What is Episiotomy?
An episiotomy is an intentional cut taken at the birth canal for widening it to enable delivery of the baby without causing tears which do not heal properly during a normal delivery. 2nd or 3rd degree perineal tears need episiotomy suture to heal quickly and properly.
Yes the name itself reminds me of all the pain when i couldn’t sit, breast feed, eat peacefully (i’ve had my meals lying on the bed n even standing)
These cuts are taken to prevent perineal tears which occur in irregular direction and lead to complications in later life, like uterine or rectal prolapse if they fail fail to heal.
What are perineal tears?
Your perineum is the area between your vaginal opening and back passage (anus).It is common for the perineum to tear to some extent during childbirth.Tears can also occur inside the vagina in other parts of the vulva, including the labia.
Up to 9 in every 10 first time mothers who have a vaginal birth will experience some sort of tear, graze and will need an episiotomy suture. It is slightly less common for mothers who have had a vaginal birth before.
For most women, these tears are minor and heal quickly
What are the types of perineal tear?
Small tears affecting only the skin which usually heal quickly and without treatment.
Tears affecting the muscle of the perineum and the skin. These usually require stitches
Third and fourth degree tears
For some women (3.5 out of 100) the tear may be deeper. Third or fourth degree tears, also known as obstetric anal sphincter injuries (OASI), extend into the muscle that controls the anus (anal sphincter). These deeper tears need repair in an operating theatre.
What is the difference between a tear and an episiotomy?
An episiotomy is a cut made by your healthcare professional into the perineum and vaginal wall to make more space for your baby to be born.
Episiotomie’s are done with your consent.
They are only done if your baby needs to be born quickly, often if you are having an instrumental (forceps or vacuum assisted) birth, or if you are at risk of a serious perineal tear
But its not all grim and dark. There comes one day when u don’t feel any back ground, persistent pain,
your pain free. The time required for the sutures to heal varies greatly anywhere between 7 days to a month
For my first pregnancy it took about 15 days and in the second one,10 days.
Here are my personal tips for perineal teras, you would have heard some from your gynecologist and
some are my personal experiences that helped me heal quickly.
These tips and tricks if followed meticulously, will ensure pain free recovery from your tears. it took me two pregnancies to figure these out and they sure did work.
I am not going to give you a huge list of ways you can choose and try from, ways that might or might not work. These 7 things are the most effective, tried and tested ones .
also here’s a list of 70+ tips and tricks to make your post partum journey easier, from mommy essentials to newborn needs. its got everything you need. read it here
7 most effective ways to promote quick healing of perineal tears?
1.keep the wound dry at all times
After every visit to the loo pat the area dry with a clean dry tissue and then apply a mixture of the following = metronzidazole gel + lidocaine gel
To the tear area.
2. No squatting or spreading the legs.
3. No sitting cross legged (even for breastfeeding)
*Dulhan pose (check out for this feeding position during nursing as advised by gynecologist mentioned below the post)
4. Use a laxative like cremaffin or syrup empty to keep stools soft hence reduced pain.
5. ‘Pain is in the head’ i said to myself and damn it helped. Because i was high on painkillers taking them three times and even 4 times a day on some bad days bt then i decided to tackle it differently in my 2nd pregnancy.
I stopped paying attention to it n diverted all my attention to the baby and guess what… It worked!!! Meds reduced from 4 times to 2 times a day and then by 2 to 3 weeks i was all healed. (This was a little thing i got from ‘the secret’ movie you know)
6. *The dulhan pose*
I loved my gynecologist for this advice.
1.sit with you back supported to a wall or the bed
2.fold your legs keeping them approximated at the knees
3.use a feeding pillow (i have added an amazon link below for the one i used)
definitely these pillows help in breastfeeding, but what to do if you have got all your gear right, your positions correct but your baby is still crying or being fussy? here’s the remedy
This position gives utmost support to the back thus eliminating the possibility of developing a nursing slouch that we all are so afraid of and its so common
Approximated legs help the tear to heal sooner
7. *Feeding pillow gives rest to our arms as we don’t have to carry the baby for 20 mins to half hour. (Time period for which a newborn feeds)
It has a thick back support.
Pocket to keep burp cloths and the phone.
And a buckle, the other option is a Velcro which is not advised as it makes a huge noise while you open it. most newborns pass out on the breast.