Post Date November, 17 2024
Natural childbirth is an important method of delivery. During delivery, we should also pay attention to the damage to the puerpera, especially the perineum tear. After our appearance, we should pay attention to the treatment method, and daily care is also very important.
How long can perineal tears heal?
How long can perineal laceration be cured? Depending on the degree of laceration in the mother, minor wounds will not hurt in about 3-4 days, and there is sufficient blood supply near the vagina. As long as there is no bacterial infection, the wound can heal in about a week. If the postpartum woman has moderate perineal laceration, suturing is required. After one week of suturing, the suture can be removed, and care will take about a week thereafter. At this point, insufficient care can easily infect the wound and prolong the healing time of perineal lacerations.
What to do with perineal tear infection
The perineal wound has a shallow infection and a small area, and generally does not need to be re sutured. Simply soak in warm water and take antibiotics on time, and it will take about 7-10 days to recover. Soaking in warm water (adding a small amount of iodine to the warm water) can drain the secretions inside the wound, promote blood circulation, and the amount of iodine can be reduced or not used during wound cleaning.
If the perineal wound is deeply infected or has a large area, it is necessary to remove the suture as soon as possible and fully open the wound, so that the pus and necrotic tissue can be quickly and completely drained out. Then soak in warm water four times a day and use intravenous antibiotics.
There are also new explanations regarding the timing of suturing the wound again. The previous concept believed that it was necessary to wait for 3-4 months, mainly because previous doctors believed that it was necessary to wait for 3-4 months to completely clean the wound and restore normal blood supply. However, when the patient is waiting, the quality of life is poor and Psychological stress is great. Therefore, some doctors attempt to suture the wound four to eight days after it is opened. If the wound is clean, the healing of the wound will be quite good.
Suture of perineal tear
1. Key points during surgery: The newly torn wound during delivery is fresh, without scar tissue, and easy to heal, but the torn muscle is chaotic. Doctors should pay attention to their level of understanding. The muscle strength is strong, and the doctor sutures it with thread or grade II chromium catgut. At this point, the doctor pays special attention to preparation to prevent wound infection. When repairing the anterior wall of the rectum, the doctor can avoid the first layer passing through the rectal mucosa, put the finger into the rectum for instructions, use No. II chromium to make catgut, or use medium size thread to suture the Sphincter. After the levator ani muscle is sutured, the doctor sutures the Sphincter again from the inside out, which is easy to operate. Before suturing the vaginal wall, doctors can rinse the wound with physiological saline and inject antibiotics around the wound to prevent infection.
