How do the inner seams come out. How many days after the removal of the wisdom tooth, the stitches are removed and does it hurt, how long do the absorbable threads break down

In some cases, for example, during surgery, as well as after childbirth, absorbable sutures are required. For this, a special material is used. There are many types of absorbable threads. The healing time of such wounds depends on many factors. So how long do self-absorbable sutures absorb?

The main types of seams

To answer this question, it is necessary to clarify what main types of seams exist. As a rule, this is:

Internal. Similar seams are superimposed on injuries resulting from mechanical stress. Certain types of tissues are used to connect tissues at the rupture site. Such self-absorbable sutures heal quite quickly. Often they are applied to women after childbirth on the cervix. In this case, anesthesia is not required, since this part of the reproductive organ is devoid of sensitivity.
Outdoor. They can also be applied using absorbable material. After childbirth, such sutures are made at rupture or during dissection of the perineum, as well as after operations. If conventional material is used, then its removal is required 5-7 days after surgery.

It is worth considering that self-absorbable sutures can heal after a few weeks. It all depends on the type of material and its composition.

What are absorbable sutures

Self-absorbable sutures are almost always applied. It is extremely rare for wound healing to use surgical material that is resistant to hydrolysis. Absorbable sutures are those that lose their strength as early as 60 days. There is a dissolution of the threads as a result of exposure to:

Enzymes that are present in the tissues of the human body. In other words, these are proteins that control and accelerate the course of chemical reactions.
Water. This chemical reaction is called hydrolysis. In this case, the threads are destroyed under the influence of water, which is present in the human body.

Synthetic braided polyglycolide thread "MedPGA"

Analogues of such surgical material are "Safil", "Polysorb", "Vikril".

Self-absorbable operations or after childbirth can be superimposed using the MedPHA thread. This surgical material is made on the basis of polyhydroxyacetic acid. These threads are coated with an absorbable polymer. This is required to reduce wicking and capillarity, as well as to reduce the sawing effect that occurs when the material is passed through tissues.

How long does it take for the MedPGA thread to dissolve?

Self-absorbable sutures applied with the MedPGA thread undergo hydrolytic degradation, which is strictly controlled. It should be noted that such material is quite durable. After 18 days, the threads retain up to 50% of their strength properties.

Complete resorption of the surgical material occurs only after 60-90 days. At the same time, the reaction of body tissues to the MedPHA threads is insignificant.

It should be noted that such surgical material is widely used for suturing all tissues, with the exception of those that are under tension, and also do not heal for a long time. Most often, MedPGA threads are used in thoracic and abdominal surgery, gynecology, urology, plastic surgery and orthopedics. However, it is not used on nervous and cardiovascular tissues.

Synthetic braided polyglycolide thread "MedPGA-R"

Analogues of such surgical material are "Safil Quick", "Vikril Rapid".

"MedPGA-R" is a synthetic thread made on the basis of polyglyclactin-910. Such surgical material is covered with a special absorbable polymer. This reduces friction as the thread passes through the tissues of the body, and also reduces wicking and capillarity. Thanks to this surgical material, self-absorbable sutures can be applied.

How long does it take for MedPGA-R threads to dissolve?

"MedPGA-R" - a material that lends itself to hydrolytic decomposition. Such threads are quite strong. After five days, 50% of their strength properties are retained. Complete resorption occurs only for 40-50 days. It should be noted that the reaction of tissues to the MedPGA-R surgical material is insignificant. In addition, the threads do not cause allergies.

This material is used for suturing mucous membranes, skin, soft tissues, as well as in situations where short-term wound support is needed. However, there are exceptions. Such threads are not used on nervous and cardiovascular tissues.

Synthetic braided polyglycolide thread "MedPGA-910"

Analogues of such surgical material are "Safil", "Polysorb", "Vikril".

"MedPGA-910" is an absorbable thread made on the basis of polygliglactin-910. The surgical material is also treated with a special coating, which reduces the "sawing" effect when the material passes through the tissues, as well as to reduce capillarity and wicking.

