Caring for a Perineal Tear
There are many things we can prepare our body for during the delivery of a child that we discussed in a previous blog post here. However, the ultimately during delivery, the health of the baby and mother are of utmost importance. Delivery can sometimes result in an episiotomy or a perineal tear due to factors out of our control. During the initial 6 weeks following delivery with a subsequent perineal tear or episiotomy, proper healing and comfort are of top priority. In this blog we will cover multiple tools that can assist with the comfort and healing during the initial postpartum period after a tear.
1. Perineal Sprays
Perineal are designed to provide relief and aid in the healing process. When choosing a perineal spray, be sure to take a look at the ingredients to ensure they contain natural ingredients and no additional scents or additives. Perineal sprays often are made of aloe vera, witch hazel, calendula, or lavender, which have soothing and anti-inflammatory properties. A spray allows the product to be applied to the area without causing additional irritation by having to rub in a balm or lotion.
2. Perineal Cold Packs
Cold packs can provide soothing relief and help reduce swelling and discomfort in the perineal area following a perineal tear. They can be particularly beneficial in the first few days after delivery when swelling and inflammation are most prominent. Look for cold packs specifically designed for postpartum use, as they are often shaped to fit the perineal area comfortably.
3. Squatty Potty
Constipation is a common concern after childbirth, and straining during bowel movements can increase discomfort and hinder the healing of perineal tears. A squatty potty is a stool placed at the base of the toilet to elevate the feet on, making bowel movements easier. This stool assists with the positioning of the anus to allow for ease of bowel movements and also puts the pelvic floor muscles in a better position to relax.
4. Sitz Baths
A sitz bath is a shallow basin that fits over the toilet seat and allows you to soak your perineal area in warm water. It provides gentle cleansing, promotes healing, and helps alleviate discomfort. You can add Epsom salts or herbal ingredients known for their soothing properties, such as witch hazel or chamomile to the Sitz bath to aid in healing.
5. Appropriate Underwear
Choosing comfortable, breathable, and loose-fitting underwear is essential during the healing process. When you are in the initial healing phase of a perineal tear, you do not want to trap moisture in as this can delay healing. Look for underwear made from cotton, as these are typically softer and more breathable. Buying one or two sizes up can also be beneficial for ultimate comfort.
Every individual's healing process is unique, and what one woman may experience after a perineal tear may be completely different to yours. The first 6 weeks after delivery should be focused on healing and maintaining comfort. Once the scar is healed, around the 6-week mark, this is a great time to be evaluated by a pelvic floor therapist to assist with the rehab process. Perineal tears can contribute to continued discomfort with daily life and intercourse, as well as other types of pelvic floor symptoms including but not limited to incontinence and pelvic organ prolapse. These symptoms are very common, however are not normal and can be treated.
If you need help finding a pelvic floor therapist in your area, refer to our previous blog post here. If you are pregnant and desire to do everything to prevent a perineal tear, refer to the techniques that can help with this in our previous post here.
