Childbirth Settings

Instructions/Activity:
Pelvic rest for 6 weeks. (No douching, tampons, or sexual intercourse.)
No vigorous exercise for 6 weeks.
If you have had a C-section, no heavy lifting greater than 10 lbs. For 6 weeks.
No driving for 1-2 weeks (if you have had a C-section) or while take Percocet.
If you have had a 4th degree tear, nothing in the rectum (suppositories, etc.) for 6 weeks.
Also, please use a stool softener for 2-3 weeks after your delivery, such as Colace (which is sold over the counter)
For C-section patients, keep your incision clean and dry. Let the water/soap run down on the incision in the shower. Do not apply soap on a towel and directly scrub your incision. Do not apply any creams/lotions/Neosporin to your incision. Your steri-strips may fall off on their own, otherwise we will inspect and/ or remove them at your 1-2 week appointment. 

Your next appointment should be:
~ In six weeks for a vaginal delivery, unless otherwise specified at the time of discharge.

~In 1-2 weeks, if you had a C-section, for an incision check. You will then have another appointment 4 weeks later for your 6 week post partum exam.

Call the office if you have...

Signs of mastitis including: reddened, hard, and exquisitely tender areas to the breast accompanied by a fever greater than 100.4.
Excessive vaginal bleeding greater than 1 soaked pad per hour. (You will have vaginal bleeding for 4-6 weeks after delivery. This may slightly increase 2-3 weeks after delivery, but will then taper off.)
An exquisitely tender abdomen accompanied by a fever greater than 100.4.
Any signs or symptoms of post partum depression.
For C- section patients
~ Any opening of your incision
~Any drainage from your incision that is excessive, or any pus coming from the incision.

Medications:
Percocet, 1-2 tablets every 4-6 hours as needed for pain.
Ibuprofen 600 mg every 6 hours as needed for pain.
For constipation: Colace, Milk of Magnesia
Continue your prenatal vitamins as long as you are breast feeding or for 30 days after delivery.
For hemorrhoids, use Tucks pads, Preparation H, Proctofoam as needed.
For cracked/sore nipples you may use Lanolin cream. 





Episiotomy and Laceration Care

“Sitz Baths” (simply sitting in a tub of warm water 15 minutes, 2-3 times per day) can help to relieve discomfort resulting from lacerations. Additionally, Tucks pads. Witch Hazel and Lanacaine, may be applied to the external vaginal area as needed. You may also use oral pain medications as described above. Stitches will dissolve in 1-6 weeks. You will be more comfortable if you are not constipated; please follow directions above to prevent/treat constipation.


Hemorrhoids

Sitz baths, as described above, can help alleviate hemorrhoid pain as well. You can aso use topical agents such as Tucks pads, Witch Hazel pads, or Preparation HC. Actively prevent constipation.

Reasons to Call Your Physician
Fever greater than 101
Cesarean incision that is red, draining or increasingly painful
Signs of a breast infection: red and painful area on your breast, especially if associated with fevers greater than 101 and/or flu-like symptoms
Foul- smelling vaginal discharge
excessive vaginal bleeding (see above section on vaginal bleeding)
Swollen, red, painful area on your leg
Chest pain
Persistenly painful urination or inability to urinate
Worsening vaginbal or rectal pain
Persistent headache not relieved with pain medication, changes in vision, and severe right sided painThe more you understand your body and how it functions, the better equipped you'll be at taking care of yourself to achieve optimal health. We've included the Patient Education section on our website to provide you with valuable, practical wellness information which you can incorporate into your lifestyle to improve the quality of your life. We hope you will turn to these pages whenever you have a question about health related issues and urge you to contact our practice at any time to make an appointment with one of our doctors. 

While most people immediately think of giving birth in a hospital, you may be surprised to hear that you do have other options, including home births and birth centers. Read on to find out which birthing option is best for you!

Hospital

Pros: Hospitals have plenty of emergency personnel on hand, so if anything goes wrong, you are in good hands. If you or your baby have any complications, a fully stocked and staffed OR and NICU are generally just an elevator ride away. Hospitals are the only option for patients who require a C­-section, and are recommended for patients who have a high­-risk pregnancy. Hospitals also offer round­-the-clock help.

Cons: Hospitals often have many strict guidelines, policies, rules and red tape that can interfere with a mother's birth plan. Mother and baby are also often separated following the birth.

Home Birth

Pros: The mother is allowed to give birth in a familiar, relaxing environment. She has much more control over the birth process, and can move around, eat, drink, shower and dress as she pleases. Children are welcome to attend. The cost of home birth is typically lower than the cost of a hospital birth. A trained midwife is generally still present to make sure everything goes well.

Cons: Home birth may not be an option for women who are having twins or who have health conditions or complications, including diabetes, hypertension or preeclampsia. It is not an option for women who need a C­-section. If something goes wrong, the mother and baby will still need to be transferred to the hospital. There are also no at-­home options for pain relief.

Birth Center

Pros: A middle ground between a hospital and a home birth, birth centers take a natural, family centered approach to birth, while still offering low­-tech medical interventions. Mothers have more freedom to give birth as they want than in a hospital setting. Pain relief options are often available. Certified nurse-­midwives will typically care for the mother during birth. Childbirth is viewed as a normal, safe, and healthy process, but precautions are taken just in case. Many birth centers are now located inside hospitals, meaning that transfer to the hospital proper in case of an emergency would be faster.

Cons: Dedicated birth centers have rigid requirements and usually only accept low­-risk pregnancies. Mothers must still be transported to the hospital in case of a serious emergency, and while birth centers are more comfortable and relaxed than a hospital, they still aren't home.

Hospitals, home births and dedicated birth centers are all excellent choices for different women. Speak to your doctor about your risk level and birthing requirements to see which option is best for you.