Scar on the perineum after childbirth. How to heal stitches faster after childbirth: standard rules. What is the help?

The happiness that engulfs a woman cannot be expressed in words; all the pain, all the torment experienced just a few minutes ago is forgotten. But in order to calmly hold the baby in your arms, you will have to work a little and suffer.

The most unpleasant, painful and for a long time takes first when the cervix dilates. But the second one - the birth of a baby - is a matter of minutes, which, however, can be overshadowed by or (even worse) a rupture of the perineum. Some women resist the cut as best they can: they are indignant and even scream. But you need to understand that this manipulation is sometimes simply necessary.

The birth canal may be narrow for the baby, and if the doctor does not make the incision, the child himself will do it. Then it will already be tear with torn edges irregular shape , and it will be quite difficult to sew it up, not to mention the fact that it will heal for a long time and painfully.

But the cut made with a scalpel is smooth and neat, will allow just a few stitches to bring the edges together. Such a seam will heal quickly and will not cause much trouble if it is properly cared for and treated.

External (external) and internal sutures after childbirth

Internal seams are applied when the cervix and vaginal walls are ruptured. Since the cervix loses sensitivity after childbirth, When stitches are applied, the woman in labor feels almost nothing.

But when stitches are placed on the vagina, it's quite noticeable, so it's done local anesthesia . Internal seams are made with self-absorbing threads that do not require additional care and removal of sutures.

To external seams include stitches on the perineum, and here everything is a little more complicated. A woman can tear on her own and the stitches on the tears take longer to heal.

However, Mostly doctors manage to make an even (and absolutely painless) incision towards the anus. Putting stitches in this place is a little painful, so local anesthesia is given here too.

You should pay special attention to the stitches on the perineum after childbirth, because this is the place where sterile bandage you can’t put it on, but the seams are in contact with external environment and can easily become inflamed.

Self-absorbing sutures

Recently, almost all stitches are applied using self-absorbing threads. This is very convenient: you don’t need to remove them, and already in 7-10 days there will be no trace left of them.

The only thing a woman can notice is pieces of threads or knots on the pad. Don't be alarmed, know that these remnants of thread mean that the stitches have almost dissolved. In a month, during an examination with a doctor, you will be able to verify this.

Let's look at some features

In order for the stitches to heal quickly and not become inflamed, they need to be properly cared for. Internal seams during normal course are not processed at all, since sterile self-absorbable sutures are used. There is enough hygiene care here.

And here if the internal seams are inflamed or festered, then use tampons with levomikol or any other anti-inflammatory ointments.

External seams require special care.. They should be processed 2 times a day. In the maternity hospital this is done by a nurse.

First, the seams are treated with hydrogen peroxide, and then brilliant green or iodine. In addition to this, physiotherapy procedures are carried out to promote speedy healing.

The woman in labor should change every 2 hours sanitary pad , in the maternity hospital they use sterile disposable panties. You should wash yourself at least 2 times a day and after each act of defecation (and do this long after discharge). After washing (with potassium permanganate), the seams should be carefully blotted with a towel., but under no circumstances rub it with it, then treat it with peroxide, and then with brilliant green or iodine.

A woman always has a lot of troubles after giving birth. And problems with seams are only a small part of them. But believe me A healthy baby snoring sweetly in your arms will atone for all your hard work and make you forget about all the difficulties associated with childbirth.

Many women who encounter stitches for the first time after childbirth do not know how to behave correctly so that the seams do not come apart.

The most important thing is a woman in labor with stitches should not sit for 7-10 days in no case. That is, eating, feeding the baby, swaddling and other work can only be done in supine position or standing.

At first it will be difficult to get used to this, and the desire to sit down will appear all the time. It is important not to do such a stupid thing, otherwise the seams will come apart.

Previously, it was much simpler, because the baby was brought only for feeding and immediately taken away, so the woman in labor could rest and get used to her new position. Women in labor with stitches were generally forbidden to stand up unless necessary, which is why the healing of the stitches after childbirth occurred much faster.

