Perineal injury following childbirth can result in complications such as wound infection and dehiscence. The reported incidence of these complications in the literature range between 0.1–23.6% and 0.2–24.6%, respectively. However, the healing of disrupted perineal wounds is poorly understood. In addition, it is a neglected area in maternity services. In this review, the authors explore the process of wound healing in the context of infected perineal wounds following childbirth. The authors describe the management of complications including hypergranulation, perineal pain and dyspareunia. In addition, the publication discussion describes how advances have been made in wound care to aid clinicians in managing wound complications including imaging devices which allow point-of-care diagnosis of wound infection (MolecuLight i:X).