When stitches fall off after childbirth. What to do when the seam has broken after childbirth: common causes and consequences. What to do if the seam is broken after childbirth

During childbirth, it is not uncommon for a woman to rupture the vagina, uterus or perineum. This situation is not difficult, because doctors skillfully and quickly sew up such gaps, without focusing on this special attention.

In fact, all this is very unpleasant. First, the sewing process is enough painful procedure... Secondly, stitches after childbirth can give a young mother a lot of worries and hassle. You need to know how to minimize them and reduce the undesirable consequences of gaps to naught. Proper postpartum care for these "battle" scars will largely depend on where they are.

Depending on where exactly the rupture occurred, there are external (on the perineum) and internal seams after childbirth (on the cervix, in the vagina). They are made with threads from different materials, which means that they require special care, about which the young mother must be informed.

Stitches on the cervix

reason: large fruit;
anesthesia: not performed, since the cervix after childbirth loses sensitivity for some time;
suture materials: catgut, which allows you to apply self-absorbable sutures, which then do not have to be removed; as well as vicryl, caproag, PHA;
advantages: do not cause inconvenience, do not feel, do not cause complications;
leaving: not required.

Vaginal stitches

reason: birth trauma, vaginal ruptures of various depths;
anesthesia: local anesthesia using novocaine or lidocaine;
suture material: catgut;
disadvantages: persistence of pain for several days;
leaving: not required.

Crotch stitches

reasons: natural (damage to the perineum during childbirth), artificial (dissection by a gynecologist);
types: I degree (only the skin is injured), II degree (skin and muscle fibers), III degree (the rupture reaches the walls of the rectum);
anesthesia: local anesthesia with lidocaine;
suture materials: catgut (for grade I), non-absorbable threads - silk or nylon (for grade II, III);
disadvantages: persistence of soreness for a long time;
care: rest, adherence to hygiene rules, regular treatment with antiseptic solutions.

A particular problem is the external sutures after childbirth, which are performed on the perineum. They can cause various complications (suppuration, inflammation, infection, etc.), and therefore require special, regular care. A young mother should be warned about this in the maternity hospital, as well as informed about how to treat such wound surfaces. Usually women have many questions about this, and each of them is very important for her health and condition.

Every woman who has not managed to avoid ruptures is concerned about how long the stitches heal after childbirth, because they really want to quickly get rid of painful sensations and return to their previous way of life. The healing rate depends on many factors:

when using self-absorbable threads, healing occurs within 2 weeks, the scars themselves dissolve for about a month and do not cause much trouble;
much more problematic is the question of how long the stitches heal when using other materials: they are removed only 5-6 days after childbirth, their healing takes from 2 to 4 weeks, depending on the individual characteristics of the organism and their care;
the healing period of postpartum scars can increase when microbes enter the wounds, therefore, the ability to handle wound surfaces and monitor their cleanliness is required.

In an effort to quickly return to their previous lifestyle and get rid of painful sensations, young mothers are looking for ways to quickly heal the stitches after childbirth, so that they do not interfere with them enjoying the joy of communicating with the newborn. This will directly depend on how careful the woman is and whether she competently takes care of her postpartum "combat" wounds.

How do I care for my seams?

If tears cannot be avoided, you need to know in advance how to care for the sutures after childbirth in order to avoid complications and speed up their healing. The doctor must give detailed advice and tell you how to do it correctly. This is part of his professional duties, so feel free to ask. Generally, postpartum suture care involves sedentary image life, hygiene and treatment with various wound healing and antiseptic agents.

