The postpartum period is characterized by a series of changes in the woman’s body, not just the genital level, but also in the entire body, so that the same return progressively to “normality” that exists prior to pregnancy.
The most frequent and painful postpartum complaints are: abdominal pain (uterine contraction – “pain pies”), muscle pain, pain at the surgical suture (c-section), pain in the perineal area (perineorrafia), pain Mammary (milk let-down) and the nipples (cracks and fissures).
The hemorrhoid crisis and constipation, often present in this period, also may generate pain and discomfort.In all these cases, painful complaints will interfere in the appearance or accent of other difficulties, including fatigue and difficulties in self-care.
During the postpartum period, the pharmacy is an ideal place for mom seeking advice, in order to overcome some discomforts that will arise along these 6 weeks:
Loci: vaginal blood loss after delivery is normal. Can persist between 20 to 30 days, depending on woman to woman. In the early days is bright red, becoming progressively rosado and decreasing of amount. After 10-12 days becomes whitish and yellowish. We advise against the use of tampons and sanitary towels should be used with maximum absorption tabs. Menstrual Period: The resumption of normal menstrual cycles varies from woman to woman and will depend on whether you are breastfeeding or not. In the case of exclusive breastfeeding, the vast majority of women don’t menstruate until it stops completely or to reduce considerably the number of feedings. However the fact that there are no menstruation doesn’t mean that the ovaries are not working. The first ovulation can occur as early as 25 days after delivery (average of 45 days), even if you are breast-feeding, with risk of becoming pregnant. It is therefore essential to make a contraceção effective during the postpartum, which must be prescribed by a doctor. Episiotomy: an incision is in the tissues that surround the opening of the vaginal cavity to facilitate the exit of the newborn during childbirth. The points generally fall between the 2nd and the 3rd postnatal week.
There are some recommendations for the correct healing episiotomy:
-wash the area with water and hygiene products specific to the postpartum;
-wipe from front to back while the woman urine or stools;
-dry the suture;
– change sanitary towels frequently;
-If present, edema should apply ice on it (wrapped in a cloth); every 8 hours, no more than 20 minutes (for two to three days postpartum);
– If there is difficulty in sitting, can use an inflatable ball;
– in case of pain in the perineum or the location of the episiotomy, may seek to take acetaminophen (an analgesic), provided that there is consent of the doctor;
-be aware of the signs of infection (redness, severe pain, exudate, warmth, foul smell, febrile State);
-If the delay points more than anticipated to fall, the woman should go to your doctor.
Other most common predicaments in connection with childbirth:
Back pain (lumbago) -avoid incorrect positions, the woman must: change the diaper and bathe the child in a plan at the level of the waist (and never bent); breastfeeding in a comfortable position, resorting if necessary to a pillow. To overcome back pain the woman should start the column extension exercises and accessory musculature fortification with proper exercise plan;
Severe Hair Loss – it is advisable the use of shampoos anti fall;
C-section scar -the seventh day postpartum should be removed the staples or stitches, depending on the type of surgical suture. If the scar has a reddish aspect and hard (infection) or open (dehiscence), a woman should go to an emergency room.
Post-partum Depressive Syndrome – after the first week it is likely that the woman start to notice some changes of mood. However, this phase can be extended and trigger postpartum depression. The birth of a baby and the changes of habits create new responsibilities and can sometimes conflict with the ideas and values of education of the mother, as well as the relationship with your partner. This situation should not be devalued by the sadness last longer than 2 weeks or if it’s too sharp it’s important the woman resort to psychological or psychiatric support.
Silhouette: The use of post partum belt is a controversial subject. A few years ago was compulsory the use of strap in case of Cesarean section, but this opinion is not consensual because the straps can improve the external aspect of silhouette but to disrupt the blood flow, can delay the recovery of the tissues and to increase intra-abdominal pressure can increase the risk of urinary incontinence. Thus, it is advisable that the woman talk with the doctor, in order to act appropriately.
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