How to nurse after perineotomy Many people mistakenly think that perineotomy is an overtreatment, but it is actually just a routine action that doctors want to make the labor process smooth. In fact, it should not be regarded as a crime in itself, and some indications are indeed necessary. If it is not cut, it will tear the perineal wound to varying degrees, which will increase the difficulty of suture. During labor, when the fetal head reaches the vaginal opening through the birth canal, it will make the perineum expand and thin, which is prone to laceration and even burst. The doctor in charge of obstetrics and gynecology said that perineum incision is to help the fetus give birth more smoothly, so that the perineum wound has a more complete shape and is easy to suture.
Because the perineal tissue is very thin, the fetal head will be squeezed when the birth canal advances during delivery, which is more fragile. When the fetal head passes through the vaginal opening, it is easy to be cut to varying degrees because the expectant mother uses too much force. Obstetricians and gynecologists further pointed out that at present, as long as primiparas take natural delivery, more than 99% will take perineotomy to make the labor process go smoothly. So, how to care after perineum incision?
Recovery time: Obstetricians mentioned that perineal wounds are like skin tissue on the body. Generally speaking, two or three days before the wound tissue begins to heal, it may be a little uncomfortable, but it will not hurt in a week or so.
Find a comfortable posture: within two or three days after perineum incision, expectant mothers will find that it hurts whether they are sitting or standing. Sometimes sitting on the edge is more painful than sitting in a hard chair. If both postures hurt, you can try sitting on a rubber surface to relieve the pressure on the perineum. Because the pain of perineal wound will affect the defecation of expectant mothers, constipation is prone to occur. It is suggested that you should take enough fiber during confinement to facilitate defecation. If necessary, you can also ask a doctor to prescribe laxatives to relieve constipation symptoms.
Ice compress within 24 hours after operation: Ice compress can paralyze pain and reduce swelling. Because the first two days after operation are usually uncomfortable, you can use ice to relieve the pain and swelling.
Take a warm bath 24 hours after operation: Obstetricians and gynecologists emphasize that the perineal wound has good blood circulation and there is little chance of infection. After the swelling subsides within 24 hours after operation, it is recommended to use warm water (boiled water is cool) and iodine bath 10- 15 minutes every morning and evening.
Nursing after defecation: Be sure to clean the perineum and keep it clean after defecation. It is suggested that warm water can be added to the perineum cleaner and sprayed after going to the toilet. Then wipe it from front to back (from urethral orifice to anus) with a large cotton swab or cotton paper, and throw it away after wiping. Never rub it repeatedly.
Change cotton pads frequently: Postpartum lochia will last for nearly a month. In order to avoid infection, it is best not to save it. It is necessary to change sanitary napkins regularly.
Use antibiotics in time: if the wound continues to be red, swollen or stinging, it may be that the wound is not healing well. Obstetricians remind new mothers that if the above situation can be found early, they should seek medical treatment as soon as possible and use antibiotics clinically. Otherwise, the wound healing after infection will be more troublesome.
Emergency follow-up: If the wound is still red, swollen or stinging after more than one week, or even purulent secretion or fever, you must return to the clinic immediately.
What sequela does perineum incision have for female postpartum urinary incontinence? Experts pointed out that whether the perineum is cut or not during delivery, the baby will pass through the birth canal. As for whether it will affect postpartum urinary incontinence, it is actually related to the maternal pelvic size, baby size, the speed of labor and other factors. If the labor process is long, the baby stays in the birth canal for a long time, and the vagina stretches for a long time, which is more likely to cause postpartum urinary incontinence, which is not absolutely related to whether the perineum is cut or not.
Influence on the pain of sexual intercourse in the future: the cut wound during childbirth will affect the pain of sexual intercourse, because the scar after suture is a hard fibrous tissue relative to the soft vulva, and it is easy to cause pain when it is involved in sexual intercourse. If the perineal incision or tear is smooth and there is no scar with poor healing after repair, there is no problem; On the other hand, if the wound is messy and the doctor fails to repair it, it is likely to cause sexual pain under the intertwined scars.
Influence of wound on the birth of a second child: The perineum has good blood circulation and sufficient blood flow, so the wound has good healing ability and will not affect the birth of a second child.