Sitting position after perineal incision, avoid affecting

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During delivery, the vagina must stretch to allow the baby to be born. Sometimes, during delivery, your midwife or obstetrician will need to make an episiotomy to create a larger vaginal opening. The recovery of the perineum will be quick but the first few weeks will make it difficult for you to move. What posture is good for you to sit after an episiotomy?

1. What is an episiotomy?

The vagina and perineum (the area between the vaginal opening and the anus) are very elastic. During the birth of your baby, they need to stretch to allow the baby to be born. Sometimes, during delivery, your midwife or obstetrician will need to make an episiotomy to create a larger vaginal opening. This is called an episiotomy.
The cut will be sutured by the midwife or obstetrician after delivery. Episiotomy is not done during each labor, only when needed. They are done if extra help is needed to deliver the baby or to prevent the muscles and skin from tearing. Symptoms often occur with first-time vaginal birth.

2. Reasons for episiotomy

You may need an episiotomy if:
Your baby's heart rate is beating too fast or too slow (sometimes called "fetal failure") - this could be a sign that your baby is not getting enough oxygen Your obstetrician or midwife needs to widen your vagina - this may be necessary if they plan to use devices such as forceps or vents to help with delivery You are having a breech delivery - this means your baby is coming down or front legs Your baby is growing You have certain medical conditions, such as heart disease, and your doctors have recommended that your labor as quickly as possible You've been trying for a while and exhausted

3. Pain relief after episiotomy

Talk to your midwife or obstetrician about the options you have for dealing with any pain you experience. Although you may feel pain after an episiotomy, this is unusual for more than 2 weeks.
Pain relievers
Paracetamol tablets can really help with pain and are safe to take. The usual recommended dose is two 500 mg tablets taken every 6 hours. This is safe to take while you are breastfeeding.
Diclofenac in tablet or suppository form is also an effective pain reliever. Suppositories are inserted into your back aisle. It lasts longer and is given every 18 hours. Your midwife will show you how to use the suppository.
Aspirin is not recommended as it can be passed to your baby through breast milk.
Your obstetrician can prescribe pain medication for you while you recover in the postpartum care area.
When you get home, if paracetamol and diclofenac don't help, talk to your midwife or GP. They may need to examine you in case the area has become infected. Signs of infection:
Yellow or green discharge Very red Very painful or tender Tell them if you are breastfeeding as some medicines are not suitable for breastfeeding.
More tips to help cope with pain
Rest and lie on your side as much as possible. Place an ice pack or ice wrapped in a towel over the wound. Do this for 20 to 30 minutes at a time a few times a day. Rest at least an hour between ice sessions. In particular, during the first 3 days, using an ice pack can really reduce swelling and inflammation around the wound. When you are sitting, using a donut-shaped cushion can help you feel more comfortable. Another trick when sitting is to press your cheeks together. This relieves some of the pressure on the wound. A warm bath can help you feel more comfortable as well as give you a chance to relax. Some women take 'Arnica'. This popular herbal remedy is said to encourage wound healing and reduce bruising. There is no convincing scientific evidence to prove that it works.

4. Sitting position after perineal incision

4.1. Urinating Clean the perineum after each use of the toilet. Pour warm water over the vaginal area after you go to the bathroom. Pouring warm water over the outside of your vagina when you pee can also help keep your urine from burning.
When you are going to the bathroom to pee, bend forward towards your knees. This helps guide urine out of the wound. Your bottom and back may feel a little bruised after the birth of your baby.
4.2. It's normal to feel worried about stitches when you have a heavy bowel movement. Don't worry, straining to go to the bathroom won't cause your stitches to fall out or the wound to open. There are things you can do to make pooping more comfortable.
Place a clean pad next to the wound and press gently as you urinate. This may relieve some of the pressure on the wound. Gently wipe your butt from front to back. This helps prevent germs from infecting the wound. Try not to get constipated. Drink a lot of water. Eat foods rich in fiber. These include vegetables, fruit, whole-grain oats, whole-wheat bread, and pasta. Taking a laxative may be helpful. Laxatives are medicines used to treat constipation. Laxatives can soften stools, making them easier to pass. 4.3. Having sex after an episiotomy There are no strict guidelines for when to start having sex again after having a baby. Some experts suggest that you should wait until the bleeding stops to reduce your risk of infection.
Do things at your own pace. It's normal to have sex a little differently after having a baby.
Remember, it's possible to get pregnant again right after giving birth. If this is not what you want, talk to your GP about birth control methods.
Most women find that having sex for the first time after an episiotomy is uncomfortable. If you try to have sex before your episiotomy or any other tear has healed, it can be very painful.

After the wound heals, if it hurts at first, don't worry. This is quite normal. The pain will improve over time. Tell your partner how you feel. If sex is uncomfortable, let them know.
If you are breastfeeding, your vagina may feel drier than usual. This can make sex uncomfortable or even painful. Your sex drive may be lower due to hormonal changes.
Trying different positions can sometimes help relieve discomfort. You may have to try alternatives to penetration like oral sex or mutual masturbation for a while.
Have sex at a time when you are not too tired. If you don't feel like having sex or you're worried having sex will hurt, be open with your partner about how you feel.
4.4 Pelvic floor exercises Performing pelvic floor exercises can:
Strengthen the muscles around your vagina and anus Reduce the risk of problems with bowel and bladder control Improve blood flow to this area Helps the wound to heal Faster Reduce pressure on the wound and the skin around the wound on website (vinmec.com) for service.

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