In fact, "zashivat" after childbirth is every second woman, and speech at all about a cesarean section. Very often in the course of labor, breaks or incisions of the perineum, vagina or cervix of varying severity occur. It's clear that after the birth it is necessary to return everything to its places, and you have to put seams to connect the torn tissue. As it happens (under general anesthesia or under local anesthesia), what kind of suture the doctor will make will depend on many factors (as well as the choice of suture material for this procedure). Lately, fortunately, almost always use self-absorbing threads that do not require removal, but disappear on their own.
Terms of resorption after the birth of the threads
Before you familiarize yourself with the timing of resorption of threads, you need to know what they are, from what they do and, in fact, how they dissolve. The absorbent threads are made of natural or synthetic material and they are capable of decaying and being excreted from the body by enzymes (there is a kind of digestion) or water (a chemical reaction called hydrolysis). Most often, after birth, they use catgut, makson, vikril:
- Catgut is a suture material of a protein nature that is made from purified connective tissue obtained from the layers of intestines of cattle or sheep. Catgut sutures dissolve completely within a month, the first "detachments" of filaments are observed already on the 7th day. After generic ruptures and incisions, it is most often used specifically for catgut to connect both internal and external tissues.
- Vicryl is a modern suture material of synthetic origin, which is most often used in cesarean section. Complete resorption of the filaments occurs in 60-90 days.
- Maxon (PDS) is a synthetic thread with a high retention time, which is used to connect tendons (after cesarean section including). Fully strands dissolve only to the 210th day.
Postnatal stitches with the application of self-resorbable threads do not require special care and removal. It is enough only to observe the general rules of personal hygiene, pay special attention to hygiene when applying seams to the perineum:
- after each trip to the toilet to wash;
- Dry the crotch with a towel;
- treat seams with antiseptic agents;
- Change the sanitary napkins every 2 hours;
- wear only free underwear;
- pull out underwear only after complete healing of scars.
Among the possible complications, if the doctor's recommendations are not followed correctly, the following may occur:
- seam divergence requiring repeated application;
- inflammation of the joints, which provokes the development of various infections.
Increased pain in the place of suturing, as well as bleeding, fever - a serious reason for immediate contact with a doctor. That there was no trouble, costs the first two months after childbirth, when suturing, to give up sexual intercourse, and 2-3 weeks are not allowed to sit down. A woman can only lie or stand (occasionally the position of a half-sitting is allowed).
Note also that the resorption of the threads and the healing of the actual wound itself has different terms. Thus, the threads are already weakened, and the wound will still heal for some time. Normally, internal seams do not cause any discomfort to a woman, but external ones are often accompanied by painful sensations for the first 2-3 days. It is necessary to follow the instructions of the attending physician, then the postpartum period will fly quickly, imperceptibly, and most importantly - without complications.