Episiotomy cuts are usually repaired within an hour of your baby’s birth. The cut may bleed quite a lot at first, but this should stop with pressure and stitches. Stitches should heal within 1 month of the birth. Talk to your midwife or obstetrician about which activities you should avoid during the healing period.
Are postpartum stitches supposed to bleed?
This is called perineal wound dehiscence or breakdown. Wound breakdown can cause pain, new bleeding or pus-like discharge. You may also begin to feel unwell. Sometimes women notice some stitch material coming away soon after they have had their baby, or can see for themselves that the wound has opened.
Is bleeding normal after episiotomy?
You will have some vaginal bleeding. Wear sanitary pads. Do not douche or use tampons until your doctor says it is okay.
How long do postpartum stitches bleed?
The bleeding and discharge are heaviest in the first few days following birth and diminishing amounts can last 5-10 days with light discharge or spotting continuing for 4-6 weeks. (Discharge is typically lighter with C-sections). Check with your doctor if the bleeding is not substantially reducing after a few days.
What happens if my perineal stitches open?
It is rare for the stitches to simply to come undone. However, occasionally an infection or pressure on the stitches from bleeding underneath can cause the stitches to breakdown, leaving an open or gaping wound. This is called perineal wound dehiscence, or breakdown.
How do you know your stitches are healing?
The edges will pull together, and you might see some thickening there. It’s also normal to spot some new red bumps inside your shrinking wound. You might feel sharp, shooting pains in your wound area. This may be a sign that you’re getting sensations back in your nerves.
Do episiotomy stitches hurt healing?
After having an episiotomy, it is normal to feel pain or soreness for 2-3 weeks after giving birth, particularly when walking or sitting. The stitches can irritate as healing takes place but this is normal. Pouring body-temperature water over the area when urinating can help.
Is my episiotomy infected?
If the wound or the area around it becomes red, painful and swollen, if you notice pus or the wound smells, then these are signs that it’s likely to be infected . See your GP, midwife or health visitor as soon as you can. Occasionally, the wound doesn’t heal well and may come apart .
When will episiotomy stitches dissolve?
Dissolvable sutures (also called absorbable sutures) are typically used for an episiotomy. 2 You don’t have to have them removed by a doctor; the stitches will break down on their own within 2 to 4 weeks. Episiotomy stitches usually start to dissolve within a few days, and are gone after a week or two.
What should you not do after an episiotomy?
Patients should avoid the use of tampons or douches in the postpartum period to ensure proper healing and to avoid re-injury of the area. Patients should be instructed to abstain from sexual intercourse until the episiotomy has been reevaluated and is completely healed.
How do you sit after an episiotomy?
Squeeze the cheeks of your bottom together when you sit to avoid pulling painfully on the stitches. Sitting on a pillow may be more comfortable than sitting on a hard surface. Use a squirt bottle with warm water to wash the area with water when you use the toilet; gently pat dry.