How Do I Care for the Perineal Area After Birth?

There are different types of perineal trauma that can occur during birth, such as different degrees of tearing or an episiotomy.

Between 53-79% of vaginal births will result in some degree of tearing according to the American College of Obstetricians and Gynecologists. In many but not all cases, stiches will be required. Some tears take longer to heal than others, which then requires different levels of extra support that the birthing person will then need. The healing journey will always be different from person to person, but the discomfort should decrease with each passing day and if it doesn't, you should then report it to your medical provider.

12% of vaginal births require the use of an episiotomy- a surgical cut made at the opening of the vagina during childbirth, and all require stitches for repair. The wound will be painful and tender for a while.

Some people experience post birth swelling which can be normal. To help remedy swelling, cold therapy is often used in the first 24 hours. You can also use a cold compress for 15-20 minutes or even fill up a surgical glove with ice and apply it to the perineum. Keeping the area clean will also help reduce pain and swelling. Hack: Douse sanitary napkins in witch hazel, put in plastic Ziploc bag in freezer and use the "padcicles" as necessary.

Another at home treatment to help promote healing and increase blood flow are a sitz bath- a shallow basin that fills over the toilet seat. It is filled with warm water that you sit on and submerge the vulva and perineum. They usually give you a sitz bath from the hospital to take home if that's where you are giving birth. If you don't have access to a sitz bath, utilize your bathtub at home.