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.