A sister who has had an episiotomy, tell me, how long is the wound after the episiotomy?

A large part of the reason why the doctor decided to use lateral incision was to avoid perineal tearing of the mother. At this point, some practices of foreign mothers are worth learning. They usually start perineal massage and exercises every day at about 32 weeks of pregnancy to increase the flexibility and elasticity of muscle tissue. The specific operations are as follows :

* Trim your nails, wash your hands, and sit in a warm and comfortable place with your legs stretched out into a semi-sitting birthing position.

*Place a mirror in front of the perineum, facing the perineum. This way you can clearly see the condition of the musculature surrounding the perineum.

*Choose some massage oil, such as pure canola oil, or a water-soluble lubricant, and use your thumbs and fingers to apply the oil around the perineum.

*Insert your thumb as far into your vagina as possible and stretch your legs. Press the perineal tissue toward the rectum. Gently continue stretching the perineal opening until you feel a slight burning or tingling sensation.

*Keep this stretch until the stinging subsides, then continue to gently massage your vagina back and forth.

*During the massage, lift your thumb in the vagina and slowly stretch the vaginal tissue forward. This is how the baby's head will come out during delivery.

*Finally, gently massage the muscle tissue between your thumb and index finger back and forth for about 1 minute.

Note:

*Excessive force may cause bruising and stinging on the sensitive skin of the perineum.

*Do not press hard on the urethra during massage as this can lead to infection and inflammation.

Exercise the sphincter muscles

Tighten the muscles of the vagina and anus, do it almost 200 times a day, for 8-10 seconds each time. You can also try contracting your muscles and pausing while urinating.

Sphincter exercises have more benefits:

*When you sneeze or cough, it can help you stop leaking urine.

*Strong muscles can make labor easier and the perineum will remain intact (fewer tears and less chance of incisions). It also helps two people enjoy the sweetness of sex. Because it will prevent prolapse and aging of pelvic organs.

2. Preparation for communicating with the doctor

The doctor on duty is likely to have to deal with several mothers at the same time. Therefore, she is unlikely to have the patience to explain to you why you need to undergo a lateral incision. . According to the data from our online survey, about 70% of mothers were not notified by the doctor when undergoing lateral incision, but were performed without knowing what was going on. In order to prevent yourself from being accidentally incised, it is necessary to communicate with the doctor in advance. First of all, you should understand that there are several situations where lateral incision is indispensable:

*Poor perineal elasticity, narrow vaginal opening, or inflammation and edema in the perineum. It is estimated that severe perineal incision will inevitably occur when the fetus is delivered. tear.

*The fetus is large, the position of the fetal head is not correct, and the labor force is not strong, the fetal head is blocked in the perineum.

When the fetal head descends to the perineum, a lateral incision is performed.

*The uterine orifice is fully dilated and the fetal head is low, but the fetus is obviously hypoxic, the fetal heart rate changes abnormally, or the heartbeat rhythm is uneven, and the amniotic fluid is turbid or mixed with meconium.

*During delivery with the help of forceps.

If any of the above situations occur, do not hesitate. You should try your best to cooperate with the doctor and perform lateral incision as soon as possible.

Secondly, when labor pains begin, first estimate who the doctor on duty will be. If you have the opportunity, try to talk to her and tell her your thoughts, for example: If the situation permits, can you No side incision; are you willing to bear the risk of perineal tear, etc.

Normally, the doctor will tell you or your family about various possible problems before you enter the delivery room, and ask you to sign the surgery consent form, so that you can save time for communication when danger occurs. At this time, you can also seize the opportunity and seek help from a doctor.

3. Recovery after surgery

Many mothers think that side incision is bearable, but the 1-2 weeks after surgery are the most difficult. Of course, taking painkillers is the most direct way to relieve pain, but you can also take some physical therapy to help the wound recover as quickly as possible:

* Sitz bath. Fill your tub with warm water. Use ice packs to create a special pad.

*Wound care. That is, when you clean, you can fill a sterile bottle with water, use the jet of water to rinse the wound, or pat the area around the perineum with water. This will feel much better than dry wiping.

*Use lubricant. After the intimacy between the couple has been restored, lubricants can be used to avoid further strain on the recovered muscle tissue.

During the wound recovery process, there are some precautions:

Before removing sutures, the wound should be rinsed twice a day and once after defecation to avoid excrement contamination. Wounds; after the sutures are removed, if the lochia is still not clean, you should still rinse the vulva with warm water twice a day. At the same time, keep the stool open to prevent the wound from opening. When defecating, it is best to sit down and shorten the time as much as possible. In addition, after the sutures are removed, the inside of the wound is not yet firm, so it is best not to exercise too much or make large movements.

In addition, if the following conditions occur in the wound, you should tell the doctor in time and ask her to deal with it:

*Wound hematoma: Serious hematoma appears at the incision 1-2 hours after suturing. The pain is getting worse and worse, and there is even a feeling of swelling in the anus.

*Wound infection: 2-3 days after delivery, the wound will appear red, swollen, hot, painful and other symptoms, sometimes accompanied by induration, and purulent secretions will appear when squeezed.

*Wound dehiscence after suture removal: Some mothers will have wounds dehiscence after suture removal. If they have been discharged from the hospital at this time, they should go to the hospital immediately for examination and treatment.