[you May Not Know] How To Care For Perineal Stitches After Birth
In the process of giving birth, in some cases, doctors are forced to apply an episiotomy procedure to make it easier for women to have an “out”. After the birth, the doctors will perform stitches on the perineum. And taking care of this stitch is very important.
What is the perineum?
The perineum is the area of the body between the pubic and coccyx, including the perineum and surrounding structures. This part is the tissue between the anus and the vagina, about 3-5 cm in length. The perineal cavity is very important in the intercourse, sperm reception and nourishment of the fetus.
Why do you have to have an episiotomy?
In fact, during childbirth, the female genitals gradually expand the muscles so that the fetus can easily slip out. However, dilatation is limited, and the doctor will make an episiotomy when necessary, especially in the following cases:
The fetus has a large head or is quite large in weight
The fetus lies on its buttocks or legs
The baby does not have enough oxygen
Births need to use forceps or assisted vacuums
Women push long time at birth
Women with poor perineal flexibility, vaginitis, and inadequate contractions of the uterus make labor more difficult
The doctor or midwife will make a small incision in the perineum to help the fetus be born quickly and avoid the case of women trying to push and tear the perineum.
Usually, the area that is torn or incised is the perineum in the area between the vagina and anus. After the birth, the doctors will perform stitches on the perineum. The wound will be worse, harder to stitch and even cause serious bleeding complications. A torn stitch will be difficult to achieve a high level of aesthetics like an active perineal cutting. For some women who have a wide enough vaginal opening, are likely to give birth easily, or the fetus is small, this procedure may be ignored.
The doctor will make a short incision in the perineum to help the fetus be born quickly
Learn more in the video answering the question Is perineal surgery painful?
Time for the perineum to heal
Usually, after 2-4 weeks, the stitch will heal. However, this depends on the location of each person
So the mother after childbirth needs to know how to take care of the perineum suture so that the wound will heal quickly.
Dangerous complications can occur with the perineum
The mother will get sore after having an episiotomy. Some problems that can occur with perineal sutures such as perineal sutures are open, torn, broken septal sutures, festering and itchy stitches. Pregnant women with the following abnormalities should seek medical attention immediately or visit a hospital:
Abnormal sutures with abnormal or festering pus or odor because these may be signs of an infection of the perineum suture
Fever or chills
Abdominal pain much lower
Burning sensation or pain when urinating
How to care for perineal stitches
How to help reduce sore pain
Cold compresses: Methods that can help reduce pain and reduce inflammation. Perform by sitting in a tub of cold water, then dry the stitches with a clean towel.
Analgesics: The patient may ask a doctor to prescribe pain medication without affecting the quality of the milk.
Adjust posture: If you have pain when sitting, you should turn to prone, or inclined. If sitting, should sit on the air mattress can adjust the swelling will help more comfortable.
Abstinence from sex: Many people will experience pain during sex for the first few months after birth. The woman should talk to her husband and wait for the stitches to heal completely.
Care for stitches: Keep stitches clean and dry, especially after urinating. If defecation becomes difficult, stool softeners should be used first.
Limit strong physical activity to avoid damaging the wound.
Do not indent
Follow a healthy diet
Get more rest and do light activities.
Eat plenty of fiber and drink plenty of water to avoid constipation.
If you have pain in the perineum suture when sitting, women should sit on the air mattress can adjust the swelling to help more comfortable.
Perineal sutures can interfere with "sex" in the first few months. Therefore, if you encounter this situation, please share with your husband, postpone the "close" until the stitch is completely healed.
Eat a lot of laxative foods to avoid constipation, because constipation can cause strong pushes and damage to the un heal stitch.
Strong physical activity should be restricted to avoid damaging the wound. However, postpartum mothers can move around the house gently to increase blood circulation to the perineal area, helping the wound to heal faster.
Applying cold compresses may help reduce pain and reduce inflammation, but ask your doctor about the times and ways to make them safe.
One of the ways to help reduce the pain in the perineal suture is by taking analgesics. If you have a lot of pain, you can ask your doctor to prescribe additional pain medication without affecting the milk.
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