Perineal pain after vaginal delivery

The objective of this study was to assess pain morbidity after vaginal delivery and effect of episiotomy on it. Fifty women delivering vaginally at Liaquat University Hospital and Aga Khan Maternal and Child Care Center Hyderabad were followed through a pre-developed questionnaire at 24-48 hours after delivery, 10th post partum day and 10th post partum week for assessment of pain All women with episiotomy [n-25] required oral analgesia following delivery, 2 required parenteral analgesia for 24 hours compared to no analgesia for perineal pain in control group. At day 10, 4 [16%] among episiotomy group had inflamed and gaping wound requiring local treatment and removal of stitches. Two [8%] required admission for restitching Dyspareunia was more common among episiotomy group, Two required medical / surgical intervention for it. Episiotomy adversely affect the pain morbidity after vaginal delivery