Terms of resorption "MedPGA-910"

So, when do self-absorbable sutures applied with the use of MedPGA-910 surgical material dissolve? Such threads have a high rate of strength. However, they also undergo hydrolytic degradation. After 18 days, the surgical material can retain up to 75% of the strength properties, after 21 days - up to 50%, after 30 days - up to 25%, and after 70 days, the threads are completely resorbed.

This product is used for suturing soft tissues that are not under tension, as well as those that heal quickly, in plastic, thoracic and abdominal surgery, gynecology, urology and orthopedics. Do not use "MedPGA-910" when suturing nervous and cardiovascular tissues.

Monofilament "PDO"

There are not so many analogues of such surgical material. This is Biosyn, as well as PDS II. Such threads are characterized by a high rate of biological inertness, are non-wicking and non-capillary, hydrophobic, do not injure tissues when passing through them, are elastic, strong enough, fit well and hold the knot.

How long does it take for monofilaments to dissolve?

Monofilaments "PDO" are amenable to hydrolysis. As a result of this process, dihydroxyethoxyacetic acid is formed, which is completely excreted from the body. 2 weeks after suturing, the surgical material retains up to 75% strength. Complete dissolution of threads occurs within 180-210 days.

As for the field of application, the PDO surgical material is used for suturing and connecting soft tissues of any type, including for suturing the cardiovascular tissues of the child's body, which are subject to further growth. However, there are also exceptions. Monofilaments are not suitable for suturing tissues where wound support is required for up to 6 weeks, as well as those that are subjected to heavy loads. Do not use when installing implants, artificial heart valves, as well as synthetic vascular prostheses.

So how long will the stitches dissolve?

Next, we will consider everything regarding what are self-absorbable sutures after childbirth: when they dissolve, whether they require care. Do not forget that many factors affect the timing of wound healing and the complete disappearance of threads. First of all, you need to know what raw materials the surgical material is made of. In most cases, the threads begin to dissolve 7-14 days after suturing. To speed up the process, after the wound has healed, the health worker may remove the nodules. To determine the timing of resorption of threads, you should check with your doctor:

What stitches were placed.
What material were the threads made from?
Approximate timing of the dissolution of the suture material.

In conclusion

Self-absorbable sutures are often used for suturing surgical wounds that are located in deep tissue layers, as well as on the surface of the skin. For example, organ transplants.

The same surgical material is used for and ruptures obtained during childbirth. In the meantime, a lot of research has been done. Their results showed that a suture made from polyglycolic acid completely disappeared after only four months, and a material based on polyglactin after three. At the same time, self-absorbable sutures will hold the edges of the wound until it is completely healed, and then gradually begin to collapse. If the threads persist for a long time and cause discomfort, then you should seek help from a surgeon or your doctor.

The happiness that embraces a woman at the same time cannot be expressed in words, all the pain, all the torment experienced just a few minutes ago is forgotten. But in order to calmly hold the baby in your arms, you will have to work a little and suffer.

The most unpleasant, painful and long time ranks first when the cervix opens. But the second - the birth of a baby - is a matter of minutes, which, however, can overshadow or (worse) a rupture of the perineum. Some women resist the incision as best they can: they are indignant and even scream. But you need to understand that this manipulation is sometimes simply necessary.

The birth canal can be narrow for the baby, and if the doctor does not make an incision, then the child will do it himself. Then it will be tear with irregularly shaped torn edges, and it will be quite difficult to sew it up, not to mention the fact that it will be long and painful to heal.

But the incision made with a scalpel is even and neat, will allow just a few stitches to bring the edges together. Such a seam will heal quickly and will not cause much trouble if it is properly cared for and processed.

External (external) and internal seams after childbirth

Internal seams superimposed with rupture of the cervix and vaginal walls. Since the cervix loses sensitivity after childbirth, when suturing, the woman in labor practically does not feel anything.

But when stitches are placed on the vagina, it is quite noticeable, so local anesthesia is done. Internal sutures are made with self-absorbable threads that do not require additional care and removal of sutures.

