Doctor insights on:
Postpartum Stitches Care
4 weeks post partum, had a tear but midwife said stitches were not needed I have a cut/slice that is very near to anus should I be concerned?
Tear depth matters: Usually stitches are only needed for deep tears that go into the muscle or tears that don't stop bleeding. It's possible to have a skin tear that goes to the anus that doesn't need repair. Anything deeper may need a stitch, though unlikely. Stool softeners, always. Poop everyday, or at least every other day and smooth. Fiber matters. ...Read more
What to do if I have a scheduled appointment tomorrow, which is my 4 week 4 days postpartum. Will my ob take the stitches off tomorrow?
Staples or stitches?: Metal staples have to come out, typically after 5 - 7 days after a c/section; after 4 weeks it may become a bit more laborious to get them out. Stitches these days don't need to come out, whether a woman had a c/section or a tear/cut to her perineum during a vaginal delivery. At any rate, your provider will know what to do. ...Read more
See remark: If you gave birth, then the stitches are of episiotomy, a cut in skin below vagina to facilitate the delivery. Some stitches take longer to "dissolve" If your doctor allows it take sitz bath daily. Yo may have urinary infection? TakeAZO tablets from drug store 3 x day (no script needed) and drink cranberry juice twice a day. If no relieve, see your doctor Wishing you the best in health "neighbor"I ...Read more
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?
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. ...Read more
Vaginal stitches (internal 2nd degree lacerations) after child birth, that the threads hang out of you at 3 weeks post partum. Should I see my doctor?
Yes: Better be seen, stitches need to be removed by healthcare professional, best wishes ...Read more
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?
Go to the Ob-Gyn Dr.: If stool went through, popped stitches, and ended up in the vagina, the ob-gyn doctor can examine the area to see what kind of secondary repair is needed. A good rule of thumb is "never let the stool get hard" after a baby delivery, hemorrhoid surgery, or other surgery in the anal/rectal area. The patient and spouse must not be squeamish about handling poop, to prevent bad things from happening. ...Read more
Postpartum hypertens: The miracle of pregnancy can sometimes be associated with complications. Hypertension could develop in the third trimester or early postpartum (after delivery) period. This can be treated with medication effectively. Half of women may remain hypertensive longterm, while the other half will return to normal blood pressure. ...Read more
Postpartum Doula: What a postpartum doula does changes from day to day, as the needs of the family change. Postpartum doulas do whatever a mother needs to best enjoy and care for her new baby. A large part of their role is education. They share information about baby care with parents, as well as teach siblings and partners to “mother the mother.” they assist with breastfeeding education. ...Read more
Varies: Some people may bleed on and off for even up to 8-12 weeks postpartum. If you are unsure if the bleeding you are experiencing is normal or if you have other associated symptoms of concern, I suggest you discuss with your obstetrician. ...Read more
Very good idea: As long as a person does not have any specific contraindications, walking can be started shortly after delivery. In fact, this is recommended. Activity and exercise can gradually be increased and should shortly return to per-pregnancy levels. ...Read more
Full Physical Exam: An early postpartum visit at one to two weeks postpartum should be considered for women with cesarean delivery, medical issues that require close follow-up and women at risk for postpartum depression. The routine postpartum visit should include a complete physical exam and in some cases cervical cultures and inspection of episiotomy. ...Read more
Please seek medical: Evaluation for these symptoms. Severe anxiety can impact bonding with your new baby. In the meantime, avoid caffeine & either eliminate or keep alcohol use moderate. Try deep breathing exercises and progressive muscle relaxation. Get out with your new baby in a stroller and walk. Physical activity in green spaces is especially helpful. ...Read more
Weeks: Although less likely than when you are pregnant, the HELLP syndrome can present 4 to 6 weeks postpartum. ...Read more
Postpartum changes: Weight is a very poor measurement especially postpartum when your body is often retaining water. In the postpartum period it takes 6 weeks for the uterus to contract from just below the belly button back to fist size. As this happens your abdominal wall contracts down as well and can make you thinner. ...Read more
Sometimes: It depends on how much endometrium and other material was present post partum. If the bleeding is still bright red call your OB for assessment. ...Read more
Is it 1st period?: This may simply be your period since you are six weeks post partum. It's a good time to schedule your post partum visit too. You can discuss your contraceptive plans. Discuss options that will give you cycle control and consider methods that give short light periods ...Read more
Probably ok: But not too soon, give yourself a vacation of 2-10 days or more if possible. But this type of exercise would probably be good for you. ...Read more
Sure: Many patients like to wear a girdle or post partum belly band. This provides some support to the abdominal muscles and feels good. It does not shrink the belly though as some think. ...Read more