Postnatal pain at the perineum

How to Heal your Perineum After Birth (September 2018).

Will I feel sore after a vaginal delivery?

Most women feel awkward for a while after birth in the region of the perineum (also called ""dam"" - the region between the vagina and the anus), but the degree of discomfort varies greatly. The birth is an amazing and wonderful process, but also a painful one. Since your baby is born through your vagina, your dam will probably stretch and feel hurt afterward.

If you have had an episiotomy, or if you have had an episiotomy, you also have to come to terms with the sutured wound and sore pain in the first few days. The dam is very sensitive - and what women tell after an episiotomy (and the stitches) ranges from mild to unbearable pain. In most cases, the wound takes seven to ten days to heal. But the pain can last up to a month.

What can I do to quench the pain?

Your midwife will advise you on how to clean the area around the dam, which you can do yourself to relieve the pain and which painkillers you should take. If you forget the advice, do not be afraid to call the maternity ward from home and ask for it.

Here are tips to help with healing the perineum, whether with or without episiotomy at birth:

  • Change your insoles or bandages at least every four hours. Remember to wash your hands both before and after. And make sure that the insert does not slide back and forth and thus generates more friction. The insert should be absolutely without plastic wrap, otherwise a moist chamber is created, which is bad for the healing process.
  • If you need to go to the bathroom, do not use (if possible) toilet paper - instead, clean the dam with warm water and dry the area with a clean towel or - better yet - use a hair dryer. Always dab it from the front to the back to avoid intestinal germs getting into your vagina. Some midwives recommend a few drops of breastmilk as an additive to rinsing for its healing and cleansing properties.
  • When urinating, you can also pour warm water over your dam. The water dilutes the urine so that it no longer burns on the wound.
  • Place liners and ties in the fridge at home. The coolness has a calming effect.
  • As soon as you can and no longer feel pain, start pelvic floor training. This will stimulate blood circulation in this area and support wound healing. In addition, these exercises strengthen the pelvic floor muscles.
  • Use a gel pad every now and then for the first 12 to 24 hours (available at most pharmacies).Ice bags should rather not be used, as they can lead to cold burns. Quark wraps are also ideal in refrigerator temperature, optionally packed in cellulose or frozen bags.
  • If you come home from the clinic and have enough privacy, you can use an absorbent bed mattress (available at most pharmacies) or some old towels instead of towels in your bed - this will allow your dam to air dry. Many women have also had very good experiences using a red light bulb.
  • Frequent baths have a soothing effect. Do not put salt in the water - there is no study to prove it helps. They just make sure that the salt dries up your skin and makes it itchy. Do not stay too long in the bathtub, otherwise the dam tissue will be softened and this could delay wound healing. A few drops of breastmilk, oak bark extract or tea tree oil in the water can aid the healing process. And dry dry afterwards.
  • Avoid standing or sitting for long periods when you are not feeling well.
  • Make sure you sit comfortably while breastfeeding your baby. Alternatively, you could try to lie on your side while breastfeeding.
  • Take the recommended dose of paracetamol for the first few days. If you cool enough, you may also be able to get by without painkillers. You can also promote healing with homeopathic remedies such as arnica.
  • If the pain does not subside or you get a fever, contact your midwife. It can probably recommend stronger painkillers for relief. Fever can indicate an infection - if the dam had to be sewn, this is one of the risks - but good hygiene reduces the risk.
  • Rest and give your body the time to heal. Each newly minted mother is recovering in her own unique way and time. So focus on getting your strength back and recharging the energy you need to care for your baby.

Sources

Andrews V, Thakar R, Sultan AH, et al. 2008. Evaluation of postpartum perineal pain and dyspareunia - a prospective study. European Journal of Obstetrics & Gynecology and Reproductive Biology 137 (2): 152-156

Show sources Hide sources

Popular Posts

Recommended, 2018

Boy names with O - most popular first names with O
Pregnancy

Boy names with O - most popular first names with O

are you looking for a name for your unborn child and you know it's going to be a boy? Or you want to be surprised and are looking for a girl and a boy's name? Maybe you are just a fan of boy names with O? Then take a look at our list of most popular first names for boys starting with the letter O. Of course
Read More
Premature labor and premature birth
Pregnancy

Premature labor and premature birth

What is premature birth? If you've made the 37th week of pregnancy, then your baby is ""ready"" for delivery. Babies who are born before the end of the 37th week of pregnancy are considered to be immature. Most preemies are born after the 32nd week (HES online 2012a) and have a good chance of growing up healthy.
Read More
Buy a Tricycle - Tips for Parents
Toddler

Buy a Tricycle - Tips for Parents

A children's tricycle is - considering the development of the skills of your child - virtually the link between ride-on car and bike. Tricycles are suitable for children between one and four years. A tricycle encourages motor skills and places more coordination requirements than a push-car. Your child needs strength to pedal
Read More
Your little chef
Toddler

Your little chef

Could your child be the next Sarah Wiener be? Promote your child's culinary skills in a fantasy kitchen. Good for this age: 22 months (but younger or older kids will love it too!) Good for developing the following skills: Imagination, Fine and Gross Motor, Imitation You Need: A few pots
Read More
Walking epidural
Pregnancy

Walking epidural

What is a Walking Epidural? This method, which is widely used mainly in the USA, is practically a standardized low-dose epidural anesthetic. The pain is very well alleviated, but you keep some feeling in your legs. All Epidural Anesthesia Hospitals can also offer Walking Epidural. Before you can leave the bed and walk around with your epidural anesthetic
Read More
What is a reboarder and what are its benefits?
Baby

What is a reboarder and what are its benefits?

A Reboarder is a Car Seat, which is installed so that your child is sitting in the direction of travel when driving. This reversing duty is currently in Germany for children up to a weight of 9 kg. That is why baby bowls can usually only be installed backwards. For a baby or toddler, rear-facing driving is the safest way to travel because
Read More
Iron: so good for your blood during pregnancy
Pregnancy

Iron: so good for your blood during pregnancy

Why do I need iron? Iron is important for the formation of hemoglobin, the protein in red blood cells that transports oxygen to the other cells. It is also an important component of myoglobin (a protein that helps oxygenate your muscles), collagen (a protein in the bones, cartilage and other connective tissue) and many enzymes.
Read More
Buying a mattress for the baby bed
Baby

Buying a mattress for the baby bed

There is a wide selection of mattresses for baby cots. You can choose between foam, coconut or latex. But which mattress is the best and safest for your baby? In fact, The Foundation for the Study of Infant Deaths says it does not matter what kind of mattress you use, as long as it's firm and not soft
Read More