POSTPARTUM
Vaginal Discharge and Bleeding
A bloody discharge is normal after delivery . This may last from three to six weeks . The flow will vary , but it should not be as heavy as a menstrual period after the first few days . You may occasionally pass blood clots but this is not worrisome unless it continues or is associated with heavy flow . Tampons are not recommended during this time . Notify your physician if your vaginal discharge becomes heavy . Large blood clots , particularly with blood flow that soaks a pad every hour is considered heavy and may require immediate attention . The return to normal menstrual periods may occur as early as four weeks after delivery , but that varies from person to person . Women who breastfeed may not have a period while nursing . You may still ovulate during this time and could become pregnant .
Sexual Relations
Intercourse should be delayed for at least six weeks after delivery . You can speak with your provider about birth control options prior to leaving the hospital . Birth control measures will also be reviewed at your postpartum checkup visit . Many women find that using a water-soluble lubricant for intercourse makes the return to sexual activity more comfortable .
Constipation
After delivery , the thought of having a bowel movement can seem intimidating , but most people will have one within 2-3 days . Delaying or holding back bowel movements will not make the first one easier . You should allow yourself to have one as soon as you feel the urge . Constipation can usually be avoided by eating a diet that is high in fiber and staying hydrated . The following practices may help make bowel movements easier :
• Drink plenty of water and stay hydrated .
• Eat a well-balanced diet containing fiber-rich foods such as whole grains and fresh fruits and vegetables .
• Try to include dried fruits such as prunes and figs .
• Exercise gently and regularly .
• Wash the anal area gently with warm water .
• Consult your provider to discuss your concerns and options before taking a stool softener or laxative .
Hemorrhoids
Hemorrhoids are best treated by avoiding constipation . Although they are extremely common after delivery , they usually resolve in six to eight weeks . Anusol or Preparation H suppositories or creams usually help , and both may be obtained without a prescription . Many women find warm sitz baths and witch hazel pads helpful as well .
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