sokubeletha.Ngenxa yokuthi lezi zimbobo zokukhala ziseduze ne-anus, zijwayele ukutheleleka, futhi ziholela ebuhlungu besilonda, i-perineal edema, nezimpawu ze-hematoma.Izinkinga ezingathi sína zingaholela ekushayweni okopha noma ngisho nokufa.Iphakethe leqhwa lezokwelapha langemva kokubeletha lamukela isimiso sokushisa okuphansi okuphansi kokushisa okuphansi, okunganciphisa ngokuphumelelayo ubuhlungu besilonda, ukunciphisa i-perineal kanye ne-edema yesilonda kanye ne-hematoma, futhi ngesikhathi esifanayo kusiza ukunciphisa ukutheleleka kwesilonda.
Ukufingqa, amaphedi obuhlengikazi bezokwelapha ahlanganisa amaphedi okubeletha, afana ngokuyisisekelo.Iphedi labahlengikazi bezokwelapha inguqulo ethuthukisiwe yephedi yobuhlengikazi obujwayelekile.Yakhelwe ngokwezidingo zabasebenzi bezokwelapha kanye nomama, futhi inemisebenzi eyahlukene kanye nokwenzeka okuqinile.Njengamanje, amaphedi abahlengikazi bezokwelapha emakethe wonke afakwe inzalo nge-ethylene oxide, futhi afakwe inzalo ngemisebe ephephile nehlanzekile, ukuze abesifazane abakhulelwe bakwazi ukuyisebenzisa ngokuphepha.