Had 2nd degree tear after child birthstitches out after two weeks. at 6 week checkup, need stitches again. now cut looks open again. what to do?

Rest: You need to use the water bottle perhaps the hospital gave you at discharge to rinse the area gently after you use the rest room. No wiping the area with toilet paper! keep wearing light pads to keep the area dry and clean. Seek further medical care if the discharge is malodorous, painful, change in discharge. You also need to increase your fiber so soft stools and no lifting heavy items.