The pain is getting worse on the fifth day of episiotomy

What is episiotomy? Episiotomy wound is often mentioned together with laceration. Laceration is the incision caused by opening the area around the birth canal when the fetus's head is out. The incision of laceration is irregular and numerous. In terms of damage, laceration is more serious than episiotomy wound. So, is it normal for the episiotomy wound to become more and more painful on the fifth day? Let's have a simple understanding of this issue. I hope the following points will be helpful to everyone!

The episiotomy wound is getting more painful on the fifth day

There is still pain in the episiotomy wound on the 5th day, which is relatively normal, but it is still recommended to go to the hospital for a follow-up visit, because it is already the 5th day and the local dressing needs to be changed. In addition, you need to see if surgery is needed to remove the stitches. After the stitches are removed, the reaction may not become so severe. If pain occurs, it may be caused by inflammation. You can use warm water to clean it appropriately, and then use iodine tincture disinfectant to disinfect it. You must pay attention to your own hygiene, develop good living habits, and try to wear loose cotton underwear.

If the episiotomy wound feels painful after giving birth, pregnant women should pay attention to rest and need a doctor to check the wound and eliminate any infection. To keep the vulva clean and dry, wash the private parts with warm salt water after defecation. If the wounds on both sides are painful and the inflammation is eliminated, you can use painkillers appropriately, take ibuprofen capsules or insert pain-relieving plugs into the anus. Pregnant women also need to improve their nutrition and increase their intake of high-protein foods to promote wound repair.

Episiotomy wound integration symptoms

During delivery, if the perineum of a primipara with head presentation is too tight, the perineum is long, the tissue is hard or underdeveloped, there is inflammation or edema, or the perineum cannot be fully expanded during emergency delivery, it is estimated that grade II or above lacerations will occur when the fetus is delivered in head presentation.

Various reasons cause cephalopelvic disproportion. Primiparas who have had perineal incisions and sutures, or who have large scars after repair that affect the expansion of the perineum. Forceps delivery, vacuum delivery with head presentation or natural birth for first-time breech presentation. Premature babies, babies with delayed intrauterine language development, or babies in intrauterine distress who need to relieve the stress on the fetal head and deliver them as soon as possible. Pregnant women who suffer from heart disease or high blood pressure and need to shorten the second stage of labor.