Alright mamas, you just gave birth and now you have incision down there that needs special care. Labor and giving birth are painful as well as episiotomy if you had a vaginal birth. Women who had epidural, they will not feel while the doctor do this but you will feel pain and sore down there on your post delivery day 1.
Episiotomy is basically a surgical intervention where a cut is made at the opening of the vagina during giving birth. This will help to quickly enlarge the opening for the baby to pass through. The healing depends on how severe the episiotomy is. In my case I had a third degree meaning it involves the vaginal lining, the vaginal tissues, and part of the anal sphincter. The doctor told me after my baby was out that she needs to suture the laceration, so then I knew I had episiotomy but I had no clue that it was third degree until the nurse told me the next day. My incision was completely healed by 6 weeks. It was longer compared to women who had a second degree because of its nature and extent.
Here are some tips that helped me heal my incision without any complication:
- Pain management. I have high tolerance for pain and I didn’t want to take any narcotics so I just took ibuprofen for about 2 weeks. Ibuprofen is good for pain and inflammation. Ask your physician regarding the best pain medication for you if you’re also breastfeeding. I also use dermoplast spray – my nurses started me on this before going home. This is a numbing spray and it does really work! And of course – tucks pad – since my laceration included part of my anal sphincter, this pad really helped. It is cold and helped to sooth the affected area.
- Don’t get constipated. with the severity of my episiotomy, constipation is definitely a thing that I wanted to prevent. I was so scared to have a bowel movement as it might rupture the sutures. They sent me home with docuate-senna and miralax.
- Proper good hygiene. They sent me home a peri-wash bottle which became literally my best friend for 6 weeks! Good hygiene ladies is a must!
- No sexual intercourse until the doctor gives you the green light. Okay, this is not hard for me to follow at all but probably some are. Your doctor will tell you when it’s safe to start having sex. The last thing you want is infection and coming back to your doctor to have your suture re-done because it dehisced (opened up).
- Avoid heavy lifting and strenuous activities. Walking is best. I’d say no lifting more than 10 pounds. Always ask your doctor first if you’re trying to do some moderate activities.