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Postpartum FAQ

The postpartum recovery period is an important stage for new mothers' physical and psychological recovery, and it is also a transition period for adapting to new roles. Understanding common postpartum questions helps to better get through this special period.

Postpartum Physical Recovery Questions

Uterine Recovery Questions

Q: How long will lochia last postpartum? A: The duration of lochia is divided into three stages:

  • Rubra (Red Lochia): 3-4 days postpartum, bloody lochia
  • Serosa (Serous Lochia): 4-14 days postpartum, pale red
  • Alba (White Lochia): 14 days - 6 weeks postpartum, white or pale yellow

Note: The amount of lochia gradually decreases, and the color changes from red to white. If lochia increases, has an odor, or heavy bleeding occurs, seek medical attention immediately.

Q: How long does it take for the uterus to recover postpartum? A: Uterine recovery timeline:

  • Day 1 Postpartum: The fundus is one finger below the navel
  • Day 7 Postpartum: The fundus is 2-3 fingers above the pubic symphysis
  • Day 10 Postpartum: The uterus descends into the pelvic cavity
  • 6 Weeks Postpartum: The uterus returns to pre-pregnancy size

Q: Is postpartum abdominal pain normal? A: Postpartum abdominal pain is usually uterine contraction:

  • Aggravated during breastfeeding: Breastfeeding promotes uterine contraction
  • Milder for primiparas: More obvious for multiparas
  • Gradually relieved: Relieved after 2-3 days
  • Abnormal pain: Seek medical attention if severe pain persists

Perineal and Wound Recovery

Q: How long does it take for a perineal tear wound to heal? A: Perineal wound recovery time:

  • Mild Tear: Heals in 1-2 weeks
  • Moderate Tear: Heals in 2-3 weeks
  • Severe Tear: Heals in 4-6 weeks
  • Complete Healing: Returns to normal after 6-8 weeks

Q: How to care for a C-section wound? A: C-section wound care points:

  • Keep Dry: Avoid getting the wound wet
  • Regular Disinfection: Change dressing as prescribed
  • Avoid Pressure: Avoid sleeping on the wound
  • Watch for Infection: Seek medical attention for redness, swelling, or pus
  • Complete Healing: Takes 4-6 weeks

Q: How soon can I take a shower postpartum? A: Postpartum shower time:

  • After Vaginal Birth: Can shower after 24 hours
  • After C-section: After wound healing (about 7 days)
  • Tub Bath: After lochia is clean (about 4-6 weeks)
  • Water Temperature: 37-40°C is appropriate
  • Time: 10-15 minutes, avoid too long

Postpartum Menstruation Recovery

Q: When will menstruation return postpartum? A: Menstruation recovery time:

  • Non-breastfeeding: 6-8 weeks postpartum
  • Exclusive Breastfeeding: 4-6 months or longer postpartum
  • Mixed Feeding: 3-4 months postpartum
  • Individual Differences: Varies from person to person

Q: What are the characteristics of the first period postpartum? A: Characteristics of postpartum menstruation:

  • Amount may be larger: Endometrial thickening
  • Cycle may be irregular: Takes 2-3 months to recover
  • Period may be prolonged: 7-10 days
  • Dysmenorrhea may be relieved or aggravated: Varies from person to person

Q: Can I get pregnant if I haven't had my period postpartum? A: Lactational Amenorrhea Method (LAM) for contraception:

  • Exclusive Breastfeeding: Has a certain contraceptive effect in the first 6 months
  • Non-exclusive Breastfeeding: Ovulation may occur at any time
  • Safety: Not 100% reliable
  • Recommendation: Contraception is required postpartum regardless of whether menstruation returns

Breastfeeding Questions

Lactation and Breastfeeding Techniques

Q: How soon does milk come in postpartum? A: Milk secretion time:

  • Colostrum: Secretion begins immediately postpartum
  • Transitional Milk: Starts 3-4 days postpartum
  • Mature Milk: About 2 weeks postpartum
  • Full Milk Supply: 1-2 weeks postpartum

Q: How to judge if the baby is full? A: Signs that the baby is full:

  • Daily Urine Output: 6-8 wet diapers
  • Stool Frequency: 2-5 times a day
  • Weight Gain: Gain 150-200 grams per week
  • Sleep State: Fall asleep contentedly after feeding
  • Feeding Time: 15-20 minutes per side

