What should I expect the first week after delivery?
Morning sickness, stretch marks, hormonal changes and
uterine growth all occur during pregnancy.It’s safe to say that pregnancy brings about an abundance of changes in
a woman’s body.However, changes within
a woman’s body do not stop once pregnancy is over and delivery has
occurred.New mothers experience a wide
variety of postpartum changes as well, varying from swollen breasts to
postpartum depression.
There are a variety of physical changes taking place within
your body during this first postpartum week.
Contractions:
Many women feel contractions, or afterpains, for several days beyond
delivery as the uterus goes back to its pre-pregnant shape and size.
Vaginal
Soreness: If you had a vaginal delivery, the vaginal area is likely to be
tender.Walking and sitting are
likely to be uncomfortable and urination may sting.It is important to keep the vaginal area
clean by using a squirt bottle filled with warm water.Ice packs, sitz baths, topical pain
sprays and witch hazel pads can help relieve pain.
Abdominal
Incision Soreness: If you had a cesarean section, the incision site will
be tender for several weeks as it continues to heal.Report any odor, bleeding or severe pain
to your healthcare provider.
Vaginal
Discharge: All women experience lochia for approximately six weeks after
delivery.The first few days after
birth discharge will be bright red and heavy.Blood clots are common, but you should
notify your caregiver if you experience clots that are larger than a golf
ball or if a sanitary pad becomes soaked within one hour.
Engorged
Breasts: As your milk comes in, whether you’re breastfeeding or not, the
breasts will feel heavy and tender.If you are breastfeeding, nurse your baby often and use a breast
pump to express any remaining milk after a feeding.Ice packs may offer additional relief
for the pain.If you are not
planning on breastfeeding, avoid any type of breast stimulation.Because expressing milk encourages your
body to produce more milk, do not pump milk or manually express the
milk.
Bowel
Movements: Many women find the first bowel movement after giving birth to
be uncomfortable.It is common to
go 3-4 days without having a bowel movement after delivery because of the
internal changes taking place during this time.
In addition to physical changes taking place, emotional
changes are also occurring as hormone levels continue to change.
Mood
Swings: Motherhood brings on a variety of demands.With little sleep and unbalanced hormone
levels, mood swings are common.You
may find that you burst out crying for no apparent reason.Rest as often as possible and know that
this too, shall pass.
Baby
Blues: Many women experience a feeling of being sad during the first few
weeks postpartum.You might be
overwhelmed with the daily care of your baby, disappointed in the
appearance of your body or frustrated with the increased demands around
the home.Notify your doctor if you
feel depressed or if you are not interested in caring for your newborn, as
this could lead to postpartum depression or postpartum psychosis.
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