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How do you treat the perineum (area between the vagina and anus) after birth?

Published in Postpartum care 2 mins read

The most important aspects of treating the perineal area (often referred to colloquially as "Virginia") after birth focus on hygiene, pain relief, and promoting healing. Here’s a breakdown of recommended practices:

  • Rinse after using the bathroom: Keeping the area clean is crucial to prevent infection and promote healing. Use a peri bottle filled with warm water to gently rinse the perineal area after each urination or bowel movement.

  • Soak in a warm bath (Sitz bath): Soaking in warm water, particularly a Sitz bath, helps increase blood flow to the perineal area, which aids in the healing process and provides soothing relief. Do this for 10-20 minutes several times a day.

  • Pat dry: After rinsing or bathing, gently pat the area dry with a soft, clean towel. Avoid rubbing, which can irritate the tissues.

  • Apply ice packs: Ice packs can significantly reduce pain and swelling, especially in the first 24-48 hours after delivery. Wrap an ice pack in a clean cloth and apply it to the perineal area for 10-20 minutes at a time.

  • Consider pain medication: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain. Your doctor may prescribe stronger pain medication if needed. Follow your doctor's instructions carefully.

  • Ease pressure when sitting: Use a donut-shaped pillow or cushion to relieve pressure on the perineal area when sitting. This can make sitting more comfortable and prevent further irritation.

These methods should help promote comfort and healing of the perineal area after giving birth. Consult with your doctor or healthcare provider if you experience severe pain, signs of infection (increased redness, swelling, pus, or fever), or any other concerning symptoms.

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