The postpartum period is a time of healing and adjustment after childbirth. For many women, this includes recovery from an episiotomy, a surgical incision made in the perineum to widen the vaginal opening during delivery. While most episiotomies heal without complications, it’s crucial to monitor the area for signs of infection. So, how do I know if my episiotomy stitches are infected? Recognizing the symptoms early can help you seek timely medical attention and prevent further complications.
Spotting the Red Flags Identifying an Infected Episiotomy
Knowing what to look for is the first step in ensuring proper healing. While some discomfort is normal after an episiotomy, certain signs indicate a potential infection. One of the most prominent indicators is increased or worsening pain. Instead of gradually improving, the pain around the stitches may become more intense, throbbing, or persistent. It’s important to remember that while some tenderness is expected, escalating pain levels are a cause for concern. Other key symptoms include:
- Increased redness or swelling around the incision site
- Pus or discharge draining from the wound (this may be yellow, green, or have an odor)
- Fever (a temperature of 100.4°F or higher)
- Increased tenderness to the touch
Beyond the immediate area of the episiotomy, you might also experience more generalized symptoms. Feeling generally unwell, fatigued, or having chills can sometimes accompany a local infection. Changes in bowel or bladder function, particularly difficulty urinating or pain during bowel movements, may also be a sign that something is amiss. While these symptoms alone don’t necessarily point to an episiotomy infection, their presence alongside the local signs warrants prompt medical evaluation. Here’s a summary table:
| Symptom | Description |
|---|---|
| Increased Pain | Pain that gets worse instead of better. |
| Discharge | Pus or fluid draining from the wound. |
| Fever | Temperature above 100.4°F. |
Finally, keep an eye on the wound itself. Is it pulling apart? Are the stitches dissolving properly, or does it look like they are tearing or becoming embedded in the skin? Any disruption to the integrity of the incision or unusual appearance should be assessed by a healthcare professional. Regular self-exams (using a mirror if necessary) can help you identify changes early and seek appropriate treatment. Don’t hesitate to contact your doctor or midwife if you have any concerns about your episiotomy site.
For more information about postpartum care and episiotomy recovery, consult resources from trusted medical organizations. The American College of Obstetricians and Gynecologists (ACOG) provides reliable and up-to-date guidance on a variety of women’s health topics, including postpartum recovery. The website provides educational materials, FAQs, and other valuable resources to help you navigate this important period.