After birth pains become progressively more common after each pregnancy because of increasing difficulty of the uterus to return to normal size. They normally increase at the time of nursing. Except for the positional impossibility during nursing, good relief can usually be accomplished by lying flat on the abdomen without a pillow for the head. Following are the postpartum instructions for a mother
Postpartum Instructions Include:
Gradually increase your activity as your strength returns and you being to feel better. Careful, slow stair climbing and reasonable lifting are acceptable.
However, you should not allow yourself to become fatigued. Be sure and allow yourself rest periods as your baby rests.
Let the way you feel and the obvious limitations of fatigue and discomfort be your guide. You may ride in a car a reasonable distance at any time and you may drive after two weeks.
You may tub bath, shower and wash your hairs at any time. Hot tub baths will help reduce the discomfort of stitches and haemorrhoids and may be taken as often as you desire.
Diet should be regular and ordinary. If you are breastfeeding your baby, you should be drinking plenty of fluids, eating three meals a day and continue taking your prenatal vitamins.
Limit your intake of ghee, dry fruits and excess oily food this will increase your weight but not the strength. Weight reduction diets are inappropriate while nursing.
Loosen clean clothes which ease feeding position.
Continue prenatal vitamins for as long as you nurse your baby. Wash your hands before nursing. Clean nipples with water or mild soap and water prior to nursing.
Before your milk comes in, offer your baby each breast for only three to five minutes.After breast filling use the first breast for fifteen minutes and supplement with the other breast for five minutes. In next twenty minutes, a baby is usually “playing” and not nursing.
Expose your nipples to air for dryness the first 7-10 days. Apply breast cream (NIPCARE, NIPHEAL) to dry nipples. If your nipples become so tender or cracked that you are unable to nurse use nipple shields or a breast pump for several days before resuming nursing without protection on that nipple.When your breast becomes tender, hard, red or you develop fever, you may have developed mastitis.
If this occurs, you should continue nursing from that breast ( or use breast pump) and apply hot compresses to that breast between nursing sessions. Even after 24 hours you are no better, please call us.
Should be postponed until after bleeding stops and stitches are healed (usually 6 weeks) in the complete postpartum Period. Condoms or vaginal foam may be used for contraception. Further contraception will be discussed at the six weeks check up.
Avoid constipation. You will be discharged with a stool softener you should take every day to keep the softening agent in your system.
Dulcolax suppository is indicated if you have not had a bowel movement within 4-5 days after delivery. These are obtained without a prescription. If loose or diarrhoea stools develop, please discontinue stool softener.
Flow will last unpredictable numbers of days, gradually diminishing. It is usually finished by the six weeks check up time. The next normal period after postpartum period will ordinarily appear within 4 months of delivery since you are breastfeeding.
Exercise such as sit-ups and straight leg lifts may be performed when your baby is 3 weeks old. After a c-section, exercise should be postponed until after your check up.
Generally 4 weeks. Walking is a good exercise which may be started after discharged from the hospital until more strenuous activities are permitted.If you are feeling tired, you probably won’t feel like exercising, but exercise can be relaxing, it will help your body recover, ensure you keep fit and will generally make you feel better.
Check with your health care team before you start exercising after the birth. Walking is ideal. It is on your doorstep, you don’t need to drive anywhere and you don’t need to find someone to look after your baby. Swimming, post-natal exercise classes or exercise videos are some other suggestions.If you weren’t shown a post-natal exercise in the hospital, ask your midwife to show you some. They will help to improve your shape and strengthen your muscles.
Pelvic floor muscles exercise
It is common to find it difficult to control your bladder after having a baby, particularly when you a cough, laugh or sneeze.
Daily pelvic floor exercise is essential to help with this problem. Exercise will be taught separately after 1 month of confinement.
Looking after a newborn baby is demanding. Your body is also recovering from the rigours of pregnancy and childbirth and if you are feeding through the night. You may become exhausted.It is essential that you rest. It may be tempting to use the time when you baby sleeps during the day to catch up with chores, but it is very important that you have a sleep or rest yourself.
We request you to combine baby bathing and your lunch at the same time so that both of you can rest afterwards.
Coping with changes
Life will really change dramatically, it is a mixture of pleasure and added responsibility.Try not to have unrealistic expectations of yourself. There may be days when you won’t manage to finish anything you started and days when you feel you can’t cope.You will wear yourself down.You simply won’t have the time to do everything that you would like to do and will have to let the thing go a little.
Variations in your hormone levels may make you feel tearful, irritable, depressed and tired. Often, between three and five days after the birth, you may feel particularly low and emotional. This time is referred to as the “baby blues” and thought to be caused by sudden changes in your hormone levels. It should only last for few days.
Try to rest as much as you can, eat healthily and accept offers of help. If you often feel depressed and despondent over a period of weeks or months after the postpartum period, it is important to talk one of your health care team.
Support and reassurance are essential, particularly in the early days and weeks(postpartum Period). As well as your health care (.e.g. your health visitors) it can be beneficial and enjoyable to talk to another new mother.
Free to talk to us anytime later during your recovery period. Please do not hesitate to talk to me on Dr Sachin 09325693232, Dr Swati 09371512700.
Wishing you and your family plenty of peace, good health and happiness.