Childbirth is a unique process for every woman, as a result of which she receives the highest in the world status of "Mothers". Yes, yes, with a capital letter. But memorable for the rest of your life adrenaline and inexpressible feelings when you put on your belly your long-awaited crumbs, often a little clouded ... According to statistics, almost every third woman in labor is stitched after birth, which occurred through natural ways. And if the skill of their overlapping and the choice of suture material is the work of medical professionals, avoiding unpleasant situations associated with postnatal seams is solely my mother's direct duty.
Types of joints after childbirth
Their classification depends on the damage to which organs the mother has received - external or internal:
- seams on the cervix of the uterus are superimposed in the case of the formation of tears of the cervix of the absorbable suture material immediately after delivery. Due to the low sensitivity of the cervix to pain, anesthesia is not required. Painful sensations do not arise with such seams;
- seams in the vagina are superimposed when there are tears in its walls. As a suture material, modern semi-synthetic threads such as vicryl, dexone, polysorb are also used. Due to their use, the mother receives the self-absorbing seams after delivery, which saves both her time and strength. When applying seams in the vagina, local or general anesthesia is necessary. The soreness of vaginal ruptures can last a few days after delivery;
- seams on the perineum are superimposed under local or existing epidural anesthesia in the event that crotch ruptures were formed during labor or a decision was made about its artificial dissection. The smooth edges of the incision in the dissection make it possible to make the scar more aesthetic and prevent the spread of the incision to nearby organs, which can not be said about the rupture. As a suture material, an early release aid and a non-absorbable absorbent material are also used herein.
Seam care after delivery
Proper and regular care of the sutures after delivery is mandatory in order to accelerate healing, reduce pain, prevent sore inflammation after childbirth. Internal seams after delivery do not require special care. All attention should be paid to care for external sutures - on the perineum.
Such care consists in the following recommendations:
- Every 3-4 hours to change the hygienic bedding, it is very important that the effect of ventilation is created between the gasket and the vagina;
- After each visit to the toilet thoroughly wash out, then with a disposable paper towel soak the area of the seam and treat the antiseptic solution with green or marigold. This procedure should be performed for at least 1-2 months after childbirth, depending on the severity of the lesion;
- to prevent divergence of stitches on the perineum, it is necessary to follow recommendations for resting the perineal zone - you can not sit on a hard surface for about 3 weeks. You can sit on a pillow or fitbole, but if you just need to sit down, then, sitting, you need to strain the buttock muscles;
- until the joints are fully healed, it is strictly forbidden to wear pulling underwear, which disturbs the blood flow in the abdomen and perineum;
- for the possibility of normal defecation with generic sutures, it is necessary to exclude from the diet "fastening" the stomach products and drink before eating 1 st. l. olive or any other vegetable oil.
Methods of alleviating pain at the sutures after childbirth
If the seams imposed after birth are painful, then the application of the following methods will help ease the pain without harm to health:
- bathing on a bidet with warm water or taking a warm shower;
- cooling the perineum with ice, a cool shower or special cooling helium pads;
- application of arnica ointment to the wound site;
- use of compresses from chamomile, string or marigold (1 tablespoon herb pour 1 tbsp boiling water, insist 15 minutes, then moisten the napkin in strained infusion and attach for 3 hours to a painful patch);
- use of anesthetic gels and sprays, etc.
Separated seams after childbirth - urgently to the doctor!
If the sutures after delivery have disappeared, then the main causes of this phenomenon could be infection penetration and improper care for the postoperative wound, as well as the incorrectly chosen technique of suturing, the properties of the suture material, the presence of hematomas. In this situation, it should be noted that if there is a purulent discharge from the joint, it is strictly forbidden to use at home all kinds of ointments to process the seam!
To avoid divergence of the wound and spread of the infection, as well as worsening of the general condition, fever, with severe pain in the seam area, and if the suture after bleeding occurs, it is urgent to see a doctor who will prescribe an individual treatment for postnatal sutures. In a hospital setting, after cleaning the wound, an operation will be performed for the secondary application of the joints.
The period of healing of sutures
As a rule, the period when the stitches heal is after the birth, is from 14 to 30 days, and in the case of getting a deeper injury to the woman giving birth, longer. In this case, the sutures on the cervix and vagina heal much faster than on the perineum. Compliance with measures to prevent the introduction and development of infection in the birth canal, proper hygiene of the damaged perineum
Sex after birth with stitches - it's not worth hurrying
According to the recommendations of the doctors, it is only two months after the birth that sexual intercourse should be renewed. As a rule, during this time the seams completely heal. If the scarring of stitches prevents a woman from having a full intimate affinity, plastic surgery will help in solving this problem.
Summing up ...
Remember that taking care of your newborn child in the very difficult first months of his birth, you must definitely find time to care for the seams, because the baby will be healthy and happy only when his mother is healthy and happy.