Vaginal delivery is a remarkable and challenging experience that can sometimes result in minor tears or episiotomies that require stitches. Understanding what to expect during the healing process and how to care for the stitches can help promote a smoother recovery. Here’s a guide to help you through it.
What is actually an episiotomy/Vaginal stitches?
Okay sometimes what happens is that when you are giving birth for the first time, your vagina is very small as compare to the head of baby and muscles around the pelvis aren’t loose, So baby head can’t crawl outside through that narrow opening. But in movies or in ancient time, as you have seen, they asked the mother to push and after a lot of pain and time, baby would born. But as medicine advanced, we got to know that if we let the baby assert the force on the pelvic muscles, it, undoubtedly will tear some tissues of the vagina. And if you let that happen, it is more painful for mother and in many cases these tears do not heal properly and would be utmost discomfort for the mother.
So in modern medicine, it is decided to not let the mother suffer! We will make room for the baby’s head by make a small and controlled inscion(cut) in the vagina (towards rectum) and then stitch the tear precisely, so it will heal with all it’s strength. This method has helped a lot of Mothers and the cause of discomfort has vanished from their life that were due to unhealed tears of the childbirth.
Okay, As you love in modern times, be grateful and learn what to expect with those line of stitches you got down there!
What to Expect
Initial Discomfort
It’s normal to experience some discomfort and soreness at the site of the stitches. This can last for a few days to a few weeks, depending on the extent of the tear or cut and individual healing rates. The more healthy you eat, the early will it heal.
Swelling and Bruising
Swelling and bruising around the stitched area are common. This is part of the body’s natural healing process and should gradually subside within a week or two. It will be very uncomfortable when you sit, but it will for only few days.
Bleeding and Discharge
You may notice some light bleeding or spotting, which is normal as the area heals. However, if the bleeding is heavy or has a foul smell, it’s important to contact your healthcare provider.
Itching and Tingling
As the stitches begin to heal, you might experience itching and tingling sensations. This is a sign that new tissue is forming and the wound is closing. And please prevent yourself to touch it, itch it or even tickle it.
Stitches Dissolving
Most stitches used in vaginal repairs after childbirth are dissolvable. They will gradually break down and be absorbed by the body over several weeks. You might notice small pieces of stitches coming away, which is perfectly normal. But do ask your doctor about the kind of stitches, as it might be undissolvable. And you have to go to Hospital for their removal.
How to Care for the Stitched Area
Keep It Clean
Maintaining good hygiene is crucial to prevent infection. Gently clean the area with normal water after using the toilet. You can use a peri bottle (a squirt bottle) to help rinse the area without irritating the stitches. You can also use perineal washes to keep it cleaner. If you want to dry it, use clean towel and not the harsh toilet roll and always pat from front to back.
Keep the area Dry
As you already bleeding from the vagina after the birth, it is very hard to keep the area dry. But remember moisture prevent healing and it is the favorite site for bacterias to grow. So for keeping the area dry, use absorbent pads (In first few days,you can use adult diapers, such a life saviour). They will help absorbing the moisture.
Do Not Use Tampons
Tampons are the common source of infection, especially after childbirth. And you might be received in a hospital with toxic shock syndrome aka sepsis aka infection because of using that. Hence no tampons untill you get healed. Let the blood flow and with frequent washing and drying, it get healed quicker.
Use Cold Packs
Applying cold packs to the perineal area can help reduce swelling and numb the area, providing relief from pain and discomfort. Use a clean cloth or towel to wrap the cold pack and apply it for about 10-20 minutes at a time. A tip is to soak sanitary pad (or any clean cloth) with water and freeze it. And then place it in your underwear for minimizing the inflammation and pain.
Take Pain Relief Medication
Over-the-counter pain relief medications, such as acetaminophen or ibuprofen, can help manage pain and reduce inflammation. Always follow the dosage instructions and consult your healthcare provider if you have any concerns. Don’t take aspirin. Or self perscribe yourself as there are a lot of medicine that can affect the baby through breastfeeding.
Avoid Straining
Try to avoid activities that put pressure on the perineal area, such as heavy lifting or intense physical exercise. When sitting, use a cushion or donut pillow to reduce pressure on the stitches. If you are constipated, eat food that relive it ( a lot of salads and fibers). And ask you doctor to prescribe medication for constipation.
Practice Gentle Movements
Be gentle with movements that involve the pelvic area. When moving from a lying to a sitting position, roll onto your side first and use your arms to push yourself up. This technique reduces strain on the stitched area.
Use Soothing Remedies
Taking warm sitz baths (sitting in a shallow bath with warm water) can help soothe the area and promote healing. You can also add a few drops of witch hazel or use Epsom salts to the water for added relief.
Wear Loose Clothing
Opt for loose, breathable clothing and cotton underwear to avoid friction and allow the area to breathe. Tight clothing can irritate the stitches and delay the healing process. Also try to let your skin breath by lying in fresh air without any cloth for 10-15 minutes, it will promote healing.
Stay Hydrated and Eat a Balanced Diet
Drinking plenty of water and eating a balanced diet rich in vitamins and minerals can support your body’s healing process. Fiber-rich foods can help prevent constipation, reducing strain during bowel movements.
Keigel Exercises
After a child birth you would feel like you have loosen from down, like someone has opened you with a screw. This feeling is due to loosening the muscle of pelvic area. After first few days, start pelvic exercises also known as Keigel Exercises. You can even do that by laying in your bed. They will help you recover quicker and you get control on your bladder and rectum earlier.
Follow Up with Your Healthcare Provider
Attend all postpartum check-ups and follow your healthcare provider’s advice regarding the care of your stitches. If you notice signs of infection (such as increased pain, swelling, redness, or discharge), contact your healthcare provider immediately.
RED ALERT
Be on the lookout for signs of infection:-
• Discharge of pus or liquid from the vaginal stitches
• Red, swollen skin that’s painful to the touch
• Persistent pain that won’t subside
• An unusual, unpleasant smell
If you notice any of these signs, don’t hesitate to reach out to your GP, midwife, or health visitor as soon as possible. They’ll be able to assess your symptoms and provide the necessary treatment to get you back on the road to recovery.
Final thoughts
Healing from minor stitches after vaginal delivery requires patience and proper care. By maintaining good hygiene, managing pain, and following the advice of your healthcare provider, you can promote a smoother recovery and reduce the risk of complications. Remember that every woman’s healing process is different, so give yourself time and care as you adjust to the postpartum period. If you have any concerns or questions, don’t hesitate to reach out to your healthcare provider for support.
