A client with hemorrhoids after vaginal birth should be instructed to do which?

• A. Apply witch hazel after voiding or defecating.
• B. Avoid perineal care.
• C. Use only oral analgesics.
• D. Massage perineal area vigorously.

Answer: (A)

Relief of hemorrhoids after childbirth hinges on gentle perineal hygiene and soothing local care. Witch hazel is a topical astringent that helps reduce swelling, itching, and irritation of hemorrhoids. Applying it after voiding or defecating provides targeted, soothing relief right where the irritation occurs and supports comfort during the healing postpartum period. Other options miss this local approach: avoiding perineal care neglects hygiene and can worsen discomfort; relying only on oral analgesics doesn’t address the local irritation of the perineum; massaging the area vigorously can irritate tissues and increase pain. So, using witch hazel post-elimination best supports healing and comfort.