Wash your hands and put on gloves. Ask the patient to urinate. Lower the head of the bed until the patient is in a supine position or her head is slightly elevated. Expose the abdomen for palpation and the perineum for inspection. Fundal palpation postpartum. Apply cold compresses, and avoiding straining on the toilet. Ensure your baby is latching effectively to your breast at each nursing. This will prevent sore nipples and the baby will receive more milk.
The lips should be relaxed and open. After feeding you can express some of your colostrum and apply it to your nipple to keep them healthy. Do not wash your nipples before feedings, or with soap when showering.
On the 2nd to 4th day some women experience very full breasts. This is call breast engorgement. Warm compresses and expressing breast milk just before feedings may be helpful to softening the areola so the baby can latch properly. Cold cabbage leafs in your bra may help relieve this sensation. This is generally a temporary condition lasting days.
If you develop a lump, massage it during the following feedings but do not ignore it. Lumps should be dealt with immediately through a combination of warm compresses, massage, and keeping the effective side empty. Call your midwife if your nipples are bleeding, sore, or cracked; you cannot get the baby positioned correctly to the breast; you notice a red or hot spot on the breast or if a lump does not resolve with measures listed above.
A healthy diet and rest are essential for a speedy recovery. Plan on taking naps during the day while the baby is sleeping. Having friends or family come in to help with laundry, childcare, house cleaning, and meals will help aid in your speedy recovery. You may find over the next couple weeks your days are full with taking care of your body, and caring for your baby.
Listen to your body when considering resuming normal activities. Moderate exercise is fine if you are not straining yourself. You can resume intercourse when you are both ready; however, it is important to consider a method of birth control. Put nothing in your vagina tampons for the first six weeks after birth. These may be a little irregular, but there should be no gaps in breathing longer than 20 seconds. Normal under-the-arm temperature for a newborn is between Dress the baby one light layer more than you would wear yourself.
Ensure the baby is dressed appropriately if you are worried about the temperature. The baby should pass both urine and stool at least once in the first 24 hours. On the second day the baby should pass of each. Until the milk comes in there may not be much more elimination than that. Sometimes the baby will pass a red colored substance called uric acid crystal. This is normal and may indicate the baby is dry. The first stool is a sticky black tar-like substance called meconium.
By the second day this should change to a thinner greenish stool. After the breast milk is in the stool will be yellow and loose. Once your milk is in, the baby should wet cloth diapers or five disposables and have bowel movements each day.
As the baby gets older their bowel routines will vary from several a day to one stool a week. Call your midwife if the baby does not pass urine or stool in the first 24 hours or the baby is passing less than the amounts indicated above. Allowing the cord to air dry will encourage it to fall off sooner. Folding diapers down to expose it to the air will speed the drying process.
The cord may have an unpleasant odor as it decomposes, and there may be a little bleeding when it falls off. No part of this website or publication may be reproduced, stored, or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without permission in writing from the copyright holder.
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