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.
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.
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
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 complications could potentially happen in any pregnancy, a high-risk pregnancy is one in which there is a greater risk of complications. A pregnancy could be considered high-risk whenever the mother has one or more of the following risk factors:
- Age: Women who are younger than 18 or older than 35.
- Medical History: Certain health conditions, or coming from a family with a history of those conditions. These include, but are not limited to, diabetes, anemia, cancer, mental health problems and high blood pressure.
- Pregnancy History: Women who have had pregnancy complications such as miscarriages, prior C-sections and early labor.
- Pregnancy Complications: Women who develop certain pregnancy complications,including gestational diabetes, preeclampsia, too much or too little amniotic fluid, or restricted fetal growth.
- Number of Babies: While twins are a blessing, they also put a woman at greater risk for complications.
- Infections: Infections such as HIV, Hepatitus C, Rubella and chickenpox.
- Lifestyle Choices: Smoking, drinking, or using drugs.
Just because your pregnancy is considered high-risk does not mean that you won't deliver a healthy and happy baby. It simply means that you will need to be even more careful, and that your doctor will want to monitor you a little more closely to make sure that both you and your baby stay healthy.
If your pregnancy is considered high-risk, make sure to see your doctor regularly, eat a healthy, balanced diet, exercise in moderation and avoid risky substances. Be sure to also keep the lines of communication open between you and your doctor. Be truthful about your medical history and any symptoms that you have had or are having. Follow your doctor's advice and don't be afraid to ask questions.
A pregnancy should be a time of excitement. Take care of yourself and your baby and work closely with your doctor, and chances are everything will turn out just fine!