A primipara is a woman who is giving birth for the first time - that is, she is a first time mother and is not going to give birth v aginally after cesarean (known as a VBAC). The lacerations that could be experienced during birth are natural and typically occur to the area between the v agina itself and the a nus. These lacerations are rated according to how severe they are, with a second-degree laceration being one that has actually gone beyond a slight tear in the skin and is now injuring the muscle tissue underneath. The most common complication of these second-degree lacerations after birth is a weakening of the muscles that allow one to p0o; persistence of this problem or an acquisition of postpartum fecal incontinence should both be assessed by a doctor.