What do the internal seams look like? Products for treating postpartum sutures

After childbirth, many women are faced with the phenomenon of stitches on the cervix, vagina or perineum. Let's look at what types of sutures there are, what complications can be encountered after their application, and what care they require after childbirth.

Depending on where the sutures are placed, they are divided into internal and external.

Internal seams

Internal ones are considered to be those that were applied for ruptures of the cervix or vaginal walls. Such sutures are applied after childbirth, when the doctor examines the genital organs. The procedure for suturing the uterus does not require anesthesia, since after childbirth the organ is absolutely insensitive. When suturing the vaginal walls, do local anesthesia. Sutures are applied with self-absorbing threads that do not require removal.

External seams

External stitches include sutures placed on the perineum. They are applied when ruptures of the perineum appeared during childbirth or an artificial incision was made. If necessary, doctors give preference to incisions, preventing ruptures, since their edges are always smooth, which means they will heal faster. External sutures after childbirth are performed under local anesthesia.

The perineum can be sutured with threads, which require removal on the 5th day, or with self-absorbable threads. Also in this area, doctors can use a cosmetic suture, which came to gynecology from plastic surgery. This type of suture is characterized by the fact that the thread passes subcutaneously, and only its entrance and exit from the wound are visible.

How to treat and care for stitches after childbirth

During the first days in the maternity hospital, midwives handle the sutures. 2 times a day they treat the seams with a solution of brilliant green or potassium permanganate. You will continue processing at home. This will need to be done after each water procedure.

This is how external seams are treated. The internal seams special care don't need it, provided you don't have any infectious diseases. And this needs to be taken care of even before pregnancy.

In the first days after childbirth, when stitches were placed, you need to be careful with bowel movements so as not to overstrain the fused tissues. Ideally, at the first urge to ask for an enema or glycerin suppository.

After every trip to the toilet you should wash yourself. In the morning and evening you can use the intimate hygiene product. It is better to wash yourself in the shower, rather than in a basin of water. The sanitary pad needs to be changed every 2 hours. Even if you think it can still serve.

A good option underwear There will be disposable panties that are made of breathable material. If there are none, then use cotton clothes. Do not put on underwear immediately after showering.

Air baths are good not only for children's skin, but also for your healing wounds. You should not rub the seams with a towel; it is better to blot them or wait until they dry completely.

Shapewear should not be used. The tightening effect cuts off blood flow and interferes with healing. Yes, you want to look good immediately after the baby is born, but wait a couple of months, and then you will be able to wear both a corset and panties.

And the most important. When applied postpartum sutures you will not be allowed to sit for about 10 days - this is at least. After this period, if the stitches heal without complications, you can begin to sit on a hard surface. You need to rest while the sutures are healing while lying down or half-sitting. You cannot make sudden movements.

Previously, when newborns were separated from their mothers, those who had postpartum stitches were not allowed to get up until discharge. This allowed the sutures to heal much faster. Now, when children are with their mothers in the ward, compliance bed rest impossible. Therefore, you need to follow the recommendations regarding sitting as much as possible so that the seams do not come apart or become inflamed.

Complications of postpartum sutures

If a woman has had stitches after giving birth, she is examined by a doctor every day. If no violations are found, then the treatment procedure is standard: hydrogen peroxide and a solution of brilliant green or potassium permanganate. If deviations from the norm are noticed, then a decision is made depending on the situation.

The seams have come apart

If the wound has not yet healed and the stitches have come apart, they are reapplied. If the wound has healed, but several stitches of the suture have come apart, then the doctor can leave the situation as is (provided that there is no threat to the woman’s life). If the entire seam has come apart, then you will need to cut the wound and sew it up again. The stitches may come apart when the woman is already discharged from the hospital. This fact requires immediate appeal to the hospital and call an ambulance.

The stitches are festering

ABOUT correct processing sutures that heal normally, as mentioned above. If inflammation or suppuration of internal or external postpartum sutures is detected, the doctor will prescribe additional measures for wound treatment.

Hygienic care will be supplemented with tampons and ointments for sutures. Levomikol, Vishnevsky ointment or other ointments that relieve inflammation and suppuration can be used. If you discover uncharacteristic vaginal discharge while at home, then the next day you should consult a doctor for advice.

