How to deal with postpartum perineal incision pain? (Data map)
Most first-time mothers have an episiotomy and wound during vaginal delivery. The perineum has loose tissue, rich blood vessels and nerves, and is extremely sensitive to pain. Therefore, perineal wound pain has become a common complaint of postpartum women. The main types of pain are:
(1) Traumatic pain
Cutting of skin and muscles, separation and rupture of nerves, plus suture ligation will mostly cause wound pain of varying degrees, which is normal. The pain was severe on the day of surgery and significantly relieved after two or three days. Those with severe pain can take painkillers, Kafran or use indomethacin plugs in the anus.
(2) Edema and pain
Wound edema is more common in patients with a longer second stage of labor. By this time the sutures on the wound were tightened and the pain continued. Parturients can moisten the wound with 95% alcohol gauze or use infrared rays to help the edema subside and the pain disappear.
(3) Hematoma pain
This is pain caused by bleeding within the wound. Bleeding accumulates at the wound to form a birth canal hematoma, and the skin around the incision is blue, swollen, hard, and tender to touch. When the amount of bleeding is large, the hematoma can spread up and down along the incision, and in severe cases, shock can occur. At this time, the bleeding should be stopped immediately, the sutures of the wound should be removed, the accumulated blood should be removed, the bleeding point should be sutured, and the wound should be re-sutured.