But now, when the baby is brought in on the first day and left with the mother until discharge, observe bed rest It’s quite difficult, because you need to get up and swaddle the baby, wash it, and feed it. Well, how can you not forget and sit down out of habit?

Remember: You will be able to sit down no earlier than after 10 days (and this is provided that the stitches heal well without causing complications), and then only on a hard chair, and after another 10 days - on a soft chair, bed or sofa.

Since the woman in labor is being discharged for 5-7 days, then the trip home will not be very comfortable, you will have to ride in a reclining position in the car. Warn your relatives in advance that only one passenger can travel with you in the car, since you will need more space.

There is one more point: in the first week after suturing, you need to go to the toilet correctly “in large quantities”. It is best to give an enema at the first urge, otherwise the sutures may also come apart due to tension in the pelvic muscles.

What to do, if…

The seams have come apart

If the seams do come apart, it is important to determine this quickly.

Internal seams come apart in very exceptional cases. It is simply impossible to notice this on your own. This can only be seen by a doctor during an examination. Such seams, as a rule, are no longer touched.

Most often this occurs with external seams in the crotch.. Sudden movements, improper defecation, or if a woman sits down can cause the stitches to come apart.

If this happens literally the next day after birth, then repeated stitches are applied. It’s a different story if the edges of the wound have already healed and the stitches have come apart. Then the doctor decides on re-suturing.

If it is just a couple of stitches and there is no threat to life, then the seams can be left as they are. But it also happens that the seam has come apart fully. Then the edges of the wound are excised and the sutures are reapplied.

While the woman is in the maternity hospital, the doctor examines her every day, and if he finds that the seams are starting to come apart, he will take action. But if, after discharge, the young mother feels that the stitches have come apart, then she should immediately contact the antenatal clinic, where the gynecologist, after an examination, will tell you what to do.

The stitches hurt

The stitches may hurt for the first couple of days, then the pain should go away. Internal stitches heal much faster, and the pain is felt weakly, going away after a couple of days. But the external seams can bother you for a long time if you do not follow the regime.

Painful sensations when trying to sit down are quite natural, but if the pain appears in calm state, this may signal an inflammatory process.

That's why you must not endure the pain, but consult a doctor. If you manage it in time, the inflammatory process can be easily eliminated, but if you delay it, the stitches will fester, and treatment will have to be long and tedious.

When are sutures removed?

The situation is more complicated with ordinary stitches that need to be removed. This can only be done after the wounds have healed. IN best case scenario this happens on day 6-7.

But if the sutures become inflamed after childbirth or the sutures fester, then healing is delayed and you have to deal with inflammatory process and only then remove the stitches.

So when are stitches removed after childbirth? All this is decided individually. Before being discharged from the maternity hospital, the woman is examined by a doctor and, if all is well, the stitches are removed (the process is almost painless). If it’s too early, the doctor will tell you when you need to go for an examination at a consultation.

During childbirth, situations often arise when it is necessary to apply stitches. Their presence requires increased caution from the young mother and, of course, certain skills in caring for this temporary “risk zone.”

If the birth took place through the natural birth canal, then the sutures are the result of the restoration of the soft tissues of the cervix, vagina, and perineum. Let us recall the reasons that could lead to the need for sutures.

Cervical ruptures most often arise in a situation when the cervix has not yet fully opened, and the woman begins to push. The head puts pressure on the cervix, and the latter ruptures.

Perineal incision may appear for the following reasons:

• quick birth - in this case, the fetal head experiences significant stress, so doctors make it easier for the baby to pass through the perineum: this is necessary in order to reduce the likelihood of injuries to the baby’s head;
• - dissection of the perineum pursues the same goals as during rapid childbirth;
• baby is born in - the tissues of the perineum are dissected so that there are no obstacles during the birth of the head;
• with anatomical features of a woman’s perineum (tissues are inelastic or there is a scar from a previous birth), due to which the baby’s head cannot be born normally;
• the expectant mother should not push due to severe myopia or for any other reasons;
• there are signs of a threat of perineal rupture - in this case, it is better to make an incision, since the edges of a wound made with scissors heal better than the edges of a wound formed as a result of a rupture.