The stitches hurt

Painful sensations after applying both external and internal sutures will occur in any case. Normally, internal pain should go away within 2 days after birth. Discomfort when applying external sutures will persist much longer. Especially if you don't follow a routine and try to sit down early.

If the pain only appears when you sit, this is normal (unless it is very severe and can be tolerated). But, if you feel discomfort while standing or lying down, then this may indicate inflammatory process. In this case, the pain cannot be tolerated. Seeing a doctor should be done immediately.

Postpartum sutures are sutures after surgery. In order for them to heal quickly and safely, you must take proper care of them. Of course, after the birth of the baby there will be plenty of other worries. But believe me, your baby needs healthy mom. The more carefully you take care of your stitches, the faster they will heal and will no longer require attention.

Replies

Sometimes after childbirth it becomes necessary to put stitches on the perineum of the mother in labor. The reason for this may be narrow birth canals, large fruit, the presence of a scar after a previous birth and poor tissue elasticity. After such manipulation, a woman should be very careful, because at the slightest non-compliance medical recommendations her wound may reopen. Let's take a closer look at what needs to be done if a seam breaks after childbirth and how to prevent this.

What to do if the seam diverges after childbirth: the main causes of thread rupture

Most often, sutures may come apart after childbirth for the following reasons:

1. Infection in the wound.

2. Sitting down too early.

3. Excessive physical activity(lifting weights).

4. Making sudden movements.

5. Early resumption sexual activity.

6. Failure to comply with hygiene rules.

7. Constipation, which led to overstrain of the maz muscles and rupture of the suture.

9. Improper care behind the seams.

10. Wearing tight or too tight underwear.

A seam has broken after childbirth - what to do and how to recognize it

Recognize sudden divergence postpartum suture can be based on the following symptoms:

1. A burning sensation in the wound area.

2. Pain and tingling in the suture area.

3. The appearance of swelling of the perineum.

4. A feeling of fullness and heaviness in the wound area may indicate the development of a hematoma and accumulation of blood.

5. Bloody or purulent discharge.

6. Increased body temperature (can occur when an infection gets into the wound). In this condition, it is very important to quickly consult a doctor, otherwise the woman may lose the opportunity to breastfeed.

7. Weakness.

8. Redness in the suture area.

The seam came apart after childbirth: what to do and what to do

At the first suspicion of a suture rupture, you should contact your observing gynecologist as soon as possible. After the examination, the doctor will prescribe necessary medications and procedures.

Traditional treatment seam divergence provides:

1. Use of anti-inflammatory and healing ointments (Levomekol, Sintomycin, Vishnevsky ointment). These remedies will help get rid of swelling, pain and redness. They will also disinfect the wound and promote its rapid healing.

2. If the sutures were still very “fresh” and came apart literally on the second day after birth, then most likely the doctor will prescribe re-suturing. In this case, the wound must be washed with antiseptics so that infection cannot enter it.

It is important to know that when applying postoperative sutures, a woman in labor is recommended to stay in the hospital for five days under medical supervision, and not rush to go home, since it is in the conditions of the hospital and its sterility that you can protect yourself more.

3. If the sutures come apart after the wound has healed, then there are two treatment options:

If the wound does not pose a threat to the woman’s health, then the doctor can leave everything as is and not apply repeated stitches;

If the seam is completely torn, then the edges of the wound are cut again and the threads are reapplied, otherwise an infection can easily get into the seam, and this condition will always cause discomfort in the young mother.

4. In the case when it is not the seam itself that has come apart, but only a few of its stitches, then this situation does not require re-sealing. surgical intervention. Instead, the wound should be treated with disinfectant ointments and solutions.

5. Much great danger represents a suture dehiscence after a caesarean section, since in this case the wound runs through the entire anterior part of the peritoneum. In addition, it is quite large and more susceptible to rupture (due to the fact that the suture is placed on the abdominal muscle, which contracts with almost any physical movement).

It is much easier to see such a divergence of the seam, because it is clearly visible, unlike the seam on the perineum, the rupture of which can only be accurately determined by a gynecologist. In this case, the woman will feel severe pain and burning while standing and sitting. In addition, blood will ooze from her wound.

In this case, you need to consult a doctor as soon as possible. Doctors usually re-stitch the stitches.

