Whether it is a natural tear or an incision, it usually heals in 3-5 days and needs to be washed twice a day with warm water. To prevent wound contamination, wipe and rinse the vulva with a sterilized cotton pad after each defecation. Do not wipe from back to front, but wipe from front to back and rinse again; be sure to change sanitary napkins frequently to avoid getting the wound wet.
(2) To prevent perineal incision dehiscence:
When constipated, do not use air to forcefully expand the perineum. Use Kaisel or liquid paraffin to lubricate it. Especially 23 days after suture removal, avoid squatting and forceful movements; sitting on the toilet can effectively prevent the perineal wound from dehiscence.
When sitting or standing, the body\’s center of gravity is tilted to the right side, which can not only reduce the pain caused by pressure on the wound, but also prevent the skin from being staggered; avoid falling or excessive extension of the thigh, causing the wound to break; it is not appropriate to leave the hospital on the day of suture removal. The incident happened on the day when the stitches were removed from the wound. The wound dehiscence would cause trouble for treatment after returning home.
(3) Avoid wound hematoma:
In the first few days after delivery, the mother should lie on her right side to promote the outflow of accumulated blood from the wound to avoid forming hematoma and affecting healing. It can also prevent the endometrial fragments in lochia from flowing into the wound and forming ectopic endometrium in the future; after 4-5 days, when the wound has grown stronger and it is difficult for evil to flow in, you can rotate the lying position left and right. Pay attention to the condition of the perineal incision. The wound will be very painful 1-2 hours after the operation. If it becomes severe, contact the doctor immediately for timely treatment.
(4) Avoid perineal incision infection:
Postpartum, pregnant women may experience excessive sweating, lochia, vaginal birth injuries or caesarean section wounds. During this recovery period, pregnant women should pay attention to physical hygiene and health care, and must not stick to traditional concepts. When the wound is swollen, painful, hard, or has purulent secretions when squeezed, antibiotics should be taken under the guidance of a doctor and the sutures should be removed to facilitate pus discharge; apply 1:5000 potassium permanganate warm water for sitz bath locally, daily 2 times, 10-15 minutes each time, or wash the wound surface with a decoction of Chinese medicine that clears away heat, detoxifies and dissipates stagnation.
(5) Careful care of edema wounds:
When the wound is edematous, the sutures will tighten before removal and the pain will continue. You can apply local hot wet compress with 95% alcohol gauze or 50% magnesium sulfide solution twice a day; try to raise the buttocks as much as possible when aiming to facilitate the return of body fluids and reduce wound edema and pain.