If the baby was born with the help operations, then the young mother has postoperative suture on the anterior abdominal wall.

Various materials are used to apply sutures to the perineum and anterior abdominal wall. The choice of a doctor depends on the indications, available capabilities, technique adopted in a given medical institution, and other circumstances. Thus, synthetic or natural self-absorbable suture material, non-absorbable suture material or metal staples can be used. The last two types of suture materials are removed on the 4-6th day after birth.

Now that we have remembered why seams may appear, let's talk about how to care for them. If there is a stitch, the young mother must be fully prepared and know how to behave so that the rehabilitation period goes as smoothly as possible and does not leave any unpleasant consequences.

Healing of small wounds and sutures occurs within 2 weeks - 1 month after birth, deeper injuries take much longer to heal. IN postpartum period It is necessary to take all precautions so that an infection does not develop at the site of the sutures, which can then enter the birth canal. Proper care behind the damaged perineum will reduce painful sensations and speed up wound healing.

To care for stitches on the cervix and the walls of the vagina, all you need to do is follow the rules of hygiene; no additional care is required. These sutures are always placed with absorbable material, so they are not removed.

In the maternity hospital stitches on the crotch processed by the midwife of the department 1-2 times a day. To do this, she uses brilliant green or a concentrated solution of potassium permanganate.

Sutures on the perineum, as a rule, are also applied with self-absorbing threads. The nodules disappear on the 3-4th day - on the last day of stay in the maternity hospital or in the first days at home. If the suture was made with non-absorbable material, the sutures are also removed on the 3-4th day.

In caring for seams on the perineum also important role compliance with the rules of personal hygiene plays a role. Every two hours it is necessary to change the pad or diaper, regardless of its filling. You should only use loose cotton underwear or special disposable panties. The use of shapewear is strictly prohibited, as it puts significant pressure on the perineum, which impairs blood circulation, preventing healing.

It is also necessary to wash your face every 2 hours (after each visit to the toilet; you need to go to the toilet exactly at such a frequency that the bladder did not prevent uterine contractions). In the morning and evening, when you take a shower, the perineum should be washed with soap, and during the day you can simply wash it with water. You need to wash the seam on the crotch quite thoroughly - you can simply direct a stream of water at it. After washing, you need to dry the perineum and the area of ​​the seams by blotting the towel from front to back.

If there are stitches on the perineum, the woman is not allowed to sit for 7-14 days (depending on the degree of damage). At the same time, you can sit on the toilet already on the first day after birth. By the way, about the toilet. Many women are afraid of severe pain and try to skip bowel movements; as a result, the load on the perineal muscles increases and the pain intensifies. As a rule, in the first day or two after childbirth, there is no stool due to the fact that the woman was given a cleansing enema before giving birth, and during childbirth the woman in labor does not eat. Stool appears on the 2-3rd day. To avoid, do not eat foods that have a fixing effect. If the problem of constipation is not new to you, drink a tablespoon before each meal. vegetable oil. The stool will be soft and will not affect the healing process of the sutures.

In the vast majority of cases, it is recommended to sit on the 5-7th day after birth - on the buttock opposite the side of the injury. You need to sit on a hard surface. On the 10-14th day you can sit on both buttocks. The presence of seams on the perineum must be taken into account when traveling home from the maternity hospital: it will be convenient for the young mother to lie or half-sit in the back seat of the car. It’s good if the baby sits comfortably in his personal car seat and does not occupy his mother’s hands.

It happens that the scars remaining after the stitches have healed still cause discomfort and pain. They can be treated with heating, but not earlier than two weeks after birth, when the contraction has already begun. To do this, use blue, infrared or quartz lamp. The procedure should be carried out for 5-10 minutes from a distance of at least 50 cm, but if a woman has sensitive White skin, it must be increased to a meter to avoid burns. This procedure can be done independently at home after consulting a doctor or in a physical therapy room. If a woman feels discomfort at the site of a formed scar, or the scar is rough, then to eliminate these phenomena the doctor may recommend Contractubex ointment - it should be applied 2 times a day for several weeks. With the help of this ointment, it will be possible to reduce the volume of scar tissue formed and reduce discomfort in the scar area.

