The Condition Of Stitches And Psychological Injuries In Women Who Had Given Birth Two Months Ago Was Normal?
Hello greetings night Doctor, want to ask, * First * my cousin 2 months after giving birth normally, there is 1 incision under her vagina after the stitches are now 2 years old. but left the stitches off, is that not a danger to his health ??? * Second * After my cousin gave birth. maybe because of innate or what, he often gets angry trivial problems, but angry like possessed. Is that the effect of her vagina being released? or severe depression? or baby blue syndrome? thank you,
Hello, thank you for the question to HealthReplies.com
Basically there are several degrees of severity in the vaginal and perineal sores:
first degree tearing, wherein the tear only occurs in the vaginal mucosa or the outer skin of the perineum
second degree tearing, where the tear occurs to the perineal muscle as well
third degree tear, where the tear reaches the anal sphincter (externally, it can be internal)
4th degree tear, wherein the tear occurs until it touches on the anal mucosa
In degree 1 tears, vaginal and perineal suturing is not necessary. In degree 2 tears, suturing needs to be done to accelerate wound healing and improve vaginal shape (so that the approximation is good), while in degrees 3 and 4 tears, suturing and suturing must also be done at the obstetrician. If the suturing of the 3rd and 4th degree tears is not very good, further complications can occur in the form of defecation, pain during sexual intercourse, and the appearance of fistulas. If the tears experienced by your cousin only tear the first and second degrees, then the removal of the stitches will not cause any complications or health problems. If indeed your cousin experiences certain symptoms as mentioned above, then suggest your cousin to see a gynecologist.
Regarding changes in behavior in your cousin (who becomes angry often), there are many factors that can trigger it, but the removal of vaginal sutures will not cause this. Baby blues are the mildest form of postpartum depression. Baby blues will usually peak on the fourth or fifth day after delivery and can stay up to 2 weeks after delivery, after which it will improve on its own. Post partum depression can indeed persist for months after delivery, but the symptoms that you will see are not only changes in behavior to be more angry often (usually you will also see other symptoms of depression, such as always feeling sad, often crying alone, can not take care of the baby properly or herself, etc.). If indeed your cousin 's behavior changes occur on a prolonged basis, you should advise your cousin to check with a psychiatrist for further evaluation and management.
So much information from me, hopefully enough answer