(Ⅰ)Precautions after c-section delivery
1.After your Cesarean section (c-section) operation, due to the regional anesthesia, you need to lie down for 8 hours. While lying down, do not use a pillow nor raise the head of the bed; changing position is allowed. Change positions the earlier the merrier. After 8 hours of lying down, gradually getting off the bed which can encourage flatulence. Inform the nursing personnel if there is any abdominal bloating.
2.The body is weak after giving birth and requires the company of family when getting off the bed for the first time to avoid injury caused by passing out. Sitting by the bedside for 5-10 minutes until no dizziness before standing up is recommended.
3.Keep the wound dry and fix the binder on top of the wound. If there is any wound pain, please inform the nursing personnel to inject painkiller for you as prescribed. Change medicine every two days during admission, we will also change medicine for you the day you are discharged. The doctor will make an appointment with you on the 7th day after being discharged to take out the stitches and do not dampen the wound before taking out the stitches.
4.Birth certificate application: please bring the National Identification Cards and the Household Register of you and your spouse’s to the cashier of emergency department on the 1st floor (if you give birth during Monday to Thursday, you are able to receive the birth certificate the next day after 9am; but if you give birth from Friday to Sunday, you will have to wait until the next Monday after 1pm). Generally, we give out 3 copies of the birth certificate, please inquire the counter if you need more of the copies.
(Ⅱ).Precautions for uterine contraction
1.Afterpains caused by contractions of your uterus and finding uterine hard as lump near the navel are both normal. Those who have given birth to two or more babies are more likely to experience terrible cramps. Afterpains caused by uterine contraction will last for about 7 to 10 days, the third day after giving birth is usually the most painful.
2.The surgeon will remove the area where the endometrial cells have grown during the surgery, so there will be less postpartum bleeding after a c-section. Because of the wound to the low abdomen, uterine massage is not necessary for most cases unless there is a tendency of massive bleeding.
3.After the second day of c-section surgery, fundal height shrinks around 2cm every day and will get to the normal fundal height after 10 days.
(Ⅲ)Postpartum bleeding
1.There will be postpartum bleeding about the same amount of period after giving birth which last for about 2 to 3 days, the color of the blood will turn lighter from the third day to the tenth day, and will turn into light yellow or white vaginal discharge. Please pay attention to the amount and color of bleeding during the recovery period.
2.If there is abnormal uterine bleeding, clot, or odor during admission, please inform the nursing personnel.
3.After the removal of Foley catheter, perineal douche is required every time after going to the toilet. Use the flusher filled with lukewarm drinking water to rinse from front to back until the postpartum bleeding is completely clean.
(Ⅳ)Diet
1.Eating is prohibited during the first 8 hours lying down after the delivery; drinking a small amount of water after 8 hours is allowed. If there is no vomiting or any discomfort, you can start to take soft food such as congee; adding salt, seaweed, or pork floss is allowed. Small frequent meals are encouraged. If there is no flatulence yet, do not eat greasy soup and other gas-producing food to avoid abdominal distention and diarrhea (i.e. beans, fish, eggs, milk, sweet potatoes, soybean milk, etc.)
2.After the 7th day postpartum with nicely healed wound and no infection, you can begin to take sesame oil, Chujoto, ginseng, and Shenghua soup. Shenghua soup helps with uterus recovery and lochial discharges. You can eat Shenghua soup a dose a day for 5 to 7 consecutive days, the 7th day is the limit. Making appointment with Chinese Medicine doctor to adjust the medicine according to individual constitution. Also, please observe the amount of postpartum bleeding, you can start a diet that contains alcohol and Chinese medicine only after postpartum bleeding is completely cleared.
(Ⅴ)Breastfeeding
1.Our hospital, in order to protect the maternal-infant rights and interests, encourage the rooming in for infant and mother to improve the relationship within the family. Early initiation of breastfeeding is helpful for successful breastfeeding in the future. 4 hours after the infant’s birth with stable health condition, we will send it to you to breastfeed.
2.Breast starts to leak since late pregnancy, therefore you are able to breastfeed before your breast swell. The baby suckle helps with the secretion of breast milk, and can prevent mastitis, blocked ducts, and breast engorgement in the future. It is normal to feel more uterine contraction while breastfeeding.
3.We will not provide feeding bottles and pacifiers for babies, in case they might confuse them for nipples.
4.Your body temperature might rise when the breast swells, that this situation is totally normal, you can continue to breastfeed without worrying about it. For any inquiries, feel free to come back to the clinic or call 08-7368686 Ext 4420~4421.
*Breastfeeding Helpline: 08-7378149