After caesarean section The seams are observed especially carefully. For 5-7 days after surgery (before sutures or staples are removed), the postpartum nurse will clean the postoperative suture daily. antiseptic solutions(for example, “green paint”) and changes the bandage. On the 5-7th day, the sutures and bandage are removed. If the wound was sutured with an absorbable suture material(this material is used when applying the so-called cosmetic seam), then the wound is treated in the same way, but the sutures are not removed (such threads completely dissolve on the 65-80th day after surgery).

The skin scar forms approximately on the 7th day after surgery; therefore, already a week after a caesarean section you can shower completely calmly. Just don’t rub the seam with a washcloth - this can be done in another week.

Cesarean section surgery is quite serious. surgical intervention, in which the incision passes through all layers of the anterior abdominal wall. Therefore, of course, a young mother is worried about pain in the area surgical intervention. In the first 2-3 days, painkillers, which are administered to the woman intramuscularly, help to cope with painful sensations. But already from the first days to reduce painful sensations The mother is recommended to wear a special postpartum one or tie up her belly with a diaper.

After a caesarean section, young mothers often have a question: will the seam come apart if you take the baby in your arms? Indeed, after abdominal operations surgeons do not allow their patients to lift more than 2 kg for 2 months. But how can you say this to a woman who has to take care of a baby? Therefore, obstetricians do not recommend that postpartum women after a cesarean section lift more than 3-4 kg during the first time (2-3 months), that is, more than the weight of the child.

If pain, redness, or discharge from the wound appears in the area of ​​the suture in the perineum or on the anterior abdominal wall: bloody, purulent or any other, then this indicates the occurrence of inflammatory complications - suppuration of the sutures or their divergence. In this case, you need to consult a doctor.

Depending on the severity of the condition, the doctor will prescribe the woman local treatment. In the presence of purulent-inflammatory complications, this can be Vishnevsky ointment or syntomycin emulsion (they are used for several days), then, when the wound is cleared of pus and begins to heal, levomekol is prescribed, which promotes wound healing.

Once again, I would like to emphasize that treatment of complications should only take place under the guidance of a doctor. Perhaps a midwife will come to the patient’s home to treat the sutures, or maybe the young mother herself will have to go to the antenatal clinic, where this procedure will be performed.

Elena Martynova,
Obstetrician-gynecologist

Some circumstances during childbirth lead to the imposition of stitches on the mother in labor. If there are stitches, the woman in labor must take certain precautions and, of course, treat them so that they heal faster.

Situations that lead to stitches

At natural childbirth There are two situations in which sutures are necessary: ​​a cervical rupture and an incision in the perineum.
Uterine rupture occurs when the cervix is ​​not fully dilated when the woman begins to push. The baby's head puts pressure on the uterus, causing the uterus to rupture.

The obstetrician makes an incision in the perineum following cases:

• Quick birth.
• Anatomical features perineum of a woman in labor, for example: inelastic tissue or the presence of a scar from a previous birth.
• Doctors contraindicate pushing for a woman in labor, for example, due to myopia and other reasons.
• Threat of perineal rupture.

All reasons for cutting the perineum have one goal - to facilitate the passage of the child through the cervix, in order to avoid injuries to the child's head. When the perineum is cut with a scalpel, the edges are smooth, and accordingly, the healing of the sutures occurs faster than with uneven edges formed during a rupture.
When a baby is born as a result of a cesarean section, the woman in labor will have sutures on the anterior abdominal wall after childbirth.

How quickly do they heal?

“How quickly do stitches heal after childbirth?” - you ask. Healing of sutures after childbirth is the process of restoring the soft tissue of the perineum. Sutures are applied using various materials, depending on the indications, technique, capabilities and other circumstances.

Exist the following types materials:

• natural or synthetic self-absorbable,
• non-absorbable
• metal brackets.

