What are the postpartum perineal care steps after episiotomy?
After delivering the baby, the perineum must be kept clean. Lochia may drain for up to four weeks, so pads should be changed frequently.
- Do not use tampons after delivery. Tampons may cause an infection.
- Take a bath or a shower once or twice daily. A sitz bath should be used after every bowel movement. A sitz bath involves sitting in shallow water, only deep enough to cover the hips and buttocks.
- Urinating can be painful after delivery. Squirting warm water over the perineum during urination may ease the pain. When finished urinating, gently pat the perineum dry.
- Cold sitz baths help reduce swelling and discomfort after delivery. Sit in a lukewarm or room temperature bath, and then gradually add ice cubes to the water. This prevents the uncomfortable, sudden sensation of ice water on the skin. Soak for 20 minutes at a time, up to three to four times a day. After the first two to three days, warm sitz baths will improve blood flow to the perineum. Check with your physician before adding medications such as epsom salts to the bath.

