at my postpartum visit my doctor told me that i would have to have perineum repair surgery after healing badly. was this a result of bad stitching?

Question

4days post partum, had large, hard stool. It pushed into my vagina and popped two stitches. Very bad low ab pain now. Need re stitching or call to doc?

Answer 1

Probably not: There are three components to restoring childbirth perineal injuries. 1.) The extent or seriousness of the injury 2.) The quality of the surgical repair 3.) Your own ability to heal without intervening factors like infection or poor nutrition.

Answer 2

It depends: Whether a urinary catheter is needed depends on the length of the operation as well as surgeon preference. Sometimes a catheter is placed for the operation only and removed before a patient wakes up from anesthesia. If the operation is uncomplicated and only involves taking out the gallbladder, then this is usually short enough to not need a catheter.

Answer 3

No: It depends on how big is the stones and if its obstructing the duct.

Answer 4

Yes: It is like a roadmap to decide which vessels to bypass.

Answer 5

Yes: Is not possible to have bypass surgery without first having cardiac catheterization. The surgeon requires a detailed picture of the coronary anatomy to know if the patient is suitable for bypass surgery and to know where to put the bypass grafts during the operation.

Answer 6

A few ways...: Quantifying leakage is valuable to the urologist seeking to manage incontinence, but it is difficult to do. Some provide the doctor with a 'pad count', or simply the number of pads used per day. A more accurate way is by pad weight. To do this, place used pads in a plastic bag (i.e. Ziploc) & weigh it. Then subtract the weight of the bag and the same number of dry pads. Add up the weights daily.

Answer 7

Recognition: Too many people don't see the severity of ppd, or play it down as "baby blues." PPD is common and can be severe. If there is a personal or family history of ppd, depression or anxiety in pregnant woman, then the subject should be brought up regularly with the obstetrician or midwife. Be aware there are numerous help site for this condition. http://www.ppdsupportpage.com/.

Answer 8

Stigma and more: Some women have the idea that to admit they have a problem is weak, in fact, i think it's just the opposite. Reaching out takes courage. Sometimes it's the stigma of admitting you have a mental health problem that keeps people from asking for help. But how can we change this if no one admits they are suffering and this is a real syndrome!

Answer 9

Ppd: Also, guilt or lack of support or fear.

Answer 10

Discuss with: Your surgeon, you don't say how long ago the repair was which may make a difference in the answer.

Answer 11

Ask your surgeon: Varied rehab protocols, all that may be correct, exist between different surgeons. Generally early on, range of motion through a limited arc and isometric strengthening, followed by gradual progressive conditioning and strengthening and avoidance of forceful training for an extended period of time.

Answer 12

Physical Therapy: I suggest you be under the care of a orthopedist or sports rehab clinic. Achilles ruptures are difficult to rehab. You need professional care.

at my postpartum visit my doctor told me that i would have to have perineum repair surgery after healing badly. was this a result of bad stitching?

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