OBSTETRICS/MATERNITY:
Perineal Care
The area between the vagina and anus is called the perineum. During delivery, women may have experienced a tear in the perineum or the physician may have cut this area, in order to help facilitate the birth of the child, by performing an episiotomy.
Over the first two weeks, as the perineum heals and the stitches dissolve (in the case of an episiotomy), women may experience some pain and itching from the wound. In order to promote healing and to prevent infections, it is important to keep this area clean by the use of good perineal care and “sitz baths.”
A “sitz bath” is when a woman sits in a tub filled with warm water, about mid-thigh level, for 10 to 15 minutes.
Another method of perineal care is to, after each bathroom use, spray the perineum from front to back with warm water from a peri bottle (given by the hospital). Pat skin dry from front to back and then apply clean sanitary pad. Use this routine in the hospital (a Saint John’s nurse will assist new mothers to the bathroom the first few times and explain how to do perineal care) and at home until the discharge subsides. Perineal ice packs may be used in the first 12 hours after delivery to reduce swelling.
Women should notify their physician if they notice any foul-smelling or perineal drainage. This may be a sign of an infection and may require antibiotics.
Kegel Exercises
Kegel exercises help strengthen the vaginal and pelvic muscles and improve bladder control. Women should talk with their physician or nurse regarding use. Kegel exercises can be started any time after deliver.
Hemorrhoid Care
As a result of the pushing stage, which places increased pressure on the veins of the rectum, hemorrhoids may appear after delivery. Usually, hemorrhoids gradually become smaller and disappear. To prevent or manage hemorrhoids, avoid constipation by drinking plenty of fluids, eating a high fiber diet and using a stool softener as needed. Also, avoid straining during bowel movements.
Women’s physicians may also recommend the use of topical anesthetic sprays and ointments, medicated pads and pain medication.