How long does it take for the pain to subside after an episiotomy during vaginal delivery?

Recovery from an episiotomy wound after vaginal delivery varies depending on individual physical conditions. If a woman is in good health, pain usually improves within about one week. When the episiotomy heals quickly, discomfort is typically limited to the first few days, and once the wound is essentially healed, pain generally disappears. The details are as follows:

An episiotomy during vaginal delivery is related to several factors, such as poor elasticity of the birth canal, a narrow vaginal opening, presence of vaginitis, or anticipated large fetal size with risk of shoulder dystocia. These are all clinical indications for performing an episiotomy. Without an episiotomy in such cases, severe perineal lacerations may occur, sometimes even involving the anal region. Performing an episiotomy can effectively prevent extensive tearing. Additionally, certain fetal conditions—such as fetal distress or abnormally slow fetal heart rate—may require an episiotomy to expedite delivery.

During recovery from an episiotomy, it's essential to prevent infection and maintain dryness and cleanliness. The wound should be disinfected regularly every day to avoid contamination. Particularly after bowel movements, thorough cleaning is necessary to prevent infection. A diet rich in nutrients and high in protein is recommended to promote wound healing. Avoid prolonged squatting, as this may impair proper wound healing.