Dr Shilpa Sinha
Consultant Obstetrics And Gynecology
At Apollo Bramwell, we use a holistic approach whereby women are encouraged to take ownership of their physical and psychological recuperation. During pregnancy, there are a lot of changes that happens in the body. Post natal education and advice, therefore, contributes to a healthy and swift recovery of the back, abdomen and pelvic floor muscles. Looking after yourself is of utmost importance so that you can take care of your baby. Your partner can help by sharing responsibilities so that you have sufficient time to rest. One of the main and very important post-delivery factor is personal hygiene. This will help prevent infections for both mother and baby and promote health.
Breast-feeding:Breast-feeding is the best way to feed newborns. Mother’s milk best meets the baby’s nutritional needs and reinforce the baby resistance to diseases and allergies. If you are breast-feeding, you will have special nutrition and calorie needs.
Lochia: Once the baby is born, your body sheds the blood and tissue that lined your uterus. This vaginal discharge is called lochia. For the first few days after delivery, lochia is heavy and bright red. As time goes on, the flow gets lighter in volume and color. By 2 weeks postpartum, lochia often is light brown or yellow. Use sanitary pads instead of tampons. Use water after using the toilet. Keep the perineum as dry as possible after bath or shower. Pads should be changed regularly to absorb vaginal discharge. Bad smell or an increase in vaginal discharge may indicate infection and should be reported immediately for prompt intervention.
Hemorrhoids: It may worsen or show up for the first time after delivery because of the intense straining during labor. For relief, try medicated ointments and sits’ bath.
Urinary Problems: In the first days after delivery, you may feel the urge to urinate but cannot pass any urine. You may also feel pain and burning after you urinate. This usually goes away within a few days after delivery. If you still cannot pass urine regularly, contact your doctor.
Swollen Breasts: Your breasts fill with milk about 2-4 days after delivery. When this happens, they may feel very full, hard and tender. The best relief for this engorgement is breast-feeding. Wearing a good-fitting support bra or sports bra may help ease the pain. Hot compresses can also be used. Severe engorgement should not last more than 36 hours. If you develop fever and redness, call your doctor.
Cesarean Incision: It will take a few weeks to heal. You should check your incision for numbness, soreness and pain. If you have fever or heavy bleeding or the pain gets worse, call you doctor. These may be signs of infection.
After-birth Pains: The uterus contracts and then relaxes as it shrinks back to its normal size. These cramps are called afterbirth pains. During breast-feeding, they may be more painful. They will go away in just a few days. Try pain reliever.
Painful Perineum: The perineum is the area between your vagina and rectum stretches during delivery. You may have had an episiotomy or perineal tear. The area feels sore and looks swollen, bruised and is painful. Keep wound clean. To ease discomfort and speed healing apply cold packs. Soothe the area with a stream of warm water after urinating.
While lying down, pillows can be used under the abdomen and between the knees for support and comfort. This position is also useful for breast feeding, especially when mothers have abdominal and perineal wound.
Return of Menstrual Periods: If you are not breast-feeding, your period may return about 6–8 weeks after giving birth. If you are breast-feeding, your periods may not start again for months.
Sexual Intercourse: Should be avoided for some time following delivery until comfortable to do so. It may be a month or so after delivery.
Follow-up Visit: You will have a postpartum visit with your doctor to make sure that your body has recovered from pregnancy and birth, and that you are not having any problem.
Jane and I wanted to thank you so much for the care you and your colleagues took of Jane whist in Mauritius. Everything went well and Prakash did a great job of getting us to your clinic and back over the 6 dialysis days. We had a wonderful holiday and our children and grandchildren plus the other family all enjoyed it enormously. Best wishes to you all
Andrew and Jane Stewart