Day 5 postpartum
Recovering From Delivery - Postpartum Recovery
Your body has just done one of the most remarkable things it will ever do: grow another human being. After 9 months of waiting, you are probably excited to finally be home with your new baby. Much of your focus and energy during the coming weeks and months will be on baby, but remember that you also need to take care of yourself, too.
Your delivery may have been complicated or easy. You may have had a cesarean birth (C-section) or vaginal delivery. You may have labored for a few hours or a few days. No matter what your delivery looked like, your body has been through a trauma just the same. It is going to need time to recover.
Your postpartum recovery won’t be just a few days. Fully recovering from pregnancy and childbirth can take months. While many women feel mostly recovered by 6-8 weeks, it may take longer than this to feel like yourself again. During this time, you may feel as though your body has turned against you. Try not to get frustrated. Remember that your body is not aware of your timelines and expectations. The best thing you can do for it is rest, eat well, and give yourself a break.
During this time, your hormones also will be fluctuating. You may not be thinking clearly and will be more emotional. Again, give yourself time for this to pass. However, if at any time you think about hurting yourself or your baby, tell someone.
Path to improved health
It took the better part of a year to grow and have a baby. Take comfort in knowing that, for the most part, you will begin to feel like yourself much sooner than that. In a few months, you should be well on your way to recovery.
That is not to say that postpartum recovery won’t have its challenges. It is very common to feel as though your body is not healing as quickly as you’d like. Remember, the more you can rest your body and let it fully recover, the better you’ll be for it. Even if you can only manage to eat, sleep, and care for your baby, that is enough.
During the first six weeks, pay attention to your body. You’ll be tired and focused on your baby, but try to notice changes with your own body. This is very important as you heal.
As you begin to feel better, resist the temptation to do more. Overdoing things at this point can set you back in your recovery. Concentrate on nourishing your body with good foods, drinking plenty of water (especially if you are breastfeeding), and getting enough rest.
If you’ve had a C-section, you’ll have more restrictions about what you can do in the days and weeks following childbirth. Common don’ts include driving and lifting anything heavier than your baby. Your doctor will let you know when you can resume normal activities.
Here is more of what you can expect during your postpartum recovery.
Abdominal pain. As your uterus shrinks back into its normal size and shape, you will feel pain in your abdomen (lower belly). These pains are called “afterpains.” Most of these pains will be dull, but some will be sharp. You may feel more of these pains as you breastfeed your baby. That is because breastfeeding stimulates a chemical in your body that causes the uterus to contract (tighten). For many women, applying heat to the area helps control the pain. Consider using a heating pad or hot water bottle. Your abdominal pain should ease up over time. If these pains get worse or don’t let up, you should call your doctor.
Baby blues. You are so excited and happy to bring baby home. The next minute, though, you are sad. It can be confusing, especially to new moms. Know that many women (70-80%) struggle with feeling sad the first few weeks after having a baby. It is commonly called the “baby blues” and is caused by hormone changes. It is nothing to be ashamed of. In fact, confiding in a friend of family member can often make you feel better. If these feelings last more than a few weeks or you are not able to function because of them, you could have postpartum depression. Postpartum depression is more serious than baby blues. If you have severe feelings of sadness or hopelessness, you should call your doctor.
Constipation. It is very common to be constipated in the days following childbirth. There are several things that could cause this. If you received any pain-relieving drugs in the hospital, they could slow down your bowels. If you had anesthesia (a pain blocker) for any reason, that also can cause it. Sometimes, postpartum constipation is brought on simply by fear. This is true especially if you have stitches because you had an episiotomy (a surgical cut between the vagina and anus to widen the vaginal opening for childbirth) or tore this area during delivery. You may be afraid of damaging the stitches or be afraid that a bowel movement will cause even more pain in that area. To help ease constipation, drink plenty of water and try to eat foods that offer a lot of fiber. In many cases, you may want to talk to your doctor about prescribing a stool softener (such as Colace or Docusoft). If you haven’t had a bowel movement by four days postpartum, call your doctor.
Hemorrhoids. You may have developed hemorrhoids (painful swelling of a vein in the rectum) during your pregnancy. If not, you may have gotten them from the strain and pushing during delivery. They can cause pain and bleed after a bowel movement. They also itch. You can get some relief from the pain and itching by applying witch hazel to your hemorrhoids. This is especially effective if you keep the witch hazel in the refrigerator. Your hemorrhoids should shrink over time. If not, contact your doctor.
