How to deal with episiotomy wound suture

Pregnancy is a difficult thing, but also a wonderful thing. For most women, choosing natural childbirth is the best choice, which can not only protect the women themselves, but also ensure that the baby's life is not threatened, and it is also conducive to postpartum recovery. Many people know that natural childbirth requires sutures on the sides, so some women feel that there is no need for surgery to remove the stitches. So does a natural childbirth episiotomy require surgery to remove the stitches?

It usually takes about 7 days to heal an episiotomy wound. The actual time varies from person to person. Since everyone's physical condition is different, the time for healing will also fluctuate. But there is no need to worry too much. As long as there is no inflammation in the wound, it will gradually heal. In the case of episiotomy, the wound must be cleaned regularly. You can use some warm water to clean it appropriately. After cleaning, you can use iodine tincture disinfectant to disinfect it. This can effectively prevent infection. At the same time, you must pay attention to your personal hygiene.

Whether or not surgical suture removal is required after a normal delivery episiotomy depends on the material of the sutures used at that time. If it is a general thread suture, surgery is required to remove the sutures. Absorbable sutures are used and do not require surgical removal. However, if absorbable sutures have line reaction, they also need to be treated. After the episiotomy, you should pay attention to local prevention of infection and keep it clean and dry. Before it is completely healed, it is best to use disinfectant iodine twice a day. Lie on the healthy side and wear loose cotton underwear to avoid being too tight.

Whether episiotomy during vaginal delivery requires surgical suture removal depends on the type of surgical sutures. During natural delivery, if the perineum is too tight or the fetus is too large, it is estimated that perineal tearing is inevitable during delivery or the mother and child have pathological conditions that require urgent completion of delivery. A perineal incision is required. After the incision, the stitches are immediately sutured after the fetus is delivered. If thread is used for sutures, then the sutures need to be removed surgically 5 to 7 days after the episiotomy. At present, most of the sutures used in clinical medicine are absorbable sutures. In this case, it is not necessary to disassemble them because these sutures can be absorbed by tissues. If the sutures are embedded with absorbable sutures, there is no need for surgical removal; if they are general surgical sutures, they will be removed surgically after about 5-7 days. It is generally not easy to make an episiotomy when choosing a natural birth. However, if the pregnant woman has a tight perineum, a narrow vaginal opening, the fetus is too large, the pregnant woman is physically weak, and other factors that affect the birth of the fetus, the doctor will choose to perform a vaginal episiotomy to assist in the delivery of the fetus. Generally, it will not affect activities within 24 hours after giving birth. Currently, all episiotomy sutures are absorbable sutures, and generally no surgery is required to remove the sutures, but absorbable sutures are relatively expensive. If surgery is required to remove the sutures, it can be done in 5 to 7 days under normal circumstances, depending on the individual's recovery condition. Regardless of whether surgery is needed to remove the stitches or not, the episiotomy wound requires careful medical care: keep the blood clean to prevent private infection, wash the vulva with warm water every day to keep it dry; get out of bed and move around before giving birth, pay attention to nutrition, do not eat irritating food and dry food, maintain smooth bowel movements, and prevent wound cracking; avoid squatting and strenuous movements, when constipation occurs, do not exert force, you can use a suppository to help lubricate the intestines; avoid falling or excessive external rotation of the thigh to prevent wound cracking. In the first few days after the supplementary surgery, pregnant women should lie on the side opposite the wound to allow the accumulated blood in the wound to drain out and prevent abscesses from forming in the wound.