Episiotomy wound recovery pictures

For many pregnant women, episiotomy during normal delivery is like a knife hanging over their heads. Some would even choose cesarean section rather than episiotomy. There are many "rumors" about episiotomy during normal delivery. Some people say that episiotomy wounds will affect the couple's life, and some people say that episiotomy wounds will cause postpartum urinary incontinence. Is there any scientific evidence for this? How can episiotomy wounds be repaired quickly?

How to provide medical care after episiotomy during normal delivery

Pregnant women need to rest well after episiotomy during normal delivery, and it is most important to keep the wound clean at all times to prevent infection. Specifically speaking, the medical care for episiotomy during normal delivery has the following common problems:

1. Keep the wound clean and dry after normal delivery. The hospital will provide comprehensive cleaning measures within 3 days after the operation, and the private parts should be cleaned with a lotion with disinfectant effect.

2. Three days after episiotomy during normal delivery or after hospitalization, the pregnant woman needs to wash the vulva with cold water or lotion every day. It is best to do it twice a day if possible.

3. Use safe daily necessities, change them promptly, and keep your private parts dry.

4. Cleaning after going to the toilet Pregnant women should clean the perineum with tap water after going to the toilet, just like wiping with a handkerchief, from front to back, to prevent bacterial infection.

5. When sleeping or lying in bed, it is best to sleep on the side without perineal wound to reduce the chance of postpartum lochia infiltrating into the perineal wound.

6. Do not lift hanging objects. There is no need to lift anything, do any energy-consuming housework or exercise within one month after giving birth. Any too early and too heavy physical activity may cause damage to the pelvic tissue and even lead to uterine prolapse in the elderly.

What situations require episiotomy during childbirth?

Pregnant mothers generally have a misunderstanding that almost all natural births require an episiotomy. Some news media even claim that the episiotomy rate for natural births in my country has reached 99%. But the actual situation is that not all pregnant women who choose natural delivery need episiotomy. Doctors should make an episiotomy based on the different physical conditions of each pregnant woman and her own ability to adapt and adjust. Some new mothers will feel pain for a few days after giving birth, while some new mothers will feel pain for a month or even longer.

Generally speaking, pregnant women giving birth to their first child are more likely to have episiotomy wounds. This is because the perineum of first-time pregnant women with head presentation is too tight during delivery. In addition, some pregnant women have long perineum, hard or underdeveloped tissue, inflammation, edema, or the perineum cannot expand sufficiently during emergency delivery. It is estimated that grade II or above lacerations will occur during delivery of the fetus in head presentation, and these are all prescribed episiotomy wounds by doctors. So in general, what are the complications of episiotomy wounds?

1. Various reasons cause cephalopelvic disproportion.

2. Primiparas who have had perineal incisions and sutures, or who have large scars after repair that affect the expansion of the perineum.

3. Forceps delivery, vacuum delivery with fetal head presentation or first-time breech presentation with natural delivery.

4. Premature babies, babies with delayed intrauterine language development or babies in intrauterine distress who need to relieve the stress on the fetal head position and deliver them as soon as possible.

5. Pregnant women who suffer from heart disease, high blood pressure and other diseases and need to shorten the second stage of labor.