Reasons Why a Natural Birth Wound May Not Heal Properly

There are several reasons why a natural birth wound might not heal, and the healing time and recovery from pain can depend on the severity of the tear. However, most tears heal quickly, although it's normal for the mother to experience pain for two to three weeks. If you had a difficult delivery, you may also suffer from several bruises, which usually improve within a few days.

Stitches and scratches can be very uncomfortable, and many mothers feel anxious about doing daily activities such as going to the bathroom. According to the Boldsky website, here are some tips you can try to reduce swelling and bruising, care for your stitches, and recognize signs of infection to watch out for.

Causes of Poor Healing After Natural Birth

Several factors can influence how well wounds heal. Here are common causes:

• Overweight Mothers: Women who are overweight or obese are more likely to experience delayed wound healing and wound complications, including infections. Extra weight puts pressure on the wound, reducing the oxygen and nutrients it receives, both of which are crucial for healing.

• Chronic Conditions: Conditions like diabetes can slow down healing by weakening white blood cells and the immune response.

• Smoking: Mothers who smoke often heal more slowly. Smoking suppresses the body's inflammatory response and restricts blood and oxygen flow.

• Lifting Heavy Objects: Doing so shortly after delivery may prevent healing, especially since the wound hasn't fully closed yet.

• Sitting Incorrectly: Sitting with legs apart or on hard surfaces can also delay healing.

• Constipation: Eating unhealthy or spicy food can lead to constipation, which strains the wound and prevents healing.

Signs the Birth Wound Is Not Healing

See a doctor if you notice any of the following:

• Excessive bleeding or clots

• Fever or chills

• Severe lower abdominal pain

• Pus, blood, or a foul odor from the stitches

• Swollen lymph nodes

• Difficulty controlling bowel movements

• Pain or burning during urination

• Frequent urination

• Swelling and redness around stitches

Treatment for Swelling After Natural Birth Wound

1. Ice Packs
   Applying ice for 10–20 minutes can reduce swelling. Use a towel-wrapped ice pack, and start this 24–48 hours after birth. Avoid overuse, as it may damage nerves.

2. Keep the Area Clean and Dry
   Wear loose, breathable underwear. Change sanitary pads every 4–6 hours to reduce infection risk.

3. Rest and Sleep
   Doctors recommend full bed rest for up to 6 weeks. Avoid any physical activity to prevent tearing the stitches. Sleep as much as possible, ideally when your baby sleeps.

4. Move with Caution
   Avoid sudden movements. If sitting becomes uncomfortable, use a soft cushion.

5. Kegel Exercises
   Tightening and releasing pelvic floor muscles may reduce pain and promote healing. Walking short distances can also improve blood flow. Squeeze your buttocks when sitting or standing to reduce discomfort and protect the stitches.

6. Stay Hydrated
   Drink plenty of water to prevent complications like nausea, cramps, and headaches. Eat fiber-rich food to avoid constipation.

Signs the Wound Is Healing

• Itching Subsides: Mild itching is normal but fades as healing progresses.

• Discharge Decreases: Initial discharge becomes clearer and stops over time.

• Pain and Swelling Reduce: Pain and swelling gradually lessen.

• Wound Dries Up: No abnormal discharge should be present.

• Skin Appearance Improves: Redness fades and skin color returns to normal.