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Home After Delivery


 

"Take it easy after the baby is born," what does that mean?

Even though giving birth is a normal thing for your body to do, it is still very tiring. If you had your baby by cesarean delivery, you have also been through major surgery. Taking it easy is doing what you need to do to take care of you.

You cannot take care of a new baby if you have not taken care of yourself. Only you know what your limit of activity is. A good rule of thumb is to watch what happens to your vaginal discharge in the days after you give birth. Normally your discharge goes from a red to pinkish brown to white in the first weeks after your baby is born. If you notice your discharge is increasing, or going back to red, that may be a sign you are trying to do too much. Put your feet up and rest a while. If you continue to have bleeding, call your health care provider.

Here are simple dos and don'ts as far as activity goes:

  • Do start back into your regular activities slowly. If you have had a cesarean section delivery, then your health care provider will help you decide what you can do and when.
  • Don't do any heavy lifting. Basically, don't lift anything heavier than your baby. Have others carry laundry baskets and groceries for you.
  • Do take it easy climbing stairs. For the first week or so, try not to go up and down a long staircase more than once or twice a day.
  • Do start taking short walks, outside if the weather is nice. Use a baby carrier or sling, especially in crowded places. Strangers will be less tempted to touch your newborn.
  • Do keep a bathrobe by the door. Put it on when you answer the door. If people think you are "still recovering," they will treat you better!
  • Don't start driving until your health care provider gives the okay. Usually 2 weeks is a good waiting period. Remember-your hormones are kind of crazy and you are tired and easily distracted. You will be more likely to have an accident during this time. If you do, some people might blame you because you have just gotten home from the hospital and "shouldn't be driving yet."
  • Don't put anything into your vagina until your stitches have healed and your discharge has stopped. This means no tampons, no douching, and no sex.

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What kind of exercises can I do after I'm home?

Many women are very anxious to get their bodies back in shape after having a baby. But remember-it took 9 months to gain the weight you now want to lose. Your belly has also stretched, and your uterus has grown. These changes do not go away in just a few weeks.

You can do some exercises that will help you get your muscles back in shape. Simple tightening exercises can be started right away. More strenuous exercises can be started a few weeks down the road. Here are some tips for exercising:

  • Focus on getting strength back to the muscles that have been stretched out during your pregnancy and labor. Three exercises to tighten your belly include: 1.) Mini sit-ups. Lie on your back, knees bent, and reach to touch your knees. 2.) Buttocks lift. Lie on your back, knees bent, and lift your bottom off the floor. 3.) Leg lifts. Lie on your back, legs straight, and raise your feet off the floor without bending your knees.
  • Your pelvic (area between your hips) joints will still be "loose" for a while after giving birth. The bones in your pelvis spread apart a little to hold your growing baby and to open up the birth canal. Be careful not to stretch or jerk the muscles in this area. You might feel a stabbing pain as the round ligaments (the bands of tissue that hold the uterus in place) complain! Usually the pain is bad for just a second, and then it goes away.
  • Start off slowly. Do just a few exercises each day. Add a few more as you get stronger. If you get tired, or start hurting somewhere, stop.
  • You may do kegel exercises each day (see kegel exercises link).
  • Check with your health care provider if you want to participate in some type of exercise program at a fitness center, YMCA, or a community college. If you have always been active, you will want to stay active. If you are not an exercising sort of person, you may have trouble doing even simple exercises. Give yourself time to begin healing. What is most important is that you take charge of your health. A good diet and regular exercise will help you stay healthy. You'll need that extra energy to take care of your new little one!
  • Using aerobic exercise, strength training, and regular activity to aid in weight management is effective in that it can be used to burn more calories than are consumed. However, when you use exercise only for the weight management benefits, you miss out on the many other feel-good benefits of exercise and activity. The benefits of fitness include feeling better and looking better. Regular aerobic exercise burns fat and helps maintain muscle. It improves cardiovascular endurance and may help to prevent heart disease by increasing HDL-cholesterol (the healthy cholesterol) and lowering blood pressure. Above and beyond the fitness benefits of aerobic exercise, it can decrease stress and anxiety, improve sleep, self-esteem and body image and increase energy level.
  • Adding strength training with weights to your workout helps to increase muscle mass, boost metabolism and improve definition, tone and flexibility.

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Asking for help

Many women feel they must do everything themselves. They can't seem to ask for help. They try to do everything, and then they become exhausted and can't do anything well. Don't fall into that trap. Now is the time to learn how to ask for help. If you have people who love you and are willing to help you, now is the time to talk to them. Don't be afraid to ask for help. Most women find that just getting their strength back and taking care of the baby is enough work for the first week they are home. So, ask the people who love you-perhaps it's your husband, your partner, your mother, your sister, your mother-in-law, or your good friend-to help with the rest of things that need to be done in your life. Ask someone to watch your other children. Ask someone to shop for groceries and do your laundry. Ask someone to keep your kitchen clean or to take your other children to school or to after-school activities. Your only job that first week is then taking care of yourself and the new baby. Many women find that if they can just concentrate on the new baby and themselves for the first week, they recover from childbirth much quicker and feel better sooner.

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Other things you can do

Your baby will probably be awake several times each night for feeding and changing, so you'll need to cope with that. Try to sleep while the baby is sleeping during the day. Turn the ringer off on your phone so it won't disturb your sleep. Get an answering machine to take messages so you can call people back when it is convenient for you. Ask your friends not to just "drop in" to see you, but to call first. Be sure to eat good nutritious food, and drink lots of water. Don't get overtired. Don't start exercising until your doctor, nurse, or midwife says it is okay. Your body is healing. Be sure to call your provider if you have heavy bleeding or severe pain anywhere or if you have a fever.

Soon you'll feel like yourself again. Enjoy quiet time with your new baby! 

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Information provided by UMHS perinatal education committee March, 2005

 

"Take it easy after the baby is born, "what does that mean?

What kind of exercises can I do after I'm home?

Nutrition after delivery

Asking for help

Other things you can do

 

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