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Healing episiotomy wound after birth

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An episiotomy is an incision performed between the vagina and the rectum to increase the size of the opening of the vagina and assist in the delivery of a baby. Although Doctors argue that a surgical incision is easier to repair than a spontaneous irregular or extensive tear, taking care of your stitches properly after giving birth will reduce the risk of infection and help you heal much faster.
Though most mothers dread stitches, having an episiotomy is a simple and common procedure and stitches are necessary to help your wound close and heal properly. Normally, you should not feel pain as the cut is being made, as the area will be anaesthetised, but if you do, just bear with it. It does not last forever.

Taking care of episiotomy stitches…

It is important to take good care of the episiotomy stitches to avoid infection and help you heal much faster. Here are a few tips to help you.

Clean and dry. Once the stitches are in, it is very important to keep your perineum (the area between your vagina and anus) clean. Wash the area with warm water at least once a day and pat the area dry with a soft towel from front to back to avoid spreading any infection to your vagina.

Sit comfortably. As long as your perineum is healing well, the soreness should ease within five days. This is about the time that the stitches dissolve and drop out. Your doctor will check the area and it is important to discuss with him any concerns you may have. For example, if the perineum is painful, inflamed and swollen, has a nasty smell or discharge, or you have a high temperature of over 37.5 degrees centigrade, this could be a sign that the wound may be infected. Your doctor may recommend a dose of antibiotics to treat the infection. It is normal to feel a bit uncomfortable in the first weeks, but if this goes on for a longer period of time, talk to your doctor.

Take it easy. Overdoing things can put pressure on the stitches and could make them hurt. Therefore, take a rest and do not lift anything heavy, even your toddler if possible, for at least a month. It is also recommended that you put your feet up when seated and rest as much as possible.

Toilet troubles. If urinating stings, try adding two drops of lavender essential oil to a jug of warm water and pour it over the sore area as you urinate as this can help relieve the pain.  It is natural to dread opening your bowels for the first time after giving birth, but you can make it easier by eating foods rich in fibre and drinking plenty of fluids to keep your stools soft and bulky. Another tip is to hold a sanitary towel over your stitches while you open your bowels. You may find it easier to try a semi-standing position, but make sure you are well supported. If after a few days you have not been to the toilet, ask your doctor for lactulopose (a synthetic sugar used to ease constipation) or drink a lot of boiled water.

Love me tender. Many women wait until after the six weeks postnatal check up to resume sex, while others do not feel ready for months. Even if you are eager to go, it is wise to wait until the stitches have dissolved before making love. Wait until you are both ready. If it hurts, stop, and try again a few days later. If sex is still painful, tell your doctor, so that he can check whether you have healed properly. Sometimes, the perineum may have been sewn up too tightly, and will need to be re-stitched, although this is rare.

To soothe the stitches…

Take paracetamol, or ask your doctor for stronger medication, but let him know if you are breastfeeding.
Wrap an icepack in a clean cloth and press it on to your perineum.
Sit on a cushion to help ease pressure on the area.
Do your pelvic floor exercises regularly as they aid the healing process and boost blood supply to the wound.
Add a cup of salt to a bowl of warm water and sit in it for a few minutes.

Published on May 2013

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Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

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While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

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Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

Published

on

While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

Continue Reading

Cover Story

Endometriosis and sex: How to make intimacy pain-free

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There is no doubt that endometriosis can affect a woman’s way of life. The condition slews a couple of conditions, painful sex being one of them. Penetration pulls and pushes any tissue growth behind the vagina and lower uterus.

Although symptoms may differ from woman to woman, here are some things you can do to lessen your pain and ensure you have some good time:

Take a dose of painkillers

Take an over the counter painkiller that sits well with your body before intercourse and incase pain persists, take another one as prescribed.

Track your cycle and try at certain times of the month

Most women with endometriosis experience excruciating pain during their period and ovulation. Keep track of your cycle so that you can know when you are ovulating. You can use apps like my calendar and flo period tracker to track your periods. This will help you know when best to engage in sexual intercourse.

READ ALSO: Crucial Facts About Endometriosis Everyone Should Know About

Use lube

Vaginal dryness is not something to be ashamed of and if you happen to have it, lube should be your best buddy. Make sure to use any silicon or water based lubricant anytime you feel like your vagina is dry. Ensure the application is of good amount to achieve a wet area.

Explore alternatives

Talk with your partner about things that turn you on and bring you pleasure. Just to mention a few; mutual masturbation, foreplay, kissing and mutual fondling. Sex does not have to mean intercourse.

Try different positions

Experimenting different positions can teach you and your partner which ones hurt and the ones that bring direct pleasure with no or less pain. Positions that are considered better vary from person to person so take the time to explore and learn yourself with your partner.

Find the right rhythm

Finding the right rhythm can help you experience less discomfort during sex. Quick thrusting or deep penetration can aggravate pain. Talk to your partner about that which you do not like and find ways that will satisfy the both of you like exchanging positions so that you can control the speed and rhythm.

Bottom line

Intimacy does not have to be boring, painful or make you hate the condition that you have. Talk openly about your feelings around sex and penetration and what would help to ease your concerns.

Our FREE  e-paper March Issue is here!
As we celebrate our women this month, we bring you the best stories and the most inspiring features to get you going.
Click HERE to read!

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