Post Partum
Post partum ( puerperium ) period means the period
following childbirth. During this period the healing of the mother's
body begins and the body adjusts to the fact that it is not carrying a
child inside it. The uterus starts to shrink back to its old size before
pregnancy ( called involution ) with contractions called afterpains or
afterbirth pains and pain and sore muscles. Sometimes the sucking of the
child on the breasts while breastfeeding can trigger the release of the
hormones called oxytoxin which can trigger some cramps due to
contraction of the uterus.
Some new mothers will suffer from a
temporary loss of hair after childbirth due to hormonal changes.Some new
mothers will have a sore back from the epidural shot and the vagina
will also be sore especially in the case of a vaginal birth. Some new
mothers will suffer difficulty in urination.Some new mothers suffer from
post partum rectal bleeding or rectal itching due to constipation and
hemmerhoids. Some new mothers will suffer from sudden sweating during
the night ( post partum night sweats ) when they sleep since the body
is trying to get rid of the fluid retained during the pregnancy and
might also be related to hormonal changes in the post partum period. New
mothers are likely to have sore and engorged breasts because the
breasts will be filling up with milk for the newborn child.
There
might be some heavy discharge of blood and mucus called lochia for
around ten days and lighter bleeding for around 4 weeks or more in the
post partum period. The body is getting rid of the lining from the womb
that was used during the pregnancy. It is better to use pads.It is
better not to use tampons during this period ( to reduce the risk of
infection ) . Once the lochia discharges changes its colour to white or
yellowish white, the discharge is called lochia alba
It might take a period of 5 to 7 weeks for the body to settle back into some sort of normalcy.
The
new mother should take care to drink lots of fluids if she is breast
feeding her baby. Trying to cut down the body weight while breast
feeding might harmfully lower the breast milk production for the child.
Some
new mothers get the phenomenon of baby blues from 4 days to 2 weeks
after childbirth. It is better to have other friends who are themselves
mothers during the post partum period.
There are some common
symptoms for baby blues and post partum depression including mood
swings, feeling sad and crying, irritability etc.
Some
women do not realise that theoretically, they can ovulate and might get
pregnant even in the first month after childbirth before they get their
first periods after childbirth (because ovulation occurs first before
the first periods ) .
It is better to avoid birth control using estrogen, if the mother is breast feeding.
Some
women will have stretch marks and their belly region might be slightly
saggy after child birth, and their hips will be wider even when after
they reach their pre - pregnancy body weight .
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