The postpartum or postpartum period is the postpartum period in which the organism regains pre-pregnancy status; Six weeks postpartum.
At this time it is very important to take care of and follow a healthy diet; Especially if you are breastfeeding your child needs a correct caloric intake and all the necessary nutrients; Remember that it is not the time to make strict diets.
During the puerperium ("the quarantine") you will have blood loss (lochia), which are the different uterine secretions to expel, can last about 30-40 days, during which they will change their appearance. If at any time you think they are very bad odor, please contact us.
If you have had a vaginal birth, within a few hours and making sure you do not become dizzy, you can take a complete shower. If you have had an episiotomy you should wash it without fear with soap and water and then dry the wound well, no other measures are necessary. You can wash your hair as soon as you want.
If you have had a cesarean, you should wait a little longer for a shower, until your doctor allows you to get up. You should avoid bathing and coitus until quarantine is over.
What Changes Occur During Postpartum?
If you are breastfeeding, you most likely do not have the rule until you finish breastfeeding, and it may take a couple of months to present it after the breastfeeding has ended; If you have opted for artificial breastfeeding you can present the rule 30 to 40 days after giving birth.
The muscles of the pelvis and abdomen will gradually return to their normal tone, sometimes hampered by overdistension and muscle tears that may occur during pregnancy and childbirth. For this reason you should perform abdominal and pelvic rehabilitation exercises to prevent prolapses and hernias; But it is not appropriate to start them too soon and it is always better if you have a certain orientation, which you can provide in specialized centers.
It may also present in the first hours difficulty spontaneous urination, due to decreased bladder tone in very prolonged or instrumented deliveries and epidural anesthesia. It is important in the first hours to be forced to frequent urination because a correct emptying of the bladder allows a better uterine involution. Later on you may have some urinary incontinence, you should try to perform urinary rehabilitation exercises (Kegel Exercises) to prevent prolonged incontinence and that may become worse over time.
The best option for breastfeeding your baby is the one that you decide. Breastfeeding is not bad. Breastfeeding is a good option if you are convinced, you are excited and you will be able to devote the necessary time.
If you have opted for artificial feeding or for any reason in your case breastfeeding is not indicated, you should tell your gynecologist to prescribe the appropriate medication to suppress the "milk rise".
If you want to try a breastfeeding it is good to put the newborn to the breast as soon as possible, suction is a stimulus for the rise of milk. Usually occurs between the third and fourth postpartum day. Do not despair !. It is accompanied by an increase in the volume of the breasts, a certain retention of liquids and a normal increase of the temperature, which does not last more than 24 hours.
The first secretion of the breast is colostrum (the first five days postpartum) with a high content of immunoglobulins ("defenses") that will protect the newborn from infections.
You should continue to avoid smoking, alcoholic beverages and any medication that has not been indicated by your doctor; Almost all pass through breast milk.
At Some Point During Breastfeeding You May Have:
Cracking On The Nipple: It is advisable to evaluate the correct position of the baby when breast, because if not little will help the preventive creams.
Breast Engorgement (Congestion): It occurs when the breast does not empty completely. It can be relieved by applying local heat, analgesics and with a tight bra.
Mastitis: This is an inflammation of the breast, which appears red, hot and painful, in this case notify your gynecologist, without interrupting breastfeeding.
If I Give The Breast Can I Stay Pregnant Again?
During breastfeeding fertility decreases due to lack of ovulation and many women are amenorrheic (without a rule) but are not always at risk of re-pregnancy, so you should take measures and consult your gynecologist about what is The most appropriate method in your case.
When Should I Call The Doctor During The Postpartum Period?
- Situations in which it is advisable to contact your doctor during the postpartum period.
- Fever of more than 38ºC.
- Major bleeding.
- Smelly loquios.
- Redness, exaggerated pain in breasts or episiotomy.
- Pain or swelling of one of the legs.
- Trouble breathing.
- Urinary discomfort.
- Postpartum depressione.
Between 30-80% of postpartum women may have postpartum depression. It is not usually severe. The most frequent signs and symptoms are: feeling of sadness, crying, mood swings, irritability, confusion and forgetfulness, headache, indifference to the child, sleep disorders, fatigue and anxiety. It is a general reaction to a situation of stress, also related to the abrupt drop in hormone levels after childbirth that usually improves in a few days. It is advisable for the woman to have the support of the couple, family and domestic help, to take care of their appearance and try to leave home.
It is advisable to know this disorder before the birth and discuss it with the couple, to obtain the maximum help in these important days of your life.