What instruction should be given to a client who is 12 hours postpartum and has had an episiotomy?

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Following an episiotomy, it is crucial for the postpartum client to maintain proper hygiene and care for the perineal area to promote healing and prevent infection. Changing the perineal pad with each void is an important instruction because it helps keep the area clean and dry, which is essential for comfort and to reduce the risk of complications such as infection.

Postpartum women often experience increased vaginal discharge, known as lochia, which can vary in amount and consistency. Regularly changing the perineal pad ensures that any blood or discharge does not sit against the skin, minimizing irritation and promoting a healthier healing environment.

Additionally, while other options like using a sitz bath can also aid in healing and comfort, they are not as immediately critical as ensuring proper perineal hygiene through frequent pad changes. Rest and fluid intake are important aspects of recovery as well, but they do not directly address the specific needs related to episiotomy care at this stage.

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