Episiotomy Repair: Steps and Best Practices for Postpartum Recovery

Episiotomy Repair

an intentional surgical incision (usually midline) in the vulva to ease the birth process.

Episiotomy is a surgical incision made in the perineum during childbirth to widen the vaginal opening. The incision is usually made downwards from the posterior fourchette, and its length may vary depending on the baby’s size and the mother’s anatomy.

After the episiotomy is performed, the perineum will need to be repaired. Here is an overview of how the repair procedure is carried out:

Step 1: The area is cleaned
Before repair can begin, the perineum must be cleaned with an antiseptic solution to reduce the risk of infection.

Step 2: Sutures are placed
The obstetrician would use a needle and thread to stitch the incision back together, starting from the deep layers of the tissue and working upward to the surface. The perineal muscle is sutured first if cut, followed by the vaginal mucosa and then the skin of the perineum.

Step 3: Absorbable sutures are used
Most episiotomy repairs are done using absorbable sutures, meaning that the stitches will dissolve on their own over time, usually within four to six weeks following delivery.

Step 4: Staples may be used
In some cases, where the incision is especially large or complicated, staples may be used in place of sutures.

Step 5: Proper wound care instructions are given
The mother is given instructions on how to care for the wound, including how to keep the area clean and well-lubricated, as well as pain management strategies to use during the healing process.

In general, episiotomy repair is a straightforward procedure and is typically performed quickly after the episiotomy is carried out. The goal of the repair is to ensure that the area heals properly so that the mother experiences minimal discomfort and can resume her normal activities as soon as possible.

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