Hormonal shifts. Besides fueling your mood swings (see “Baby blues,” above), hormones are also responsible for other postpartum symptoms. You may be sweating more, especially at night when you sleep. Just make sure that your sweating is not accompanied by a fever. That could be a sign of infection. Hormonal changes also cause hair loss for many new moms. This is only temporary. When your estrogen levels increase, your hair will return to its normal thickness.
Perineum soreness. The perineum is the area between your vagina and anus. Many times, this area will tear during childbirth. Other times, your doctor may have to make a small cut in this area to widen your vagina for childbirth. Even if neither of these things happened during your vaginal birth, your perineum will be sore and possibly swollen postpartum. You may feel discomfort in this area for several weeks. While you recover, sitting on an icepack several times a day for 10 minutes will help relieve the pain. This is especially good to do after going to the bathroom. During the first week postpartum, also use a squirt bottle to rinse the perineum with warm water after using the toilet. Notify your doctor if your perineum area does not get less sore each day or you have any sign of infection.
Sore nipples and breasts. The first few days of breastfeeding, it is normal for women to have sore nipples and breasts. If the soreness continues beyond a few days, it could be that the baby isn’t latching correctly. Try changing positions or consult a lactation expert (breastfeeding expert) for help. Do this before your nipples develop painful cracks, which could sideline your breastfeeding. The American Academy of Family Physicians (AAFP) recommends that all babies, with rare exceptions, be breastfed and/or receive expressed human milk exclusively for the first six months of life. Breastfeeding should continue with the addition of complementary foods throughout the second half of the first year.
Stitches. If you have stitches due to a torn or cut perineum (see “Perineum soreness,” above), it will take 7-10 days to heal. The stitches will absorb over time. It is important that you keep the stitches from getting infected by gently cleaning them with warm water after each time you use the toilet. Do this by using a squirt bottle to rinse the area and pat it dry. Do not wipe the area with toilet paper or you could irritate the stitched area. No matter how eager you are to check the healing progress, try to keep you hands off the stitches. If the area begins to hurt worse or the stitches seem weepy, contact your doctor. It could be a sign of infection.
If you have stitches from a cesarean birth (C-section), these heal in varying degrees. The stitches in the skin should heal in 5-10 days. The underlying stitches in your muscle layer will take longer to heal. These won’t completely heal for 12 weeks. For the stitches that you can see, make sure to watch for any signs of infection. These signs include if the incision area is red, swollen, or weeping pus; or if you have a fever.
Vaginal bleeding and discharge. After giving birth, it is common that you will have vaginal bleeding and discharge (this is called lochia), even if you had a C-section. This is your body’s way of eliminating the extra blood and tissue that was used to grow and nourish your baby. Expect for this to be heavier at first (up to 10 days), but then taper off. Light bleeding and spotting can last up to six weeks after delivery. It is important that you use only sanitary pads during this time. Using tampons can introduce bacteria and lead to infection. Also expect to pass some clots, especially the first week. If clots are bigger than a quarter, you should contact your doctor.
Water retention. You may be eager for that swelling you noticed during your pregnancy to go away. It won’t, though, for a while longer. Also known as postpartum edema (swelling), your body will continue to hold on to water because of an increase in a hormone called progesterone. You may notice the swelling in your hands, legs, and feet. It shouldn’t last much longer than a week after delivery. If it does or if it seems to get worse over time, be sure to tell your doctor.
Weight loss. If you were hoping for immediate weight loss after your baby was born, you were probably very disappointed. No mother is that lucky, no matter what you read in the tabloids. You can expect to lose about 6-12 pounds (depending on the size of your baby) during the birth. After that, your weight loss will slow considerably. Depending on how much weight you gained during pregnancy (the average is 25-35 pounds), it may take several months to lose the baby weight. For many women, breastfeeding seems to help promote weight loss. Other moms don’t see weight loss associated with breastfeeding. Try to keep your nutrition consistent while you are breastfeeding and do not get frustrated if it takes longer than you’d hoped to lose the weight.
Things to consider
Pay attention to your body after giving birth. If something doesn’t seem right, it probably isn’t. Soreness is to be expected, but too much pain could mean something is seriously wrong. Don’t be so wrapped up in caring for your baby that you ignore your own health.
