After a vaginal birth, it is common to have small or larger tears in the perineal area. Some heal on their own, but many benefit from suturing to support proper healing, reduce bleeding, improve comfort, and prevent long-term issues such as pain or incontinence. Suturing is an important part of completing the birth, and the midwife or doctor assesses the area immediately after the placenta has been delivered.

Before suturing begins, local anesthesia is given. It works quickly and is intended to remove sharp pain so that you feel mainly pressure or stretching. Many parents describe suturing as uncomfortable but manageable, especially with reassurance, slow breathing, and a calm environment. Your baby can often remain on your chest throughout the procedure, which provides comfort and encourages oxytocin release.

The midwife gently cleans the area, examines the tear, and repairs it layer by layer using dissolvable sutures that the body absorbs over time. The technique is careful and precise because a well-repaired tear supports long-term function and comfort. Afterward, you will receive guidance on pain relief, hygiene, sitting and movement strategies, and ways to support healing.

It is normal to feel stinging, soreness, or heaviness in the first days. Cold packs, pain relief, and rest can help significantly. Keeping the area clean with warm water and allowing some airflow improves healing. Most tears heal well within a few weeks, although complete recovery can take longer.

Alma’s tips

• Tell your midwife immediately if the numbness is not enough — you should not feel sharp pain.

• Keeping your baby skin-to-skin during suturing can ease stress.

• Use cold packs and pain medication as recommended.

• Soreness is normal — but seek help if you develop fever, foul discharge, or increasing pain.