The most important day behind – the baby was born! Such a long-awaited, beloved, dear. But the tests for a woman are not over yet – the body has a difficult process of returning to its usual, “non-pregnant” state. And this is against the background of the need to take care of the baby – to breastfeed and care for him.
Regardless of. whether the birth was independent, hassle-free, difficult, with complications, or there was a cesarean section – everyone’s recovery is almost the same.
What happens to the body in the first days after childbirth, which sensations are normal, and which ones indicate a pathology, what can and should be eaten so that milk arrives – we will tell you in more detail later.
What physical manifestations are expected in the first week after delivery?
We will list all the sensations that can be observed immediately after childbirth and within 5-7 days. But this does not mean that they all happen to everyone – every young mother has everything individually.
- Almost all have lochia (even after cesarean section) – this is bloody discharge, which becomes pink after 5-6 days, then watery and stops after 10-14 days. They are associated with bleeding of the inner walls of the uterus after separation of the afterbirth.
- Spasmodic abdominal pains depend on the contractions of the uterus, which returns to its initial dimensions. Pass for 5-15 days – this is individual.
- Weakness and fatigue – giving birth is a very great tension and stress.
- Pain in the perineum, especially after natural childbirth and suturing. Strengthens when coughing, lifting. Last up to a week. This may also include difficulty walking and sitting.
- General muscular pain – as a result of strong attempts.
- Hemorrhages in the whites of the eyes, blue circles under the eyes, hematomas in different places – this is where small vessels burst during the attempts.
- Excessive sweating – usually lasts 2-3 days and it is associated with hormonal changes in the body.
- Difficulties with urination and defecation are normal and can occur 24-48 hours after delivery. But it is impossible to start this situation, as an infectious inflammation can begin.
- Severe soreness of the nipples, their cracking, even boils and bleeding.
The first few days after childbirth requires a very responsible attitude in order to prevent the development of mastitis – at the same time it will not be possible to feed the baby.
From an emotional and psychological point of view, such feelings can accompany a young mother:
- Constant mood swings – from joy to depression and even despair.
- A feeling of insecurity in their maternal qualities, fear of breastfeeding.
- Irritation from own weakness, desire to return home more quickly.
- The complete lack of interest in her husband, the rejection of even simple gentle touches.
By the way, doctors do not recommend having sex earlier than a month after giving birth.
Breast in the first days after birth
This question worries the new mothers more than anyone, because this is the food and health of her baby. Even during pregnancy, the breasts noticeably increased in size and rightly did the woman who kneaded her nipples – preparing them for future loads.
Books write that right after the delivery, colostrum flows from the nipples, which the baby needs so much. Ideally, this is the case, but in life most often the first day after birth, there is no milk. And even two or three days, nothing can be squeezed out, even if the baby is applied to the breast. Moms are getting nervous that the baby is hungry. And in vain! Wise nature has foreseen everything and the child has no appetite for the first two or three days, does not feel hunger and also moves away from the stress that it experienced during birth.
And how much colostrum he needs – he will stretch himself, although it seems to his mother that his chest is empty and there is nothing to feed after birth. The entire portion of a day baby is a teaspoon of colostrum. This amount of food is not so much to maintain the forces as to clean the stomach and intestines from mucus and postpartum feces meconium.
And only on the third or fourth day, the baby gets an appetite and a desire to eat well. And by this time the breast swells, filling with milk. Size may increase by 3-4 times, the nipples become very sensitive, painful and hard as a stone. It is very important to establish the correct feeding mode in order to free the breast for the next portion in time, not to allow the milk to stagnate. How to give the nipple in the baby’s mouth – the pediatric neonatologist will show. It all depends on the structure and size of the nipple. As a rule, the painful sensations during feeding gradually disappear in a week.
The main thing is to follow the rules of hygiene, wash and handle nipples, express milk residues, until the baby sucks up everything. And if painful cracks do appear on the nipples, then it is not recommended to self-treat – consult a doctor and he will select safe means for the baby in order not to stop the process of breastfeeding.
