Healthy Mom&Baby Issue 26

Page 14

healthy moms

Questions Women Ask About Postpartum Recovery

Envision Your Recovery Labor is short, relatively speaking, and followed by a much longer recovery period. Healthcare providers focus so much on prenatal care and often skip over what happens following childbirth. But you can change this, and we’ve got just the list of questions for you to bring to your next prenatal appointment. In the rush to get out of hospital, you may forget or simply fail to ask these questions, and then wonder if what you’re experiencing at home is “normal.” Take notes now to prevent anxiety once you’re tucked away safely at home with that new wiggly bundle that is your baby. Paris Maloof-Bury, MSN, CNM, RNC-OB, IBCLC, is a certified-nurse midwife and lactation consultant at Sutter Health in Davis, CA.


much will I bleed after birth? What’s normal? How much bleeding is too much and who do I call if that happens? BB What should I expect my perineum (“down there”) to feel like after birth? BB If I have an episiotomy or tear, what will that feel like as it’s healing, and how do I help promote healing? BB What are “after pains” and how long may they last? BB How soon should my abdomen return to its pre-pregnancy shape and size? What will it feel like immediately after birth? BB What changes can I expect in my breasts if I’m breastfeeding? If I decide not to breastfeed, how do I care for my breasts, and how will they feel? BB How do I prevent engorgement in my breasts when breastfeeding? BB Will I be able to use the bathroom as normal? When will elimination be normal again? What problems should I look for? BB What’s the best way to lose the pregnancy weight? BB How soon can I start exercising again? Are any exercises off limits following birth? BB What about sex after birth? How soon can I resume intercourse, and is there anything special I need to know about or plan for? BB Is there anything I should avoid doing for any period of time following baby’s birth, and if so, what and why?

images: GE T T Y

BB How

Your First Postpartum Visit: 3 Weeks Postbirth ACOG now recommends that postpartum care should be an ongoing process, rather than a single visit at 6 weeks postpartum, and that all women have a follow up appointment with their pregnancy care provider within the first three weeks postpartum. Contraception to avoid a subsequent too-soon pregnancy after birth is typically upmost of mind for most pregnancy care providers but not all moms, and managing health complications post-birth is important for mom’s health. If you birthed vaginally, expect to spend 1-2 days at the hospital post-birth, and if all goes well, resume regular activities as your body feels ready to do so. If baby was born via cesarean, you’ll spend up to 3-4 days in the hospital and it will take up to 6 weeks or more for you to recover from this major abdominal surgery. Still, no two moms recover the same way, and no one knows your own body better than you—so listen to those twinges, pains and sore areas—and be gentle and nurturing with yourself after birthing.

HMB7.Postpartum Recovery_Mom bounce back.indd 14

01/07/2019 09:26