Postpartum wound care: perineal wound care

1. Keep the perineum clean to prevent infection:

Wash the vulva with warm water twice a day; in order to prevent wound contamination, wipe the vulva with disinfectant and sterile cotton after each bowel movement and rinse it. Do not wipe from back to front after defecation, but from front to back to avoid contaminating the wound; the amount of lochia in the first few days after childbirth is high, so pay attention to changing sanitary napkins frequently, keep the wound clean and dry, and avoid soaking the wound; when the wound does not heal well , It is necessary to insist on sitting 1 to 2 times a day for 2 to 3 weeks, which is very beneficial to the recovery of wound muscles, and the effect is very good. Bidet sleeping should be prepared according to your doctor's prescription and advice; sleeping position can also affect wounds. If the wound is on the left side, sleep on the right side, otherwise, sleep on the left side.

2. Prevent perineal incision from splitting:

When constipation occurs, do not forcefully expand the perineum. It can be lubricated with Kaisailu or liquid paraffin, especially in the first 2 to 3 days after the stitches are removed, avoid squatting and exerting force;

Before defecation, it is best to converge the perineum and buttocks first, and then sit on the toilet, which can effectively prevent the perineal wound from splitting; when sitting and standing, the center of gravity of the body is biased to the right, which can not only reduce the pain caused by the pressure of the wound, but also prevent the epidermis from staggering; Avoid falls or excessive abduction of the thigh so that the wound does not open.

Postpartum wound care: cesarean section incision care

1. Pregnant women with scarring constitution should avoid cesarean section:

Scars like to patronize people with a scarred constitution. Even small wounds can leave visible and exaggerated scars. Therefore, people with scarring constitution are best to avoid cesarean section.

2. Preparation before cesarean section:

Once a decision has been made to have a cesarean section, nutrition should be enhanced before and after delivery. Eating more fresh fruits, vegetables, eggs, milk, lean meat and other foods rich in vitamins C, E and essential amino acids can promote blood circulation and improve epidermal metabolism.

Avoid spicy food to prevent itching. Some chronic diseases, such as malnutrition, anemia, diabetes, etc., are not conducive to wound healing, but are conducive to the production of scars, and should be actively treated.

Postpartum wound care: types of wounds

1. Perineal wound

During natural childbirth, some changes or damage to the tissues of the cervix and vagina can occur, but they usually heal on their own after childbirth. If the perineal tear is caused by rapid labor progress or improper labor, the sutures must be repaired surgically; sometimes, to avoid a large tear in the mother's perineum, doctors usually perform an episiotomy to help the fetus be born. For the mother, this is more beneficial than just protecting the perineum and making it difficult to keep it intact.

2. Cesarean section wound

Although pregnancy and childbirth are a natural process, there are reasons why a pregnant woman cannot give birth naturally. A caesarean section is then required to remove the fetus through an incision in the abdominal wall and uterus. Due to the large scope of the surgical wound, the epidermal wound suture can be removed within 5 to 7 days after the operation, but the complete recovery time is about 4 to 6 weeks.

Postpartum wound care: protective measures after cesarean section

1. Avoid strenuous activities before and after stitches are removed to prevent overstretching or side bending of the body;

2. When resting, it is best to take a slight bend on the side to reduce the tension of the abdominal wall;

3. Apply pressure bandages such as elastic bandages or mesh sleeves immediately after the stitches are removed, which can effectively prevent the occurrence of scars;

4. If the wound is itchy, do not scratch with your hands, and do not rub with clothes or wash with water. The correct treatment is to apply some topical drugs to relieve itching;

5. Do not open the scab at the incision prematurely, avoid sunlight exposure, and prevent the formation of pigmentation caused by ultraviolet stimulation.

Postpartum wound care is very particular. Mothers have already worked very hard. They must take care of themselves and not let their bodies suffer secondary injuries.