Management Of Postpartum Perineal Wounds That Are Painful And Fresh Blood Is Still Present

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I just gave birth, and this is the postnatal day 9. After the fifth day, my stitches are all loose. When returning to the health clinic they do not recommend re-sewing only the hygine vulva and dietary recommendations. Until now my wound is still in pain and there is still fresh blood, how do I handle it?

1 Answer:

Hello Asima,

Thank you for the question.

Normally, a wound in the perineum after delivery that has been sewn will heal in 1-2 weeks without leaving dangerous complications. Yarn that is often used in the process of sewing a wound in the perineum after childbirth is also often that can be absorbed directly by the body (absorbable), so there is no need to remove the stitches manually.

Regardless of your stitches on the fifth day after giving birth really is not always abnormal. It could be, this indicates that your perineum suture thread has been well absorbed by the body, so that the wound in your perineum will gradually heal. Therefore, if it is felt that there is no extensive network tear, it may be that there is no need for re-sewing.

As for your wounds that are still painful and produce fresh blood, if only mild in intensity, it is not always dangerous. As an independent treatment, you can do first:

 Clean the intimate organs with clean warm water, do not rub too much Always use clean and loose underwear, which is replaced at least 2 times a day Do not have sex that involves vaginal penetration More rest, do not walk too much, run, go up and down the stairs Feed the baby You ASI drink lots of water often, don't like to hold back urination Eat a variety of nutritious foods, especially those that contain rich protein, vitamins, and minerals so that the wound heals faster. above, you no longer need to panic, and no need to rush to see a doctor. Worried, your risk of contracting a serious illness (including COVID-19) will be greater due to this action.

However, if the pain you experience is very severe and if the bleeding from your perineum is very massive, you can see yourself directly to the doctor or obstetrician for further treatment.

Hope this helps ...

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