6. In case of severe suppuration of the wound and high temperature for a woman, she is prescribed strong antibiotics, antipyretic and anti-inflammatory drugs. After taking them breast-feeding will, unfortunately, be impossible.

Typically, the time it takes for a wound to heal depends on the type of sutures used to suture it. Today, natural, synthetic and self-absorbable threads are used. Metal staples are very rarely used.

The healing period for absorbable materials takes two to three weeks. As for non-absorbable synthetic threads, they take longer to heal - from two to three months.

What to do to prevent the suture from coming apart after childbirth: wound care

Proper care behind a stitch after childbirth is a guarantee fast healing wounds and prevention of infection. To do this, you should follow these recommendations:

1. Regularly lubricate the wound antibacterial agents. In the first days after birth, the suture is usually processed by the gynecologist himself, however, even after arriving home, it is important to continue these procedures independently.

2. Wash the seams with soap.

3. Wash after each urination and bowel movement to prevent infection.

4. Change the gasket every two hours.

5. Dry yourself after a shower with a clean towel.

6. On the first day after birth, you need to delay the act of defecation so as not to “strain” the suture. To do this, a woman should eat only liquid foods in small portions.

7. Treat the wound daily with brilliant green. You can also apply absorbable and healing ointments, but only if prescribed by a doctor.

In addition, with prolonged healing, irradiation can be used using special lamps. Done this procedure at the gynecologist.

As additional prevention A woman is recommended to visit a gynecologist once a week and undergo a control examination of the wound.

What to do to prevent sutures from coming apart after childbirth: prevention tips

To minimize the risk of sutures coming apart after childbirth, you should follow these tips:

1. In the first days after childbirth, a woman should not sit. All manipulations (including nutrition, feeding the child, etc.) must be performed in a lying or standing position. Moreover, even after discharge, when traveling home, you need to leave lying down, having first unfolded the chair in the car. Only after four weeks (if everything is fine and no complications arise) can you sit down fully.

2. You should abstain from sexual activity until the stitches are removed, since it is usually this factor provokes earlier divergence of threads. Besides, sex life can contribute to infection in a fresh wound, which will only prolong the rehabilitation process.

3. Observe the rules of personal hygiene.

4. Wash with baby soap without dyes and fragrances that can cause irritation.

5. You should wear seamless, loose underwear made from natural fabrics or special disposable panties. You should not wear tight models or shapewear until the wound has completely healed.

6. Treat the seam with antiseptics twice a day.

7. Maintain hygiene in the perineal area and in case of bloody or mucous discharge that may occur after childbirth, change pads as often as possible.

8. Special attention You should pay attention to your diet to avoid constipation. Thus, it is better to temporarily stop eating flour and sweets. Instead, it is better to give preference fermented milk products(kefir, cottage cheese), as they not only normalize stool, but also improve the overall intestinal microflora.

It is important to know that you cannot take painkillers on your own, especially when a young mother is feeding her baby. breast milk. This is explained by the fact that the majority medical supplies can be excreted from the body along with biological fluids, including with breast milk, which the baby will then drink. This, in turn, can cause the newborn serious problems able.

Before taking any medications, you should always consult with your supervising physician.

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

When are stitches needed?

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 occur in a situation where the cervix has not yet fully opened, and the woman begins to push. The head puts pressure on the cervix, and the latter ruptures.

An incision in the perineum 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;
premature birth– dissection of the perineum pursues the same goals as with rapid birth;
baby is born in breech– the tissues of the perineum are dissected so that there are no obstacles during the birth of the head;
at anatomical features the woman’s perineum (the tissue is inelastic or there is a scar from a previous birth), due to which the baby’s head cannot be born normally;
to the expectant mother you cannot push because of severe myopia or for any other reasons;
there are signs of a threat of rupture of the perineum - 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 through surgery caesarean section, then the young mother has postoperative suture on the front 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.

Stitches on the crotch

Healing small wounds and stitches occur 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 of the damaged perineum will reduce painful sensations and speed up wound healing.

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

In the maternity hospital, the sutures in the perineum are treated 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.

It is also necessary to wash your face every two hours (after each visit to the toilet; you need to go to the toilet with such 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. Speaking of the toilet, many women are afraid 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 constipation after childbirth, avoid eating foods that have a constipating 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 uterus has already contracted. To do this, use “blue”, infrared or quartz lamps. 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.

