Three months after delivery, the episiotomy wound hurts

Episiotomy is a method used during a woman's natural delivery. When the baby's head emerges from the vagina, the doctor will determine whether an episiotomy is needed based on the baby's head. Because the baby's head is too large, it may cause tearing in the woman's vagina, and the consequences will be more serious than episiotomy. After a woman has an episiotomy, the pain usually stops in about a week, and the wound heals completely in about a month. But why does the pain in the episiotomy wound occur three months after delivery?

Does the episiotomy wound hurt during normal delivery?

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.

How long will it take for the wound to heal after a normal delivery?

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

How to heal the wound of episiotomy during normal delivery quickly

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.