During childbirth, it can occur that an episiotomy (cut) is made or that a tear spontaneously occurs in the perineum (the area between the vagina and anus). Although this is often a necessary procedure to prevent complications during delivery, recovery can come with physical and emotional challenges. In this blog, we discuss the possible consequences and provide practical tips for promoting recovery.
What are the possible consequences of a cut or tear?
1. Pain and discomfort: Many women experience pain in the first weeks after childbirth. This can range from mild sensitivity to severe pain when moving, sitting, or urinating.
2. Scar tissue: After the wound heals, scar tissue may form, which can sometimes be stiff, painful, or sensitive. This can cause discomfort during daily activities or sexual intercourse.
3. Incontinence: In the case of severe tears (grade 3 or 4), the muscles of the pelvic floor and anus may be damaged, leading to urinary or fecal incontinence.
4. Emotional impact: In addition to physical complaints, an episiotomy or tear can also have emotional consequences, such as anxiety about new tears, stress, or discomfort during intimacy.
What can you do to promote recovery?
1. Massage the scar tissue: Regularly massaging scar tissue can help make it more flexible and less sensitive. You can do this manually or with a specially designed tool, such as a My Own Filo massage tool. Massaging stimulates blood circulation and helps soften the scar tissue.
How to massage scar tissue?
- Start a few weeks after childbirth, once your doctor or midwife confirms that it is safe.
- Use a natural oil or scar cream.
- Massage with light pressure and make small, circular movements around and over the scar.
2. Pelvic floor exercises: Strengthening your pelvic floor muscles can help with incontinence and improve overall recovery. A pelvic physiotherapist can guide you through this.
3. Maintain good hygiene: Keep the area clean and dry to prevent infections. After using the toilet, rinse with lukewarm water and gently pat the area dry.
4. Rest: Listen to your body and take enough rest. Overexertion can slow down the recovery process.
5. Discuss complaints: It’s important to talk about any complaints, such as pain or discomfort, with your doctor or midwife. They can refer you to a specialist if necessary.
When should you seek medical help?
Contact your doctor or midwife if you experience:
- Persistent or worsening pain.
- Signs of infection, such as redness, swelling, fever, or pus.
- Problems with incontinence.
- Emotional complaints that affect your daily functioning.
Conclusion
An episiotomy or tear after childbirth can have a significant impact, but with the right care and attention, the recovery process can be greatly improved. Scar tissue massage, pelvic floor exercises, and discussing complaints are crucial for a smooth recovery. Make use of available tools, such as a My Own Filo massage tool, and don't hesitate to seek professional help if you continue to experience discomfort.
Sources:
- Dutch Association for Obstetrics and Gynecology (NVOG)
- World Health Organization (WHO) guidelines on perineal care after childbirth
- "Pelvic Floor Therapy After Childbirth" by KNGF (Royal Dutch Society for Physical Therapy)
