This is really important, every woman on the planet should have a vairety of topicals at her disposal after an episiotomy. I was miserable, after over 24 hr's of labor (4 1/2) of pushing, which by the way was 5 years ago, not in the stone age before c-sections. After a brief nap, I woke up, epidural having worn off and got off of the bed to got to the bathroom, hubby at my side for assistance. I felt "something" between my legs, and I reached down to feel while telling my husband I felt like someone had put a brick or something between my legs, and asked him if he saw anyone putting anything down there. Unable to determine by feel exactly what was between my legs by feel, I asked my husband to look and tell me. He looked, and with a very surprised look he said, "it's you hon" well on second feel I realized that from 4 hrs of pushing I was so swollen it was no longer recognizable. The doctor, with a growing enterage of other doctors and nurses, came in to see, consult with one another and decide on how to deal with my problem. I don't know how I would have gone through the next few days without my dermoplast, my proctosol hc, my tucks, my sitz baths, witchazel compreses (to reduce swelling) and even a heat lamp that they dug up for me because I was in such bad shape, one more thing, for your lecture I thought I might add. Make sure that the tv in the patients room is tuned in to a non-comedic show, laughing really pulls those sutures!!!!!!!!!