Hello ma'am.
Normally, discomfort and itching after childbirth, particularly around the anal area, can result from several issues. While a pinworm infection is one possibility, there are other conditions that can cause similar symptoms, like: Hemorrhoids (common after delivery), Anal fissures (small tears in the skin around the anus), Yeast infections or skin irritation from hormonal changes post-delivery . Persistent pinworm infection (if not completely treated or re-infection occurs)
Next Steps
You can get a general surgeon's opinion to rule out hemorrhoids, if that is ruled out, then you may visit a gynecologist for further examination.
Health Tips
Till then, continue with sitz bath, maintain hygiene, stay hydrated and, if discomfort during bowel movements is a key issue, adding a fiber supplement like psyllium husk (Isabgol) can help soften stools and prevent straining.