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Postpartum perineal care and management of complications

Lori R Berkowitz, MD
Caroline E Foust-Wright, MD, MBA
Section Editors
Linda Brubaker, MD, FACOG
Charles J Lockwood, MD, MHCM
Deputy Editor
Kristen Eckler, MD, FACOG


This topic presents information on routine postpartum perineal care as well as evaluation and management of delivery-related perineal complications. Despite the importance of postpartum perineal care, there is little evidence to guide management; the information in this topic is based largely on our clinical experience.

In our experience, common postpartum perineal issues include pain control, hygiene, prevention of constipation, and resumption of sexual activity. Clinicians should be able to evaluate less common symptoms, such as severe pain, bulge or mass, or abnormal discharge, including fecal leakage.

Related topics that are presented separately include:

(See "Repair of perineal and other lacerations associated with childbirth".)

(See "Delayed surgical management of the disrupted anal sphincter".)

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Literature review current through: Oct 2017. | This topic last updated: Jun 20, 2017.
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