We would like to extend our heartfelt congratulations on the arrival of your baby!
As you are home with new baby, the South Denver Midwives want you to be aware of the following discharge guidelines:
Diet
You may resume a normal diet and please remember you will need extra calories while breastfeeding. Dieting is not recommended at this time. You should continue your prenatal vitamins until your six week check up or while you are nursing.
Activity
For the first week that you are home it is best to minimize your activity until you are more comfortable with your baby’s schedule. In addition it is wise to take the time to rest and enjoy your little one while establishing breastfeeding. After the first week you may begin driving, housework, and shopping as you feel able. Please remember that family and friends are often eager to help with those things if you ask.
Breastfeeding
We want you to be supported with breastfeeding and there are many options to help you. Littleton and Castle Rock hospitals offer weekly lactation groups. Our office is happy to answer questions about breastfeeding and to refer you to a lactation consultant. Remember cracking and bleeding nipples are NOT a normal part of breastfeeding. This usually indicates a poor latch or other issues that a lactation consultant can address. Please contact your midwife.
Contraception
Even if you have not resumed your period, never assume that you can not get pregnant. Remember to use a method of contraception such as condoms. At your 6 week check up we will discuss many options for contraception including options that are safe with breastfeeding.
Office Visit
Plan to see your midwife for a follow up visit in six weeks or sooner if having signs or symptoms of post partum depression or with any problem or concern.
Perineum and Vaginal Stitches
Whether or not stitches are necessary, the perineum will probably be tender. Ibuprofen, Advil, Motrin or Tylenol may be used for any minor discomforts. A warm sitz bath or soaking in a tub of water can also provide comfort and promote healing. You may add Epsom salts or use sitz herbs in your bath. Witch hazel pads help reduce swelling. The stitches will dissolve on their own within 1 to 5 weeks.
If you notice any increase in pain, redness, drainage from the stitches, or temperature greater than 100.4 F you should contact your midwife immediately.
Bleeding
Your bleeding may persist variably following delivery. It may stop and start, or it may seem to linger for weeks. If you are not nursing your period will resume in 4 to 6 weeks. In some instances it may not resume for up to 6 months. If you are nursing, it may not return until you wean the baby.
You should not be alarmed at any bleeding pattern unless you are saturating a pad per hour (outright hemorrhage). If this occurs you should contact your midwife immediately.
Over the Counter Medications
Your midwife may recommend the following medications:
Iron for anemia: Iron 325 mg — 1 tablet by month once a day or Floradix Iron + Herbs: 2 tsp twice daily for 4 to 6 weeks after delivery
Stool softeners for constipation: Docusate Sodium (Colace) 100mg — 1 to 2 tablets per day as needed
Your midwife may prescribe a stronger pain medication if you are experiencing more discomfort
It has been a pleasure and an honor to be involved in your care…we look forward to seeing you again soon!