Caring for your perineum after the birth of your baby
What to do with stitches after childbirth
After childbirth, many women are stitched: on the cervix, vagina or perineum. Depending on the location of the seams, they are divided into external and internal.
If there is a rupture of the cervix or the integrity of the walls of the vagina is broken, then the sutures applied to the affected areas are called internal. They are applied some time after childbirth, when the doctor examines the genitals.
At the same time, there is no need for anesthesia, since the uterus at this time is absolutely insensitive. However, suturing the vaginal walls requires the use of a local anesthetic. In both cases, self-absorbable threads are used, the feature of which is that there is no need to remove them.
Outside seams are placed over the crotch. They must be applied if during childbirth there was a rupture of the perineum or had to be artificially cut. If the situation is critical and doctors see that a rupture is imminent, then they prefer to make an incision.
The edges of the wound in this case are smooth, therefore, it will heal much faster. The application takes place under local anesthesia.
Perineal tears or incisions are sutured using two methods: standard sutures requiring removal after 5 days, or self-absorbable. Sometimes doctors use cosmetic stitches that came to gynecology from the field of plastic surgery. This method consists in passing the suture subcutaneously, so only the beginning and end of the suture are visible.
Care of sutures after childbirth - which is strictly prohibited
In the maternity hospital, midwives are engaged in external sutures. Twice a day, they process them with a solution of potassium permanganate or brilliant green. When I leave the woman in labor, the treatment should continue at home, independently, after each washing and taking a shower.
Internal seams do not need any special care, provided that the woman does not have infectious diseases.diseases. Usually this issue is resolved even before pregnancy.
You need to be extremely careful with bowel movements, you should not strain the connective tissues. The best option is to give an enema or a glycerin candle when you feel like it. After visiting the toilet, it is imperative to wash yourself.
You can also use a hygiene product (foam, gel, soap), but only twice a day (usually in the morning and evening). It is better to do the procedures under the shower rather than taking a bath.
Sanitary towels should be changed every 2 hours, even if they may still serve. Disposable panties, which are made from a special breathable material, are a good alternative to pads.
If there are none, then it is better to take underwear from cotton fabrics. Do not use draping underwear, because it interferes with normal blood flow and thus wound healing. Also, you shouldn't put on underwear right after a shower!
In addition, do not rub the seam with a towel. You need to blot it lightly or wait until it dries on its own.
Air baths are useful not only for newborns, but also for mothers who have suffered tears during childbirth.
It is strictly forbidden to sit for at least 10 days. After this time, if the wounds will heal well, it is allowed to sit on hard surfaces. It is recommended to rest lying or reclining. It is also forbidden to make sudden movements. These measures are necessary to ensure that the seam does not come apart.
A woman who has tears is examined by a doctor daily. If the healing process proceeds normally, no pathologies are found, then the standard treatment procedure is applied: potassium permanganate, brilliant green or peroxide. When there are deviations from the norm, they act depending on the situation.
Outside seam split after childbirth: what to do
If the wound is still in the healing process, but the sutures for any reason have parted, they are reapplied. When the gap has healed, but only a few stitches have separated, the doctor can leave everything as it is (if there is no threat to health).
When all stitches diverge, the wound is dissected and sewn up again. If such a situation arises at home, it is necessary to urgently call an ambulance and transport the woman to the hospital.
What to do if seams fester
If a pathology is found, for example, suppuration or inflammation of the seams, then the doctor takes additional treatment measures. In this case, hygiene procedures are supplemented with tampons with ointments.
For this, agents are used that relieve inflammation and suppuration, for example, Levomikol, Vishnevsky's ointment and similar ones. If a woman finds an uncharacteristic vaginal discharge, she should immediately consult a doctor.
How long will the stitches heal after childbirth
This question is of interest to absolutely all women who arebursts radiated. The answer is very difficult, because there are several factors that affect wound healing.
It is also worth considering that different materials are used for suturing, which also affect the healing process:
- Self-absorbable (threads can be made from both synthetic and natural materials). The wound itself heals up to about 2 weeks, and the threads will dissolve only after a month;
- Non-absorbable. The threads need to be removed after 5-6 days. This can be done both in the maternity hospital and in the antenatal clinic if the young mother has already been discharged. Postpartum stitches will heal for at least 2 weeks;
- Metal staples, which are also removed with the help of a doctor;
- The speed of healing depends on the entry of pathogens into the wound.
Pain in the seam area
Pain will be present in any case, even if self-absorbable sutures were applied immediately after childbirth. This applies to both external and internal breaks. The norm is the disappearance of pain in about 2-3 days after stitching. However, the discomfort will last much longer, especially if you want to sit down earlier than the allowed time.
If discomfort occurs only in a sitting position, and they are not strong (you can tolerate it), this is a normal phenomenon. However, the presence of discomfort in a lying or standing position is a sign of an inflammatory process. This pain cannot be tolerated and you need to see a specialist.
It is already known how to treat stitches after childbirth, but what can be used from intimate hygiene products?
- Washing gel or soap should cleanse the skin well, but not irritate it or cause allergic reactions. Baby soap is also used, as well as antibacterial, but the latter is not used for more than 10 days. It is better to give preference to previously proven products that were used before pregnancy;
- It is worth clarifying about the features of the gaskets. They should be nocturnal or maxi, as the lochia (discharge) in the first days is very abundant. Now there are also special pads for use especially in the postpartum period with excellent absorbency. On the first day, it is recommended to use small pieces of tissue. So the doctor or midwife will be able to monitor the amount of discharge, because too abundant indicates postpartum bleeding, and their absence indicates a blockage of the cervical canal with a blood clot;
- At home, washing is recommended to be completed with a solution of potassium permanganate (slightly pink) or ready-made solutions of furacilin, chlorhexidine or octenisept, which are usually given in the postpartum department;
- Treatment of sutures obtained after childbirth is possible with infusions and decoctions of medicinal herbs, for example, chamomile and calendula, which have a good antiseptic effect (1 tablespoon of raw materials for 200 ml liquid);
- It is not recommended to take baths, visit pools, swim in reservoirs. Hypothermia should be avoided;
- Tampons cannot be used instead of pads;
- Do not douche without medical advice.
It should be recalled that every woman in labor should visit a gynecologist after 10-14 days from the date of discharge. This is done even if the mother is not worried about anything.
Compliance with these rules is guaranteed to reduce the risk of infection with pathogens, in addition, sutures will heal faster and discomfort will be minimized.