In the maternity hospital, a midwife treats external scars with "green" or a concentrated solution of "potassium permanganate" 2 times a day.
Change your pad every two hours after giving birth.
Use only loose natural (preferably cotton) underwear or special disposable panties.
You can not wear slimming underwear that provides strong pressure on the perineum, which has a bad effect on blood circulation: in this case, the healing of the stitches after childbirth may be delayed.
Wash yourself every two hours and after each use of the toilet.
Go to the toilet at such intervals that a full bladder did not interfere with the contraction of the uterus.
In the morning and in the evening, when you take a shower, wash your crotch with soap, and during the day just wash it with water.
The outer scar should be washed as thoroughly as possible: direct the stream of water directly onto it.
After washing, dry the crotch with a dabbing motion of the towel in one direction - from front to back.
Another important question is how long you cannot sit with stitches after childbirth, if they are made on the perineum. Doctors, depending on the degree of damage, call the period from 7 to 14 days. In this case, it is allowed to sit on the toilet immediately on the first day. After a week, you can squat on the buttock opposite the side in which the damage was recorded. It is recommended to sit only on a hard surface. This question needs to be thought over during the return of a young mother from the hospital. She is better off lying or half-sitting in the back seat of the car.
There is no need to be afraid of severe pain and, because of this, skip a bowel movement. This puts additional stress on the muscles of the perineum, resulting in increased pain. To facilitate this process, you can safely use glycerin candles after childbirth with sutures: they are rectal and soften the stool without harming the injured perineum.
Avoid constipation, do not eat foods that have a fixing effect. Drink a tablespoon before eating vegetable oil so that the stool is normalized and does not slow down the healing process.
You can not lift weights weighing more than 3 kg.

These are the basic rules of hygiene that allow the body of a young mother to quickly recover and return to normal even in case of ruptures. But what if the stitches hurt after childbirth for too long, when all the terms have already passed, but it still does not get easier? Perhaps some factors provoked complications that will require not only additional care but also treatment.

What complications can there be when suturing?

Very often, a woman continues to feel pain and discomfort two weeks after giving birth. This is a signal that something has prevented healing, and this is fraught various complications- in this case, you will need medical intervention, treatment, treatment of stitches after childbirth with special preparations. Therefore, a young mother should be extremely attentive and sensitively listen to her own feelings, monitor the healing process of postpartum injuries very carefully.

Pain:

if the scars do not heal for a very long time, they hurt, but when medical examination no pathologies and special problems were identified, the doctor may advise warming up;
they are carried out no earlier than 2 weeks after childbirth to allow the uterus to contract (read more about);
for this procedure, use "blue", quartz or infrared lamps;
warming up is carried out for 5-10 minutes from a distance of 50 cm;
you can do it yourself at home after consulting a doctor;
Ointment for healing sutures "Contractubex" can also relieve pain: it is applied 2 times a day for 2-3 weeks.

The seam has come apart:

if after childbirth seam split, it is strictly forbidden to do anything at home;
in this case, you need to call a doctor or an ambulance;
if suture divergence was actually diagnosed after childbirth, most often they are superimposed again;
but if at the same time the wound has already healed, this does not require any medical intervention;
in such cases, after the examination, the doctor will prescribe how to treat the stitches after childbirth: usually these are wound healing ointments or suppositories.

very often women complain that their seams itch after childbirth, and very much - as a rule, this does not indicate any deviations and pathologies;
itching is most often a symptom of healing, so it should not cause anxiety in a woman;
in order to somehow alleviate this unpleasant, albeit favorable symptom, it is recommended to wash off with water more often room temperature(the main thing is not to be hot);
this also applies to those cases when the seam tightens: this is how their healing occurs; but in this case, check for yourself if you started sitting too early and if you have to carry weights.

Festering:

if a woman noticed unpleasant, abnormal discharge (not to be confused with), a bad smelling and suspicious brownish-green color, this could mean putrefaction, which is serious danger for health;
if the seam festers, you must definitely tell the doctor about it;
so complications such as inflammation of the stitches after giving birth to their discrepancy can manifest themselves - both cases require medical intervention;
if infection occurs, antibiotics may be prescribed;
from external processing it is recommended to smear with shvygel "Malavit", ointments "Levomekol", "Solcoseryl", Vishnevsky;
if the scars fester, only a doctor can prescribe what can be used to treat them: in addition to the above anti-inflammatory and wound-healing gels and ointments, chlorhexidine and hydrogen peroxide are also used, which disinfect wound cavities.

Bleeding:

if after childbirth, shovkrovitis, most likely, the basic rule has been violated - not to sit during the first weeks: the tissues are stretched, and the wound surfaces are exposed;
in this case, it is not recommended to handle something yourself problem place, but contact directly a specialist;
alteration may be required;
but most often it is enough to use wound-healing ointments and gels ("Solcoseryl", for example).

