Certified Midwife Exam Prep

Category - Postpartum

Postpartum care for an episiotomy or laceration includes all of the following EXCEPT:
  1. Removal of the stitches after 10 days
  2. Sitz baths
  3. Kegel exercises as soon as possible after the birth
  4. Ice packs for comfort
Explanation
Answer: A - Typically, healthcare providers uses stitches that dissolve on their own as an episiotomy or tear heals. While a perineal incision or tear can be painful, washing with soap and water keeps the area clean, while a "sitz bath" - a device that pours warm water over the perineal area - can be comforting. Starting Kegel exercises as soon as possible after birth will aid in healing. Ice packs can be used on the perineum in the hours after birth for comfort and to limit swelling.
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