Will episiotomy during normal delivery cause looseness? Are there any sequelae after episiotomy during normal delivery?

Doctors who deliver babies normally recommend episiotomy, but will there be any sequelae? Will it become loose? Will it leave scars? Will it cause urinary incontinence? If you have these concerns, let's take a look!

Will episiotomy loosen the vagina?

Vaginal relaxation has nothing to do with episiotomy. I have heard that vaginal delivery can cause vaginal relaxation because the baby comes out of the vagina and is stretched. But I personally think that this is all groundless, because human body natural delivery is an instinct given by nature, so the body must know that it has a natural delivery and will slowly recover! You don’t need to worry at all. I had a natural delivery and asked my husband about his feelings. He said he didn’t feel it became loose. In order to allow the baby to be delivered smoothly during a natural delivery, the vaginal wall will be "adjusted", the vagina will expand, relax, and the vaginal wall will become thinner. Due to the good contraction ability of the vaginal wall, a loose vagina can generally recover about 42 days after delivery. In order to restore the overall pelvic floor, mothers can also do some anal contraction exercises or postpartum recovery exercises after delivery.

If you want to minimize the hidden dangers of episiotomy, correct postpartum private care is a skill that mothers who give birth naturally must acquire√

1. Within 3 days after delivery, keep the wound clean and dry. The hospital will have perfect cleaning measures and use disinfectant lotion to wash the vulva.

2. 3 days after delivery or after discharge from hospital. Wash the vulva with clean water or lotion every day, preferably twice a day if conditions permit. Use safe sanitary products, change them in time, and keep the vulva dry.

3. After each urination or defecation, you should wash the perineum with water, just like wiping it with toilet paper, from front to back to avoid bacterial infection.

4. When sleeping or lying in bed, it is best to lie on the side without perineal wound to reduce the chance of lochia flowing into the perineal wound.

5. Do not lift heavy objects, or do any strenuous housework or exercise within one month after delivery. Any premature and excessive physical activity may cause damage to the pelvic floor tissue.

Will I have urinary incontinence after an episiotomy?

Urinary incontinence is also a concern for expectant mothers who choose natural childbirth. Will episiotomy lead to urinary incontinence? Is there really a relationship between them?

In fact, whether the perineum is cut during delivery or not, the baby will still pass through the birth canal. The causes of postpartum urinary incontinence are actually related to factors such as the size of the expectant mother's pelvis, the size of the baby, and the speed of labor.

If the delivery process is long, the baby stays in the birth canal for a long time, and the vagina is stretched for a long time, it is more likely to cause postpartum urinary incontinence. This has nothing to do with whether the episiotomy is performed or not. On the contrary, episiotomy can shorten the delivery process and reduce the incidence of postpartum urinary incontinence.

Dora Tips: Therefore, expectant mothers must pay attention to their physical recovery after delivery and do a good job of nursing. Drink 2000ml of water every day and develop regular bowel habits. After going to the toilet or taking a shower, pat the perineum with tissue paper to keep the wound dry and clean, but do not rub the perineum wound hard. Do not lift heavy objects or do any housework or exercise that consumes physical energy within 1 month after delivery.

Are there any sequelae after episiotomy?

Episiotomy is now very common. It is not uncommon for some women’s wounds to become infected after childbirth. There is always a urinary tract in a local area, which is close to the anus, so infection is not uncommon. However, this area has a very good healing ability. As long as you take a sitz bath, this area has good blood circulation and good blood regeneration ability, and it can heal. Some women wonder if postpartum urinary incontinence is caused by episiotomy. Experts point out that regardless of whether the perineum is cut during delivery, the baby will still pass through the birth canal. As for whether it will affect postpartum urinary incontinence, it is actually related to factors such as the size of the mother’s pelvis, the size of the baby, and the speed of the delivery. If the delivery process is long, the baby stays in the birth canal for a long time, and the vagina is stretched for a long time, it is more likely to cause postpartum urinary incontinence. This has no absolute relationship with whether the perineum is cut or not.

It is normal for some pregnant women to have polyps. The threads used in surgery are generally synthetic absorbable sutures, or "dissolvable threads". Synthetic threads will be absorbed by the body after a period of time and are harmless. There will be discomfort for a short period of time, which will disappear after a period of time. However, everyone's physique is different. Some people just don't absorb it. Everyone has different preferences for eating, not to mention threads. If there is really a long thread, it doesn't matter. It's okay to go to the hospital to remove it. After a sitz bath, the wound should heal quickly and it will be much better in a week. Leucorrhea is still normal. For mothers who want to have a second child, if the blood circulation in the perineum is very good and the blood flow is sufficient, the wound healing ability is very good, and it will not affect the birth of the second child.