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Healing postnatally: stitches from tearing or episiotomies

By Tessa of www.tessayoga.co.uk, Oct 16 2017 10:28AM

In previous blogs, I have written about how we can prevent tears in the perineum (and deeper) through perineal massage, positioning, squats to keep the perineal tissue elastic, asking the midwife for a warm compress as your baby's head emerges and more.


However, sometimesdepsite everyone's best efforts a mum will sustain a tear (of different magnitudes). In this short blog, I list the suggestions I received for a mum struggling with healing an episiotomy from a specialist antenatal and postnatal group of professionals that I belong to. However, many of the suggestions will also be useful for those who healed from a minor tear and some also for those with a casearean scar.


The suggestions are in no particular order. I suggest you read through and see what you are most drawn to as the list is quite long and could feel overwhelming for a new mum struggling with physical challenges. I have given suggestions for specialists local to Reading, Berkshire, if you are elsewhere please ask your peers for recommendations.


- Lots of suggestions for healing herbs. I recommend Sarah Smith (https://www.facebook.com/redearthholistic) as she is a doula as well

-Push for a referral to an obstetric physiotherapist or recommended postnatal physio or chiropractor (e.g. Kelly at Dynamic Family Chiropractic)

- Get a valley cushion (e.g. through NCT - they hire them out) to make sitting more comfy

-This type of healing is very slow - months rather than weeks - take pain relief e.g. diclofenic / voltarol (PR) suppository can be prescribed

- Sitz bath in oat straw (Sarah above could help with where to source)

- Apply a compress with recommended Naturally Birthing Company's Pure Bliss Soothing Postnatal Compress Solution.

- Castor oil packs on the tummy (there is lots of advice online for these - start with only a short amount of time)

- Yoni (womb) steam once stitches healed and lochia stopped - again Sarah call help with the right herbs to use to aid healing

- Once stitches have healed, massaging scar tissue (Sophie is trained to do myofascial release for the pelvic floor muscles and to release tension around episitomy scars, and to massage casearean scars http://www.berkshirepilatesclasses.co.uk/home-2/myofascial-release/)

- Once stitches have healed, visiting Holistic Pelvic Care practitioner (I recommend and have visited with Rachel - see http://www.thefeminineawakened.com/blog/archives/06-2017) 

- For more complicated healing issues after episiotomy, or prolapse or incontinence, please contact me for signposting to a well recommended professional. Please don't put up with a situation that is getting you down or physically stopping you getting out the house.

- Nourishing food - get family to prepare meals

- Lots of rest (I know this is difficult with a small baby, but stay in your nest as long as possible getting friends to come to you when you need to see a friendly face).

- Go through notes with consultant midwife or independent midwife if it was a challenging birth and you need to understand why you are in the situation you are in (e.g. Kathryn Weymouth)


Hopefully there are some suggestions there for whatever level of healing is required. PLEASE do not put up with something if it is not feeling right, just because it is 'down there'. Incontinence, prolapse, excess scar tissue etc are common but not normal so please seek help. Do get in touch if you have a suggestion to add or need further signposting at hello@tessayoga.co.uk


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