Which care steps are recommended for perineal episiotomy wounds postpartum?

• A. Daily swimming and avoidance of hygiene.
• B. Immediate surgical debridement.
• C. Prophylactic systemic antibiotics for all.
• D. Sitz baths, cold packs initially, then warm water cleansing, analgesia, and hygiene.

Answer: (D)

Postpartum episiotomy wound care focuses on reducing swelling, keeping the area clean, and controlling pain to support healing and prevent infection. Beginning with cold packs helps minimize edema and numb the area. As the immediate swelling subsides, sitz baths in warm water provide gentle cleansing, promote circulation, and offer comfort. After that initial period, routine warm water cleansing with a peri- bottle or gentle perineal wash keeps the wound clean without irritating it. Analgesics as prescribed help with pain, which makes it easier for the patient to maintain hygiene and ambulate, both of which support healing. Throughout recovery, prioritize hygiene and keeping the area dry between cleansing sessions, avoid harsh irritants, and stay hydrated with adequate fluids to support softer stools and reduce straining.

In contrast, daily swimming and avoiding hygiene would increase infection risk and delay healing. Immediate surgical debridement is not routine postpartum unless there are signs of necrosis or a nonhealing wound. Prophylactic systemic antibiotics for all are not indicated; antibiotics are reserved for definite infection or specific clinical situations.