The immediate puerperium correspond
The immediate puerperium correspond to two hours occurring after childbirth, during which there are still many risks for the baby and mom. Monitoring in the delivery room to check that no complications have arisen.
This step
Check that the uterus contracts well to monitor the risk of bleeding
Monitor the status of loss
Check blood pressure
Monitor the placenta
To feed her baby
Puerperium later
Bleeding
Called lochia bleeding can occur after childbirth
The colors and smells will be monitored regularly to detect infection
They are more abundant during the first days
They last about 7 to 10 days and then they usually disappear after 2 or 3 weeks.
They are red the first day and then become brown and pink and clear.
Bleeding that extend too long (more than 15 days or 3 weeks) or releasing a foul odor require emergency consultation.
Take its temperature for four or five days after leaving hospital to verify the absence of infection.
The uterine pain
They persist for ten to fifteen days
They have less and less violent after about a week
They are low after a week
A consultation is required if the pain persists beyond 10 days.
during a lactation, uterine pain are more important during the early days because it promotes the contraction of the uterus.
The bladder
The appearance of urinary leakage after childbirth is a common phenomenon. The perineum, all the muscles that support the pelvis and the bladder distended and "damaged" by the efforts made during childbirth, many outbreaks, the passage of the baby, episiotomy ... these can cause urinary abnormalities.
Rehabilitation of the perineum
It occurs 4-6 weeks after delivery ..
Fatigue
The onset of fatigue after childbirth should not worry Mom. This period for all women postpartum.
The birth, the baby's arrival, lack of sleep and breastfeeding for mothers who practice involved in this fatigue.
Must rest after childbirth.
Try to shorten the visits of family, friends ....
Constipation
It is common to be constipated for a few days after delivery
Seek treatment if constipation persists for several days.
The stitches can not let go and should not prevent a bowel movement.
Hemorrhoids
The hemorrhoids are common. The efforts made during childbirth have stretched muscles and veins.
The return of menses
The return of layers corresponds to the return of menstruation after childbirth. The menses occurs in the months after birth if the mother does not breastfeed her baby.
It occurs later, between 3 and 6 months after birth if the mother breastfeeds.
Low return of menses may occur two weeks after delivery.
Sex
Sexual intercourse is recommended after 4 to 6 weeks after delivery.
Contraception
It is possible to get pregnant soon after her pregnancy.
More than most women do not ovulate immediately after delivery but about 1 ½ months after.
But about 10% of women may ovulate very quickly, in the first weeks after childbirth.
It is difficult to precisely determine the date of first ovulation postpartum. Ovulation may indeed occur at any time after childbirth.
It is necessary to use condoms for contraception can be started immediately after delivery.
For women who do not breastfeed:
It is best to avoid the pill until the return of layer and to use other contraceptive methods such as spermicides (gels, sponges, eggs ...) or condoms.
IUDs: it is advisable to wait for the back layer and the uterus returns to its usual form. The IUD is not indicated if desired a second child soon.
For breastfeeding women:
The COCs is contraindicated during lactation.
The micro pill (minipill containing progesterone) is allowed within 10 days after delivery. It can sometimes cause a depression of lactation and bleeding. It must be taken at fixed times.
It is essential to take advice from the midwife or doctor before taking a contraceptive
Hygiene and toilet vulvar
Baths and douches are not recommended for several weeks because of bleeding demonstrating the persistence of the opening of the cervix that could cause infection.
Choose a neutral pH soap Make a toilet after each urination
With soap, rinse well and dry with paper or a hair dryer