If the first days have passed without the complications and special difficulties described above, there will be one more procedure - the removal of stitches after childbirth, which is performed by a specialist in outpatient... You also need to mentally prepare for it, so as not to panic and not be afraid.

How are stitches removed?

Before discharge, the doctor usually warns on what day the stitches are removed after childbirth: with the normal course of the healing process, this happens 5-6 days after they are applied. If a woman's stay in the hospital has been delayed, and she is still in the hospital at that moment, this procedure will be carried out to her there. If the discharge occurred earlier, you will have to come again.

And yet, the main question that worries all women who go to this procedure is whether it is painful to remove the stitches after childbirth and whether any anesthesia is used. Of course, the doctor always reassures that this procedure only resembles a mosquito bite. However, everything will depend on pain threshold women, which is different for everyone. If there were no complications, there really will be no pain: only an unusual tingling sensation mixed with burning is felt. Accordingly, no anesthesia is required.

Childbirth is an unpredictable process, so anything can happen. At the same time, ruptures are not uncommon and are not perceived by doctors as a complication or difficulty. Modern medicine assumes professional, competent stitching after childbirth, which subsequently cause a minimum of discomfort with proper care.

When a child is born through natural paths doctors sometimes have to resort to perineotomy or episiotomy - dissection of tissue from the entrance to the vagina in the direction back to the rectum or at an angle to midline... The stitches on the perineum after childbirth require special attention of doctors and adherence to some recommendations by the young mother.

Read in this article

Why are stitches

Perineotomy is an operation that protects the mother and helps the baby to be born. In the second stage of labor, excessive stretching of the perineal tissue may occur, and there is a threat of rupture. This happens in such cases:

high crotch;
stubbornness of tissues in women who give birth for the first time after 30 years;
scars after previous birth;
position of the child during childbirth, when he is facing the perineum with his forehead or face (extensor presentation);
using obstetric forceps or vacuum extraction of the fetus;
large fruit;
rapid labor;
premature eruption of the head with improper delivery by a midwife.

An incision with a straight edge heals better than a tear. Therefore, a dissection of the perineum is carried out, followed by suturing after the birth of the child. Suturing the wound is performed for its speedy healing.

Behavior precautions after incision

The length of the tissue dissection is about 2 - 3 cm; after suturing, the incision heals quickly. So that this process does not slow down and complicate, a young mother should follow some precautions:

on the first day after childbirth, you should only lie down;
standing and walking is allowed from the second day, for example, a woman must eat at a special high table, which is in the canteen of the maternity hospital;
you can sit only 3 days after removing the stitches or 2 weeks after giving birth, first on chairs and only then on a soft bed or sofa;
feed the newborn while lying on the bed;
properly care for the perineum;
avoid constipation;
wear non-tight cotton underwear.

When are stitches removed after childbirth? This usually happens a week or earlier after the baby is born. Thus, a woman should be careful in the first 14 days of the postpartum period.

If the sutures are applied using a self-absorbable material, then they do not need to be removed. The woman is discharged home at the usual time, the synthetic threads in the incision area completely disappear after a few weeks. The nodules disappear within 2 weeks after delivery.

Proper care of your intimate area and seams

How to treat crotch stitches after childbirth? Applications of special antiseptic not required. After visiting the toilet, a woman should wash herself with warm boiled water in the direction from the perineum to the anus and dry the skin with a clean cloth or paper towel. After washing, it is recommended to lie on the bed for a while without a pad so that the seam area dries well.

It is also necessary to change at least every 2 hours postpartum pads to prevent infection.

In carrying out these simple tips an incision in the perineum is not dangerous. After it, only a small scar remains. If a cosmetic suture was applied, then there are practically no traces of it.

Usage drugs for suture care is required when healing is slow or complications develop. The doctor should prescribe these funds. Usually they use chlorhexidine treatment, hydrogen peroxide, less often they recommend ointments - "Levomekol", "Vishnevsky Ointment", "Solcoseryl", means with panthenol.