Q: What is the correct breastfeeding posture? A: Key points of correct breastfeeding posture:

  • Mother and Baby Abdomen to Abdomen: Chest to chest, abdomen to abdomen
  • Baby Latches Correctly: Latch onto most of the areola
  • Comfortable Posture: Both mother and baby are relaxed
  • Multiple Postures: Cradle hold, cross-cradle hold, football hold, side-lying hold

Common Breastfeeding Problems

Q: What to do about cracked nipples? A: Treatment for cracked nipples:

  • Keep Clean and Dry: Wash with water after breastfeeding
  • Apply Breast Milk: Breast milk has antibacterial and healing effects
  • Adjust Posture: Correct latching posture
  • Use Lanolin: Special nipple care cream
  • Severe Cases: Pause breastfeeding on the affected side, use a breast pump

Q: How to relieve breast engorgement? A: Relieve breast engorgement:

  • Frequent Breastfeeding: Once every 2-3 hours
  • Heat Compress Before Feeding: Promote milk flow
  • Cold Compress After Feeding: Reduce edema
  • Hand Expression: Relieve breast pressure
  • Avoid Over-stimulation: Do not apply heat for a long time

Q: What if there is not enough milk? A: Methods to increase milk supply:

  • Frequent Breastfeeding: Increase prolactin secretion
  • Fully Empty: Continue to pump for 3-5 minutes after each feeding
  • Night Feeding: Prolactin levels are high at night
  • Dietary Adjustment: Drink more soup and water, supplement nutrition
  • Rest: Adequate sleep and rest
  • Emotional Regulation: Keep a happy mood

Q: What if the baby refuses the bottle? A: Methods to switch from breast to bottle:

  • Right Timing: When the baby is neither hungry nor sleepy
  • Right Person: Someone else feeds the bottle
  • Nipple Selection: Nipple that mimics breast milk
  • Milk Temperature: Close to body temperature
  • Gradual Progress: Start with once a day
  • Patience: Baby needs time to adapt

Newborn Care Questions

Daily Care

Q: What should be noted when bathing a newborn? A: Newborn bathing points:

  • Water Temperature: 37-38°C
  • Room Temperature: 26-28°C
  • Frequency: Once a day in summer, once every 2-3 days in winter
  • Time: 5-10 minutes, not too long
  • Supplies: Baby-specific body wash
  • Safety: Support throughout, prevent slipping

Q: How to care for the newborn's umbilical cord? A: Umbilical cord care points:

  • Keep Dry: Avoid water
  • Disinfection: Disinfect with 75% alcohol 2-3 times a day
  • Observation: Watch for redness, swelling, exudation
  • Shedding Time: Natural shedding in 7-14 days
  • Abnormal Conditions: Seek medical attention for pus or odor

Q: How many clothes are appropriate for a newborn? A: Newborn dressing principles:

  • One Layer More Than Adults: Adjust appropriately
  • Touch Back of Neck to Judge: Warm without sweating is appropriate
  • Avoid Overheating: Prevent overheating syndrome
  • Material Selection: Pure cotton, breathable
  • According to Room Temperature: Adjust in time

Sleep and Safety

Q: How long does a newborn sleep a day? A: Newborn sleep time:

  • Total Sleep Time: 16-18 hours
  • Awake Time: 1-2 hours at a time
  • Day and Night Reversal: Needs gradual adjustment
  • Sleep Environment: Quiet, dim
  • Safe Sleep: Supine, avoid prone

Q: How to prevent Sudden Infant Death Syndrome (SIDS)? A: Preventive measures:

  • Supine Sleep: The safest sleeping position
  • Firm Mattress: Avoid soft bedding
  • Avoid Overheating: Do not over-wrap
  • Separate Sleep: Share room but not bed with parents
  • Breastfeeding: Reduce SIDS risk
  • Smoke-free Environment: Avoid secondhand smoke

Health Monitoring

Q: What to do about newborn jaundice? A: Newborn jaundice treatment:

  • Physiological Jaundice: Appears 2-3 days after birth, subsides in 7-14 days
  • Pathological Jaundice: Appears within 24 hours or lasts for a long time
  • Treatment Methods:
    • Frequent breastfeeding to promote bowel movement
    • Appropriate sunbathing (avoid direct sunlight)
    • Phototherapy for severe cases
  • Medical Indications: Severe jaundice, poor spirit

