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4 Reasons Why Ask DoctorBase is the Most Efficient Way to SEO and Establish Your Brand Online

  1. Ask DoctorBase is a free service for patients on the DoctorBase platform - currently servicing over 6 million American patients of record.
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Ask Dr. Molly if you have questions or want a personal session on how to best use Ask DoctorBase for maximum marketing impact.

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Molly Maloof, MD

Director of Clinical Content
@DoctorBase

Episiotomy Tear

I'm pretty sure my episiotomy stitches tore. This happened 3 days ago and I haven't stopped bleeding dark to bright red blood since then. Should I be worried or will it heal itself properly?
Poster
  • Female | 21 years old
  • Complaint duration: 3 days

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Featured Answer

1 UpVoted this answer
It would avail a more precise response if you could clarify whether it was a mediolateral episiotomy (traditional) or midline (perineotomy). In the former case, the bulbocavernosus muscle is being cut; whereas the latter involves bulbocavernosus, levator ani, and often transverse vaginal muscles.

Get examined by the specialist for the episiorrhaphy complications, and make sure to maintain a normal bowel movement to prevent constipation that may intensify the problem (especially, when the levator ani is involved). The wound must be kept clean and dry.
You should have it checked by your OB doctor. They can see if any repair can be done or how to help it heal best.
Thank you for your question. If you are having persistent bright red bleeding then you should see your obstetrician asap to stop the bleeding. If the bleeding has stopped, then your doctor will likely alow it to heal on its own as closing it will likely lead to infection and break down. Any cosmetic concerns can be addressed after it has healed about 3 months.
Peter Castillo