How to care for the wounds torn during childbirth

Every woman who gives birth naturally may experience episiotomy during childbirth. The wounds from episiotomy and tearing need to heal slowly. Some people are born with narrow vaginas, and at this time, excessive force may cause vaginal damage. Vaginal muscle damage takes a long time to recover, and there will be bleeding at the beginning. Sanitary napkins need to be changed frequently to avoid infection and wound inflammation, and wound care should be done in time.

Wound care after normal delivery

Natural childbirth usually leaves vaginal lacerations or wounds left by episiotomy. Natural childbirth has fewer postpartum complications and recovers faster than caesarean section. Usually the pain disappears in about 1 to 2 weeks. Although the operation is very small, the wound is located at the intersection of the urethra, vaginal opening and anus, and due to some special circumstances after delivery, it is very easy for the wound to not heal, so special attention should be paid to nursing. Prevent vulvar infection.

1. Change sanitary pads frequently to avoid getting them wet. It will be difficult for the wound to heal if it is soaked in a wet sanitary pad.

2. Rinse the perineum frequently with warm water every day, especially after each bowel movement, wipe the vulva with Sanisol disinfectant cotton balls. Do not wipe from back to front, but from front to back to prevent the perineal incision from splitting after the stitches are removed.

3. Get out of bed and move around early after delivery, eat more fresh vegetables and fruits, drink more fish soup, pig's trotter soup and other soups, and avoid spicy food to keep bowel movements smooth.

4. When constipation occurs, do not breathe in or force it. You can use a suppository to help relieve constipation.

5. Avoid squatting or doing any strenuous movements within a few days after the stitches are removed. For example, when defecating, you should first contract the perineum and buttocks before sitting on the toilet. Holding your breath and exerting force is often the cause of perineal wound rupture.

6. When sitting, the center of gravity of the body should be tilted to the right to prevent the wound from being compressed and the incision epidermis from being dislocated.

7. Avoid falling or excessive abduction of the thigh, as this may cause the wound to reopen.

8. It is not advisable to be discharged from the hospital on the same day after the wound is broken, because wound dehiscence often occurs on the day the stitches are removed. Avoid hematoma in the wound.

9. In the first few days after the operation, the mother should lie on her right side. This will allow the accumulated blood in the wound to flow out of the wound to avoid hematoma. It can also prevent the endometrial fragments in the lochia from flowing into the wound and forming endometriosis.

10. Pay attention to the condition of the incision after surgery. If the wound becomes painful within 1-2 hours after surgery and becomes increasingly severe, you should contact your doctor immediately. It is likely that hematoma has formed due to insufficient bleeding control before suturing.

What should I do if the perineal incision becomes infected?

1. When the wound becomes swollen, painful, or indurated, take antibiotics as directed by the doctor and soak the wound topically in 1:5000 potassium permanganate solution in warm water, twice a day, for 10-15 minutes each time.

2. Using decoction of heat-clearing, detoxifying and knot-dispersing traditional Chinese medicine (ask a Chinese medicine doctor to prescribe the medicine) to wash the wound also has a very good effect.

3. You can use a desk lamp for local therapy at home, but be careful not to get burned.