Q: Is newborn spitting up normal? A: Treatment for spitting up:

  • Common Causes: Small stomach capacity, relaxed cardia
  • Preventive Measures:
    • Burp after feeding
    • Small frequent meals
    • Keep upright for 15-30 minutes after feeding
    • Avoid excessive crying
  • Abnormal Conditions: Projectile vomiting requires medical attention

Postpartum Psychological Questions

Postpartum Depression

Q: What is the difference between postpartum depression and baby blues? A: Differences between the two:

Baby Blues:

  • Incidence: 50-80%
  • Time: Starts 2-3 days postpartum, lasts 1-2 weeks
  • Symptoms: Mood swings, easy to cry, anxiety
  • Impact: Does not affect daily life and baby care
  • Treatment: Rest and family support can relieve

Postpartum Depression:

  • Incidence: 10-15%
  • Time: Starts 2-6 weeks postpartum, lasts for months
  • Symptoms: Persistent depression, loss of interest, self-blame, insomnia
  • Impact: Affects daily life and mother-infant relationship
  • Treatment: Requires professional treatment

Q: How to prevent postpartum depression? A: Preventive measures:

  • Adequate Rest: Sleep first, other things later
  • Family Support: Understanding and help from partner and family
  • Reasonable Expectations: Accept imperfect self
  • Maintain Socializing: Keep in touch with friends
  • Moderate Exercise: Moderate exercise postpartum helps recovery
  • Seek Help: Seek help in time if there are problems

Q: Does postpartum depression need treatment? A: Treatment for postpartum depression:

  • Mild: Psychotherapy, family support
  • Moderate: Psychotherapy + medication
  • Severe: Medication mainly
  • Breastfeeding: Choose drugs safe for infants
  • Duration: Usually requires treatment for more than 6 months

Partner Relationship

Q: How to maintain the couple relationship postpartum? A: Methods to maintain relationship:

  • Communication: Share each other's feelings and needs
  • Division of Labor: Share parenting responsibilities
  • Understanding and Tolerance: Understand each other's fatigue and pressure
  • Couple Time: Arrange short couple time
  • Express Gratitude: Thank each other for their efforts
  • Seek Help: Seek professional help when necessary

Q: How soon can sex life be resumed postpartum? A: Sex life resumption time:

  • Physical Recovery: 6-8 weeks postpartum
  • Lochia Clean: Must wait until lochia is completely clean
  • Wound Healing: Perineal or C-section wound healing
  • Psychological Preparation: Both parties are ready
  • Contraception: Contraceptive measures need to be taken

Postpartum Life Questions

Diet and Nutrition

Q: What are the dietary taboos postpartum? A: Postpartum diet precautions:

  • Avoid Raw and Cold: Do not eat raw and cold food
  • Moderate Iron Supplementation: Prevent anemia
  • Sufficient Protein: Promote wound healing
  • Drink More Soup and Water: Promote milk secretion
  • Avoid Spicy: Prevent baby from getting angry
  • Moderate Calcium Supplementation: Calcium demand increases during lactation

Q: What nutritional supplements are needed during lactation? A: Key nutrients during lactation:

  • Protein: 80-100 grams per day
  • Calcium: 1200 mg per day
  • Iron: 25 mg per day
  • Vitamin D: 600 IU per day
  • Omega-3: 200-300 mg DHA per day

Exercise Recovery

Q: How soon can I start exercising postpartum? A: Exercise recovery schedule:

  • 24 Hours Postpartum: Lower limb exercises in bed
  • 1 Week Postpartum: Light housework
  • 2 Weeks Postpartum: Light walking
  • 4 Weeks Postpartum: Light exercise
  • 6 Weeks Postpartum: Gradually increase exercise intensity
  • 8 Weeks Postpartum: Can start regular exercise

Q: How to recover body shape postpartum? A: Body shape recovery suggestions:

  • Reasonable Diet: Control calories, balanced nutrition
  • Breastfeeding: Consume 500 calories per day
  • Moderate Exercise: Aerobic exercise + strength training
  • Patience: Give the body time to recover
  • Adequate Sleep: Help body recovery
  • Healthy Mindset: Accept body changes

Friendly Reminder: Postpartum recovery requires time and patience. If there are any abnormal conditions, please seek medical attention in time. Family understanding and support are very important for new mothers.