Sutures after caesarean section

After a caesarean section, the sutures are monitored especially carefully. Within 5-7 days after surgery (before sutures or staples are removed), the procedure nurse postpartum ward daily treatment of postoperative sutures 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 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 only 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 of 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 mother is recommended to wear a special postpartum bandage or tie up your 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 parents 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.

Possible complications

If pain, redness, or discharge from the wound appears in the area of the suture on the perineum or the anterior abdominal wall: bloody, purulent, or any other, then this indicates the occurrence of inflammatory complications– suppuration of sutures or dehiscence. 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 antenatal clinic where the procedure will be performed.

Exercises for healing stitches

To speed up the healing process, try to tense your muscles whenever possible. pelvic floor to increase blood flow. An example of such an exercise: contract the muscles around the vagina upward and inward as if you need to stop the flow of urine. Maintain this position for a count of 6. Relax. Such exercises can be repeated several times a day, alternating tension and relaxation 5-8 times.

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.”

When are stitches needed?

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;
premature birth - dissection of the perineum pursues the same goals as during rapid birth;
the baby is born in a breech position - the tissues of the perineum are cut so that there are no obstacles during the birth of the head;
with anatomical features of the woman’s perineum (the 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 rupture of the perineum - 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 via cesarean section, then the young mother has a postoperative suture on the anterior abdominal wall.

For overlay stitches on the perineum and the anterior abdominal wall use different materials. The choice of a doctor depends on the indications, available capabilities, techniques 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.

Stitches on the crotch

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 of the damaged perineum will reduce pain and speed up wound healing.

To care for sutures on the cervix and vaginal walls, 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.

Compliance with the rules of personal hygiene also plays an important role in caring for sutures on the perineum. 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.

It is also necessary to wash yourself every two hours (after each visit to the toilet; you need to go to the toilet at such a frequency that a full bladder does not interfere with the contraction of the uterus).

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. Speaking of 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 constipation after childbirth, do not eat foods that have a constipating effect. If the problem of constipation is not new to you, drink a tablespoon of vegetable oil before each meal. The stool will be soft and will not affect the healing process of the sutures.

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 uterus has already contracted. To do this, use “blue”, infrared or quartz lamps. 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 should 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.

Sutures after caesarean section

After a caesarean section, the sutures are monitored especially carefully. For 5-7 days after the operation (before removing the sutures or staples), the procedural nurse of the postpartum department daily treats the postoperative suture with antiseptic solutions (for example, brilliant green) and changes the bandage.

On the 5-7th day, the sutures and bandage are removed. If the wound was sutured with absorbable suture material (such material is used when applying a so-called cosmetic suture), then the wound is treated in the same way, but the sutures are removed (such threads are completely absorbed on the 65-80th day after surgery).

A cesarean section is a fairly serious surgical procedure 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 of surgical intervention.

In the first 2-3 days, painkillers, which are administered to the woman intramuscularly, help to cope with painful sensations. But from the first days, to reduce pain, the mother is recommended to wear a special postpartum bandage or tie up her stomach 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 parents 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.

Possible complications

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

Depending on the severity of the condition, the doctor will prescribe local treatment for the woman. 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 the procedure will be performed.

Exercises for healing stitches

To speed up the healing process, whenever possible, you should try to tense your pelvic floor muscles to increase blood flow. An example of such an exercise: contract the muscles around the vagina upward and inward as if you need to stop the flow of urine. Maintain this position for a count of 6. Relax. Such exercises can be repeated several times a day, alternating tension and relaxation 5-8 times.

During natural birth, if the child is large or comes out in a non-standard way, for example, butt forward, ruptures may occur birth canal, perineum. In some cases, doctors themselves make a small incision in the perineum during childbirth, if otherwise the child cannot be born. Immediately after birth, these incisions are closed with sutures. They add additional discomfort and pain after childbirth, and the stitches on the perineum are another story which needs to be experienced.

In contact with

Such sutures can be placed on the cervix without anesthesia: its sensitivity in the postpartum period is reduced, but on the perineum without anesthesia it will be difficult to do. And in this case it applies local anesthesia. But if epidural anesthesia was used during childbirth, it works long time, and there is no need for additional pain relief when placing seams. Sutures after childbirth can be placed on the cervix, vagina, and perineum. But it is in the latter case that the most severe discomfort and pain.