Just because you’ve made it through delivery, you are not necessarily out of danger for health complications. There are life-threatening problems related to childbirth that can happen days or weeks after delivery.
- Postpartum hemorrhage is rare but can happen. If your postpartum bleeding is filling more than a pad every hour, you should contact your doctor immediately. Without treatment, postpartum hemorrhage can be fatal.
- Headaches that are severe and don’t go away can also signal an underlying problem, especially coupled with high blood pressure. You could be in danger of having a stroke.
- Deep vein thrombosis (a blood clot in a deep vein) is a somewhat uncommon problem (1 in every 1,000 pregnancies) that can occur during or after pregnancy. Symptoms include leg pain or feeling like you have a pulled muscle. Your leg may also be red and hot to the touch. Left untreated, these clots can break away and travel to your lungs. When this happens, it can be life-threatening.
- Postpartum preeclampsia is rare and can develop within 48 hours after childbirth or as late as six weeks after childbirth. It is similar to preeclampsia (also called toxemia), which can occur while you’re pregnant. Both preeclampsia and postpartum preeclampsia cause your blood vessels to constrict (get smaller). This results in high blood pressure and also distresses your internal organs. Sometimes there are no obvious symptoms, unless you are monitoring your blood pressure. When you do have symptoms, they may include severe headache, swelling of your hands and feet, blurred vision, pain in the upper right portion of your body, and sudden weight gain. If you suspect you may have postpartum preeclampsia, call your doctor immediately.
When to see a doctor
When you are recovering from delivery, it is best to err on the side of caution if you feel that something is not right with you or with the baby. You should expect to have some discomfort as you heal. You should not begin to feel worse.
In general, if you have any of these postpartum symptoms, call your doctor.
- Heavy vaginal bleeding that soaks more than one pad per hour or vaginal bleeding that increases each day instead of decreasing.
- Passing large clots (bigger than a quarter).
- Chills and/or a fever of more than 100.4°F.
- Fainting or dizziness.
- Changes to your vision or a severe headache (persistent).
- Painful urination or difficulty urinating.
- Vaginal discharge with a strong odor.
- Heart palpitations, chest pain or difficulty breathing.
- Vomiting.
- Incision from C-section or episiotomy is red, weepy (with pus), or swollen.
- Abdominal (lower belly) pain that is getting worse or new abdominal pain.
- Sore breasts that are red or feel hot to the touch.
- Pain in your legs with redness or swelling.
- Increase in swelling.
Questions to ask your doctor
- How long until I will feel like myself again?
- Why am I still retaining water?
- How many calories should I eat while I’m breastfeeding?
- When can I begin exercising?
- How long should I wait before having sex again?
- Can I get pregnant while I’m breastfeeding?
- Why is my hair falling out?
- Are there foods I shouldn’t eat while breastfeeding?
- Why aren’t I losing weight?
- What are my options for birth control?
- Will my breasts go back to normal?
- Why do I have no interest in sex?
Resources
Centers for Disease Control and Prevention (CDC): Depression Among Women
National Institutes of Health, MedlinePlus: Postpartum Care
Postpartum Support International
U. S. Department of Health and Human Services, Womenshealth.gov: Pregnancy: Recovering from Birth
Timeline of Postpartum Recovery
Timeline of Postpartum Recovery- Health Conditions
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Medically reviewed by Holly Ernst, PA-C — By Abigail Rasminsky on July 31, 2018
The first six weeks after giving birth are known as the postpartum period. This period is an intense time that requires all sorts of care for you and your baby.
During this time — which some researchers believe actually lasts up to six months — your body will experience a number of changes, from healing after childbirth to hormonal mood swings. All of this in addition to the added stress of tackling breastfeeding, sleep deprivation, and the overall monumental adjustment to motherhood (if this is your first child).
In short, it can feel like a lot. It’s not uncommon for the first year to feel like a tidal shift.
That said, the recovery period can vary wildly. If you’re on your third kid and pushed for 20 minutes, your recovery will look different than if you labored for 40 hours, pushed for 3, and had an emergency C-section.
Yet while everyone’s experience is different, there are some recovery milestones that you should ideally hit. To help give you a sense of where you should be in your postpartum timeline, we’ve highlighted what you can expect from both your body and mind.
Week 1
Physical status, post-vaginal delivery
If you had a hospital delivery, you’ll most likely stay there for at least part of this week after a vaginal delivery. Depending on whether or not you tore (and how much), your vagina may hurt quite a lot.
