The perineum after childbirth hurts: causes, possible problems and advice of gynecologists

In the article, we will consider why the perineum hurts after childbirth and what to do in this case.

Crotch is the area located between the anus and the vagina. During natural delivery, she experiences a lot of pressure and stress, as she is very stretched so that the baby's head can go through the hole. Since there is a strong stretching of the tissues, the perineum after childbirth hurts in women.

Discomfort without cuts

Women who did not have incisions during childbirth are very surprised, feeling discomfort and heaviness in the vulva. Therefore, logical questions often arise about how much the perineum hurts after childbirth. If this process went without additional medical intervention, then the pain in the muscles of the vulva bothers the woman about 7-8 days after the appearance of the child. This process is normal, represents a recovery period when the muscles return to their previous state. By its nature, the resulting pain resembles the soreness that occurs when soft tissue is bruised.

In some cases, on the labia majora, as a result of childbirth, a woman may experience edema, as well as slight blueness.

In addition, if a woman does not have enough subcutaneous fat in the vulva, she may feel that she has pain in her perineal bones after giving birth. In this case, you should not be afraid - just discomfort from the bruise gives to the tissues located nearby.

Ways to alleviate the condition

To ease their own condition when the perineum hurts after childbirth, it is recommended that a woman adhere to certain recommendations:

1. On the first day after discharge from the maternity ward, the woman should ensure compliance with bed rest. The most correct situation in this case will be the so-called star pose: a young mother should be on a bed covered with a special hygienic diaper, without underwear and trousers. The legs should be placed in such a way as to provide air access to the wound area.
2. You should not touch the damaged area, follow the procedures of individual hygiene with caution, directing warm water to the bruised area.
3. It is recommended to use special sanitary pads designed for women in labor (they are made of cotton, have no relief and fragrances). Replacements should be made at intervals of 2-3 hours to exclude debate.
4. Using toilet paper is not recommended; it should be washed with warm water.
   
5. Some doctors advise putting pads in the freezer briefly before use. In this case, the hygiene product will be cool, which will reduce discomfort.
6. If uncomfortable sensations arise when sitting, it is recommended to purchase a special pillow in an orthopedic store and put it under the buttocks.
7. Allowed to take baths based on chamomile decoction. Daily baths of 5-10 minutes will significantly reduce soreness.
8. It is allowed in the first three days to use "Ibuprofen", but only if the doctor permits it.
9. In the event that the uncomfortable sensation persists for more than 10 days, you should consult a gynecologist. He will examine the woman and, in the absence of pathology, recommend the use of a special cooling gel or pain medication.

Breaks, cuts

Many people wonder why the perineum hurts after childbirth. The process of natural delivery does not always go smoothly. Quite often, the fetus is large, and the female pelvis is not intended for such an extension. In order not to injure the newborn and not cause the woman unnecessary pain, obstetricians produce a crotch incision to expand the output for the normal passage of the baby’s head.

Cuts are also made to prevent tearing. This is due to the fact that smooth tissue is easier to sew than lacerations, and it heals in this case faster, and the likelihood of bleeding is much lower. Sutures in place of the incision impose non-absorbable threads. In fact, this is a small operation. Soreness after childbirth, in which women have stitches in the perineum, lasts about 3-4 weeks.

Inseam

In addition, discomfort can be caused by internal seams. They are imposed if during birth there were tears in the bosom or uterine neck. Scars of this nature heal quickly enough, while the threads are completely absorbed, or go out through the vagina. Internal seams cause a woman much less discomfort, the intensity of pain in the perineum is lower, it persists until 21 days.

Seam Care Rules

The most important aspect in the care of the suture is hygiene, since their danger is the possibility of suppuration or infection. Vulvar infection is fraught with the penetration of the virus into the uterus and the development of endometritis, a long and difficult therapy. The basic rules for seam care are as follows:

1. Hygienic procedures should be carried out twice a day, using warm water and an antibacterial soap.
2. Use special sanitary pads to prevent debate and itching in the perineum.
3. After each visit to the toilet, you need to wash yourself using warm water.
4. During the first three days, the seam should be treated with an antiseptic. You can use Miramistin, hydrogen peroxide, any other drug that does not provoke irritation or burning.
5. If the seams are located in the vagina, treatment can be done with cotton wool, which is completely saturated with an antiseptic.

But what if the perineum hurts for a long time after childbirth?

Situations to see a doctor

The attending gynecologist should be consulted if the following symptoms are observed:

1. An increase in temperature in the absence of any external factors.
2. Isolation of a large amount of pus.
3. The appearance of unpleasant discharge, having a yellow-green color and putrefactive odor.
4. An increase in swelling, edema.
5. Seam discrepancy.

Self-medication and the slightest delay in such a situation can lead to dangerous consequences.

We examined what it means when the perineum hurts after childbirth.