V. Episiotomy and Lacerations Things to Know After Giving Birth (we mean bleeding and your bottom!)

When a woman is pushing to deliver her baby, sometimes the opening of the vagina needs to extend. This can be a spontaneous tear or an incision is made.

Here are V. things you should know.

i. Episiotomy. 

This is not routine, but sometimes necessary. If more room is needed for delivery, there is concern for a large uncontrolled tear or the delivery needs to be expedited , especially if forceps or a vacuum are to be used, then an episiotomy, a controlled cut of the tissue between the vagina and the rectum is created.

ii. Vaginal/perineal lacerations and tears 

These tears can occur as the baby’s head comes through the stretched vaginal opening. Perineal massage with pushing + controlling the delivery can help minimize or prevent tearing.

 iii. Stitches dissolve. Bleeding subsides. 

Whether it is a tear or a cut, repair is done with stitches that dissolve within a few weeks. The swelling resolves within a week or so. It is also normal to bleed for approximately 6 weeks after giving birth, regardless of if it is a vaginal or c-section delivery. After 2 weeks, the bleeding should lessen (but still may continue).  

iv. Bottoms up. 

Your bottom may feel different for a while after giving birth, especially if you pushed for a long time. Swelling should resolve in 1-2 weeks and going to the bathroom may take a little time to feel normal. 

v. Sex yet? 

At 6 weeks you may get the green light to have sex, but when you are ready be prepared. Lube can help you feel more comfortable.  Use protection --especially if you are not breast feeding, as fertility can resume quickly. 

Talk to your physician if bleeding or pain continues. Verbena does not provide medical advice, diagnosis, or treatment and is not a medical provider. If you think you may have a medical emergency, call your doctor or 911 immediately.