To the outer seams carry the seams on the perineum, and here everything is a little more complicated. A woman can tear on her own and the stitches on the breaks heal longer.

However, mostly doctors manage to make a smooth (and absolutely painless) incision towards the anus. Stitches in this place are a little painful, so local anesthesia is also done here.

The stitches on the perineum after childbirth should be especially monitored, because this is a place where you cannot apply a sterile bandage, and the stitches are in contact with the external environment and can easily become inflamed.

Self-absorbable sutures

Recently, almost all sutures are superimposed with self-absorbable threads. This is very convenient: they do not need to be removed, and already after 7-10 days there will be no trace of them.

The only thing that a woman can notice is pieces of threads or knots on the pad. Don't be alarmed, know that these remnants of the threads mean that the seams have almost dissolved. A month later, at the examination with a doctor, you can be sure of this.

Let's look at some features

In order for the seams to heal quickly and not become inflamed, they need to be properly looked after. Internal seams in normal flow not processed at all because sterile absorbable sutures are used. There is enough hygienic care.

And here if the internal seams are inflamed or festered, then use tampons with levomikol or any other anti-inflammatory ointments.

Special care is needed for the outer seams. They should be processed 2 times a day. In the hospital, this is done by a nurse.

First, the seams are treated with hydrogen peroxide, and then brilliant green or iodine. In addition to this, physiotherapy is carried out to promote speedy healing.

The woman in labor follows through change sanitary napkin every 2 hours, in the maternity hospital use sterile disposable panties. Wash your face at least 2 times a day and after each act of defecation (and do this long after discharge). After washing (potassium permanganate), the seams should be gently blotted with a towel, but, in no case, do not rub it, then treat with peroxide, and then with brilliant green or iodine.

A woman after childbirth always has a lot of trouble. And problems with seams are only a small part of them. But believe, a healthy baby sniffing sweetly in his arms, will atone for all the labors and make you forget about all the difficulties associated with childbirth.

Many women who encounter stitches for the first time after childbirth do not know how to behave properly so that the seams do not come apart.

The most important thing is a woman in labor with stitches should not shrink within 7-10 days in no case. That is, eating, feeding the baby, swaddling and doing other work is possible only in a lying position or standing.

At first it will be difficult to get used to it, and all the time there will be a desire to sit down. It is important not to commit such stupidity, otherwise the seams will open.

It used to be much easier, because the baby was brought only for feeding and immediately taken away, so the woman in labor could rest, get used to her new position. Women in labor with sutures were generally forbidden to get up unnecessarily, which is why the healing of sutures after childbirth was much faster.

But now, when the baby is brought in on the first day and left with his mother until discharge, it is rather difficult to observe bed rest, because you need to get up and swaddle the baby, wash, feed. Well, how can you not forget and not sit down out of habit?

Remember: it will be possible to sit down not earlier than after 10 days (and this is provided that the stitches heal well without causing complications), and then only on a hard chair, and after another 10 days - on an easy chair, bed or sofa.

Since the woman in labor is being discharged for 5-7 days, then the trip home will not be very convenient, the car will have to go in a semi-recumbent position. Warn relatives in advance that only one passenger will be allowed to ride in the car with you, as you will need more space.

There is one more thing: in the first week after suturing, you need to properly go to the toilet "by and large". It is best to give an enema at the first urge, otherwise the seams can also disperse from the tension of the pelvic muscles.

What to do, if…

Seams parted

If the seams are still separated, it is important to determine this quickly.

Internal seams come apart in extremely exceptional cases. It is simply impossible to notice this on your own. This can only be seen by a doctor during an examination. Such seams, as a rule, are no longer touched.

Most often this occurs with external seams in the crotch. Sudden movements, the wrong act of defecation, or if the woman sat down, can cause the stitches to open.

If this happens literally the next day after birth, then repeated sutures are placed. Another conversation, if the edges of the wound have already healed, and the seams have parted. Then the doctor decides on the re-suturing.

If it is only a couple of stitches and there is no threat to life, then the seams can be left as is. But it also happens that the seam has dispersed completely. Then the edges of the wound are excised, and the sutures are applied again.