The well-known British doctor Arlene Eisenberg and her colleagues wrote an excellent guide book for expectant mothers called “Waiting for a child”. The book was published several times in our country – and we advise all expectant mothers to find and read it. The author has devoted a large section to the problem of breastfeeding – after all, the longer a baby receives mother’s milk, the healthier it will be. We collected her advice in a short list.
- The first time the child to attach to the breast is necessary, as soon as possible after birth. Now in the maternity hospitals of the newborn they immediately put the mother on the chest, so as not to sever their connection. But, in some places, they still adhere to the old Soviet system and take the baby from the mother to the children’s wards, and bring the feed strictly by the hour. In this case, the mother should know that they have the right to demand to bring the baby immediately.
- As a rule, on the first day after birth, the child sleeps almost all the time, and it often turns out that they bring it to feed, but it sleeps and is not going to wake up. In these cases, the baby must be awakened and forced to suck, otherwise he will wake up between feedings and will begin to demand his portion, which he will receive from the bottle. And the next feeding will be sleeping again. You can wake the baby in two ways. First you need to shake it down, slightly holding the spout. If the newborn does not wake up, then it is necessary to plant it carefully and, holding it, swing it forward several times. At the same time, he will definitely wake up and you should immediately attach it to your chest.
- In some hospitals, crying children are calmed by giving them a bottle of glucose. Such manipulation bears double harm – interrupts the baby’s appetite, and the ease with which the liquid flows from the bottle, makes him lazy at the chest. From where milk should be sucked out with difficulty. Therefore, it would be best to get from the medical staff so that they would not give such tea to the baby in the hospital. And also, did not give him a pacifier.
- Do not feed the screaming child. He does not have enough experience to grab the nipple. And in the excited state it is almost impossible to do this. First, you need to calm the baby, prikat and then try to feed.
- The milk in the first days after birth is very nutritious, so the child quickly becomes saturated, especially since the volume of his ventricle is very small. And milk is produced much more. To avoid stagnation, the first few weeks, the balance must be decanted. This can be done manually, or use special breast pumps that can be bought at the pharmacy. By the end of the first month, the baby can already completely empty one breast by itself. By the way, if there is a lot of excess milk, you can sell it. This is a very expensive product, for which they will arrive at the agreed time.
- And the most important rule, no matter how complicated the feeding process at first, a mother should try to keep calm. Already 10 minutes before applying to the chest, you have to say goodbye to the guests, turn off the TV, relax, and devote this time of intimacy with your child. The amount of milk from this will also increase.
- It is better to feed more often and gradually. As a rule, it is long breaks between feedings that lead to swelling and cracking of the nipples. The only way to temper them is sucking a baby. Optimally, at each feeding, give the baby both breasts and start with a less sensitive one.
Nursing mother’s diet
As a rule, very few mothers want to eat on the first day after birth. But worrying about her baby, women, especially under the pressure of grandmothers, force themselves to eat and drink “for two” – so that the milk arrives. For the truth there is – the amount of milk depends on the amount of food and drink.
But, and the first day after birth to eat a lot of mother is completely optional. The body directs all of its strength to recovery after a powerful stress, which is the birth of a baby, and it does not make sense to waste all your energy on digesting high-calorie foods. It will not bring benefit to anyone – neither the woman nor her child. It is necessary to eat, as requested by the body.
But, there are a number of restrictions that can be eaten in the first days after birth – so that the baby doesn’t have a tummy ache, so that diathesis and allergies do not develop, the nursing mother must abandon a number of products she used during pregnancy.
The most exciting question is how to organize proper nutrition after birth in the first days and beyond, so that the baby has enough milk, but at the same time, the mother herself did not gain weight.
General rules of nutrition
The content of proteins, fats and carbohydrates in mother’s milk directly depends on their quantity in the diet. But the most important vitamins the body takes from the mother in milk, regardless of how much they come from food. It is for this reason that in young inexperienced lactating mothers, anemia imperceptibly but rapidly develops.
Therefore, rule number 1 – consume foods with a high content of vitamins and minerals. These include cereals such as oatmeal, buckwheat, rice, vegetables and fruits. For the first time, oranges, tangerines and strawberries should be abandoned – they can cause the development of diathesis.
