October 22, 2021

Episiotomy : Precautions and Care

Episiotomy is a procedure where a surgical cut is made in the perineum to enlarge the vaginal opening for the delivery of the baby. This cut is sutured after the delivery. Episiotomy gives more room for the baby to descend out and thus it aid in easier vaginal delivery. As the perineum is a sensitive area, it is very important to take care of the incision post delivery. I had episiotomy during the birth of Ayu and it took a lot of time to heal because my skin had separated. It was worse than getting a c-section. So I am enlisting a few things to take care of post partum so that the incision heals faster.

Precautions to be taken

  • Do not stretch the affected area : When we sit cross legged, the perineum stretches and this can cause severe pain to the cut or even open the stitches. Make sure you keep your legs close and avoid sitting cross legged at least till the stitches dissolve. Try to lie down on your side to keep the stitches intact.

  • Avoid constipation : Constipation increases the pressure on the perineum and stretches the incision line. To avoid constipation try to drink lots of water and include fibre rich foods in your diet. If you still have constipation consult your doctor to get a prescribed stool softener.

Episiotomy care

  • Keep vagina uninfected : If you have any kind of bacterial infection before delivery, it might cause the sutures to dissolve before the incision heals. If you experience any kind of itching in vagina before pregnancy, let your doctor know.

  • Keep your nails short : You carry a lot of dirt in your nails and that can infect your incision. Make sure you keep you nails short and clean at all times.

Steps for a quicker healing of episiotomy incision

  • Sitz bath : My doctor advised me to take sit bath twice a day. For a while I could not figure out what am I supposed to do. Finally I found the site bath tub on Amazon and started using it. And believe me, it helped me a lot. Even if your don’t have episiotomy, the bath helps to heal the vulnerable basinal tissues. Put the tub on the toilet seat, and add warm water to it. Add a few drops of betadine(Antiseptic lotion) and sit with your perineum immersed for at least five minutes. It increases the blood circulation in the area and promotes healing.

Episiotomy care

  • Keep the area dry and clean : This will ensure faster healing of the sutures. Try to keep your bottom uncovered for sometime after shower. The more it stays dry, the faster it will heal. Also keep changing your sanitary pad every two to three hours to keep the wound dry.

  • Kegel exercises : Kegels must be started right from pregnancy. These exercises strengthen your pelvic floor muscles and help in easier delivery.

  • Painkillers : The pain and discomfort can be bad during the initial days. Ask your doctor to prescribe painkillers so that you can have some rest.

60 thoughts on “Episiotomy : Precautions and Care

  1. Many women would not be aware about ways to prepare themselves in advance before going for an episiotomy. This will be an useful article for pregnant moms.

  2. I had to face it . It’s terrible. Thankfully, my gynae informed me well so I could sail through. It’s really difficult but you have done a good job in spreading information about it.

  3. I did not need an episiotomy with either birth. I luckily had a great midwife who was not snip happy. I did tear a little the second time and needed a few stitches and the same advice applies. These tips are applicable to so many new mothers!

  4. Super helpful post. I had a second degree tear both times and all these precautions came in handy. So I can definitely attest to these, episiotomy or not. 🙂

  5. I had this procedure with 3 of my kids and it hurt. My last child came early so his head was small so I did not need to be cut, healing was so much better.

  6. This is a very helpful post for new mothers. Maybe not all of them are aware of what they need to do to heal faster after a natural birth.

  7. Such a great insight to dealing with healing when you have this procedure during labor. I’ve had two c-sections although not the same the healing process is quite extensive. Loved reading this.

  8. I had this as well with my son, and I didn’t even know at first. It all happened so fast! The doctor just went for it, I was so loopy. I wish I had read this when I was healing! It really was pretty awful.. 🙁 trying to learn how to breastfeed for the first time, and in pain from the episiotomy 😭 Ugh. They sent me home with no meds too. Anyways, what an informative post! Thank you for this!

  9. The reality of childbirth. It is all worth it when you see the little bundle of joy at the end. Both my births I had something similar although not surgical with both boys. My husband had to be off work for 8 weeks as I couldn’t do anything.

  10. Every woman is different. I worked as nurse in Labor and Delivery for a while and every single woman is scared of tearing but honestly just tearing tends to heal faster than an episiotomy. Talking to your doctor before hand is a great way to let them know your wishes. Unless baby is in distress I would always prefer to just tear instead of being cut.

  11. It’s great that you posted this, I really hope some women out there find this useful. I’ve actually never heard of this. Good one!

  12. They don’t do episiotomys as much as they used to. They used to think it prevented tearing. Now they have found it can cause more tearing. I had a stage 1 tear with both my girls and I had stitches with my second. I felt like the stitches really helped because I didn’t have the raw edges but man those ice packs and witch hazel pads are the bomb!

  13. I had one with my first child as well. This is great info! I was all about a sitz bath! I was lucky to not have been in too much pain with mine and to have recovered quickly, but I know throats not how it goes for everyone. This is a great article for a pregnant mom to know what she could be expecting!

  14. Wow anchal thanks for these amazing tips…. I never had any because I delivered through c-sec but I have never heard anyone talk about this so definitely this is going to be a great help.

  15. I have to say that getting the episiotomy cut sutured after the delivery was far more painful than giving birth and I did not use epidural. The tips you are using for the proper care and precautions are really useful.

  16. When I had my son I ended up having a c-section, where a lot of the tips you gave for an episotomy still apply as well, such as keeping it clean and not messing with it too much. It’s always great to see people write about these kinds of things, I know as a first time mom I was terrified about giving birth! Thanks for the great tips and for sharing!

  17. This is a very information post abour delivering a baby and episiotomy. I’ll keep this in mind. Having a baby is not yet a priority to us couple 🙂

  18. Great informations for those who are still in the process of preparing for motherhood. Reading this makes me somehow scary but I am considering this as a useful information for me to be applied in the near future.

  19. Many of us do not come up to talk on the topic of episotomy. I am happy you are creating an awareness on the same. Thanks for sharing.

  20. Well yes that’s great information I remember my doctor giving me the same tips when I went through the same thank you for sharing I’m sure all the new moms will be glad to read this

  21. I had one with my oldest and wished I had been more prepared beforehand. Sharing your experience and tips is a great way to help other women who may need this procedure done.

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