With self-resorption of sutures, wound healing occurs from 1 to 2 weeks, sutures dissolve in about thirty days.
When using staples and non-absorbable material, threads or staples are removed after childbirth on average on the fifth day. Wound healing occurs from 2 weeks to 1 month, depending on the size and cause of the suture.

Treatment of sutures after natural childbirth

In order for the wounds to heal faster, to prevent infection and to reduce pain, it is necessary to care for the sutures after childbirth. For stitches on the cervix and vaginal walls, it is necessary to comply normal rules hygiene. Such sutures are always applied with self-absorbing material; no additional care is required for such sutures.

In the maternity hospital, the sutures on the perineum after childbirth are treated by a nurse twice a day, using a solution of “potassium permanganate” or a solution of “brilliant green,” popularly called “zelenka.” Sutures on the perineum are also usually applied with absorbable threads. The suture knots fall off around the fourth day. If, for some reason, sutures were placed with non-absorbable material, the sutures are removed on the 4th day of stay in the maternity hospital.

At home you must follow simple rules personal hygiene. Try to change your maternity pad every two hours, use special disposable maternity panties or loose cotton underwear. During the wound healing period, you should not use figure-shaping underwear, as it puts pressure on the perineum, which impairs blood circulation, preventing wound healing. And also seam fraying occurs due to the non-breathable stretch material of the underwear.
You need to wash yourself morning and evening using baby soap, and after each visit to the toilet. It is necessary to rinse the seam well by simply directing a stream of water at it. After washing, dry the perineum by blotting it with a towel. Following washing, it is recommended to treat the seams with Miramistin solution and let them dry naturally.

If the stitches are on the perineum, the woman is not allowed to sit down for ten days. This does not apply to going to the toilet, since you can sit on the toilet already on the first day after the baby is born.
As a rule, stool appears on the third day, since a cleansing enema is given before childbirth, and during childbirth the woman does not eat. To avoid constipation, you can drink a spoonful of vegetable oil before eating, then the stool will become soft and will not affect the healing of the sutures. And also do not eat food that has a fixing effect.

Treatment of sutures after caesarean section

After a caesarean section, care must be taken to carefully clean the sutures after childbirth. While you are in the maternity hospital, the treatment nurse cleans the sutures daily with antiseptic solutions and changes the dressing. On the fifth or seventh day, the sutures and bandage are removed, if the suture was not applied with absorbable material. Such threads dissolve in up to eighty days. The skin scar was formed already on the seventh day after surgery.

A caesarean section is a surgical procedure where an incision is made through all layers of the anterior abdominal wall. As a result, the woman in labor is bothered by pain in the suture area; from the first days in the maternity hospital, an intramuscular anesthetic injection is administered. It is also necessary to wear a special postpartum bandage.
To prevent the sutures from coming apart after childbirth, the mother in labor is not recommended to lift weights greater than the weight of the child.

Complications after childbirth

If the sutures come apart after childbirth: pain, redness, and discharge appear in the suture area, you must urgently consult a gynecologist, as inflammatory complications have arisen.

Depending on the complication, for example, the sutures on the perineum have come apart or the wound is suppurating, the doctor will prescribe local treatment. In case of purulent-inflammatory complications, the sutures are treated using Vishnevsky ointment or synthomycin emulsion; after the pus is released and the wound begins to heal, levomekol is prescribed, which accelerates the wound healing process.
By following simple hygiene rules, you can avoid complications. Be healthy!

About a week before giving birth, all the calm that accompanied me throughout the entire period of pregnancy week by week suddenly disappeared somewhere. Feelings about upcoming birth just overwhelmed me. I remember how the contractions started, they brought me to the emergency department of the maternity hospital, and for a long time I could not decide to cross its threshold, my knees were shaking, my legs were numb, my whole body was covered in goosebumps. Everything that happened next was rapid and happened as if in a fog. In general, the birth, like the contractions before it, was not particularly painful, and flew by in an instant. No, to say that it didn’t hurt at all would be dishonest, but in principle, the pain is quite tolerable and quite manageable. The feelings of already accomplished mothers, whose stories fill the Internet, and the memories of my mother and grandmother, in my opinion, were clearly exaggerated. But the healing of the sutures, although accompanied by mild pain, lasted quite a long time and left much more unpleasant memories.

