PERINEAL CARE AFTER VAGINAL BIRTH
Managing perineal soreness
Applying heat or warmth increases blood flow and promotes healing. So, you could sit in a tub filled with warm water and take a sitz bath! The tub could be placed on top of the toilet bowl, if not on the bathroom floor.
You can use a spray bottle to spray your perineal area, while and after urinating or after bowel movements. Clean from front to back to avoid infections.
Use ice packs wrapped in a soft cloth, 10-15 minutes at a time over the sore areas. Direct contact can damage your skin tissue.
Make yourself some healing witch-hazel pads before you give birth. Spread aloe-vera gel over a sanitary napkin and add 1 tablespoon of witch-hazel. Make a bunch of these and freeze them in your 3rd trimester, to be used later to soothe your perineum.
There will be postpartum bleeding; so, ensure to change your pad every 2-3 hours to avoid infections.
While breastfeeding, use a doughnut shaped pillow to avoid any pressure on the perineal area or try to feed while lying down on your side.
If the area is too painful, ask your doctor for a medication for pain relief.
Air the area out to promote faster healing, a few times a day and use an underwear made-up of breathable fabric such as cotton.
If you are worried about bowel movements and straining the perineal area, try asking your doctor for a laxative or stool softener. Avoiding bowel movements could lead to constipation.
You could also do pelvic floor exercises; squeezing of the muscles in and around the vagina and anus can reduce discomfort and promote healing.
Things to avoid:
Avoid strenuous activities
Do not engage in penetrative sex