What Causes the Stinging Sensation in an Episiotomy Wound After Vaginal Delivery?
May 16, 2022
Source: Cainiu Health
Dr. Lv Aiming
Introduction
An episiotomy severs some nerves, similar to other surgical incisions on the body, and may cause a burning sensation during healing—though this discomfort is typically mild. Pain is generally not a major concern and gradually diminishes over time. Tightness from local sutures can also contribute to perineal incision pain. Many mothers initially experience little or no noticeable wound pain, but report increased discomfort two to three days postoperatively.
Childbirth is generally a painful process, requiring prolonged endurance of uterine contraction pain. After delivery, intense uterine contractions subside, but women often experience wound pain following an episiotomy (a surgical incision made in the perineum during vaginal delivery). What causes the sharp, stabbing pain at the episiotomy site after a natural vaginal delivery?
What Causes Sharp Pain at the Episiotomy Site After Vaginal Delivery?
An episiotomy severs some nerve fibers—similar to other surgical incisions—and during healing, patients may experience a burning or stinging sensation, though typically not severe. Such discomfort is normal and gradually diminishes over time. Tightness of the local sutures can also contribute to perineal wound pain. Many mothers report minimal pain immediately postpartum, only to experience increased pain two to three days later. This may result from suture drying and subsequent shortening, causing excessive local tension and pain; rinsing the external genitalia with a mild cleanser or sterile saline solution may provide relief.
Perineal wound infection. Postpartum, lochia (vaginal discharge), urine, and feces can contaminate the wound. Some women even have pre-existing conditions such as vaginitis or vulvitis during pregnancy. Inadequate perineal hygiene increases the risk of impaired wound healing or wound infection. Classic signs include obvious redness, swelling, and tenderness. If perineal wound infection occurs, antimicrobial therapy and meticulous local wound care are required; in more severe cases, incision and drainage may be necessary.
Generally, perineal wounds rarely become infected. Maintaining good hygiene postpartum—especially cleaning the perineal area thoroughly after each bowel movement—helps prevent contamination by urine or lochia. Avoid prolonged use of perineal pads or sanitary napkins to further reduce infection risk. We hope this information is helpful to you!