Perineal soreness is normal, as is bleeding. This first week, the blood should be bright red, but will eventually turn brown like at the end of your period. You’ll also probably feel little contractions, especially when breastfeeding — as weird as it feels, this is just the uterus contracting back to its pre-pregnancy size.
Physical status, after C-section
After a C-section, or cesarean delivery, most movement will be difficult and your incision can be painful. A lot of women have trouble getting in and out of bed — but it’s important to move around, at least a little bit, to avoid blood clots.
If you had a bladder catheter put in, it will be removed.
Mental health status
Day 3 in particular is infamous for being emotionally difficult. “The birth buzz is wearing off, estrogen and progesterone levels are dropping off, and prolactin and oxytocin levels rise and fall throughout the day while the baby suckles,” says Jocelyn Brown, a licensed and certified midwife in Los Angeles.
“That combined with sleep deprivation makes for lots of weepiness and feeling like nothing is going right.”
Suggestions for aiding your recovery:
- If you had a vaginal delivery, use an ice pack or frozen pads with witch hazel on your perineum. Use a spray bottle of warm water during or after peeing.
- Take Tylenol or Advil at regular intervals. Pain begets pain, so do your best to get ahead of it.
- Take a stool softener and drink lots of water. Many hospitals won’t let you leave unless you’ve pooped, so make it a little easier on yourself.
- Again, for C-section moms: Your major job the first week is to keep your incision clean and dry. Give it fresh air after a shower, pat it down with a towel, and set your hair dryer to cold and point it at your scar.
- “It’s very important to take your temperature 2 to 4 times a day for the first 72 hours,” says Brown. “We want to catch a uterine or kidney infection quickly.”
Week 2
Physical status, post-vaginal delivery
For some women, bleeding will start to taper off. For others, it can last up to six weeks. Both are totally normal.
At this point though, the bleeding shouldn’t be heavy. You may start to feel vaginal itchiness, which is caused by the area starting to heal. The sutures — which swell with fluid when they disintegrate — may also be bugging you.
“All of this often means that the wound has healed enough that mama simply now has the luxury of being annoyed by the stitches because she is no longer in pain in that area,” says Brown. “I view the itchy-annoyed complaints as a good sign of healing.”
Physical status, after C-section
You’ll still likely feel quite sore but it will probably feel a little easier to move around. Your scar might become a little itchy as the incision site is healing.
Mental health status
Baby blues are totally normal. In fact, most women are said to get them. Postpartum depression (PPD), however, is something else entirely.
If you’re feeling overcome with sadness and anxiety — if you can’t eat or sleep, aren’t bonding with your newborn, or are having suicidal thoughts or thoughts of hurting anyone else — talk to your doctor.
Suggestions for aiding your recovery:
- If you’re breastfeeding, you’ll be deep into it by now. Make sure to have lanolin on hand for sore nipples and keep an eye out for clogged ducts. A lactation consultant can make an enormous difference here, so make sure to see one if you’re having trouble.
- Incorporate a little bit of movement into your day — whether that’s a walk around your house or the block.
- Continue to eat well. Foods with potassium can help keep your energy up.
Week 6
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Physical status, post-vaginal delivery
This is when the uterus goes back to pre-pregnancy size and the bleeding stops. Most people are cleared for exercise and sexual activity, but many don’t feel ready for the latter for a long time.
“Around six to eight weeks, I frequently get outreach from mamas who report that their bleeding stopped many days ago, but mysteriously started up again,” explains Brown. “This is because your uterus is involuting so much that the placental scab is getting pushed off, so there’s a brief few days of bright red bleeding.”
Physical status, after C-section
Same goes for the uterus and being cleared for sex and exercise. You’re now permitted to drive and lift something other than the baby — but try not to overdo it. The scar probably won’t hurt anymore, but you might still be numb (or even itchy) around the incision.
You should be fully recovered from the surgery and will probably only feel the incision if you bump into something. Walking is great, but go slow on more intense exercise.
Mental health status
If you have any lingering worries about your emotional or mental health, bring them up with your doctor at your six-week checkup. It’s normal to feel exhausted and overwhelmed, but deeper feelings of depression, hopelessness, or anxiety can be treated.
Suggestions for aiding your recovery:
- Although this is technically when the postpartum period ends, many women don’t feel remotely like themselves for a full year, so be gentle with yourself.
