Post Partum Teaching and Discharge Planning
You may shower and wash your hair at any time. Change your pads frequently and cleanse your self with warm water using your peri-bottle at every change. Remember to wipe yourself from front to back. No douching or internal tampons for 4-6 weeks or as indicated by your physician. Perineal stitches are absorbable and do not need to be removed. If your stitches or hemorrhoids are sore and hurt, take a sitz bath three times a day or discuss with your provider and use perineal wipes on your perineum or hemorrhoids.
Avoid constipation by eating a well-balanced diet including fruits and vegetables and drink plenty of fluids. Stool softeners or mild laxatives may be used.
Your provider may advise that you not have sexual relations for 4-6 weeks. Your period may return 6-8 weeks after delivery unless you are breastfeeding. Some nursing mothers do not menstruate until weaning their baby from the breast; others resume menstruation at various times while nursing. Pregnancy IS possible 4-6 weeks after delivery before you get your period whether you are breastfeeding or not.
If breastfeeding, refer to breastfeeding handouts. If not breastfeeding, your breasts may still become full and heavy. Wear a supportive bra. Do not handle your breasts or express milk. If your breasts feel warm, apply ice packs under arms for 20 minutes to decrease discomfort.
Take frequent rest periods, especially when your baby is sleeping. Avoid lifting anything heavier than the baby for 3-4 weeks. DO NOT start vigorous exercises until approved by your provider. Perineal exercises can be started when you get home.
CALL YOUR PHYSICIAN IMMEDIATELY IF YOU HAVE
Temperature over 100 degrees
Severe cramping or abdominal pains with chills and fever
Heavy bleeding and/or passing large blood clots
Foul smelling vaginal discharge
Increased tenderness, redness, drainage, or separation of stitches
Pain, burning, or difficulty urinating
It is normal that you may feel tired, overwhelmed or have “postpartum blues” after you go home. This is because of the many physical, hormonal and emotional changes which occur after delivery. Talk to someone about how you are feeling. Talk to your other children and family members about how they are feeling about having a new member in the family. If these feelings continue for more than a few days, notify your provider.