After a vaginal birth, it is normal for the body to need time to heal. The pelvic floor has stretched and worked intensely, and it may feel sore, swollen, or heavy. Many people experience small tears in the skin or vaginal tissue, while about one third have a deeper tear that requires suturing. Regardless of severity, these injuries are common — and the body has a remarkable ability to repair.

Immediately after birth, the midwife or doctor examines the entire area to determine whether stitches are needed. Tears are repaired in layers to restore structure and reduce the risk of long-term issues. Local anesthesia is always used when needed. In the following days, it’s normal to feel tightness, burning, or swelling.

Ice, warmth, pain relief (paracetamol + ibuprofen), and gentle care during toileting can help. Sitting on a soft cushion, avoiding prolonged standing, and emptying the bladder and bowels regularly all reduce discomfort. Redness, tenderness, and stiffness often remain for weeks — healing occurs gradually and layer by layer.

The pelvic floor muscles are important for support, continence, and sexual function. Many find their pelvic floor feels weak after birth, but this improves over time. Gentle pelvic floor exercises can begin after a few days if comfortable. A pelvic health physiotherapist can provide individualized guidance, especially after more severe tears.

Seek medical care if you experience severe pain, fever, foul-smelling discharge, difficulty holding gas or stool, or if something feels wrong in the pelvic area.

Recovery is highly individual — but with proper support, most people heal very well.

Alma’s tips

• Use pain relief regularly — healing requires rest.

• Start pelvic floor exercises gently, only when it feels comfortable.

• Use warm water during toileting to reduce stinging.

• Contact a pelvic health physiotherapist if you need extra support.