What should you know about second degree tear episiotomy?

An episiotomy is a deliberate incision in the perineum to widen the vaginal opening. A second-degree incision involves skin and the underlying perineal muscle, without reaching the anal sphincter. It is closed with stitches after the birth. A spontaneous tear can have a similar depth, but only the examining clinician can grade the injury. Tenderness, tightness, and sensitivity around the scar may affect sitting and movement while healing begins.

Wash gently with water, pat dry, and replace pads often. Follow instructions for pain relief and keep bowel movements easy with fluids, fibre, and any prescribed bowel medicine. Rest between feeds and activities, then return to movement in small stages. Do not place creams or products on the wound unless advised. [Perineal Repair](/treatments/pregnancy-and-birth-care/perineal-repair/) can provide information about assessment and management when scar or wound problems persist.

Seek maternity advice if pain becomes stronger, the incision separates, or redness and swelling spread. Pus, a new bad smell, fever, or feeling unwell may indicate infection. Go for urgent care with heavy bleeding, faintness, severe pain, or new bowel-control problems. Do not wait for a routine postnatal visit when these symptoms appear.

Ask why an episiotomy was recommended, how the incision is healing, and which activities should wait. Discuss scar tenderness, pain during sex, pelvic-floor exercises, and who can examine you if the wound changes.