POSTPARTUM
Activities
“ Follow your instincts ” is the best approach to planning your level of activity during the first few weeks after childbirth . It takes 6-8 weeks for your body to return to normal . You may need help during the first two weeks with household activities . It is important for you to get adequate rest . Avoid lifting anything heavier than your child for the first few weeks .
Afterbirth Pains
It is normal to experience cramps , caused by contraction of the uterus , in your lower abdomen for several days after your delivery . Breastfeeding your baby helps your uterus shrink more rapidly , but it is also likely to intensify after-birth cramps . We recommend Tylenol or non-steroidal anti-inflammatory drugs ( NSAIDS ) such as Motrin , Advil , Naprosyn , or Anaprox for these cramps . Gentle massage of the uterus , heating pads , or lying on your stomach with a pillow under your abdomen may offer some relief . It may be helpful to alternate Tylenol with an NSAID every 3-4 hours , especially in the first few days after delivery .
Perineal Care ( the Vaginal Area )
If you had a perineal laceration or an episiotomy requiring stitches , try sitting in a warm , shallow bath with no additives ( no soap , bubble bath , etc .) 2-3 times a day for 10-15 minutes . You should also continue rinsing your laceration after urinating or having a bowel movement . The stitches will heal and absorb by themselves . We recommend abstaining from sexual intercourse , the use of tampons , or douching for six weeks . Notify our office if you notice redness or increasing pain around the stiches . Take steps to avoid constipation when you have stitches . uabmedicine . org 23