What should I do if the episiotomy wound line is broken?

In the eyes of some pregnant women, the wound from an episiotomy heals much faster than that from a cesarean section, so they would rather have an episiotomy than a cesarean section. It is precisely because of this kind of thinking that many women who have undergone episiotomy do not pay attention to protecting the wound during the confinement period, which causes the wound to become infected or the wound line to break. So how should we save the wound of pregnant women who have undergone episiotomy if it opens?

If the episiotomy wound is stretched, you should go to the hospital in time for treatment, debridement and then suturing. It is recommended to avoid excessive exercise and not to use too much force when defecating.

Postoperative Recovery

Many mothers think that episiotomy is bearable, but the 1-2 weeks after the operation are the most difficult. Some physical therapy can be used to make the wound recover as soon as possible:

1. Take a sitz bath. Fill your tub with warm water. Make a special cushion with ice packs.

2. Care for wounds. When you clean, you can fill a sterilized bottle with water and use the jet of water to rinse the wound, or pat the area around the perineum with water. This feels much better than dry rubbing.

Nursing

1. Eat more high-fiber foods, develop regular bowel habits, and drink more water to avoid constipation. If a woman is constipated after childbirth, she may easily cause the wound to be lacerated again if she exerts too much force when defecating.

2. Keep the vulva clean to prevent infection. Change sanitary pads frequently to prevent lochia from soaking the wound and increasing the difficulty of healing; disinfect the wound every day, and wipe the vulva from front to back with disinfectant cotton after each bowel movement.

3. Prevent the perineal incision from splitting after the stitches are removed. Get out of bed and move around early after delivery, eat more fresh fruits and vegetables, drink more fish soup, pig's trotter soup, etc., do not eat spicy food, and keep bowel movements smooth; once constipation occurs, do not hold your breath or exert force, and use enema to help with bowel movements; within a few days after the stitches are removed, avoid forceful squatting, and retract the perineum and buttocks before sitting on the toilet when defecating to prevent the perineum wound from dehiscence; when sitting, the center of gravity of the body should be tilted to the right side to avoid pressure on the wound that causes 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, because wound dehiscence often occurs on the day the stitches are removed.

4. Avoid hematoma in the wound. During the first few days after delivery, the mother should pay attention to the condition of the incision. If the wound is painful within 1-2 hours after the operation and becomes more and more severe, it is likely that a hematoma has formed. The mother should immediately apply compound golden flower oil to the incision on the vulva and inner side of the vagina several times to reduce swelling and relieve pain.

5. For patients with severe lacerations and swollen and painful wounds, Pearl Skin Regenerating Cream (Powder) should be applied promptly after surgery to promote healing of the lacerations, avoid wound infection, and prevent scar hyperplasia.

6. Avoid exerting force: Do not exert force when defecating to avoid reopening the repaired wound.

7. Do not lift heavy objects: Within 1 month after delivery, do not lift heavy objects or do any housework or exercise that requires physical effort.

8. Avoid sexual activity: Sexual activity should be avoided within 6 weeks after delivery.

9. After the wound heals, if there is pain, nodules, pustules or sutures are not absorbed, you need to use detoxification cream to help remove the thread ends and deeply reduce inflammation.