Purposes of sitz bath:
  1. To promote vaginal delivery wound healing and increase local blood circulation.
  2. To decrease perineum swelling, edema, pain and increase local blood circulation. 
  3. To relax anal sphincter and relieve pain.
 
Indications of sitz bath:
  1. 24 hours after vaginal delivery.
  2. Women with increased vaginal discharge.
  3. Episiotomy wound or perineal laceration
  4. Stimulated by internal or external hemorrhoids.
 
Steps of sitz bath
  1. Prepare an appropriate bath pot and a stable shelf that the pot can be put on. (or replace with a solid and stable bench)
  2. Prepare warm water, the temperature around 41-43°C (105-110°F), and fill the water to eighty percent of the container.
  3. Clean your perineum area with warm water first, sit into the pot, then cover the episiotomy wound and anus.
  4. Each sitz bath session should last around 5 minutes at least four times a day or execute after pooping.
 
Precautions for sitz bath 
  1. Put cold water first then hot water while adjusting water temperature. For avoiding burn injury, sitz bath water temperature can not be too high. The skin surface of wrist inner area can be used to test water temperature whether it is appropriate.
  2. Without physician’s order, no medication is required to add into water, such as iodine or soap. 
  3. Please stop sitz bath if any discomforts occur, such as dizziness and nausea.
     
Reference
  1. Berkowitz, L. R., & Foust-Wright, C. E. (2017). Postpartum perineal care and management of complications.Retrieved from research on poverty alleviatuin website.  https://www.uptodate.com/contents/posrpartum-perineal-care-and-management-ofcomplications 
  2. Rivadeneira, D. E., & Steele, S. R. (2016). Surgical treatment of hemorroidal disease. Retrieved July 27, 2017 from https://www.uptodate.com/contents/surgical-treatment-ofhemorrhoidal-disease 
  3. Shirah, B. O., Shirah, H. A., Fallata, A. H., Alobidy, S. N.,& Al Hawsawi, M. M. (2018). Hemorrhoids during pregnancy: Sitz bath vs. ano-rectal cream: A comparative prospective study of two conservation treatment protocols. Women and Birth, 31(4),e272-e277. https://doi.org/10.1016/j.wombi.2017.10.003
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