Postnatal Care (Puerperium)

Congratulations!

The birth of your baby is an exciting and challenging time for you. The postpartum period begins after the delivery of the baby and ends when the mother’s body has nearly returned to its pre-pregnant state. This period usually lasts six to eight weeks.

The postpartum period involves the mother progressing through many changes, both emotionally and physically, while learning how to deal with all the changes and adjustments required with becoming a new mother. The postpartum period also involves the parents learning how to care for their newborn and learning how to function as a changed family unit.

A mother needs to take good care of herself to rebuild her strength. You will need plenty of rest, good nutrition, and help during the first few weeks.

Every new parent soon learns that babies have different time clocks than adults. A typical newborn awakens about every three hours and needs to be fed, changed, and comforted. Especially if this is their first baby, parents–in particular the mother–can become overwhelmed by exhaustion. Although a solid eight hours of sleep for you may not happen again for several months, the following suggestions may be helpful in finding ways to get more rest now.

A mother’s body has undergone many changes during pregnancy, as well as with the birth of her baby. She needs to heal and recover from pregnancy and childbirth. In addition to rest, all mothers need to maintain a healthy diet to promote healing and recovery.

The weight gained in pregnancy helps build stores for your recovery and for breastfeeding. After delivery, all mothers need to eat well so that they can be healthy and active and able to care for their baby.

Whether they breastfeed or formula feed, all mothers need to eat a healthy and balanced diet. Most lactation experts recommend that breastfeeding mothers should eat when they are hungry. But many mothers may be so tired or busy that food gets forgotten.

We emphasize the nutritional intake of the following:

• Although most mothers want to lose their pregnancy weight, extreme dieting and rapid weight loss can be hazardous to your health and to your baby’s if you are breastfeeding. It can take several months for a mother to lose the weight she gained during pregnancy. This can be accomplished by cutting out high-fat snacks and concentrating on a diet with plenty of fresh vegetables and fruits, balanced with proteins and carbohydrates. Exercise also helps burn calories and tone muscles and limbs. • Along with balanced meals, breastfeeding mothers should increase fluids. Many mothers find they become very thirsty while the baby is nursing. Water, milk, and fruit juices are excellent choices. It is helpful to keep a pitcher of water and even some healthy snacks beside your bed or breastfeeding chair. • Consult your health care provider or a registered dietitian if you want to learn more about postpartum nutrition.

New as well as experienced parents soon realize that babies require a lot of work. Meeting the constant needs of a newborn involves time and energy and often takes parents away from other responsibilities in the home.

Although many parents do fine on their own, having someone else helping with the household responsibilities usually makes the adjustment to a new baby easier. Parents can concentrate on the needs of mother and baby, rather than the laundry or dirty dishes.

Helpers can be family, friends, or a paid home care provider. A family member such as the new baby’s grandmother or aunt may be able to come for a few days or longer. Home care providers offer a variety of services, from nursing care of the new mother and baby to housekeeping and care of other children.

Whoever you decide to have as helpers, be sure to make clear all the things you expect them to do. Communication is important in preventing hurt feelings or misunderstandings when emotions are fragile these first few weeks. It is generally best for the new mother to be relieved of all responsibilities except the feeding and care of herself and her baby. This is especially important if she is breastfeeding. Others should assume the chores in the home such as cooking, cleaning, laundry, and grocery shopping. This will help the new mother take care of herself, and keep her from limiting her time with her baby.

New mothers should make vaginal care an essential part of their postpartum care. You may experience:

Schedule a checkup with your doctor about six weeks after delivery to discuss symptoms and receive proper treatment. You should abstain from sexual intercourse for four to six weeks after delivery so that your vagina has proper time to heal.