Post-Partum - 5 important Questions about Maternal and Baby Care after delivery


After this whole pregnancy journey when you finally hold your baby in your hands it gives a lot of happiness, peace & joy to you & your partner. However you can get really tired and frustrated many new parents feel this way ,with all the happiness you can  ge tired as well ,though the rewards and joys of parenting are huge but sometimes it can be  challenges draining .confusing and depressing but the good thing is this you can past it.

In this article we will discuss
Care  after delivery
How long do you need to rest
What do you need to take care of yourself
Why is post partum care important
When to see doctor

Care after delivery 

if you  had an episotomy or vaginal tear during the delivery,the wound might hurt for few weeks.extensive tears might take longer to heal,to ease discomfort while you are recovering
Sit on a pillow or padded ring
Cool the wound with an ice pack,or or place a chill witch hazel pad between a sanitary napkin and the wound
Use a squeeze bottle to pour warm water on your perineum as you are passing urine
Sit in a warm bath just deep enough to cover buttocks and hips for five minutes
You can use cold water if you find it more soothing
Take over the counter pain killer
You can even use numb  spray like lidocaine
Take stool softener if you have constipation
Vaginal discharge
After delivery the superficial mucosa that line the uterus begin to shed of  ,the lead to vaginal discharge consisting if blood and mucus it continues normally till six weeks after birth
 The blood discharge is heavier in first days later it becomes light
Then it will taper, become increasingly watery and change from pinkish brown to yellowish white
Few days after delivery you can feel minor contractions.they are common during breast feeding because of the release of oxytocin hormone These contractions — which often resemble menstrual cramps — help prevent excessive bleeding by compressing the blood vessel
For this you can take the over the counter pain reliever pill.
How long do you need to rest?
   After nine months of stretching and adjusting to accommodate your growing baby
 You don’t need only few days to rest
 You need almost six to eight weeks to completely rest
If you have stitches due to a torn or cut perineum it will take 7-10 days to heal. The stitches will absorb over time. It is important that you keep the stitches from getting infected by gently cleaning them with warm water after each time you use the toilet. Do this by using a squirt bottle to rinse the area and pat it dry. Do not wipe the area with toilet paper or you could irritate the stitched area. No matter how eager you are to check the healing progress, try to keep you hands off the stitches. If the area begins to hurt worse or the stitches seem weepy, contact your doctor. It could be a sign of infection.
If you have stitches from a cesarean birth (C-section), these heal in varying degrees. The stitches in the skin should heal in 5-10 days. The underlying stitches in your muscle layer will take longer to heal. These won’t completely heal for 12 weeks. For the stitches that you can see, make sure to watch for any signs of infection. These signs include if the incision area is red, swollen, or weeping pus; or if you have a fever

What do you need to take care of yourself?

Get plenty of rest and sleep  so you can get rid of the tiredness
Ask for help  don’t hesitate to get help from family and friends during post partum period  and after that
Eat healthy  maintain a healthy diet to promote healing
Take your medicines
Use you ice pads for pain
Follow up with your doctor
For breast engorgement use nipple cream for soreness and cracking

Why is post partum care important

"Optimizing Postpartum Care," states that patient-centered, maternal postpartum care has the potential to improve outcomes for women, infants and families and to support ongoing health and well-being. In the weeks after birth, a woman must adapt to multiple physical, social and psychological changes. She must recover from childbirth, adjust to changing hormones, and learn to feed and care for her newborn. In addition to being a time of joy and excitement, this “fourth trimester” can present major challenges like lack of sleep, pain, depression, lack of sexual desire and urinary incontinence. Postpartum care visits with obstetrician-gynecologists or other obstetric care providers can help women navigate the challenges of motherhood.

When to see doctor

 When you are recovering from delivery, it is best on the side of caution if you feel that something is not right with you or with the baby. You should expect to have some discomfort as you heal. You should not begin to feel worse.
In general, if you have any of these postpartum symptoms, call your doctor.
Heavy vaginal bleeding that soaks more than one pad per hour or vaginal bleeding that increases each day instead of decreasing
Passing large clots (bigger than a quarter)
Chills and/or a fever of more than 100.4°F
Fainting or dizziness
Changes to your vision or a severe headache (persistent)
Painful urination or difficulty urinating
tor When you are recovering from delivery, it is best to err on the side of caution if you feel that something is not right with you or with the baby. You should expect to have some discomfort as you heal. You should not begin to feel worse.
In general, if you have any of these postpartum symptoms, call your doctor.
Heavy vaginal bleeding that soaks more than one pad per hour or vaginal bleeding that increases each day instead of decreasing
Passing large clots (bigger than a quarter)
Chills and/or a fever of more than 100.4°F
Fainting or dizziness
Changes to your vision or a severe headache (persistent)
Painful urination or difficulty urinating

FAQ Prenatal Vitamin - Pros and Cons of Taking Prenatal Vitamins

ln this article, I will discuss about prenatal vitamins importance and their side-effects

·         Are prenatal vitamins helpful to conceive?
·         Daily recommended dose of prenatal vitamins nutrient?
·         Are prenatal vitamins necessary?
·         When should i start taking prenatal vitamins?
·         What prenatal vitamins are important for me?
·         How should i start taking prenatal vitamins?
·         What if i have trouble swallowing pills?
·         Side effects of prenatal vitamins?
·         Are there any kosher, halal or vegan prenatal vitamin available?

Are Prenatal Vitamins helpful to conceive?

