What is an episiotomy?
An episiotomy is a small surgical cut made in the tissue between the vaginal opening and the anus (called the perineum) during childbirth.
It may be done right before delivery to help the baby come out more quickly or to prevent severe tearing in certain situations.
Today, episiotomies are not routine and are used only when medically necessary.
Why Might an Episiotomy Be Needed?
An episiotomy may be performed if:
1. The baby is in distress and needs to be delivered quickly
2. A vacuum or forceps are used
3. The baby is very large
4. There is risk of a severe tear toward the anus
What Happens After Delivery?
After the baby is born:
1.The episiotomy is stitched closed with dissolvable sutures.
2. Healing usually takes 2–4 weeks, sometimes longer.
3. Mild pain, swelling, and tightness are normal at first.
Episiotomy Care After Delivery
1. Keep the Area Clean
2. Rinse with warm water after using the bathroom
3. Use a peri bottle instead of wiping
4. Pat dry gently and don’t rub
Manage Pain & Swelling
1. Apply ice packs (wrapped in cloth) for 10–20 minutes
2. Sit on a soft cushion or donut pillow
3. Take prescribed or approved pain relief medications
Prevent Infection
1. Wash hands before and after perineal care
2. Change pads frequently
3. Wear breathable cotton underwear
4. Avoid tampons and douching
Support Healing
1. Rest when possible
2. Avoid heavy lifting
3. Do gentle pelvic floor exercises (Kegels) if approved by your provider
4. Stay hydrated and eat fiber to prevent constipation
Watch for Warning Signs
Contact your healthcare provider if you notice:
1. Increasing pain instead of improvement
2. Redness, warmth, or pus
3. Fever or chills
4. Foul-smelling discharge
5. Separation of stitches
When Can Normal Activities Resume?
1. Walking: usually within days
2. Intercourse: typically after 6 weeks, once cleared by your provider
3. Full healing: varies, but most women heal well with proper care
Reassurance for New Moms
An episiotomy can sound scary, but most heal without complications. With good hygiene, pain control, and follow-up care, recovery is very manageable.