How to Care for an Episiotomy Wound After Vaginal Delivery to Promote Faster Healing

May 13, 2022 Source: Cainiu Health
Dr. Lv Aiming
Introduction
After vaginal delivery, these wounds must be properly disinfected; the perineal area should be cleaned daily, and the external genitalia must be kept clean and dry at all times. Underwear and sanitary pads should be changed promptly. Avoid squatting, coughing, or sneezing, as these actions may cause wound dehiscence. Following childbirth, women’s bodies are typically very weak; therefore, adequate rest and sufficient sleep are essential. The indoor environment should be kept clean and hygienic.

Many expectant mothers undergo episiotomy during childbirth. However, after the procedure, they often remain uncertain about how to properly care for the incision site. How can one accelerate healing of an episiotomy wound following vaginal delivery?

How to Promote Rapid Healing of an Episiotomy Wound After Vaginal Delivery

Following vaginal delivery, the episiotomy wound requires proper disinfection. Clean the perineal area daily, and ensure the external genitalia remain clean and dry at all times. Change undergarments and sanitary pads promptly. Avoid activities that increase intra-abdominal pressure—such as squatting, coughing, or sneezing—to prevent wound dehiscence. Postpartum, women are physically weakened; therefore, adequate rest and sufficient sleep are essential. Maintain a clean, hygienic indoor environment—open windows regularly for ventilation to ensure fresh air circulation—and take precautions against cold exposure.

Postpartum episiotomy wound care includes the following measures: Maintain meticulous cleanliness of the wound site. During hospitalization, disinfect the wound daily with an appropriate antiseptic solution. After discharge, continue diligent wound care at home—especially after urination—to minimize infection risk. Consume ample fresh vegetables and foods rich in dietary fiber to promote regular bowel movements and prevent constipation, which may exacerbate wound discomfort.

When resting, lie on the side opposite the episiotomy incision to prevent contamination of the wound by lochia and reduce infection risk. Episiotomy is not a routine vaginal surgical procedure; thus, not all women undergoing vaginal delivery require it. It is performed only when clinically indicated—for example, in cases of poor perineal tissue elasticity or fetal distress. We hope this information proves helpful!