HOW SHOULD I CARE FOR MY STITCHES AFTER AN EPISIOTOMY?

Control and maintenance of stitches at home:
If an episiotomy was performed at normal delivery, the mother should continue to check and care for the stitches at home after being sent home. The stitches are checked and dressed in the hospital before they are sent home.
The pain and discomfort associated with the stitches will decrease a little more each day and the discomfort will completely disappear in about a week.
The area with episiotomy, that is, the area between the vagina and the breech, is called perineum.
What the mother should pay attention to about epiotomy stitches:
- The perineum should be kept clean and dry.
- After the big and small toilet, the perineum and the seams should be washed with plenty of water and dried. The antiseptic solution should be applied to the sutures after the ablution.
- Cleaning with toilet paper should be done from front to back. Making it from the back to the front will carry the germs onto the seam area.
- Cold application (ice bag, etc.) to the seam area is not always routine unless specifically stated by your doctor. Sometimes excessive edema, hematoma, etc. can be applied in cases.
- If your doctor has prescribed antibiotics, pain medications, and other medications, you should use them regularly.
- Slight swelling often occurs in the suture area and resolves spontaneously in a few days. If the swelling becomes excessive, painful, becomes purple, you should contact your doctor immediately.
- If there is a very bad smell from the stitching area, you should contact your doctor immediately. This may be a sign of infection and inflammation.
- Today, the birth incision is almost always repaired with self-melting stitches. Your doctor will inform you about this. Self-melting stitches are not removed, they dissolve and fall off within approximately 8-10 days after birth.
- It may also be useful to check the stitches with a mirror every two days after birth. If some of the stitches show large gaps between the opening and the wound lips, a doctor should be consulted immediately. If opening is detected in the sutures, it can be repaired by applying one or two stitches again with local anesthesia.
- If there is a lot of discomfort in pain, it may be useful to fill a basin with warm water and sit inside or put a hot compress on the seam.
- The pads used for vaginal bleeding that normally comes after birth should not be used until they are replaced for a very long time. It should be changed every 6 hours at the latest.
- Long standing should be avoided, may increase swelling in the episiotomy area.
- It is necessary to avoid constipation. For this, it is useful to consume lots of vegetables and fruits. If you still have serious constipation, you can ask your doctor for medication advice.
- Your doctor will usually make a check-up appointment one week to ten days after birth. You should definitely go to the control, it will be checked if the stitches are fully healed during the control.
Sexual intercourse:
It is impossible and unfavorable to have sexual intercourse before the stitches heal completely. You should not start sexual intercourse unless your doctor approves that the stitches heal completely without problems and that you can have sexual intercourse. Generally, sexual intercourse can be started one month after stitched births.


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