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Post Partum Body Changes
- in the first week or two following the delivery of the baby many women experience some cramping (especially during breast feeding)
- the uterus is contracting back to its normal size
- vaginal discomfort post delivery may also be present - to help ease this discomfort apply a small covered ice bag to the area
- keep the perineum clean by pouring warm water over the vaginal area after each voiding or bowel movement
- use pain relievers as needed - be sure to check with your doctor about which ones to use
- sitting on a soft seat or cushion also helps to provide comfort in the perineal area
- vaginal bleeding ('Lochia' or 'Flow') decreases each day and usually stops by week 2-6 post delivery
- if there is any foul odor, excessive bleeding / passing many clots, or the vaginal flow is a greenish color - notify your doctor
What about sleep and rest for mom and baby?
- sleep and rest periods throughout the day are very important for both mom and baby
- fatigue or exhaustion of mother (or baby) can lead to health problems, especially in the first 6 weeks following delivery
- if you are tired – rest. Concentrate on yours and your baby’s needs!!
- the baby grows and learns more in the first 3 years of their life than they do during the rest of their lifetime- they need lots of sleep
- babies often sleep 15 hours per day for the first few months
- sleeping and resting are times that the baby does a lot of growing
- sleep and rest are very important for breast milk production
- sleep and rest are important for the mom’s emotional and physical wellbeing and for ‘recovery’ following delivery
- "First time mothers with sleep loss may experience an increase in difficulties with learning and performing maternal tasks" (McVeye, 1997, p. 337)
- rest and sleep, especially in the early postpartum period may help to reduce the occurance of postpartum 'blues', anxiety, and depression
Safety and Sleep
- put baby to sleep in a safe sleeping environment
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- your baby should sleep on a firm, flat mattress - waterbeds, saggy mattresses, feather beds, sofas are not considered safe sleeping areas for baby
- be sure that baby cannot fall out of bed/crib and that there are no spaces between the mattress and the headboard
- bedsharing is discouraged for the first year of baby's life>
- co-sleeping (baby sleeps in parents room) is a means of having baby close by without baby sleeping in parents bed
- after the first 3 months, baby can be placed on their stomach for short periods while awake - this will help to strengthen their neck muscles
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Bathing Baby
- once the baby's umbilical 'cord' has fallen off, you can bath the baby in a small baby bath
- until then - wash baby's face, neck, hands and diaper area daily
- you do not have to fully bath baby every day
- most babies enjoy bathtime. Check the water temperature by placing a few drops of the bath water on your wrist before you put baby into the bath
- carefully dry baby - unscented creams / lotions /powders can be sparingly applied
- bathing baby should be a relaxed playful experience
- bathing baby just before sleep helps to establish a bedtime routine for baby
- bathing baby in the kitchen sink is not advised as there may be many bacteria in the sink (that are not visible to the naked eye)
- never leave the baby unsupervised during bathtime
When should I get my baby immunized?
- immunizations are a very important part of baby care
- immunizations protect baby, mother, other children and pregnant mothers - they are a requirement for admissions into most daycare centers/schools
- for a full term healthy infant – the immunization program usually begins when the baby is 2-3 months old
- the immunization program can be organized through your doctor’s office, at the local Health Care Centre , Public Health Unit or the Well Baby Clinic (see ‘Support Services’)
- the program includes the immunization of your child throughout his/her school years
- everyone should have a ‘booster’ of Tetanus, Diptheria, and Polio every 10 years following the last vaccination (usually Grade 10). Check with your Public Health Unit
What About Diapers?
- there are disposable and cloth diapers to choose from - if you choose cloth diapers choose a brand that is 100% cotton
- there are cloth diapers that have velcro fasteners instead - elliminating the need to use safety pins
- newborns may need their diapers changed 10-15 times per day
- wash your hands before and after each diaper change
- choose a flat safe surface to change your baby on (a change table with side rails or place baby on a cloth on the floor)
- keep one hand on your baby at all times
- wipe the diaper area with a warm wet washcloth or baby wipe (unscented)
- pat the area dry or allow it to air dry
- change baby as soon as they are wet or soiled
- when the diaper area is clean and dry, rub a small amount of petroleum jelly or zinc oxide cream on the diaper area
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