Post-Partum Prescription

Continued...

Answer: Giving birth has occasionally been compared to pushing a watermelon out through a nostril. In either case there is a strong likelihood of tissue damage. A normal vaginal delivery often tears the vagina or the perianal area and is routinely stitched up by the obstetrician. The repair to the vagina is called an episiotomy.

Depending on the amount of tissue torn, the injury may be superficial, requiring just a few stitches, or a deep, jagged tear requiring layers of sutures. The suture material is dissolvable and is absorbed by most women in three to six weeks. Swimming should be a safe and comfortable activity as soon as your bleeding has stopped and you are cleared by your doctor - within a few days or weeks.

There is little risk of infection if the area is kept clean and dry after swimming. The major concern about swimming is if the area has not healed enough to hold up to the stretching that may take place during the kick. By 21 days after surgery, the sutured site has regained as much strength as it ever with have. You might start by swimming with just your arms.

Depending on the extent and depth of the episiotomy or perianal repair, many activities can be very painful, if not downright gruesome to even imagine. Many women find that certain activities are unthinkable, and certainly stationary bicycle riding could be in that category. A small inflatable inner tube can be used as cushioning for some activities.

The new bike seats designed for men with a slot in the middle may be more comfortable. Walking is also a good post-partum activity - just be sure to adequately support your breasts, which may be tender.

Number one on the list of reasons to stop exercise is pain of any kind. After childbirth, be patient, listen to your body, go slowly, and return to exercise only when your body is healed and ready.

| 1 | 2 | Previous

About the authors: Carol L. Otis, M.D., is Chief Medical Advisor to the Sanex WTA and a UCLA student health physician. Roger Goldingay is a former professional soccer player. They are married and the co-authors of The Athletic Woman's Survival Guide.

Order Now!

Table of Contents

Foreword: Billie Jean King

Comments by Barb Harris
Editor in Chief,
Shape Magazine

General Health
Nutrition
Exercise
Common Medical Problems
Dental Health
Emergency!
Infectious Disease
Sexual Health
Emotional Well-Being
Eating Disorders
Alcohol & Other Drugs
Environmental Health
Prevention