While the woman is in the hospital, the doctor examines her every day, and if he finds that the seams are starting to diverge, he will take action. But if after discharge it seems to the young mother that the seams have parted, then you should immediately contact the antenatal clinic, where the gynecologist will tell you what to do after the examination.

The stitches hurt

The stitches may hurt for the first couple of days, then the pain should go away. Internal seams heal much faster, and the pain is felt weakly, passing in a couple of days in general. But the outer seams can disturb for a long time if you do not follow the regimen.

Painful sensations when trying to sit down are quite natural, but if the pain appears in a calm state, this may signal an inflammatory process.

So it is necessary not to endure the pain, but to consult a doctor. If you have time in time, then the inflammatory process is easily eliminated, but if you tighten it, the seams will fester, and it will take a long and tedious time to be treated.

When are stitches removed?

The situation is more complicated with ordinary seams that need to be removed. This can only be done after the wound has healed. Best case scenario it happens on day 6-7.

But if there is inflammation of the sutures after childbirth or the sutures fester, then the healing is delayed and you have to deal with the inflammatory process and only then remove the sutures.

So when are the stitches removed after childbirth? All this is decided individually.. Before discharge from the hospital, the woman is examined by a doctor and, if everything is fine, the stitches are removed (the process is almost painless). If it's too early, the doctor will tell you when to go for a consultation.

A frequent complication is the rupture of soft tissues during attempts and the birth of a baby. The situation in each case is individual, depending on the elasticity of the uterus and vagina, the size of the fetus and its correct diligence. If sutures cannot be avoided, daily care must be taken for the fastest healing.

Self-absorbable sutures: advantages

Postpartum sutures can be divided into internal and external. Internal impose at rupture of the cervix and the walls of the vagina. The reason is rapid delivery, large-sized fetus and incomplete opening of the uterus.

Self-absorbable threads are mainly used for internal injuries of organs.

Access to the sutures is difficult and re-intervention is not desirable. The resorption time directly depends on the composition of the threads. Absorbable materials are considered when their strength is lost for 30-60 days. There is an influence of water and proteins on the composition of the stitching tissue.

For stitching use:

Catgut, threads disappear from 30 to 120 days, depending on the thickness of the material.
Lavsan - from 20 to 50 days.
Vicryl - 50-80 days.

Self-absorbable sutures do not require additional processing. In a month, they will resolve on their own. It is only necessary to adhere to personal hygiene, avoid sexual relations for 2 months, not carry burdens and timely prevent problems with defecation. Doctors recommend taking a tablespoon of vegetable oil before meals to facilitate the process with the stool.

How many stitches heal after childbirth: an urgent issue for women in labor

External sutures after childbirth are applied when the posterior commissure is torn or when the perineum is cut. An episiotomy is a surgical incision made to prevent rupture of the vagina and free passage of the fetus during a complicated birth. Sewing an even incision is less painful and better quality. Natural tears take a long time to heal and look less aesthetically pleasing.

Indications for a surgical incision:

The threat of rupture of the perineum, which is diagnosed visually with a strong stretching of the tissues to transparency. It can occur in pregnant women suffering from diabetes, skin diseases, dryness of the epidermis.
To facilitate attempts by pregnant women with pathology of the cardiovascular system.
Abnormal bleeding to hasten the birth process.
premature birth.
Large fruit.
First multiple pregnancy.
The threat of injury to the fetus, with an incorrect breech presentation.

An episio incision is much better than a burst wound. Smooth edges are easier to stitch, matching them as physiologically as possible. The seam heals faster without suppuration and swelling. Capron, vicryl, silk threads are usually applied to the outer seams. They do not dissolve on their own, but provide a strong connection of the edges of the wound, the seam does not diverge.

Wounds heal on days 10-14, if there were no complications.

All this time, the woman will experience pain when walking, sitting down, defecation. Many women are concerned about the question: after how long will the stitches be removed? Usually the procedure is carried out 5-7 days after the operation, with normal healing.