How long does it take for wounds to heal after sutures during childbirth, and is it possible to speed up this process? In general, everything is individual, it depends on many factors, and not last resort, on the correct compliance of the patient with precautions. For some things heal faster, for others slower. The speed of healing is also affected by their location and the type of surgical threads that were used. As a rule, catgut is used to apply internal sutures, which dissolves on its own. In this case, everything heals on average in 2 weeks. If surgical threads are used that do not dissolve, for example, nylon, they are removed 5-6 days after application. And the healing process itself can take from 2 to 4 weeks, and in some cases even longer.

Almost all “affected” mothers are concerned about the question: how to heal sutures faster after childbirth? The speed of healing also depends on the patient herself, on whether she follows all the rules for caring for the injured area, precautions to avoid infection, and not to re-injure these areas. She should be informed about all this in the maternity hospital.

If microbes get on post-mortem wounds, inflammation and suppuration may occur, which will significantly prolong the healing period.

Why can stitches hurt?

This normal phenomenon, because there was a break. After the anesthesia wears off, the stitches may begin to hurt. The fact is that most young mothers breastfeed their children, so painkillers are contraindicated for them. The doctor may prescribe medications with local action in order to somehow alleviate the patient’s plight. However, if everything is in order, there are no complications, and the woman follows all the rules, the pain should go away very soon. After suturing, you cannot sit normally for the first week. This must be done with caution and put stress on the buttock that is located on the opposite side of the seam. You can sit on the toilet almost immediately, but do not linger on it for too long and do not push too hard.

You need to make sure that everything is fine with them, they are not infected, they have not festered. Otherwise, if this does happen, you should consult a doctor. He will most likely prescribe special antiseptic drugs. The sutures may hurt due to the fact that the woman sits for a long time, which is undesirable in the first 2 weeks after childbirth. You can take a reclining position or lie on your side.

Often they may hurt during bowel movements. For this reason, women should avoid constipation. To do this, she must monitor her diet and take, if necessary, approved laxatives.

If the pain is severe, accompanied by itching, redness, and suppuration, you should immediately consult a doctor to prevent the development of more serious complications.

Sometimes, even a year later, the stitches after childbirth make themselves felt, especially when there is additional stress on them.

How to care for postpartum stitches

There is nothing particularly complicated. After each visit to the toilet, a woman must wash herself. The procedure must be repeated 2 times a day, using warm water. For now, you should forget about thongs and other fashionable shapewear. It should be free, comfortable, made of natural, high-quality materials. Sitting, with the exception of the toilet when visiting the toilet, should begin only after 2 weeks and do this gradually, very carefully, without sudden movements, so that it does not hurt and the stitches do not come apart.

Women are also prohibited from any physical activity, lifting, and carrying heavy objects; they will also need to abstain from sex for 1-1.5 months. Many women, for the sake of their sexual partner, just so as not to upset him, neglect this rule, making it worse only for themselves. But it is worth remembering that an understanding man will not insist on intimacy.

What to do if the seam comes apart

If the seam has come apart, you shouldn’t do anything on your own. It is necessary to call a doctor at home, if possible, or ambulance. Usually, the stitches are re-sutured. If the wound has already healed, the doctor can simply prescribe special drugs (vaginal suppositories, ointments) with a wound-healing effect.

The doctor usually, even when applying stitches, talks about when exactly the woman will need to come to him to remove the threads. If everything is in order, no complications or other problems arose during the healing process, the sutures are removed exactly after the specified period.

The process itself is relatively painless. Internal sutures made of catgut, as a rule, are not removed; they dissolve on their own. Other types of surgical sutures can also be removed relatively painlessly. Although it all depends pain threshold each individual woman. In the vast majority of cases, no anesthesia is required. Woman feels slight tingling, burning. If a woman is in pain, the doctor may use a local anesthetic to make the procedure easier for her. After the sutures are removed, you should also continue to carefully monitor intimate hygiene, avoid strong physical activity until the wounds are completely healed and healed.

How long does it take for external sutures to heal after childbirth, and how does the recovery period generally go in the video:

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