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.
Tubal ligation, is a surgical method of sterilization for women. The fallopian tubes are blocked or severed to prevent fertilized eggs from traveling down the tubes into the uterus. While tubal ligation is typically performed laparoscopically, with tiny abdominal incisions rather than a large open surgical area, it is still considered major surgery, taking place in a hospital or similar setting with spinal anesthesia. Conversely, male sterilization (vasectomy) is a minor surgery that can be completed quickly with no hospital stay required.
There are various methods for tubal ligation. The sections of the fallopian tube may be cauterized, clamped or totally removed. Small metal devices may also be placed inside the tubes to promote the formation of scar tissue, a natural barrier. Some women choose to have tubal ligation performed immediately following the delivery of their baby via cesarean section. This can cut down on costs and later recovery time. Although tubal ligation is considered permanent, there has been some success in reversing the procedure by repairing one or both fallopian tubes.
In the first year after the procedure, tubal ligation has been found to be 99% effective at preventing pregnancy. Over time, the tubes may regenerate, resulting in an unintended pregnancy. A portion of these pregnancies may be ectopic, a condition in which the fertilized egg implants in the tube rather than the uterus. This is uncommon, but regular checkups with a gynecologist can monitor the healing process to ensure the passageways are not restored.