How to quickly heal stitches after childbirth: standard rules

Internal seams in most cases do not bother a woman. Particular attention is paid to external wounds. To heal the seams faster, you need to follow some rules. The first 3 days you need to wash with warm water every 2 hours. Carry out care with a sterile towel without lint, only blotting. Treat the perineum with brilliant green or potassium permanganate; these procedures are performed by a nurse in the maternity hospital. Change your panty liners often. Wear comfortable underwear made from natural materials.

To prevent the seam from coming apart, it is forbidden:

Sit down the first 10 days;
Lift weights for 60 days other than your child;
Have sex for a month;
Comb the seams.

A woman in labor can sit, after a few days, first on one buttock, then completely lean on a chair. It is necessary to ensure a gentle bowel movement. To do this, strictly monitor nutrition, avoiding constipation. It is also not recommended to shave until complete scarring. Such a procedure can cause severe irritation on the labia, which in turn leads to inflammation of the suture tissue, severe itching and suppuration.

The method of performing a caesarean section affects wound healing. This procedure is considered a strip operation, and the pain syndrome can persist for several months.

In an emergency operation, the incision is made vertically, from the navel to the pubis. In this case, the abdominal walls are sutured, which makes the recovery period quite long. More sparing is the horizontal seam, with cosmetic stitching of the wound. Such an incision looks much better and is almost invisible after scarring. After the operation, painkillers are prescribed. Can't be tracked down. The next day, the woman should get up. Movement helps improve blood circulation, promotes uterine contraction and better healing of birth sutures.

How to handle stitches after childbirth: antiseptics and painkillers

It is necessary to take care of the sutures in the postoperative period even after discharge from the hospital. Treatment of seams at home is carried out with hydrogen peroxide and various creams: Bepanten, Solcoseryl, Levomekol. The seam on the abdomen can be treated with brilliant green, applying the drug around the wound for 3 weeks.

A special bandage, which can be purchased at orthopedic stores, will help speed up recovery.

Many women note that the stitches hurt for a long time, especially after a caesarean section and perineal rupture. The emotional state of women in labor during this period is extremely unstable, which can affect lactation. Rectal and vaginal suppositories will help to anesthetize aching wounds: Diclofenac, Ketanol, Voltoren. To find out which drug is better to use, you need to consult your doctor.

With improper wound care, some complications may occur:

Suppuration of the seam. If there is severe pain, when hydrogen peroxide is applied, the wounds pinch, pull, yellowish discharge comes out of them, this indicates that the suture has festered. Symptoms may include an increase in body temperature. The scar is festering due to improper hygiene or to a birth infection. The specialist will prescribe additional treatment with the use of antibacterial drugs.
Divergence of seams. The situation may arise in the first days after surgery or after the removal of sutures. Tissues can disperse for several reasons: early sitting down, too sudden movements, poor docking of the wound, its infection. If the seams have parted at home, the main thing is to contact the surgeon in time. If necessary, the doctor will re-cut and stitch the wound.
Seam inflammation. Pain in the first days after childbirth is normal. When the threads were removed, but it hurts to stand, sit and pull in the seams, the wounds may have become inflamed. Here you need the help of a specialist.

If, after returning home, the wound bleeds, the scar is swollen, the area around it looks reddened, purulent discharge or seals appear, you need to be examined by a gynecologist. Postpartum complications require immediate treatment. Inattention to the body can lead to purulent inflammation or blood poisoning.

Perineum after childbirth: future predictions

With ruptures of the perineum, as well as episiotomy, sutures are applied immediately after childbirth. To prevent an inflammatory process, it is necessary to match the wounds as accurately as possible. If the tissues are poorly sewn up, their rupture, suppuration and a long recovery period are possible. The healing process depends on the suture materials used. In rare cases, patients complain of itching in the perineum. The reason may be an allergic reaction to thread materials.

For each woman, the recovery process is individual. Scars stop hurting for some in 5-6 weeks, for others it takes months. Many women in labor cannot understand why the scars itch. If severe pain is not present, the condition is the norm. The scar itches as it heals. To remove the itching, you need to wash more often with cool water. Experts recommend doing special Kegel contraction exercises that help restore the vaginal muscles.