Exercises for early recovery

To speed up tissue repair, you can perform special gymnastics... It should be remembered that exercises with abduction (breeding) of the legs should not be carried out before removing the stitches.

In the first two days, the exercises are performed while lying in bed. They include bending the legs in ankle joints, and then in the knees. In the future, the raising of the pelvis is joined with support on bent legs. Useful and breathing exercises... The duration of the lessons is 15 minutes.

On the following days, gymnastics is performed while standing and its duration is increased to 20 minutes. Turns and shallow torso bends, standing on tiptoes, light squats are added. Shows periodic compression of the sphincter of the anus during the day and attempts to temporarily stop the stream of urine during urination. Such exercises help restore blood supply to tissues and speed up healing.

Reasons for diverging seams

In some women, a divergence of sutures occurs after suturing the perineal incision. The reason for this is the woman's non-compliance with the recommendations for the regime:

getting out of bed early;
prolonged sitting during the first week after childbirth;
improperly performed exercises during gymnastics.

In addition, the stitches also diverge when a postoperative wound becomes infected.

Symptoms that should alert

If a woman has sore stitches after childbirth, she should inform her doctor about it. This is one of the main symptoms of wound healing. In addition, signs of distress can include:

bleeding from the incision;
a feeling of fullness in the perineum;
swelling of tissues;
fever, chills, weakness;
purulent discharge;
formations under the skin in the form of bumps or bumps.

In all these situations, you must contact antenatal clinic... Otherwise, the seams will hurt for a very long time, and after the wound heals, deformation of the walls of the vagina and perineum will remain.

Methods for correcting abnormal skin adhesion

The perineum is usually sutured with two rows of stitches: the first is applied to the muscles, and the second to the skin. If only the superficial suture has dispersed, measures are taken to prevent infection (treatment with chlorhexidine, hydrogen peroxide, brilliant green and other antiseptics), re-suturing is not performed.

If a woman really has the entire seam apart, then the cause is usually purulent inflammation. In this case, there arises strong pain, fever, purulent discharge. In this case, you need to urgently consult a doctor, you will probably need surgical debridement wounds.

With significant deformation remaining after a deep seam parted, it is shown in the future.

So, the sutures on the perineum after childbirth are applied for the speedy healing of the tissue incision. With the observance of the rules of care and the careful attitude of a woman to her health, her well-being quickly returns to normal. If disturbing symptoms appear, you need to seek help from a gynecologist.

A common complication is the rupture of soft tissues during attempts and the birth of a baby. The situation in each case is individual, depending on the elasticity of the uterus and vagina, the size of the fetus and its correct adherence. If the seams cannot be avoided, it is necessary to carry out daily care for the fastest healing.

Self-absorbable sutures: benefits

Postpartum sutures can be divided into internal and external sutures. The internal ones are applied when the cervix and the walls of the vagina are ruptured. The reason is rapid childbirth, large size of the fetus and incomplete dilatation of the uterus.

Self-absorbable threads are mainly used for internal organ injuries.

Access to the seams is difficult and re-intervention is not desirable. Resorption time directly depends on the composition of the threads. Materials are considered to be absorbable when their strength is lost for 30-60 days. There is an effect of water and proteins on the composition of the stitching tissue.

For stitching, use:

Catgut, threads disappear from 30 to 120 days, depending on the thickness of the material.
Lavsan - from 20 to 50 days.
Vicryl - 50-80 days.

Self-absorbable sutures do not require additional processing. After a month, they will dissolve on their own. It is only necessary to adhere to personal hygiene, avoid sexual relations for 2 months, do not carry heaviness and prevent problems with defecation in a timely manner. Doctors recommend taking a tablespoon of vegetable oil before meals to ease the process of stool.

How many stitches heal after childbirth: a topical issue for women in labor

External sutures after childbirth are applied when the posterior commissure breaks or when the perineum is dissected. An episiotomy is a surgical incision that is made to prevent rupture of the vagina and free passage of the fetus in difficult labor. Sewing an even incision is less painful and of better quality. Natural tears take a long time to heal and look less aesthetically pleasing.

