What should NOT be included in postoperative instructions for a patient with OASIS?

In the context of postoperative care for a patient with an Obstetric Anal Sphincter Injury (OASIS), the focus of postoperative instructions is to facilitate healing and prevent complications such as constipation, which can exacerbate pain or hinder recovery. Increased fiber intake is often recommended; however, it should be introduced carefully and may not be advisable immediately post-surgery.

The rationale for not emphasizing increased fiber intake is that it can sometimes lead to gas, bloating, and discomfort, particularly right after surgery. Instead, the emphasis should be on a balanced, easily digestible diet to ensure that the patient’s gastrointestinal tract is not burdened while the incision heals.

On the other hand, the use of stool softeners is commonly recommended as it helps prevent straining during bowel movements, which can put stress on the surgical site. NSAIDs are frequently prescribed for pain control while ensuring blood flow and function are preserved through analgesic use. Adequate hydration is crucial to soften stool and promote overall recovery, making it another important aspect of postoperative care. Thus, opting for increased fiber intake as a primary recommendation shortly after surgery may not provide the optimal support for recovery in OASIS patients.