Some women are interested in what remedy will help smooth out external scars. Doctors often prescribe Contractubex ointment, which they begin to smear after the suture has healed. Reviews of women in labor showed that the gel can improve the cosmetic effect of scars, make them lighter and less noticeable. With a cesarean section, cosmetic incisions will not be visible externally after 8-12 months.

How to handle stitches after childbirth (video)

Compliance with hygiene, implementation of medical recommendations and an optimistic attitude contribute to positive dynamics for tissue fusion. Soon the wounds will heal, swelling on the leg will fall, and the woman will be able to fully enjoy maternal happiness.

Stitches after the removal of a wisdom tooth are superimposed very often, since this event is usually equated to an operation. Removing the eight is sometimes very difficult. As a result, you have to cut the gum, and after removing the tooth, sew it up.

Seams vary greatly in quality. They can resolve on their own or require specialist action in the future. In any case, after the operation, it is necessary to clarify with the dental surgeon which type of thread was used. But with the right approach, the specialist himself, without reminding the patient, will report the need for the next visit to remove the stitches.

Stitches are often used when removing a large dental problem such as a wisdom tooth. It is very difficult to rid the patient of this element without damaging the gums, therefore, it is often necessary to additionally stitch the tissues.

Even with the most careful work of a dentist, it is difficult to get rid of a wisdom tooth without problems. It is located very deep and is attached to the gum with two roots at once. To remove the outer teeth, the surgeon makes 1 or 2 incisions in the gum (see pictures below). After that, a careful extraction is performed.

When wisdom teeth are removed, sutures are often needed. They can be applied even when there are signs of a tumor on the gum. Swelling of tissues is a completely natural process after injury to the gums by incisions.

If the specialist correctly sutures, the wounds should heal well. In this case, heavy bleeding should not occur, since the first blood clot will not be displaced due to the sutures.

A similar procedure is also a preventive method, since the wound is closed and the risks of penetration of pathogens, which are quite numerous in the oral cavity, are minimized. That is, the smaller the wound, the less often it becomes infected and heals faster.

Oksana Shiyka
Dentist-therapist
Regardless of which threads will be used by the dentist, suturing does not take much time. And yet, self-absorbable materials are more convenient, because in this case you do not have to additionally injure the body.
The quality of the scar and the healing time of the wound after the removal of a wisdom tooth depends not only on how the suture will be applied, but also on possible complications. Extraction of an outer tooth is one of the most difficult dental operations, so additional difficulties are not excluded.
With difficult removal, sutures can be applied like this.
It is worth noting that when the wisdom tooth is removed without complications, and the doctor uses conventional materials for suturing, the threads can be removed after a week. However, a specialist must first assess the condition of the oral cavity and exclude the development of pathology. Only after that it will become clear whether the stitches can be removed or whether they should be left for more complete wound healing.
How long does it take for threads to dissolve
Special threads for suturing are very convenient, since when using them there is no need to additionally injure the site of the operation. But not all patients are aware of how long it takes to wait for the completion of the process of resorption of threads.
Oksana Shiyka
Dentist-therapist
As a rule, if high-quality suture material is used, there will be no trace of it already 20-30 days after the operation.
It should be noted that the threads simply fall apart, and then the person quietly swallows them. There is no discomfort or danger when the remnants of the threads enter the stomach.
The advantage of using such material for suturing is that with them there is no need for an additional trip to the doctor. However, a week or two after the operation to remove the wisdom tooth, it is still worth visiting the dentist to make sure that the surgical intervention did not lead to complications, for example, to the inflammatory process.
The exact time after which the seams will completely disappear cannot be determined. But there are still approximate dates for each type of material.
In medical practice, 2 types of threads are widely used:
The first type, namely the classic catgut, has been used for decades. This material has been used for more than a century, but recently it has been replaced by new types of retainers. Classical threads can hold seams from 10 to 140 days. Over time, enzymes will begin to attack them, which will lead to their complete breakdown and excretion of the body. Nowadays, catgut is very often used when removing a wisdom tooth. This operation rarely does without sutures, but if they are applied even half the trouble, then it is very difficult to remove them. Absorbable threads will be very useful.
Oksana Shiyka
Dentist-therapist
But keep in mind that catgut cannot be used in situations where the risks of complications and inflammatory processes are very high.
More modern materials that are currently used for suturing are synthetic threads such as Dexon and Vicryl. They are based on polyglycominic acid and polyclatin. It is convenient to create knots with such threads, which simplifies the work of the surgeon. The resorption of synthetic materials occurs through hydrolysis. For the complete disappearance of seams of this type takes about a month. Vicryl is absorbed much faster than Dexon.
Oksana Shiyka
Dentist-therapist
The advantage of a synthetic thread is that it can be used for suturing even in areas where the risk of complications is high. Vicryl and Dexon do not cause inflammation, so they can be used during any operation, even the most complex ones.
In any case, the patient must visit the doctor a week or two after the removal of the wisdom tooth. When using synthetic threads and the complete absence of complications, dentists try to get rid of the stitches before they resolve on their own.
Possible Complications
By itself, this element is very complex, and its removal often provokes additional problems in treatment. Therefore, if a couple of days after the operation there is severe discomfort at the suture site, you should consult a doctor. This may be severe pain or increased swelling. By the third day, the postoperative swelling should be gone. If it increases by this time, most likely, we are talking about the development of complications.
Troubles can also arise with bleeding. Small impurities of blood in saliva on the first day after tooth extraction are considered quite normal. If the bleeding is severe and does not go away for several days, you should definitely contact your dentist. Most likely, the stitches will have to be re-applied.