Indications for a surgical incision:

Threat of rupture of the perineum, which is diagnosed visually with strong stretching of tissues to transparency. May occur in pregnant sufferers diabetes mellitus, skin diseases, dryness of the epidermis.
To facilitate attempts by pregnant women with cardiovascular pathology.
Abnormal bleeding to speed up the birth process.
Premature birth.
Large fruit.
First multiple pregnancy.
The threat of injury to the fetus, with an incorrect breech presentation.

An episio cut is much better than a rupture wound. Smooth edges are easier to sew, matching them as physiologically as possible. The suture heals faster without suppuration and swelling. Nylon, vicryl, silk threads are usually applied to the outer seams. They do not dissolve on their own, but they provide a strong connection of the edges of the wound, the seam does not diverge.

Wounds heal for 10-14 days if there were no complications.

All this time a woman will experience pain when walking, sitting down, defecating. Many women are worried about the question: how long will the stitches be removed? Usually, the procedure is carried out 5-7 days after the operation, with normal healing.

How to quickly heal stitches after childbirth: standard rules

Internal seams in most cases, do not bother the woman. Special attention given for external wounds. To heal the stitches faster, you must adhere to some rules. The first 3 days you need to wash warm water every 2 hours. Carry out the care with a sterile, lint-free towel, only blotting. Treat the perineum with brilliant green or potassium permanganate, these procedures are carried out in the hospital by a nurse. Change postpartum pads frequently. Wear comfortable underwear made from natural materials.

To prevent the seam from coming apart, it is prohibited:

Sit down for the first 10 days;
Lift weights for 60 days, except for your child;
To lead sex life throughout the month;
Comb the seams.

A woman in labor can sit, after a few days, first on one buttock, then completely lean on a chair. It is necessary to ensure a gentle bowel movement. To do this, strictly monitor the diet, avoiding constipation. It is also not recommended to shave until complete scarring is complete. Such a procedure can cause on the labia severe irritation, which in turn leads to inflammation of the suture tissue, severe itching and suppuration.

The method of performing a caesarean section affects wound healing. This procedure is considered a strip operation, and pain syndrome may persist for several months.

At emergency surgery, the incision is made vertically, from the navel to the pubis. In this case, the walls are sewn up. abdominal, what is he doing recovery period long enough. The horizontal suture with cosmetic stitching of the wound is more gentle. This incision looks much better and is almost invisible after scarring. After the operation, pain relievers are prescribed. You can't lie down. The next day, the woman should get up. Movement helps improve blood circulation, contributes to uterine contraction and better healing generic sutures.

How to treat stitches after childbirth: antiseptics and pain relievers

Take care of the seams in postoperative period necessary after discharge from the hospital. Treatment of seams at home is carried out with hydrogen peroxide and various creams: Bepanten, Solcoseryl, Levomekol. The suture on the abdomen can be treated with brilliant green by applying the preparation around the wound for 3 weeks.

A special bandage, which can be purchased at orthopedic stores, will help speed up recovery.

Many women note that the stitches hurt for a long time, especially after a cesarean section and a ruptured perineum. Emotional condition parturient women during this period are extremely unstable, which can affect lactation. Rectal and vaginal suppositories: Diclofenac, Ketanol, Voltoren. It is necessary to find out which drug is better to use from the supervising doctor.

At improper care behind the wound, some complications may occur:

Suppuration of the seam. If there is severe pain, when applying hydrogen peroxide, the wounds pinch, pull, they come out yellowish discharge, this indicates that the seam has festered. An increase in body temperature can join the symptoms. The scar festers due to improper hygiene or before the birth infection. The specialist will appoint additional treatment with the use of antibacterial drugs.
Divergence of seams. The situation can arise in the first days after surgery or after removing the stitches. Tissue can disperse for several reasons: early sitting, too abrupt movements, poor adhesion of the wound, its infection. If the stitches are parted at home, the main thing is to see a surgeon in time. If necessary, the doctor will re-dissect and suture the wound.
Inflammation of the seam. Painful sensations in the first days after childbirth operations are the norm. When the threads were removed, but it hurts to stand, sit and pull at the seams, the wounds may have become inflamed. This requires the help of a specialist.

