After
Delivery - Postnatal - The Puerpirium
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Mother's
Health
The first few days after birth are consumed with the joy of being a
mother. After the 'blues', typically around day 3 (feeling weepy because
of the big drop in hormones), the job of motherhood gets underway in
earnest. While all this is happening the body is rapidly returning to
normal. Whether the delivery is by Caesarean or vaginal the vaginal
bleeding should start to settle and reduce in the first week. Although
it may last for 4 - 6 weeks, it should gradually reduce with time. If
it increases in the first weeks you should return to your doctor for
assessment. This is called a secondary post (= after) partum (= delivery)
haemorrhage (= blood loss) and may indicate that there is some infection
in the womb.
The
womb itself reduces in size (involutes), returning to normal by about
6 weeks. The breasts will swell and engorge with milk, which starts
to flow after about 3 days (continued next
page)