- If you’re ready to resume exercising, start slowly.
- Same holds true for sexual activity: Just because you’re cleared doesn’t mean that you feel ready. Listen to your body above all else. Very few women experience painless sex this early after giving birth.
- The exhaustion at this point can be overwhelming. Nap as often as possible.
Six months
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Physical status, post-vaginal delivery
If your hair was falling out after your delivery, it should stop now. You should also have full bladder control again, if this was a problem before now.
Depending on your work schedule, milk may be drying up. Your period may come back anytime (or not for a year or more).
Physical status, after C-section
One study found that women who had C-sections were more tired after six months. This, of course, depends on how well your baby is sleeping.
Just as with post-vaginal delivery, your milk may be drying up depending on your work schedule and your period may come back anytime.
Mental health status
If you’re getting into the swing of motherhood — and the baby is sleeping more — your mental state might be more positive around this time.
Again, any lingering feelings associated with PPD should be addressed.
Suggestions for aiding your recovery:
- Exercise is very important at this stage, for both mental and physical health.
- You can do abdominal strengthening exercises in earnest, which should help alleviate some back pain.
One year
Physical status, post-vaginal delivery
You may be feeling back to yourself, but your body may still feel slightly different — whether it’s a few extra pounds, or just weight distributed in different places.
Depending on whether you’re still breastfeeding, your breasts will appear different than they did pre-pregnancy.
Physical status, after C-section
Your scar will have faded, but it might still be a little numb. If you want another baby soon, most doctors will recommend (or insist on) a C-section if the babies are 18 months or less apart. This is due to the risk of uterine rupture during labor and vaginal delivery.
Mental health status
This will probably hinge on how comfortably you’re adapting to motherhood and how much sleep you’re getting. If you can, continue to nap on weekends when the baby naps to catch up on sleep.
Suggestions for aiding your recovery:
- If you’re still having painful sex, prolapse, or urinary incontinence, speak with your doctor.
- It’s important to maintain a healthy diet and continue to exercise. Depending on your baby’s sleep patterns, consider sleep training.
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Last medically reviewed on July 31, 2018
- Parenthood
- Postpartum Care
How we reviewed this article:
Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.
- Brown J. (2018). Personal interview.
- Mayo Clinic Staff. (2018). C-section.
mayoclinic.org/tests-procedures/c-section/about/pac-20393655 - Mayo Clinic Staff. (2018). C-section recovery:
What to expect.
mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/c-section-recovery/art-20047310 - Mayo Clinic Staff. (2018). Vaginal tears in
childbirth.
mayoclinic.org/healthy-lifestyle/labor-and-delivery/multimedia/vaginal-tears/sls-20077129 - Mayo Clinic Staff. (2018). VBAC: Know the pros
and cons.
mayoclinic.org/tests-procedures/vbac/in-depth/vbac/art-20044869 - Postpartum depression. (2018).
womenshealth.gov/mental-health/mental-health-conditions/postpartum-depression - Romano M, et al.
(2010). Postpartum period: Three distinct but continuous phases.
ncbi.nlm.nih.gov/pmc/articles/PMC3279173/ - Woolhouse H, et al. (2012). Physical health and
recovery in the first 18 months postpartum: Does cesarean section reduce
long-term morbidity?
ncbi.nlm.nih.gov/pubmed/23281904
Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.
Current Version
Jul 31, 2018
Written By
Abigail Rasminsky
Edited By
Frank Crooks
Medically Reviewed By
Holly Ernst, PA-C
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Medically reviewed by Holly Ernst, PA-C — By Abigail Rasminsky on July 31, 2018
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The first days in the hospital - articles from the specialists of the clinic "Mother and Child"
Bogomolova Marina Vadimovna
Embryologist
Clinic "Mother and Child" St. Petersburg
Immediately after childbirth
Immediately after the birth of the child is placed on the mother's stomach , then the umbilical cord is cut and the baby is applied to the mother's breast. Then the skin of the newborn is cleaned, its length and weight, head and chest circumference are measured. The doctor examines the birth canal, if necessary, sews up tears in the soft tissues of the birth canal, assesses the tone of the postpartum uterus, and helps the woman empty her bladder. But even after all these standard manipulations, the mother is not transferred to the postpartum ward, another for two to three hours, the puerperal stays in the maternity block . Why? In the first two hours after childbirth, some complications are possible, primarily uterine bleeding or an increase in blood pressure. Therefore, during these two hours, the mother lies on a stretcher or a bed in the maternity ward, since doctors and midwives are constantly there, and the operating room, in which case, is also located nearby. The child at this time is usually taken to the children's department, where he most often sleeps. And only two hours later, if everything is fine, the mother is transferred to the postpartum ward. nine0003
How does a woman feel at this time? Chills may occur, abdominal pain may occur, especially in multiparas.