Taking a prenatal vitamin is perfectly healthy for someone not looking to conceive. While it won't support fertility, it will replenish folic acid, iron, vitamin D, and calcium stores in the body. This can help keep you strong and prevent potential health complications in an unexpected pregnancy. Doctors used to tell women to take folic acid as soon as they got pregnant. Now, experts suggest starting a prenatal vitamin with 400 micro-grams of folic acid before you try to conceive. This important nutrient also prevents spinal defects in growing babies... Some prenatal vitamins have it, but not all of them, so check the label before you buy any brand prenatal vitamins. 

Daily recommendation of prenatal vitamin
Folic acid/ folate-at least 400mcg (some foods naturally contain folate; folic acid is synthetic version added to foods)
·         Iron- 27mg
·         Calcium- for 18 years and younger:1,300mg/dl:19 years &older:1,000mgl/dl
·         Vitamin d -600IU
·         Vitamin b6- 1.9mg          
·         Vitamin b12
·         Omega 3
·         Choline

Are prenatal vitamins necessary?
There has been always a debate if prenatal vitamins are important. The answer is yes! Prenatal vitamins are really important because it’s hard to get all the nutrients from the food alone. Which you & your baby need even if you eat a lot of vegetables, fruits & meat
Pregnant women body goes through a lot of changes during pregnancy folic acid and other vitamins decreases the risk of neural tube defect & other abnormalities
One must take prenatal vitamins, especially women with health issues & dietary restrictions. Prenatal vitamins are also very important for women with pregnancy complications.
The women, who are
·         vegan or vegetarian
·         have some gastric issues
·         Have nausea from certain kind of food
·         who smoke
·         have blood disorders
·         have twins or multiples

Folic Acid:
Folic acid & iron are almost included in all the vitamins because pregnant women body can’t get that from any food source alone. Folic acid deficiency can lead to neural tube defects cleft lip and palate and certain heart defects. Your body absorbs the synthetic version of folic acid better than the natural one found in food, so even if you eat a balanced diet a supplement is strongly recommended
iron is really important a pregnant woman need more red blood cells which help shuttle oxygen throughout the body, if they tend to decrease it can cause pre-eclampsia (high blood pressure), iron deficiency anemia, pre-term delivery, low infant weight, infant mortality and other blood related problems
you need calcium to make your babies strong bones, teeth, nerves, muscles and heart.

Vitamin d:
vitamin d plays an important role in maintaining the level of calcium & phosphorus. if you lack vitamin d, your baby can tend to have rickets bone abnormality and delayed physical development.
Recommended dose of vitamin is described above.

Essential fatty acids:
Some prenatal vitamins do not include fatty acid omega 3, DHA and EPA which are important for the development of baby brain nerve & eye tissue. Omega3 you can get from fish, however be really careful to eat a lot of fish; It contains mercury. Excessive consumption of mercury is not good for the pregnant women

When should Prenatal Vitamins be taken?
You should start taking folic acid as early as you can. You can also take prenatal vitamins if you are trying to get pregnant
Prenatal vitamins are really important especially in the first few weeks. If you start taking it early, it can reduce the risk of child birth defects. Take prenatal vitamins everyday once you get pregnant. Continue to take prenatal vitamins when you are breastfeeding your baby to replenish your body.

Side effects of prenatal vitamins:
If you are taking a supplement with more than recommended 30mg of iron, it may upset your gastro intestinal track. Prenatal vitamins can cause constipation & nausea in some woman.
To reduce the risk of constipation,

·         Drink more prune juice
·         Eat more vegetables & fruits
·         Add more fiber in your diet 
·         Drink plenty of fluids
Ask your health care about any stool softener to ease in constipation.
To prevent Nausea 
·         Take prenatal vitamins at night.
·         Prenatal vitamins with ginger extract are also very helpful with nausea.
·         Try the BRAT diet, Banana, Rice, Apple sauce and Toast. Bananas are high in nausea fighting B6.

How should i take prenatal Vitamins?
If you have trouble swallowing prenatal vitamins in pills form.

·         You can take with bland food, ginger, and food with enzymes that aid in digestion
·         Gummies, chewable gummies like lemon and orange flavor are also helpful, but most of the gummies supplements lack calcium and iron, so you need to take them separately.
·         Liquid prenatal vitamins have HIGH ABSORPTION - easy-to-swallow liquid blend is a more effective way to take your prenatal vitamins. Liquid vitamins are 8 times more effective than pills or gummies, and boast an incredible 98% absorption rate! It's also a great alternative for morning sickness sufferers.
·         Prenatal vitamin supplemental, there are prenatal vitamins in powder form available in the pharmacies. You can mix these powder form supplements in the water to make a beverage. These drinks meet your nutritional needs and work towards hydration as well. These powder supplements are convenient because you can add them to your water bottle.

Are there any kosher, halal or vegan prenatal available in market?
Yes there are a lot of halal options available in market these days. You can get the once made with halal gelatin from Amazon,
At CVS, the blue cap bottles supplements are made of bovine gelatin. These supplements are made of beef gelatin unlike regular gelatin which is made of pork.
There are fish based gelatin supplements available at GNC and vitamin shop store. For my vegan friends there are a lot of plant based vitamins available at pharmacies
One thing to remember , gel form vitamins have gelatin & pills form are not made of gelatin.

I hope this article helps you decide if prenatal vitamins are good for you or not, please subscribe this blog for more helpful articles about pregnancy and baby care. 


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