Genital (pubic) Care After an Episiotomy

Genital (pubic) Care After an Episiotomy

An episiotomy is a procedure performed during vaginal delivery to reduce the severity of tearing caused by the baby's head emerging from the vaginal opening.

It is usually performed more often on first-time mothers, but it may be necessary for women who have previously given birth vaginally, depending on the individual case and the doctor's assessment.

What is a perineal tear?

(The perineum is the area between the vaginal opening and the anus.)

A perineal tear, if it's in the skin, is called a first-degree tear and usually heals naturally. If the tear reaches the muscles, it becomes a second-degree tear and requires stitches. If the tear reaches the muscle that controls the anus, it becomes a third-degree tear. If it reaches the lining of the anus or rectum, it becomes a fourth-degree tear.

A third- or fourth-degree tear is where the tear in the perineum extends to the anus

What can be done to speed up recovery?

- Keep the perineal area clean by washing it daily with water and changing sanitary pads regularly. Wash your hands before and after using the toilet to reduce the risk of infection of the stitches.

- Drink plenty of fluids to avoid constipation; aim for at least two liters of water daily. Maintain a balanced diet (vegetables, fruits, grains, and whole-wheat bread).

- Start pelvic floor exercises as soon as possible after giving birth.

- Avoid strenuous exercise and lifting heavy objects for at least 4-6 weeks.

-  Take the pain medication prescribed by your doctor.

• Take the prescribed antibiotics to prevent infection of the wound.

-  Consult a doctor immediately if you notice any of the following signs: (foul-smelling discharge, fever, chills, redness in the area, bleeding from the stitch site, wound separation)

Dr Najeeb Layyous  F.R.C.O.G

Consultant Obstetrician, Gynecologist and Infertility Specialist