What should a woman do at this time? Relax and unwind. Take shelter so as not to freeze, especially if chills appear. Place an ice pack on the uterus. If possible, ask the midwife to bring hot tea.
1st day after birth0009 postnatal midwife . She will tell you about the arrangement of the department (where the shower, toilet, dining room are), about the daily routine (the time for visiting doctors, eating) and will help the young mother, if necessary, to empty the bladder using a catheter. If a woman lies together with the baby, then immediately after the transfer to the postpartum ward, the child will be brought to her. The midwife will help the mother to properly attach the baby to the breast and start breastfeeding. Then nurse will come and show you how to swaddle your baby and explain how to take care of him. Do not be afraid that after childbirth there will not be enough strength for the child: most newborns sleep most of the day and wake up only for feeding. In addition, in the maternity hospital, the child is usually washed and dressed by nurses, so that the woman will have enough time to relax. If there is no joint stay of mother and child in the maternity hospital, then every three hours they will bring him to the ward for feeding, and then take him back to the children's department. Over time, the woman herself will pick up and carry the child. nine0003
How does a woman feel at this time? On the first day after giving birth, women feel differently. Some experience an incredible elation (this is due to the release of endorphins into the blood - the hormones of pleasure), while others, on the contrary, feel very tired. Some want to call all their friends and announce the birth of a child, they are inspired, full of energy and ready to take care of the baby on their own. Other mothers want to be alone and come to their senses, they still do not have the strength to constantly be with the child. nine0003
What should a woman do at this time? In any case, immediately after childbirth, as after any heavy load, you need to restore strength: first eat, and then go to bed or just relax. By the way, the following situation is possible: the birth occurred in the evening or at night, and dinner time has already expired; therefore, in order not to starve, you need to bring something light for a snack (cookies, bread rolls) with you to the hospital in advance.
6 hours after birth, the mother can usually get out of bed. nine0003
In general, if the childbirth went without complications, then you should start getting up as early as possible, first with the help of a midwife, and then on your own.
This helps to improve blood circulation, normalize the functioning of the urinary system and intestines, and accelerate healing processes. In addition, very soon the baby will require more attention.
Important point: After childbirth, the tone of the bladder decreases, so the urge to urinate may be absent or it may become painful and frequent. However, you should go to the toilet at least four times a day. Urination can be caused reflexively by opening a tap with water, this helps many people a lot. In the absence of the desired effect, urine is removed by a catheter. Most often there is no stool on the first day after birth. nine0003
Next days
Every day, the mother will be examined by an obstetrician-gynecologist : he will evaluate the contraction of the uterus, the condition of the sutures and the amount of discharge, see if colostrum is secreted. The midwife will regularly measure the temperature, pulse, blood pressure and treat the external stitches with disinfectant solutions several times a day. Also, every day the baby will be watched by a pediatrician, after which he will tell his mother about the condition of the child. After a normal birth, a woman, as a rule, is discharged on the 3rd-4th day (after a caesarean section - on the 5th-6th). nine0003
How does a woman feel at this time?
After childbirth, a woman may experience pain in the abdomen due to uterine contractions, as well as slight muscle pain in different parts of the body. On the face and on the whites of the eyes, a “rash” may appear - pinpoint hemorrhages that appear due to the fact that small capillaries burst during attempts from tension. Blood pressure can be lowered, so dizziness is possible (to avoid it, you should get up smoothly, without sudden movements). There may be pain in the perineum, even if there were no tears and its incision (pain appears because the perineum was severely stretched during childbirth). If the perineum is sutured, then it will not be possible to sit for at least the first two weeks. Sometimes after childbirth, varicose veins appear in the anus (hemorrhoids), which means discomfort in this place. nine0003
What should a woman do at this time? Mom needs to continue to rest and gain strength. And you should also follow the rules of personal hygiene: often change postpartum pads, do air baths for seams (if any), take a shower daily, wash yourself every time after a bowel movement. Well, the most important thing is to establish breastfeeding and learn how to take care of the baby in practice.