If after returning home, the wound is bleeding, the scar is swollen, the area around looks reddened, purulent discharge or seals appear, you need to be examined by a gynecologist. Postpartum complications require immediate treatment. Inattention to the body can lead to purulent inflammation or blood poisoning.

Perineum after childbirth: predictions for the future

In case of perineal ruptures, as well as episiotomy, sutures are applied immediately after childbirth. To avoid an inflammatory process, it is necessary to match the wounds as accurately as possible. If the tissues are poorly sewn up, their rupture, suppuration and a long recovery period are possible. The healing process depends on the suture materials used. In rare cases, patients complain of itching in the perineum. The reason may be allergic reaction for thread materials.

The recovery process is individual for every woman. Scars stop hurting for some after 5-6 weeks, for others it takes months. Many women in labor cannot understand why the scars itch. If severe pain is not present, the condition is normal. The scar itches as it heals. To relieve itching, you need to wash off more often with cool water. Experts recommend doing special Kegel contraction exercises that help restore the vaginal muscles.

Some women are wondering what remedy will help smooth out external scars. Doctors often prescribe Kontraktubex ointment, which they begin to smear after the suture has healed. Reviews of women in labor have shown that the gel can improve the cosmetic effect of scars, make them lighter and less noticeable. At caesarean section, cosmetic incisions will not be visible externally after 8-12 months.

How to process seams after childbirth (video)

Compliance with hygiene, adherence to medical recommendations and an optimistic attitude contribute to positive dynamics for tissue fusion. Soon the wounds will heal, the swelling on the leg will fall, and the woman will be able to fully enjoy maternal happiness.

The postpartum period for a woman is not always “cloudless”. Other troubles are added to the daily worries of the little man. It all depends on the course of labor. V Lately and or cuts during childbirth, you will hardly surprise anyone. The result of these "procedures" is the stitches that raise a lot of questions for newly minted mothers. Inner seams are especially "unpredictable" and "mysterious". It is understandable, because the outer seam can always be felt or even seen, but the inner seams are covered with "darkness".

How did they come about

Let's first remember what the inner seams are and where they come from. The cause of the internal seams - or the walls of the vagina. Most often, the cervical tissue "breaks" in, when the cervix opens slowly, and the woman begins to push prematurely, that is, push the fetus. Almost every woman has premature attempts, but they need to be "held" in every possible way until the cervix is fully dilated. The fetal head, when pushing, exerts strong pressure on the cervix, and if it has not yet fully opened, then it simply breaks. For the same reason, the walls of the vagina can rupture.

Internal tears are not always visible. However, after childbirth, each doctor carefully examines the woman in labor and gives her help needed at breaks, that is, stitches. This procedure is absolutely painless, because the cervix has no pain receptors, so the woman is not given anesthesia. Sutures are performed in several ways, depending on the severity of the rupture, with special self-absorbable sutures. Basically, for this they use catgood - a suture material that is made from the intestines of cattle or sheep - or vicryl.

What to do with them

Absolutely nothing. Internal seams are only "pleasant" because they do not require special care, and do not need any ointments, douches, and even more pills. Since the tears are sutured with self-absorbable sutures, they do not need to be removed accordingly. Over time, they "self-destruct". When will this happen and how can you find out about it? It all depends on suture material and the severity of the rupture. Typically, the threads are absorbed completely and completely after 90 days. But there are those that "fall away" much earlier, but not earlier than the complete fusion of damaged tissues. Sometimes "residues" of thread are visible on the laundry, but this is not the main indicator. Doctors say that you should not worry if you do not find parts of the thread, but at the same time you absolutely do not feel any other discomfort.

Personal hygiene is essential for quick and safe healing of internal sutures. This includes both the cleanliness of the external genital organs and the whole body. Don't forget about your diet too. After all, constipation is extremely undesirable: unnecessary "attempts" adversely affect the condition of the wounds, which should "grow together". A woman must also comply with the following requirements:

Do not lift weights;
Do not make sudden movements, especially in the first days after childbirth;
Refrain from sexual intercourse for 1-2 months.