One stitch, two stitch, it will be fun! - the obstetrician used to say with a needle at the feet of a happy woman in labor. For some, this black humor becomes not a funny reality and causes a lot of trouble and trouble. We will tell about situations that inspire obstetricians to take up a needle, ways to quickly heal and relieve pain.

When stitches are applied and the causes of ruptures

Childbirth does not always go smoothly, and sometimes you have to pay for the happiness of having children with birth injuries - tears and cuts in the genital tract, on which external and internal sutures are applied after childbirth. Injuries are internal - tears on the cervix and vagina, and external - tears and incisions in the perineum.

After a natural birth, the obstetrician necessarily checks for gaps and, if detected, they are sutured. Otherwise, if suturing is not carried out, the postpartum period threatens to end with a hospital bed due to bleeding in the injured tissues and infection, and in the future even provoke prolapse of internal organs and urinary and fecal incontinence.

The process of applying external and internal sutures takes a long time and requires a highly qualified doctor, and in the case of ruptures in the cervix, passing to the vagina and uterus, and some virtuosity due to the inaccessibility and risk of damage to the nearby bladder and ureters.

Internal sutures after childbirth on the cervix, vagina and uterus itself are superimposed using absorbable sutures from biological or semi-synthetic material. If only the cervix is affected, then anesthesia is usually not required - after childbirth, it is insensitive. In all other cases, local or general anesthesia is used - anesthesia or epidural anesthesia.

The muscle layers at breaks and incisions of the perineum are also sutured with absorbable threads, and the skin is often made of non-absorbable silk, nylon and other materials that are removed at the maternity hospital or in the antenatal clinic, usually 3-7 days after childbirth, when the suture is scarred. The procedure is quite painful and therefore anesthesia is required during execution.

The reasons for the gaps can be different. This is not following the advice of an obstetrician during the straining period, and the presence of scars from sutures imposed in previous births (the scar consists of inelastic connective tissue), rapid, prolonged, premature and instrumental births (forceps), anatomical features of the pelvic structure, a large head in a child, breech presentation, low elasticity of the skin at the time of delivery.

Causes of pigmentation after childbirth and how to get rid of this problem

Attitude to episiotomy - dissection of the perineum, obstetricians are different. For some, this is a routine procedure that is applied en masse to avoid the risk of perineal rupture. Other doctors strive to make the birth process as natural as possible, intervening when it is already quite clear that a rupture cannot be avoided. If instrumental childbirth is performed with forceps or a vacuum extractor, then a preliminary dissection of the perineum is recommended.