Time in the maternity hospital flies very quickly. Try to spend it usefully - restore your strength and acquire useful skills: at home, all this will be very useful to you! nine0056
REMINDER
Things to do at the maternity hospital
- Have a good rest: sleep all your free time and eat well.
- Get complete information about your child's condition: so ask your pediatrician all your questions.
- Establish contact with the child: therefore, spend as much time with the baby as possible, ideally being with him all the time. Take the baby in your arms, unfold the diapers, carefully examine the baby without clothes. nine0090
- Learn how to take care of your baby: so ask your baby nurse to show you how to wash your baby, change clothes, swaddle, change diapers, clean ears and nose, cut nails.
- Establish breastfeeding: To do this, feed your baby on demand. Ask the midwife to show you how to properly hold the baby at the breast, how to give and take away the breast.
Make an appointment
to the doctor - Bogomolova Marina Vadimovna
Clinic "Mother and Child" St. Petersburg
Cryopreservation of single spermatozoa Cryopreservation of embryos, eggs, spermJoint consultation of a reproductive specialist and an embryologistEmbryology
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The first days after childbirth
Pregnancy and Childbirth is a serious burden for the body of any mother . After childbirth, significant changes occur in the body, but it must be said that restructuring cannot occur instantly. A woman will feel some changes right away, but quite significant changes will occur for several more weeks. What should change? nine0003
First days after childbirth (postnatal ward)
In the first days after childbirth, there may be hemorrhages in the eyes - red eyes, on the face - numerous bluish dots, similar to moles, which appear during the second
period of childbirth. If a woman pushes incorrectly (holds her breath, screams, pushes “in the face”) or has features of the vascular wall, during attempts, an increase in pressure in the vessels of the head occurs, which can lead to rupture of vessels in the eyes and around them . What to do with such red eyes?
Cold tea compresses on the eyes (for 10 minutes) applied several times a day will have a calming effect and speed up recovery, which will occur in a maximum of 6-10 days. In about a week, the hemorrhages on the face will also pass.
Cramping pains in the abdomen that worsen during breastfeeding associated with normal postpartum uterine contractions, which should shrink and return to pre-pregnancy size. Painful contractions of the uterus are more typical for repeated births and for twins. In primiparous women, such pains may not be present and uterine contraction is painless. Painful contractions may be more noticeable when breastfeeding, as suckling releases the hormone oxytocin, which stimulates uterine contractions. nine0003
After childbirth, in addition to reducing the size of the uterus, the mucous membrane of the uterus - the endometrium - should be restored. Therefore, immediately after childbirth, lochia appear from the genital tract - excretion of the remnants of blood, mucus and tissues from the uterus. In the first three days after childbirth, they are usually bloody and as plentiful (and sometimes more plentiful) as during menstruation. Increased discharge when standing up and other movements is a normal process.
Muscle pain in different parts of the body can also disturb a woman in the first days after childbirth. These pains are associated with the physical stress that a woman experiences during childbirth. These pains go away on their own within a few days. nine0003
Pain in the perineum and discomfort associated with it - and this feeling is also normal, because it is unrealistic to expect that a 3-3.5 kg child will pass through the perineum without any consequences. Even if you avoided tears during childbirth and did not have an episiotomy (an incision in the perineum), this area was still stretched and squeezed. The pain will go away in a few days.