When to see a doctor

Many women complain of abdominal discomfort after internal sutures. Painful sensations, a feeling of twitching and pulsation very often occur. In the first 2-3 days after giving birth, these phenomena are very normal, but if they continue further, then you need to urgently consult a doctor. You also need to see a specialist immediately if you have:

Pain in the area of sutures does not stop;
There is a feeling of heaviness in the uterus or vagina;
The body temperature rises;
Purulent discharge with an unpleasant odor appears.

All these symptoms may indicate either seam rupture or inflammatory processes in the area of internal seams. In any case, the diagnosis, and even more so the treatment should be prescribed by a doctor. You may be prescribed either ice pack, ointment or antibiotic treatment, or a second surgical procedure.

However, even if absolutely nothing bothers you in postpartum period- a visit to the gynecologist should not be postponed. The physician must "assess" the condition of the scars. With improper fusion of tissues, or rupture of the seams, most often the cervix is deformed, as a result of which there are chronic inflammation cervix and other sores.

Comes after 3-6 months.

Patience and health!

Especially for- Tanya Kivezhdiy

During natural childbirth if the child is large, or goes outside the box, for example, booty forward, tears may occur birth canal, crotch. In some cases, doctors themselves make a small incision in the perineum during childbirth if the baby cannot otherwise be born. Sutures are placed on these incisions immediately after delivery. They add additional discomfort and pain after childbirth, and the stitches on the perineum are a separate story to go through.

In contact with

On the cervix of the uterus, such stitches can be applied without anesthesia: its sensitivity in the postpartum period is reduced, but on the perineum without anesthesia it will be difficult to do it. 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 anesthesia when suturing. Sutures after childbirth can be applied to the cervix, vagina, perineum. But it is in the latter case that the most severe discomfort and pain.

How long do wounds heal after stitches during childbirth, and can this process be accelerated? In general, everything is individual, immediately depends on many factors, and not least on the patient's correct observance of precautions. For some, everything heals faster, for others slower. The speed of healing is also influenced by their localization, the type of surgical sutures that were used in this case. As a rule, for the imposition of internal sutures, catgut is used, which dissolves on its own. In this case, everything heals on average in 2 weeks. If surgical sutures are used that do not dissolve, for example, nylon sutures, 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" women in labor are concerned about the question: how to quickly heal the stitches after childbirth? The speed of healing also depends on the patient herself, on whether she complies with all the rules for caring for the injured area, precautions so as not to introduce infection, not to injure these areas again. All this should be reported to her in the hospital.

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

Why stitches can hurt

This is normal, because there was a break. After the anesthetic wears off, the stitches may start to hurt. The fact is that most young mothers breastfeed their children, so pain relievers are contraindicated for them. The doctor may prescribe drugs with local action, in order to somehow alleviate the patient's fate. However, if everything is in order, there are no complications, and the woman observes all the rules, the pain should go away very soon. After suturing, you cannot sit normally for the first week. This should be done with care and a load should be placed 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 hard.

You need to make sure that everything is in order with them, they are not infected, do not fester. Otherwise, if this does happen, you need to see a doctor. He will most likely appoint special antiseptic drugs... The stitches can 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.

They can often get painful during bowel movements. For this reason, a woman should avoid constipation. To do this, she must monitor her diet, take, if necessary, permitted laxative drugs.

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

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

How to care for postpartum sutures

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

Also, women are prohibited from any physical activity, lifting, and carrying weights, sex will also need to be abandoned 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 is open

If the seam has come apart, you should not do anything on your own. It is necessary to call a doctor at home, if possible, or ambulance... Usually, the sutures are reapplied. 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 suturing, talks about exactly when 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 stitches are removed precisely after the period specified by them.

The process itself is relatively painless. Internal seams from catgut, as a rule, cannot be removed, they dissolve on their own. Other types of surgical threads are also removed relatively painlessly. Although, it all depends on the pain threshold of each individual woman. In the vast majority of cases, anesthesia is not required. The woman feels a slight tingling sensation, burning. If the woman is in pain, the doctor may use a local pain reliever to help her with the procedure. After removing the stitches, you should also continue to closely monitor intimate hygiene avoid strong physical activity until the wounds are completely healed and healed.

How many external seams heal after childbirth, how does the recovery period generally go on the video:

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