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POST PARTUM

CARE

Uterus:
• Your uterus should feel like firm
grapefruit. If your bladder is full
it may shift to your right.
• The top of your uterus (fundus)
after birth is around your navel
and decreases in size daily.

• What is abnormal is while at rest you feel your pad soaking.Bleeding: • Your bleeding the first 2 days will be like a very heavy period and is normal to feel a gush of blood with nursing or when you stand up. If you soak more than 2 pads in an hour or pass clots which are larger than an egg. put baby to your breast call a midwife or go to a health care center. .

any doubts please call. . • Your lochia should gradually change color from red to pale yellow over the next two weeks.• Your bleeding should in the beginning have the odor of a period. if there is a foul ammonia like odor it could mean an infection.

It consists of blood. sloughedoff tissue from the lining of the uterus. and bacteria.What is lochia? Lochia refers to vaginal discharge during the postpartum period. .

2. 3 to 5 days after birth. !!!Lochia serosa which persists to some weeks after birth can indicate late postpartum hemorrhaging.It progresses through three stages: 1. Lochia rubra is the first discharge. Lochia serosa is the term for lochia that has thinned and turned brownish or pink in color. This stage continues until around the tenth (10) day after delivery. red in color because of the large amount of blood it contains. and should be .

Lochia alba  is the name for lochia once it has turned whitish or yellowish-white. which should be reported to a physician.3. !!!Continuation beyond a few weeks can indicate a genital lesion. It typically lasts from the second through the third to sixth weeks after delivery. .

try emptying your bladder before nursing as a full bladder can be in the way when your uterus contracts.Cramps(pulikat): =matres= Afterbirth contractions are normal. . Also try relaxing through these contractions using your breathing techniques. typically occurring when breastfeeding your baby. If painful.

and or hot showers to the breast can bring about some relief as well as gentle massage or expressing a small amount of milk. a small amount of hand expression bringing the milk to the nipple may help. Be patient with yourself and your baby…you are both learning. Most importantly nurse your baby frequently. Hot compresses.Breasts: • Breasts may feel uncomfortably full and hard. . drink plenty of fluids and sleep when the baby sleeps. • Engorgement is temporary. maintain a good diet. It may be difficult for your baby to latch on when your breasts are so full.

you may be developing a breast infection call immediately • Get plenty of rest. or feel flu like. if you develop a fever. .• For sore or cracked nipples. If you notice a hard lump. hot painful areas to your breast. massage the affected area. • At all feedings make sure the baby has a good latch on and is positioned belly to belly • CHECK your BREAST. exposure to sun and air can help facilitate healing. apply hot compresses and nurse the baby most frequently on the affected breast.

Exclusive Breastfeeding: To enable mothers to establish and sustain exclusive breastfeeding for 6 months. teats or pacifiers . WHO and UNICEF recommend: • Initiation of breastfeeding within the first hour of life • Exclusive breastfeeding – that is the infant only receives breast milk without any additional food or drink. not even water • Breastfeeding on demand – that is as often as the child wants. day and night • No use of bottles.

.Breastfeeding . BEST for BABY • Superior to all other milk substitues • Favorable balance of nutrients • Easily digestable • Promotes physiological development • Protects against infections and diseases • Decreases risk of food allergies • Reduces risk of sudden infant .

Breastfeeding… GOOD for MOM Too Breastfeeding Benefits for Mother • • • • Contracts the uterus Lengthens Birth Intervals Conserves Iron Stores Reduces Risk of Breast and Ovarian Cancer • Decreases risk of type II diabetes • Increased weight loss and fat loss • .

many women find soaking in a shallow. • A cold pack the first 24 hours eases swelling and pain.Perineal Area: • Warm water are encouraged to keep your perineum stay clean. warm bath several times a day eases the discomfort. Simply resting on a blue underpad without wearing a sanitary napkin will allow air to circulate which will help speed up healing .

SLEEP WHEN THE BABY SLEEPS. gradually increasing your activities the 2nd week.Rest: • LISTEN TO YOUR BODY. meals. . If possible try to have help arranged prior to the birth. • Rest well in the first week. It is recommended that Mom not be left home alone the first 24 hours following the birth. with such things as sibling care.

Postpartum depression: • Many women feel very emotional after giving birth. Some get sad. worried or irritable for a few days. feel numb or dazed. weeks or in some cases months. please call. • You are going through a huge transition and with time and patience you will adjust to the new role. . If you feel you are unable to cope with anything. There are some nutritional supplements that have helped many women. or that it takes an inordinate length of time to manage even the simplest of tasks. • It is not something to be ashamed of.

. Many health care providers recommend waiting four to six weeks before having sex. how soon can I have sex? Whether you give birth vaginally or by Csection. your body will need time to heal. and any tears or repaired lacerations to heal.Sex: After the baby is born. This allows time for the cervix to close. postpartum bleeding to stop.

Tell your . Start with cuddling. Gradually build the intensity of stimulation. To help ease any discomfort during sex. use a lubricating cream or gel. especially if you're breastfeeding. kissing or massage. take it slow. If vaginal dryness is a problem.Will it hurt? Hormonal changes might leave your vagina dry and tender. Try different positions to take pressure off any sore areas and control penetration.

the mother must wash her perineal area with water boiled with . prevent varicose veins.Post-Partum: TRADITIONAL BELIEFS • House slippers must always be worn to prevent the cold from entering new mom's • through Pants arethe also used to feet. • If it was a vaginal birth.

• Mothers avoid pain medications as much as possible and used healing touch and prayer instead.• Hot liquids and soups are given to promote breast milk production. • Keeping warm and covered and away from drafts is believed to help with the healing process . • Mother and baby must stay indoors for at least 1-3 months to avoid exposure to the cold and illnesses.

baby wears a small . and she depends on others. if traumatic. • When going out to places. • Healers use prayer and massage for faster healing.• After child birth. • Bathing after birth is restricted until 7-14 days after birth to help with healing. • Mother and baby’s head must be covered to protect against heat leaving the body due to cold temperatures. mother may feel that she has lost herself for that time.

• Head of the bed is also elevated to assist with draining the lochia from the body. • The newborn is given a mixture of bitter melon leaves and coconut milk. .• Family helps mother and baby for one month postpartum. and used as a laxative to rid the newborn of the meconium. • Head to toe massage is performed on mother for 2 weeks postpartum including massaging of the fundus.

LAST AND FOREMOST .ENJOY FAMILY LIFE!! .Remember your midwives are on call for any questions or concerns about you or your family for the full 6 weeks postpartum.