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SCARS
they may appear on the skin in various places, and their appearance and shape depend on the way in which the continuity of the skin tissue is interrupted. Scars are classified as skin lesions. This is the result of damage to the dermis, the defects of which are supplemented by the so-called fibrous connective tissue. It consists of fibers that give the broken area an irregular, slightly rough shape. This is why scars stand out from the dermis.
A wound or scar after an episiotomy or cesarean section requires appropriate treatment. The wound after an episiotomy heals at different rates in different women - it depends, of course, on its size, but also on the surgical equipment and the way the place is taken care of during the postpartum period. Usually, by the end of this period - i.e. 6 weeks after giving birth - the perineum should be completely healed and the tissues should be fused. The stitches placed after the incision are most often dissolvable and after a maximum of 3 weeks there should be no trace of them left.
Episiotomy wound care, which allows the patient to promote faster healing of the crack or incision site and prevent infections, should include:
- washing yourself after each visit to the toilet, using mild intimate hygiene products or antibacterial fluids available in pharmacies;
- drying intimate areas - after bathing or just washing - with disposable paper towels, on which bacteria do not accumulate and multiply;
-so-called "crotch airing", i.e. - whenever possible - walking around the house without underwear or resting without it in a lying position. When it is necessary to wear postpartum underwear, you should choose one that will ensure adequate air circulation;
- Refrain from using any types of sponges or washcloths - both when washing and bathing - due to the bacteria accumulating in these accessories. A cesarean section is a serious operation which - like an episiotomy - should be performed for clear medical indications . During the procedure, subsequent layers of tissue are cut, and after the baby is born, they are sewn together with non-dissolving sutures. Typically, a cesarean section is performed in the bikini line, above the pubic mound, well below the navel - proper care of the CC wound and subsequent mobilization of the cesarean section scar make it less visible and flexible.
The care of the wound after CC is slightly different from the care of the wound after episiotomy, but the patient should strictly adhere to a few most important rules:
-the wound must be kept clean and dry - it should not be allowed to get wet or dirty. When bathing, you should wash the incision site with your hand (never a sponge or washcloth), using a mild liquid or shower gel that has already been used by the patient;
the wound after CC should be dried after washing with a paper towel, applying it place by place, without rubbing;
you should not shave the pubic mound in the area where the cut was made for 3 or 4 weeks;
it is worth disinfecting the wound 3-4 times a day, preferably using a disinfectant in a spray formula, so as not to come into contact with the wound itself;
after using the toilet (especially public), wash your hands thoroughly so as not to transfer bacteria to the wound area;
When wearing maternity underwear, make sure that the panties end around the navel and do not press on the wound itself (special mesh panties are available on the market).
Wound care after CC should also include airing it as often as possible. Postpartum belts should not be used either during or after delivery, as they have a significant negative impact on both wound healing and the subsequent condition of the pelvic floor muscles.
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