Stitches after childbirth.

There are several various situations, in which there is a need for sutures after childbirth. And of course, many women who have just given birth or are about to give birth are interested in the question of how long it takes for sutures to heal after childbirth, and in what cases they are applied.

Postpartum sutures are applied during caesarean section. But this is the topic of a separate article, and today we'll talk about stitches after natural childbirth.

During natural childbirth, the need for stitches may arise as a result of ruptures and incisions. For example, if a woman begins to push when the cervix is ​​not dilated sufficiently, and the baby’s head begins to put pressure on her, the uterus may rupture and then stitches will not be necessary. But this does not happen as often as ruptures and cuts in the perineum, which have recently become almost normal occurrence during childbirth.

I would like to note that there are a number of indications for which a perineal incision is made. And if this is not done, then instead of a cut there will be a rupture, and the child, not being able to pass unhindered through the birth canal, may be injured. The main difference between an incision and a rupture is that the edges of the incision are smooth, since it is made with a sharp scalpel, but with a rupture they are torn, which makes the healing process longer and more painful. And the answer to the question of how long it takes for sutures to heal after childbirth will largely depend on this.

5 reasons why a perineal incision is made:

1. Rapid or premature labor.
2. Breech presentation.
3. Threat of perineal rupture.
4. Individual characteristics of the woman in labor, such as a scar left over from a previous birth or inelastic tissue.
5. Contraindications that do not allow pushing during childbirth.

Whatever the reason why the doctor or midwife makes the incision, its purpose is to help the baby be born and avoid injury.

How long does it take for stitches to heal after childbirth?

It is quite natural that the question of how long it takes for sutures to heal after childbirth is of interest to most women who have given birth. But more than one doctor cannot answer this question unequivocally. There are several factors that influence the speed of healing of sutures after childbirth; in addition, sutures are used different kinds materials.

Types of materials for suturing after childbirth.

• Self-absorbing (synthetic or natural).
• Non-absorbable.
• Metal staples.

And of course, how long it takes for the sutures to heal after childbirth will depend on the type of material used. When using self-absorbable threads, it takes up to 2 weeks for the wound to heal, and the sutures themselves dissolve within a month. When using other materials, sutures placed after childbirth must be removed. This is usually done after 5-6 days, and wound healing takes from 2 to 4 weeks.

It is worth noting that the healing time of wounds can greatly increase when microbes enter the wound. Therefore, it is necessary to be able to process seams and ensure their cleanliness. Otherwise, the question of how long it takes for sutures to heal after childbirth will torment you for a very long time.

Asepsis of sutures after childbirth and basic precautions.

Asepsis, or simply put, the treatment of sutures, will help you not only reduce pain, but will protect wounds from germs getting into them, thereby significantly shortening their healing time. Sutures after childbirth, which are placed on the uterus or vaginal walls, are made with self-absorbing threads. They do not require special care; you just need to follow the simplest rules of personal hygiene. For sutures on the perineum, self-absorbable materials are also most often used, although the situation when non-absorbable threads are used for these purposes is far from uncommon. This is done in order to save money, since self-resorbable materials are much more expensive. Such sutures after childbirth must be treated twice a day with a weak solution of potassium permanganate or brilliant green. And after discharge, that is, on the 4-5th day, it is enough to simply follow the rules of hygiene:

• Wash yourself in the morning and evening, and also after going to the toilet. After washing, the perineum should be blotted with a dry towel.
• It is necessary to change the pads every 2-3 hours.
• Use only clean, loose underwear. Ordinary cotton panties are best suited.
• Within a week, it will be useful to treat the seams with Miramistin solution.

By following these simple rules, very soon the question of how long it takes for stitches to heal after childbirth will no longer worry you.

Stitches after the birth of the baby - common occurrence and very unpleasant. Many women face this problem and, having heard from friends about the danger of seams coming apart, are looking for depression. useful information How to protect yourself from such a situation.

