What to do so that the seams after episiotomy do not hurt

What is epiziotomy? Features of seams after dissection. What to do for successful wound healing? How to care for seams? Complications of seams

Epsotomy – operation during childbirth carried out by an obstetrician-gynecologist. Surgical intervention in the dissection of crotch and deeper than lying tissue scalpel. This event is forced and is carried out in two cases: when there is a threat of a crotch break due to too large fetal head; With bad stretching walls of the vagina in a woman.

Also, the operation is carried out if necessary to accelerate the generic process, when there is a threat to a child or mother.

How the procedure is carried out?

It is difficult to say before childbirth, how high the likelihood of this procedure is. Its in the overwhelming majority is carried out in the presence of indications and, in case of extreme necessity.

The crotch is cut at the moment when the head of the fetus squeezes the tissues of the tricks as much as possible. Usually costs without additional anesthesia: tissue compressed, that is, blood does not go to the nerve endings, therefore, the pain impulse will not follow in the brain. That is why at the moment of dissection does not hurt.

The incision made by a specialist is sewn in layers: first uses absorbing suture material on muscles, mucous and fascias located between the vagina and intestines. Skin covers are stitched by conventional non-disseminating threads, often medical silk. In some cases, the doctor can perform the so-called cosmetic seam: outside there is only initial and end nodes, the rest of the thread is hidden under the skin.

Seams made by resorption threads do not need to withdraw. They independently dissolve after 7-10 days after surgery. It is worth noting that the resorption time depends on the material selected. But the seams on the perineum themselves will shoot doctors in the conditions of the hospital or women’s consultation.

Features of episotomic seams

The main feature that the seams made after episiotomy are possessed, is that they are located in a place where it is difficult to maintain a sterile environment. Immediately after childbirth from the vagina, LOOSIs begin to stand out, which will be observed from 1 to 1.5 months.

On the crotch, it is impossible to fix a sterile bandage due to the anatomical structure of this area. In addition, the plaster does not glue on the wet surface of the skin. Based on the foregoing, a special care is needed after episiotomy.

What to do so that the seams removed on time, that is, 5-7 days after surgery?

• Every 2 hours change hygienic gaskets;
• After visiting the toilet, it is warm water. You can use a disinfection soap or a pale pink solution of manganese. Seam area Wipe with towel or gauze with wing movements. Such care should be both in the maternity hospital and for 1.5 months after delivery;
• Every day, during his stay in the hospital, the midwife will handle seams in the gynecological chair;
• Cannot take baths. The ban on such water procedures lasts at least 1 month. Hygienic procedures are carried out in the shower or use the bidet;
• Many women are interested when you can sit after the episiotomy. This issue is very important, since complications are possible in violation of the regime. To fully sit down is not allowed 10 days – 2 weeks after the manipulation. It is allowed only by the seating for the toilet. Take food or feed the baby can stand or lying, but in no way differently. After about 10 days, it is allowed to sit on a stool with a rigid surface. After some time, rest on the sofa is allowed, in the chair and T. NS.;
• During the first 3 days, it is not necessary to eat bread and other baking. This also applies to Kash. Deprivation is aimed at delaying the defecation;
• After a woman is discharged from a maternity branch, she can go home in the rear seat of the machine at the middleside position;
• If there are signs of inflammation, which will be noticeable when processing a seam, the woman in labor is prescribed antibiotics, inside and in the form of injections.

Speed ​​healing speed and sex after episiotomy

How many seams are heated after episiotomy? – Another question, disturbing newly-made mothers. It is worth noting that this process is quite long – the healing will go about a month and a half. The restoration of the skin is influenced by the individual features of the body, as well as adherence to the above measures.

When sex after episiotomy is possible? Abstinence should also be long – at least 6 weeks. The first few sexual acts may be accompanied by soreness and strain. That is why the partner must be patient and not to rush. It is recommended to use a lubricant and give preference to the pose that allows you to control the woman’s depth depth.

How to care for seams after childbirth and what to do if they are bothering?

In the hospital they are handled by midwesters. To do this, use green or manganese. In the future, the woman will deal with this home independently. Perform an event is necessary after each water procedure.

Need to be accurate in the emptying of the intestine. It is impossible to overvolt the fastening fabrics. The optimal option when calling to the toilet will be an enema or glycerin candle.

Hygienic gaskets can be replaced by disposable panties made of breathable materials. When preference is given first, then underwear must necessarily be made of natural material, for example, cotton.

It is also not worth dressing right after the shower, because air baths are well affected by the skin and dissection faster heal. In this case, you can not get a damn area, but simply wait for its complete drying.

You can not wear pulling linens, as the process of blood circulation is disturbed, which negatively affects the healing of wounds.

Complications of postpartum seams

The main complaint of women is pain. Normally styled after episiotomy, only 2 days. But discomfort caused by him will persist much longer, especially if a woman does not adhere to the above measures, will try to sit before.

If the wound hurts in a sitting position, but you can endure – this is the option of the norm. When unpleasant feelings are overtaken in the position of standing or lying, you need to contact a doctor. After all, there is an inflammatory process.

In the consequences of episiotomy, the discrepancy between the seams and the suppuration.

In the first case, if the wound is still fresh, stitches are replaced. When the incision has already connected well and not all seams, then the doctor most often leaves the situation as it is, but only in the absence of a threat to the health of a woman. With the dyssension of the whole seam, the wound dissect the new and again sewn.

Very often, the discrepancy occurs after discharge from the maternity department. If a woman at home began to disturb any states affecting the seams, it should immediately seek medical care or cause emergency assistance.

With the suppuration, the doctor prescribes additional measures regarding the processing of damaged tissues. Care is supplemented with tampons with special ointments.

Usually used tools that eliminate inflammation and suppuration, for example, Levomikol, ointment of Vishnevsky and other drugs possessing similar properties. When detecting uncharacteristic selections, it is also necessary to immediately contact the medical institution.