Contraceptives

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. 

Contraception, also known as birth control, prevents pregnancy by using one or more methods, medications or devices. Medical contraception has been available since the 1960s, and, in that time, a wide variety of options have been introduced, ranging from permanent sterilization to products for one­-time usage.

Intrauterine devices (IUD)

Intrauterine devices (IUD) are the most efficient removable birth control implements available, with the failure rates less than 1 percent. IUDs are small T­-shaped appliances that are placed in the uterus by an obstetrician during an outpatient appointment. They are long­-acting contraceptives, meaning that they administer the active ingredient - either copper (a natural spermicide) or a hormone - without any maintenance on the user's part. Depending on the type of IUD, they can maintain effectiveness for as long as ten years before removal and reinsertion is needed.

Hormonal Birth Control

There are a number of other hormonal birth control methods on the market, including patches, implants, injections and pills, all of which prevent fertilization by stopping ovulation. The effectiveness of hormonal methods is generally dependent upon the user; those who take pill have a daily schedule they must follow, while the patch must be used in a cycle, changed every week for three weeks with a fourth week off. Implants, like IUDs, are long­-acting, but must be replaced every three years.

Barrier Methods

Barrier methods of contraception, including condoms, diaphragms and sponges, work by preventing sperm from entering the uterus, sometimes with the inclusion of a spermicidal agent. These methods are popular because they are typically easy to use, readily available and inexpensive, but they tend to have higher failure rates due to the possibility of user error.

Sterilization

Both male and female sterilization are minimally invasive surgical procedures that sever the channels through which reproductive cells travel. The recovery time is generally short and there are no long-­term side effects. In fact, female sterilization (tubal ligation) may possibly reduce the risk of ovarian cancer.

Sterilization is designed to be permanent, although there can be a measure of success in reversing the procedure, which varies depending on the gender of the person sterilized and the sterilization method that was used.

All contraceptive methods have benefits and risks. Disclosing your medical history and your goals for contraception with your doctor will help to determine which method is best for you.