Postpartum, Time For Mother And Child – The postpartum period is an important time for mother and child.
The term postpartum comes from earlier times when a mother was cared by the family after the birth of in order to recover from the rigors of childbirth. Unfortunately, this is often not possible today, some women are lucky if they have a few days of rest in order to recover a bit.
The postpartum (including childbirth) starts from a medical point of view, when the placenta is expelled. The duration of the postpartum period is six to eight weeks. During this time, the woman is still under medical supervision to ensure that all wounds heal well.
Postpartum is as necessary rest phase
Even in ancient times, as with pregnancy has not been dealt squeamishly and they worked in the fields, inter alia, to the birth, however, the postpartum was taken very seriously. The new mother had to hold postpartum rest and could not leave the house six weeks to ensure the necessary rest.
The body needs this time to adapt and to recover from the physical changes of pregnancy and the rigors of childbirth. The milk production must be regulated, possible birth injury must heal the body and makes strenuous due to hormonal changes during the postpartum. The newborn baby needs to get used to life outside the womb, which means a big change.
Early postpartum – important rest period
The first seven days after birth are called early postpartum. During this time, the biggest changes are taking place. Even a woman who has chosen an outpatient birth must four hours after giving birth to remain in the delivery room as blood pressure, temperature and uterine status must be checked. The lochia sets in, the wound secretion from the separation point of the placenta is the uterus.
By the rapid decrease of the hormones uses the regression of the uterus. This is accompanied by strong aftershocks and is often pain. Also during breastfeeding, where oxytocin is released, the uterine involution is stimulated.
Postpartum gymnastics supports regression
With mild exercises like respiratory, circulatory pelvic floor and abdominal exercises can already be started slowly in the postpartum. In many hospitals, there are physiotherapists, showing the woman in childbed first simple exercises. Often this is done by the midwife. However, it should be avoided in the first six weeks after birth necessarily heavy lifting and physical stress.
Hormone changes during the postpartum
The rapid decrease of the pregnancy hormone HCG and other hormones can cause especially in the first days of postpartum mood swings and mental instability. This is known as the so-called baby blues. Up to 70 percent of new mothers suffer – usually on the second or third day after birth – short term under a temporary depression. Many women feel insecure so because they think they would now be happy but feel really bad. But this is quite normal and hormonal. But keeps the mood for several weeks and exists even after childbirth, it is called postpartum depression, and the woman should entrust their midwife or gynecologist.
In the first ten days of a hospital birth, every mother is entitled to a daily visit of a midwife at the cost of their health insurance. If the baby was delivered by outpatient or home birth, there is even entitled to two times daily visit to the midwife during the first ten days after delivery. At least in the first week, the woman should do as much as possible so that the uterus can regress and normalizes the flow of milk. Even the baby is weighed and checked whether everything is okay with it. Six weeks after birth, at the end of childbed out the final examination is at the gynecologist.
Sexuality in the postpartum
The lochia is not to be compared with a normal blood flow because the blood is from a wound in the uterus, which needs to be protected from infection. This means that sex after birth has to be done with using a condom is in principle possible if no other reasons, such as a dam or cesarean seam, to the contrary. However, in the early postpartum period, as long as the bleeding is still very strong, definitively intimacy should be abandoned. It does not matter whether the child was born spontaneously or by caesarean section.