How long does pain from an episiotomy wound last after vaginal delivery?

Childbirth is an experience every woman undergoes in her lifetime. During vaginal delivery, an episiotomy—intentional surgical incision of the perineum—is sometimes necessary. How long does pain from an episiotomy wound last?

How long does pain from an episiotomy wound last?

Generally speaking, the duration of post-episiotomy pain varies among individuals, depending on the specific condition of the wound and the type of suturing performed. Typically, full healing of a vaginal episiotomy wound takes approximately four weeks. During the first one to two weeks following delivery, mothers commonly experience heightened discomfort at the incision site; however, this pain gradually subsides as the body recovers.

As perineal edema diminishes, pain typically lessens accordingly. If a new mother exhibits a pronounced reaction to the suture material, physical therapy may be beneficial—enhancing local blood circulation and facilitating absorption of absorbable sutures, thereby alleviating wound-related discomfort. Monitor for signs of bleeding: if severe pain at the episiotomy site occurs within the first 24 hours postpartum—especially when accompanied by a sensation of rectal pressure or fullness—immediate medical evaluation is essential to rule out hematoma formation around the wound.

Maintain wound cleanliness. After washing, gently pat the perineal area dry with sterile gauze or disinfectant wipes. Particularly after urination, rinse the external genitalia thoroughly with clean water to keep the wound clean and reduce infection risk. If the episiotomy is on the left side, sleeping on the right side may help minimize pressure and discomfort. Pelvic floor muscle exercises are also recommended: once medically cleared and physically ready, performing Kegel exercises can improve blood flow to the perineal region and support wound healing. We hope this information proves helpful!