After childbirth, many women receive stitches to help tissues heal from a perineal tear, an episiotomy, or a C-section incision. These stitches are made from materials designed to dissolve naturally within the body, eliminating the need for removal. Understanding their function and what to expect during dissolution can provide reassurance.
Types of Stitches and Their Lifespan
Various types of sutures are used, with the choice depending on the wound’s location and depth. Common synthetic materials include Polyglactin 910 (Vicryl), Poliglecaprone 25 (Monocryl), and Polydioxanone (PDS), alongside natural options like catgut. These materials are broken down by the body’s enzymes through a process called hydrolysis.
The dissolution timeline for these stitches varies. Vicryl sutures typically dissolve within two to three weeks, though some forms, like Vicryl Rapide, disappear around 42 days. Monocryl sutures usually begin to lose strength within 7 to 14 days and are fully absorbed within 60 to 120 days. Traditional catgut sutures, derived from animal intestines, tend to dissolve more quickly, often within a few days to a few weeks. The location of the stitches also influences dissolution time, with stitches in areas with good blood supply or higher moisture dissolving faster.
The Dissolving Process: What to Expect
As stitches begin to dissolve, individuals may experience certain sensations. Mild itching around the wound site is common, indicating tissue regeneration. A slight pulling or tugging sensation might also be noticed as wound edges draw closer and sutures degrade.
It is not uncommon to observe small pieces of suture material coming away, particularly during hygiene routines or when changing sanitary pads. This indicates the body is successfully breaking down and absorbing the stitches. This shedding of suture fragments is a positive sign that healing is progressing as expected.
Caring for Your Stitches
Proper care of the stitched area is important for effective healing and minimizing discomfort. Maintaining gentle hygiene is paramount, including rinsing the area with warm water after urination and bowel movements. Patting the area dry with a clean towel, rather than rubbing, helps prevent irritation and keeps the wound clean.
Pain management strategies can aid comfort during recovery. Applying an ice pack wrapped in a cloth to the affected area for 10 to 20 minutes can help reduce swelling and pain, especially in the initial days. Sitz baths, which involve sitting in a shallow bath of warm water, can also provide soothing relief and promote cleanliness. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can be used to manage discomfort.
Avoiding strain on the stitched area is beneficial; using a donut cushion when sitting can alleviate pressure, and refraining from heavy lifting helps protect the healing tissues.
When to Seek Medical Advice
While the dissolving process is generally straightforward, certain signs warrant immediate medical attention. Increased pain, redness, or swelling around the stitched area can indicate an infection. Pus-like discharge, a foul odor, or a fever are also strong indicators of infection.
Another concern is wound dehiscence, where the stitches come apart, causing the wound to open. Excessive bleeding from the site, or a feeling that the stitches have torn or come undone, should also prompt a healthcare provider visit. Promptly contacting a doctor or midwife for any of these symptoms ensures timely assessment and appropriate treatment.