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The “Husband Stitch”: What It Is and Why You Don’t Have to Accept It

The first time I heard about the “husband stitch,” I thought, “This can’t be real.” But, unfortunately, it is – and it’s something that still happens in some places, even though it has no place in compassionate, respectful medical care.


Healthcare provider discussing post-birth care and consent with a new mother.

What Is the Husband Stitch?

The “husband stitch” is an extra stitch sometimes given to women after childbirth, meant to “tighten” the vaginal opening. This stitch is often added without the woman’s consent or knowledge, with the misguided idea of enhancing her partner’s pleasure. This practice is not only outdated, but it’s also harmful and insensitive. Our bodies have just brought a new life into the world – this moment should be about care, comfort, and healing, not enduring an unnecessary and painful alteration.


Why This Practice Is Problematic

Imagine this: you’ve gone through hours of labor, feeling sore, swollen, and exhausted. All you want is to bond with your baby and recover. The thought of undergoing an additional, unnecessary procedure focused on enhancing anyone’s pleasure, especially at this vulnerable time, is unthinkable.

The truth is, stitches after childbirth are sometimes necessary, particularly if there’s an episiotomy or a natural tear. But an extra stitch for cosmetic or other non-medical reasons is not only unnecessary; it can lead to painful, lasting consequences. This practice dates back almost a century, and its name alone reflects an outdated, sexist attitude that has no place in modern, compassionate care.


Potential Consequences of the Husband Stitch

The extra stitch can lead to both physical and emotional complications. Here’s what some women experience:

  • Painful Intercourse: The extra stitch often makes intercourse painful, and not just for the woman – it can cause discomfort for her partner as well.

  • Increased Sensitivity or Pain at the Scar: The area of the incision can remain tender or painful long after the birth.

  • Difficulty Using Tampons: Some women find they can no longer comfortably use tampons.

  • Future Childbirth Complications: There’s an increased likelihood of needing an episiotomy in future births, which can also impact recovery.

  • Emotional Trauma: Knowing this was done without consent can lead to lasting emotional distress and trust issues with medical professionals.


How to Protect Yourself

To avoid this unnecessary procedure, be proactive in discussing your preferences with your healthcare provider. Here are some steps to help you feel secure:

  • Ask Questions Early: Discuss episiotomy policies and post-birth care practices with your OBGYN or midwife. Ask how often episiotomies are performed, in what cases, and what kind of repair process is used for natural tears.

  • Create a Clear Birth Plan: Your birth plan can include specific instructions, such as requesting that no additional stitches be given beyond what’s medically necessary.

  • Express Your Preferences on Consent: Make it clear that any non-essential procedures require your explicit consent.

It may feel strange to have to specify these things, but open communication is key to ensuring your needs and comfort are respected.


Recovery and Recognizing When Something’s Not Right

After giving birth, some discomfort is normal, but if you’re experiencing prolonged pain, excessive sensitivity, or difficulty with activities like using tampons or having intercourse, it’s essential to talk to a healthcare provider. You know your body best, and it’s okay to seek help if something feels wrong. Here are some general tips for easing discomfort after birth:

  • Warm Sitz Baths: A warm sitz bath can soothe sore tissue and promote healing. Adding a small amount of Epsom salt may help reduce swelling.

  • Ice Packs for Swelling: Applying a soft ice pack for short periods can help relieve swelling in the first few days.

  • Gentle Hygiene: Use warm water to cleanse the area gently, especially if you have stitches, and avoid harsh soaps.

  • Pelvic Floor Exercises: After your provider gives you the go-ahead, gentle pelvic floor exercises can promote healing and improve strength and comfort.


If You Suspect You’ve Had the Husband Stitch

If you think you may have received an extra stitch, know that support is available. Reach out to a trusted healthcare professional or therapist who can help address both the physical and emotional effects. Open conversations with your partner about your needs and experiences can also help in the healing process.


Advocating for Your Comfort and Respect in Childbirth

No one should have to worry about receiving an unnecessary, painful procedure without consent. Every mother deserves care that prioritizes her health, healing, and comfort – care that respects her as a person, not just as a patient. By advocating for ourselves and having honest discussions with our healthcare providers, we can work towards a better, more respectful experience for all mothers.

Welcoming a baby into the world is a precious, vulnerable time, and you deserve a supportive team that respects your wishes. Surrounding yourself with professionals who honor these needs can make a world of difference in your postpartum journey.

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