Should episiotomy stitches sting?

Last Update: April 20, 2022

This is a question our experts keep getting from time to time. Now, we have got the complete detailed explanation and answer for everyone, who is interested!

Asked by: Ms. Viva Collier
Score: 4.6/5 (6 votes)

After having an episiotomy, it is normal to feel pain or soreness for 2-3 weeks after giving birth, particularly when walking or sitting. The stitches can irritate as healing takes place but this is normal. Pouring body-temperature water over the area when urinating can help. Passing urine can cause stinging.

How do I know if my perineal stitches are infected?

Call your doctor or go to the emergency room if you experience an infection such as:
  1. Fever of 100 degrees F or more.
  2. Foul-smelling and/or greenish discharge.
  3. Redness and swelling around the stitches.
  4. Severe pain at the incision site.
  5. Visible pus in or around the wound.

Is it normal for perineal stitches to burn?

You'll heal and the stitches will dissolve on their own in a few weeks, but some stinging or burning is common. If your doctor needs to assist you in delivery—by using a vacuum or forceps, or giving you an episiotomy—these steps can mean greater injury to your body.

When does episiotomy stop hurting?

Most women say they have less pain or discomfort after the first week. Most episiotomies heal in 3 weeks. But it may take longer.

Is it normal for episiotomy scar to hurt?

It takes about six weeks for your scar to heal fully. It may feel tender, itchy and numb in the first few weeks and can heal to be pink or red, and slightly raised. Once healed, it should not be excessively painful or sensitive, or prevent you from doing any of your everyday activities.

Episiotomy and stitches - why did no-one tell me?

32 related questions found

Why do my stitches still hurt?

It is normal to feel pain at the incision site. The pain decreases as the wound heals. Most of the pain and soreness where the skin was cut should go away by the time the stitches or staples are removed. Soreness and pain from deeper tissues may last another week or two.

Can an episiotomy cause problems later in life?

The main disadvantage of a midline episiotomy is the increased risk for tears that extend into or through the anal muscles. This type of injury can result in long-term problems, including fecal incontinence, or the inability to control bowl movements.

Do episiotomy stitches bleed when healing?

Recovering from an episiotomy. Episiotomy cuts are usually repaired within an hour of your baby's birth. The cut may bleed quite a lot at first, but this should stop with pressure and stitches. Stitches should heal within 1 month of the birth.

Do stitches feel tight when healing?

In scar tissue, collagen proteins grow in a single direction rather than in a multidirectional pattern, as they do in healthy skin. This structure makes scar tissue less elastic , which may cause it to feel tight or to restrict a person's range of movement. Scar tissue may also form inside the body.

How can I ease the pain of an episiotomy?

To relieve pain or discomfort:
  1. Ask your nurse to apply ice packs right after the birth. Using ice packs in the first 24 hours after birth decreases the swelling and helps with pain.
  2. Take warm baths but wait until 24 hours after you have given birth. ...
  3. Take medicine like ibuprofen to relieve pain.

How do you tell if stitches are healing properly?

The edges will pull together, and you might see some thickening there. It's also normal to spot some new red bumps inside your shrinking wound. You might feel sharp, shooting pains in your wound area. This may be a sign that you're getting sensations back in your nerves.

Will pooping tear my stitches?

If you've had stitches or a tear, doing a poo won't make the tear any bigger, or make your stitches come away. It's understandable to feel vulnerable about this part of your body. Feeling tense will make it harder for you to do a poo, though.

How long does it take for vaginal stitches to heal?

After delivery, the doctor or midwife usually closes the perineal tear with stitches. The stitches will dissolve in 1 to 2 weeks, so they will not need to be removed. You may notice pieces of the stitches on your sanitary pad or on the toilet paper when you go to the washroom. This is normal.

Which ointment is best for episiotomy stitches?

Conclusion: Chamomile cream can be used to reduce episiotomy pain in Primiparous us women.

Can perineal stitches break?

It is rare for the stitches to come undone. But if there is an infection or pressure on the stitches from bleeding underneath can cause the stitches to break, leaving an open wound. This is called perineal wound dehiscence or breakdown.

How do you sit after an episiotomy?

Put an ice pack wrapped in a towel or cloth onto the affected area. Some people say having a warm bath helps you relax and eases pain. Use a special doughnut-shaped inflatable cushion to help make sitting down more comfortable.

What is the most painful day after surgery?

Pain and swelling: Incision pain and swelling are often worst on day 2 and 3 after surgery. The pain should slowly get better during the next 1 to 2 weeks. Mild itching is common as the incision heals. Redness: Mild redness along the incision is common.

Does throbbing mean healing?

But do watch out! Should your wound be very red, suppurate, or the itching turn into a throbbing sensation, you should definitely consult a doctor because these could be signs of an infection that should be treated medically as soon as possible.

Why is my wound white in the middle?

Maceration occurs when skin has been exposed to moisture for too long. A telltale sign of maceration is skin that looks soggy, feels soft, or appears whiter than usual. There may be a white ring around the wound in wounds that are too moist or have exposure to too much drainage.

How do you know if you ripped your episiotomy stitches?

How do I know if this has happened to me? Wound breakdown can cause an increase in pain, new bleeding or pus-like discharge. You may also begin to feel unwell. Sometimes women notice some stitch material coming away soon after they have had their baby, or can see for themselves that the wound has opened.

How long after an episiotomy do you bleed?

Bleeding. It is normal to bleed for up to 6 weeks after the birth. Never use tampons.

How do I know if my stitches are healing after birth?

The underlying stitches in your muscle layer will take longer to heal. These won't completely heal for 12 weeks. For the stitches that you can see, make sure to watch for any signs of infection. These signs include if the incision area is red, swollen, or weeping pus; or if you have a fever.

What are 3 benefits of an episiotomy?

It is concluded that episiotomies prevent anterior perineal lacerations (which carry minimal morbidity), but fail to accomplish any of the other maternal or fetal benefits traditionally ascribed, including prevention of perineal damage and its sequelae, prevention of pelvic floor relaxation and its sequelae, and ...

What are the side effects of an episiotomy?

Some possible complications of an episiotomy may include:
  • Bleeding.
  • Tearing into the rectal tissues and anal sphincter muscle which controls the passing of stool.
  • Swelling.
  • Infection.
  • Collection of blood in the perineal tissues.
  • Pain during sex.

Why is episiotomy bad?

Episiotomy risks

For some women, an episiotomy causes pain during sex in the months after delivery. A midline episiotomy puts you at risk of fourth-degree vaginal tearing, which extends through the anal sphincter and into the mucous membrane that lines the rectum. Fecal incontinence is a possible complication.