Episiotomy does not help to avoid grade 3 tears when the anal sphincter is involved in perineal integrity and may even contribute to such injury. Nevertheless, surgical incision has a number of advantages over rupture. Dissected tissues are technically easier to take in than torn ones. The resulting wound has smooth edges, healing occurs faster and a more aesthetic scar is formed.

Healing and suture treatment

It is regrettable, but what happened happened, and as a result, after giving birth, you got stitches. With internal sutures, if the suturing procedure is performed correctly and carefully, it hurts for about 2 days. They do not require special care and do not need to be removed, as they are made of absorbable thread.

Self-absorbable sutures after childbirth from natural material - catgut completely dissolve in about a month, and from synthetic - after 2-3 months. Internal heal faster and can disperse in extremely rare and exceptional cases.

Quite another matter - the outer seams of the crotch. With such a postpartum reward, it is painful to move around, it is problematic to go to the toilet and it is absolutely impossible to sit down due to the fact that the seams can disperse.

The ban on sitting is valid for two weeks, after which you can gradually try to sit on hard surfaces.

If catgut sutures were placed on the perineum, then you should not be afraid if pieces of threads that have fallen off appear after a week - during this period the material loses its strength and breaks. The seams will not disperse, unless, of course, they start dancing. How long the material will be absorbed depends on the rate of metabolic processes in the body. Sometimes there are cases when the catgut did not resolve even six months after suturing.

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Sutures from a non-absorbable thread from the perineum are removed 3-7 days after childbirth. If this was not done in the maternity hospital, then the removal of the stitches is carried out by the gynecologist in the antenatal clinic. During the removal procedure itself, it is a little unpleasant, but in most cases it does not hurt, or the pain is quite tolerable.

How long stitches heal after childbirth is affected by the individual speed of healing of damage received by the body - both from small scratches and from more serious injuries.

Usually this process does not take more than a month, but on average it takes 2 weeks.

Both before and after the removal of sutures, it is necessary to regularly treat them. This is especially important, since postpartum discharge and the constantly moist environment of the perineum contribute to the multiplication of various microorganisms on the wound surface. As a result, the sutures can fester and healing will be delayed indefinitely.

How and how to handle stitches after childbirth at home? Also, as in the maternity hospital, it is necessary to carry out treatment two to three times a day with antiseptic solutions and / or antibacterial ointments that suppress the uncontrolled growth of bacilli that cause inflammation. The most affordable means are the well-known brilliant green, hydrogen peroxide, potassium permanganate, chlorhexidine, etc. From ointments - levomekol, etc. Processing should be carried out, avoiding a sitting position.

If you provide air access to the perineum, then healing will go much faster. To do this, you need to use "breathable" pads made of natural materials and refrain from wearing tight underwear. The ideal option is to provide “ventilation” during sleep, when you can completely abandon underwear and sleep on a special absorbent diaper, or an oilcloth with a regular cloth diaper.

To speed up regeneration, it is also necessary to have good nutrition, which supplies building material to the site of injury. From folk remedies, tea tree oil, sea buckthorn oil accelerates healing. And of course, hygiene rules and cleanliness are only welcome on the way to quick healing.

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How to ease the pain

In the process of suture healing, tissue contraction occurs - the wound surfaces are reduced, and the wound is closed with a scar. Therefore, it is quite normal that the stitches hurt after childbirth, like any other injury that violates the integrity of muscle and epithelial tissues. Discomfort - Pain and itching in the perineum can be experienced up to 6 weeks postpartum.

If the pain is of a different nature, and even more so when suppuration of the sutures has begun, you should consult a doctor.

If the pain is severe, which happens in the first days after childbirth, then applying cold to the perineum, painkillers can help to cope with it. In the maternity hospital they give injections, at home you can take ibuprofen (Nurofen), which is not contraindicated during breastfeeding and has an anti-inflammatory effect. To reduce the pain during urination, you can try to urinate while standing in the bathroom, legs apart.

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