How long does it take for the episiotomy wound to not hurt?

The episiotomy surgery is mainly used in caesarean sections. After the episiotomy, the patient will feel that his wound is very painful and may not be able to move freely. He needs to stay in bed for a long time before his condition gradually improves. It takes about half a month to get out of bed and move around. During this period, he must ensure that he is not infected by bacteria.

When the fetal head is about to appear outside the vaginal opening, the doctor will judge whether the baby is big enough and whether it will cause severe tearing of the mother's vulva to decide whether an episiotomy is needed.

If episiotomy is needed, the doctor will take the lithotomy position and use bilateral pudendal nerve block anesthesia. During uterine contractions, the obstetrician's left index and middle fingers will reach deep into the vagina to prop up the left vaginal wall, and use episiotomy scissors to cut the perineum from the back of the perineum to the left at 45° along the midline.

Sometimes it may be 60° to 70° to avoid damaging the rectum. The episiotomy wound is usually 4 to 5 cm. After the incision, the doctor will use gauze to apply pressure to stop the bleeding, and will also use clamps and ligatures to stop the bleeding if necessary. Episiotomy is performed very quickly. The obstetrician will use medical scissors to cut open quickly and instantly. If you are in severe labor pain, you may not even know that you have had an episiotomy.

In addition, if local anesthesia is injected, the episiotomy will not hurt at all. In addition, after the fetus is born, repair surgery will be performed, and the wound will be sutured layer by layer according to the anatomical layers. The sutures are done under local anesthesia so they are not painful.

The episiotomy wound will be uncomfortable for 1-2 weeks after the operation, but it will be much more comfortable afterwards.

The episiotomy wound caused by normal delivery must be well cared for, otherwise it is easy to cause wound infection and endanger the health of the mother. If you want to breastfeed, it is generally not recommended to use medication. Now we will teach you how to better care for the episiotomy wound caused by normal delivery.

1. After childbirth, you should eat more high-fiber foods, drink more water, eat more fresh vegetables and fruits, drink more fish soup and pig's trotter soup, and avoid eating too much meat, spicy and stimulating foods, and foods that are difficult to digest, so as to avoid constipation.

2. Change sanitary napkins and maternity napkins frequently to keep the vulva clean to avoid wound infection and prevent lochia from soaking the wound, which is not conducive to wound recovery. Disinfect the wound every day. After defecation, it is best to wipe the vulva from front to back with disinfected cotton.

3. Get out of bed early after delivery. Be careful not to squat hard within a few days after the stitches are removed. When defecating, first retract the perineum and buttocks before sitting on the toilet to prevent the perineum wound from dehiscence. When sitting, the center of gravity of the body should be tilted to the right to avoid pressure on the wound that may cause the incision epidermis to shift. Avoid falling or excessive abduction of the thighs that may cause the wound to dehiscence again. It is not advisable to be discharged from the hospital on the day the stitches are removed, as wound dehiscence often occurs on the day of stitches removal.

4. Avoid hematoma in the wound. If the wound is still painful, it may be a hematoma. It is best to ask the doctor to prescribe some medication to reduce swelling and relieve pain.

5. Do not lift heavy objects: During the confinement period, do not lift heavy objects, do not do strenuous housework or exercise.

6. Sexual intercourse is not recommended within six weeks after delivery.

7. After the wound heals, if pain, nodules, abscesses or unabsorbed sutures occur, use detoxifying ointment to help remove the thread ends and deeply reduce inflammation.