There are some mandatory rules about caring for scars after childbirth, but we still need to figure out what kind of stitches there are and when they are placed on a woman.

1. . This seam is common and occurs in different situations: breech presentation of the fetus, premature and rapid birth. There are several types of seams. The walls and muscles of the rectum, muscles and skin can rupture pelvic floor, posterior commissure of the vagina. perineums can also be artificial: the perineum is cut with a special instrument.
2. stitches in the vagina. The walls of the vagina are torn in the same situations as the cervix.
3. . The rupture occurs due to poor dilatation of the cervix and premature birth.
4. stitches due to caesarean section. Seams are required here. The incision size is approximately 12 cm.

There are several ways to apply a suture. Today, sutures taken from cosmetology are increasingly used. completely invisible after healing. However, all seams require high-quality care. Seams are distinguished only by the material from which they are made. If they are applied with non-absorbable threads, they need to be removed after a couple of days. But sutures with self-absorbable threads do not need to be removed. The most commonly used are Maxon, Vicryl and Cadgut. Such threads can completely dissolve without surgical intervention.

As a rule, stitches on the cervix and vagina practically do not bother a woman and do not require special care. You just need to avoid lifting heavy objects and follow the rules of hygiene. Such sutures are made of thread, which can dissolve on its own within a few weeks. The scars heal quite quickly and are completely painless.

Careful attention must be paid to the sutures due to a caesarean section. The nurse takes care of them for some time. Such a seam is treated every day with antiseptic solutions and a sterile bandage is made. Then, after 7 days, the non-absorbable threads are removed, but the procedure continues.

The first shower with a suture can be taken one week after such a birth, and you need to wash the scar with great care. In the area of ​​the suture, the woman will be bothered by pain for a long time, which painkillers will help to cope with at first, and then will help reduce the pain to a minimum postpartum bandages. A woman is strictly forbidden to lift any weights for 2 months in order to protect herself from all kinds of seam ruptures.

Special care required external seams crotch. In addition, such wounds are very difficult to care for. Artificial incisions heal easier and faster because they have smooth edges.

Basic condition fast healing scar - this is maximum protection from bacteria and constant peace. It is most difficult to ensure aseptic conditions in the perineal area.

You can't put a bandage on here. You just need to maintain personal hygiene:

• treat the scar every day antiseptics;
• after washing the perineum, dry it with a towel;
• wash the seams with soap;
• Always wash yourself after using the toilet;
• refuse shapewear;
• wear only loose underwear;
• Change pads every two hours.

After the birth of a baby, a woman’s perineal sutures bother her for several weeks. At times they are accompanied by discomfort and pain. A woman with a stitch is not allowed to sit. You will have to do everything for a while, half-sitting, so that the seam does not come apart. In a couple of days she can sit on a chair, it must be wide, but for now only one buttock, and then the whole one. Constipation should be avoided to avoid unnecessary pressure on the perineum.

Sutures in the perineum cause discomfort and pain during intercourse for several more months, because the stitch narrows the entrance to the vagina. Therefore, you need to choose a comfortable position and buy special ointments for stitches.

Complications after childbirth

The most dangerous and unpleasant complications are seam divergences. There can be many reasons: sitting down earlier, sudden movements, suppuration of the sutures.

Possible symptoms of complications:

• high body temperature;
• painful swelling of wounds;
• feeling of heaviness in the perineum;
• severe pain in the area of ​​seams;
• bleeding of sutures.

If you have such symptoms, you need to see a doctor who will examine your stitches and prescribe appropriate treatment. If purulent inflammation Syntomycin emulsion or Vishnevsky ointment is prescribed, which is used only for a few days. To help the wound heal faster, Levomekol is prescribed.

Also, with the help of simple exercises you can speed up the healing of sutures. To increase blood flow, you need to relax and tense your pelvic muscles. The most effective exercise- “retaining urine”, as a result the vaginal muscles contract. The delay should be done for 5 seconds, then relax. You can do this exercise several times a day, alternating relaxation and tension about 7 times.