POST-NATAL PATIENT DISCHARGE TRAINING - Patient Discharge Training
In most of the women, "Postpartum psychosis" can be seen within the first 1-2 weeks after the birth. It manifests itself with sorrow, fluctuation in psychological state, anger, crying, loss of appetite, difficulty in sleep, disappointment in the first days after the birth. In addition, fatigue, discomfort and overstimulation pave the way for this.
Your post natal bleeding may continue for up to 4-6 weeks. You will bleed dark red for the first 3 days, pink for 4-10 days and light yellow from 10-21 days up to 6 weeks.
Please see your doctor if you have bleeding associated with particles, clots and in red color after your bleeding has decreased.
Since the womb is in post-natal recovery period you feel contractions as pain. Especially on the first days you will have pain and bleeding due to the contractions while breast feeding. There are knots at the beginning and ending of your stitches; therefore you may feel pain when moving. So, please take the pain relieving medication that your doctor has advised regularly for the first few days following your discharge from the hospital.
Do not forget that the important thing is to maintain pain control before you are in pain.
Please take care in your nutrition during puerpara period as during pregnancy. Breast feeding mother should get the energy, protein, minerals and vitamins corresponding to the milk she is feeding in addition to the needs of her own body. Therefore, during breast feeding period regular consumption by the mother of the food she is required to have daily as 5-6 meals a day is important for her milk. Since the
fluid need would increase along with breast feeding during this period consuming at least 2,5 —'3f 3 liters of fluids (water or low sugar stewed fruit water, etc.) would be useful for the increase of breast milk.
There is no need for additional implementation as showering daily is enough for breast care. In order to avoid formations of wounds and cracks on the nipple spreading breast milk to the nipple and brown part would be sufficient. You may also use breast protecting natural creams.
If you gave birth by cesarean section a transparent protective spray would be applied over the stitched area. This spray will prevent contact of your stitched area with air, water and your clothes. Take your baths as showers while standing up. During the shower do not rub your stitched area with a coarse bath glove or a sponge, running of the water would be sufficient. After the shower do not dry the stitched area by pressing or rubbing with a towel, drying yourself by padding method would be sufficient. Keep your stitched area clean and dry.
If you have redness, discharge, a prominent swelling and bruising and a fever higher than 38 °C, please apply to your doctor.
If you had normal delivery; if there are cuts and stitches which would enable the babyAfs head to pass through easily during the birth (episiotomy), keep the stitched area dry and clean by changing pads often. Check your stitched area in terms of swelling, redness, discharge, opening of the stitches. If there is a pain in the stitched area, you can apply ice for 15 minutes for 2-5 times in a day in the early days. Please use the painkillers suggested by your doctor.
You are in a period during which you are prone to infection because cervix is open in the postpartum period. Therefore, change your pad often during the day. Clean your perineal area from front towards back. If you have questions regarding cleaning of perineal area, please ask your nurse. Wear cotton and high-waist underwear. Thus your abdominal muscles will be supported and your stitched area will not be irritated.
Regularly urinate at 3-4 hours intervals during the day. You may urinate intermittently or continuously. If your bladder is not discharged completely or remains full for a long time, it leads to pain because it pressures to uterus. After you urinate, if your urge to urinate remains or feeling of fullness is not gone, please consult your doctor.
Do not postpone your defecating. In order to prevent constipation, consume 2.5-3 liters of water at least and fibrous foods and do not remain inactive.
If you have constipation problem, please see your doctor.
PSYCHOLOGICAL EVALUATION: POSTPARTUM PSYCHOSIS
In most of the women, "Postpartum psychosis" can be seen within the first 1-2 weeks after the birth. It manifests itself with sorrow, fluctuation in psychological state, anger, crying, loss of appetite, difficulty in sleep, disappointment in the first days after the birth. In addition, fatigue, discomfort and overstimulation pave the way for this. If the mother is empathized and supported by her spouse and relatives (mother, father, etc.), this state automatically regresses.
If the symptoms intensively and persistently remain; it should be evaluated by your doctor in terms of "Postpartum Depression".
Make light exercises towards suggestions of your doctor in the early days. Avoid from intensive activities which may lead to increase the intra-abdominal pressure. For example, doing crunches, lifting heavy, etc. The heaviest weight you lift should be as heavy as your baby. While your babyAfs weight increases, the weight you lift will increase as well. Please note that you can perform your daily activities while standing up.
SITUATIONS WHICH REQUIRE SEEING A DOCTORIf there is a sudden and insistent rise in fever (If the fever reaches 38 °C or more) If an increase in the amount of bleeding is observed, if you are bleeding with particles, cloths or in red, if its smell gets worse If there is induration, abscessation, reddish areas and pain in the breast due to over filling If local heat increase, redness and pain develop in your legs If you are suffering from frequent emergency urination, burning during urination, if the sensation of a full bladder is not relieved after you have urinated If there is bruising, swelling, redness, foul smelling discharge and pain on the stitched area
BE SURE TO CALL YOUR DOCTOR OR ADMIT TO A HEALTH CARE INSTITUTION.
WE WISH HEALTHY DAYS TO YOU AND YOUR FAMILY.