In the case of an episiotomy, pain may increase, especially when laughing, coughing, sneezing, defecation. Like any wound, it does not heal immediately - it usually takes 5 to 7 days. At this time, the woman is forbidden to sit so that the seams do not come apart. At the same time, they are allowed to sit on the toilet, to perform regular sexual hygiene (after each visit to the toilet, it is necessary to wash the perineum with warm water, you can do it without soap, you should take a shower 2 times a day). While you are in the hospital, your midwife and doctor will examine your stitches for inflammation or other signs of infection. The stitches are usually removed on the 5th day. nine0003
In the first time after childbirth, only colostrum is excreted from the breast - a thick yellowish liquid, and milk appears on the 2-3rd day. By the 3rd day, the mammary glands often acquire hypersensitivity, sometimes bursting pain is felt in the chest , a feeling of compaction of the mammary glands may appear. With significant breast engorgement, it is necessary to limit the amount of fluid consumed (but not less than 1 liter per day), increase the frequency and duration of feeding the baby. To prevent nipple cracks and when they appear, you will need BEPANTEN, DEXPANTHENOL, SOLCOSERYL ointment. nine0003
During the first day after childbirth, there may be difficulty with urination . Some women do not have the urge to urinate; others feel the need but cannot empty their bladder. Despite all the difficulties, it is necessary that the bladder be emptied in the first 6-8 hours after childbirth. This is done so that the enlarged bladder does not interfere with the normal contraction of the uterus after childbirth. As a last resort, if you still cannot empty your bladder within 4 hours after giving birth, a woman may have a catheter placed. After giving birth, you need, regardless of desire, to urinate every 4 hours. Bladder function returns to normal after 3-7 days. nine0003
The causes of stool problems can be several factors, both physical and psychological. Getting your bowels back on track is rarely easy or quick, and takes a few days.
Include more fiber in your daily diet: fermented milk products, beets, high-fiber fruits, dried fruits. This will soften the stool, but make sure that there are no allergens among vegetables and fruits: remember that before the arrival of milk and the establishment of lactation, you should not drink a lot of liquid. Try to move more if your condition allows. And don't worry about your stitches coming apart - they won't. Since a woman is often given a cleansing enema before childbirth, there is usually no stool in the first 2-3 days. nine0003
Immediately after childbirth, you must not get out of bed on your own for 6 hours (only in the presence and with the help of a midwife), as there may be dizziness .
After childbirth the abdomen looks distended and somewhat pendulous and does not immediately return to its original shape, as the muscles and skin need time to contract. In order to quickly return to its former shape, you can use breathing exercises (traditional gymnastics can be performed only 6-8 weeks after childbirth). Breathing exercises are breathing with the stomach: while inhaling, inflate the stomach, while straining the muscles of the perineum, while exhaling, blow it off. Repeat 10-20 times, 4-5 times a day. nine0003
After a caesarean section: on the first day after the operation, it is only allowed to drink water up to 2-3 liters per day. But already on the second day, the mother is transferred to the postpartum department, where she immediately begins to lead an active lifestyle - she gets up and walks, feeds her baby, unsweetened bread, broth without meat are allowed. From the third day, after a cleansing enema, it is allowed to take boiled food (porridge, boiled meat, sour-milk products, cottage cheese, tea without sugar), butter cookies, buns, fresh fruits and vegetables are prohibited. nine0003
First week after birth
Continued vaginal discharge : within 1-2 weeks after birth, the discharge gradually becomes watery pink, then brown and finally yellowish white. During this period, you should use sanitary pads (and not tampons: they can provoke inflammatory diseases of the uterus and appendages). Allocations may stop after two weeks, and may continue up to the 6-8th. If after the first week there is a profuse bloody discharge, or discharge with an unpleasant odor, or a fever, you should consult a doctor. In this case, hospitalization and possibly curettage of the uterus may be necessary. You should also see a doctor if brownish or yellowish lochia persists for more than 6 weeks, as this may be the result of an infection, especially if accompanied by fever or pain, and tenderness in the abdomen. nine0003
The suture area of after episiotomy must be kept dry and clean. You can wash the external genitalia and perineum with a decoction of chamomile, calendula, eucalyptus. For the first 2 months after childbirth, get out of bed carefully, first turning on your side, bypassing a sitting position (this will reduce pressure on the muscles of the perineum), and feed the baby lying on your side or half-sitting; you can't lift weights.
The birth of a child is a very significant event for a woman, not only physically, but also psychologically. Firstly, childbirth itself exhausts the mother, and secondly, hormone production changes during and after childbirth. Therefore, it is natural that at this time comes period of mental instability .
The most typical feeling in the first days after childbirth is elation, but in the following days, and sometimes weeks, some women become sad, despondent, withdrawn and lethargic. It is worth noting that these are the usual postpartum emotions associated with the normalization of hormonal levels. In this situation, close people (spouse, parents) should come to your aid to help you cope with negative emotions. nine0003
Within 7 days after the caesarean section (before removing the sutures), the nurse daily treats the postoperative suture with antiseptic solutions (for example, iodine, "potassium permanganate") and changes the bandage. The skin scar is formed approximately on the 5-7th day after the operation; already a week after the caesarean section, you can safely take a shower.