But starting from the second month, the mother even needs to enter them into the diet a little bit – when the baby already has intestinal microflora, then small portions of allergens act exactly the opposite – they train the body to perceive them normally. Also, do not eat legumes – beans, peas and others. They cause bloating and colic in a baby, as well as fresh cabbage (sour and braised, this does not apply).
As an additional vitaminization, the pediatric doctor usually prescribes vitamin complexes for the mother. But such synthetic vitamins are poorly absorbed. It is better to spend this considerable money, which they cost, on fresh greens, carrots, bananas and kiwi – there will be more benefit. And you should definitely buy fish oil in capsules in a pharmacy in capsules – this guarantees the mother no anemia, and the baby has full physical and mental development.
The menu of the first days after birth should also include cereals, fresh vegetables and fruits that contain a lot of fiber – apples, raisins and other dried fruits, nuts (walnuts – no more than 3 pieces per day), bread and buns with bran. It is necessary for the correct operation of the mom’s digestive system. In addition, dried fruits and nuts contain large amounts of B vitamins, which are very important for the intellectual development of the child.
Rule number 2 – calories. Many mommies dream after giving birth rather than return to their “pre-pregnancy” rate. And immediately after the birth of the baby, they begin to limit themselves in food in order to lose extra kilos. But here we must first think about the baby, so nutritionists recommend to increase the number of calories in the diet by about 500 compared to the diet before pregnancy.
This amount will allow to produce enough milk, while not gaining extra centimeters on the waist. If the mother is overweight, then this figure may be two times less – then the body will spend the accumulated during the pregnancy fat for milk.
Rule number 3 – calcium. This important building element was consumed as much as possible during the growth of the fetus, and after delivery it is actively excreted with milk. Therefore, it must be urgently and in sufficient quantities to replenish. This means that calcium intake in foods should be increased up to 5 times a day. This may be a glass of milk, yogurt (only home-made – ferment is sold in the dairy departments of supermarkets and pharmacies), a portion of cottage cheese or 50-70 grams of hard cheese.
Rule number 4. The amount of proteins should be reduced – a maximum of 3 times a day, 100-150 grams. These are 2 eggs, boiled chicken, rabbit, veal, turkey, sea and river fish. It is necessary to completely abandon mushrooms, even store mushrooms, which, by the way, are the most dangerous.
Rule 5 – very important! Proper drinking regime. On the day, except for the liquid that is contained in the products and dishes, you need to drink at least 8 glasses (milk, juice, broths, clean water). It is necessary to drink even more, if there is heavy sweating. But the maximum amount of fluid is 12 cups (2.5 liters), since the amount of milk produced will decrease and the swelling will go, since the kidneys cannot cope with this amount of fluid. Strong tea and coffee should be reduced to 1 cup per day.
Recipes for lactation
One of the most common questions for young mothers is: what should you drink to get milk? In the first place is tea with milk – it is necessary in half to take not very strong black or green tea and milk and sweeten a little. Very well stimulates the production of milk tea from fennel or cumin, besides, it is a good way to reduce colic in a baby. You need to brew half a teaspoon in a glass of boiling water. Diluted 5-6 times, such a tea should be given to the child as well – the gases from it will flow easily.
The complex of herbs with insufficient lactation is as follows: 1 tsp of seeds of cumin, dill, fennel and dry or fresh lemon balm leaves and nettle steamed in a thermos in 1 liter of water. Infuse for 2 hours and drink during the day before and after feeding.
A very effective remedy – drink advised after the last feeding before bedtime. Make radish juice – 100 ml, dilute with 100 ml of boiled salted water and dilute 1 tablespoon of honey in a warm composition (not hot!).
Dill milk – an old folk recipe. Crush 1 teaspoon of dill seeds (or grind in a coffee grinder), pour 1 cup of yogurt or kefir, salt and drink on an empty stomach before breakfast.
Breastfeeding is an important step in the life of a mother and child. It provides health to both, as well as, close physical, psychological and emotional connection for life. And, believe me, no career, beauty and other external manifestations of the modern world are worth it to give up this happiness.