Puerperium and Baby Care Discharge Training

Puerperium Training
Bleeding : Vaginal bleeding will continue for about 40 days. The amount of this bleeding may be as much as menstrual bleeding for the first 1 week. Then your bleeding will continue as brown, yellow and white discharge and will stop at the end of 40 days. You should consult your doctor if you have more intense bleeding than menstrual bleeding or if you drop a piece.
Hygiene : During the puerperium, you should pay attention to change your pads frequently and keep the perineum area dry and clean. You do not need to use a special solution for hygiene. Cleaning with normal water is enough as in daily life. If you feel a foul-smelling discharge while changing your pads, consult your doctor. You can take a bath as a standing shower whenever you want. However, do not over fiber the operation area while bathing. Do not rub it. At the end of the bath, tampon dry with a clean towel.
Nutrition : Although you do not have a special diet, we recommend that you avoid very gas-forming foods (dried beans, chickpeas, lentils, raw vegetables and fruits, carbonated drinks, etc.) until you go to the large toilet several times. Otherwise, you can eat and drink whatever you want. Drinking plenty of fluids is beneficial both for the regular functioning of your intestines and for the increased release of milk.
Movement: It is useful to take small walks inside and outside the house without tiring yourself too much. At home, you can do your household chores (cooking, washing dishes) that are not tiring. However, you should avoid heavy lifting and strenuous work until the end of the puerperium. When bending down and getting up, you should bend down by bending your legs, just like during pregnancy, and you should not try to pick up something from the floor by reaching directly.
Pain : It is normal to have pain due to the recovery of your uterus. These pains may increase especially while breastfeeding your baby. Because while your baby is breastfeeding, the contractions in your uterus increase. In case of pain, you can use painkillers containing paracetemol (minoset, parol, etc.).
Fever : If your fever rises above 38 degrees Celsius and this fever is not due to your milk being full, you should definitely call your doctor. Fever due to full breast milk will be explained in detail in infant care.
Sexual Life : We recommend that you do not have sexual intercourse during the puerperium. At the end of the puerperium, you can return to your normal life after a check-up with your doctor.
Baby Education
Nutrition : Feeding your baby only breast milk for the first 6 months is the healthiest diet. You do not need to give any additional food other than breast milk. You do not even need to give water for the first 4 months. When you go home, your baby’s sucking may be irregular for the first week or so. This is quite normal. The important thing is that you attach your baby to the breast and breastfeed him/her whenever he/she wants. You should be careful that the sucking intervals do not exceed 2 hours. Sometimes you may have difficulty waking your baby. In this case, changing diapers, reducing clothing and wiping your baby’s face with warm boiled water will help you wake your baby. It is important that you sit comfortably and feel comfortable while breastfeeding your baby. You may feel sleepy due to the prolactin hormone secreted during breastfeeding. It is therefore helpful to have someone with you.
Breastfeed from both breasts during one feeding session. After 20 minutes on the breast you started with, switch to the other breast, even if you are still breastfeeding, and breastfeed on the other breast as long as you can. In the next session, breastfeed starting from the last breast you breastfed from. It is important to lay your baby on your shoulder after each breastfeeding and let him/her pass gas.
Vomiting : Newborn babies may vomit some of their breast milk after each feeding (no more than about a tablespoon), which is normal. Whenever your baby vomits at a time that has nothing to do with feeding, without making any sound, opens his/her mouth and vomits in a gushing manner, be sure to call your pediatrician.
Diaper Care : For the first 1 month after birth, do not use wet wipes when diapering your baby except in mandatory situations. Instead, cottons soaked with warm water are healthier. Especially for baby girls, cleaning should be done from front to back properly. The best time for diaper cleaning is before breastfeeding. During the diaper change after feeding, the possibility of vomiting will be high as the pressure on your baby’s stomach will increase. Breastfed babies poop frequently and with a watery consistency. It is normal for them to poop in proportion to the number of feedings per day. So if your baby sucks 8 times a day, he/she can poop 8 times. The color of the stool is light yellow and watery. If your baby poops one after the other and there are no poop particles in the poop, consult your pediatrician.
Navel Care : You should do navel dressing with 70% alcohol once a day until your baby’s navel falls off. To do this, you should pour alcohol into a sterile sponge and clean the area between the umbilical cord and the skin, that is, exactly where the navel will fall, from the inside out.
Be careful not to spread the alcohol too much on the skin. If the umbilical cord has been soaked with urine, feces or otherwise during the day, the umbilical care should be repeated. After dressing the umbilicus, the diaper should be tied so that the cord stays outside. Call your pediatrician if you notice watering, redness, discharge or bad poop on the umbilicus.
Toxic erythema : Your baby may have a small rash on his/her body, like a fly bite. These are quite normal. However, sometimes the tip of these rashes can turn into yellow pimples. In such cases, it is sometimes necessary to bathe babies with a special solution. For this, if the rashes turn into pimples and develop yellow tips, you need to bring your baby to the hospital.
Bathing : You can give your baby a bath any time you want, provided that the baby’s belly is kept dry. Immediately after bathing, you should dry the navel area thoroughly (with the help of a blow dryer if necessary) and then make the navel dressing. When bathing, it is best not to bathe under running water. You can set the temperature of the bath water to a temperature that will not burn the elbow by holding it in the water, or you can measure it with a degree (the measurement should be at body temperature, i.e. 35-37 degrees.) It will be useful for you to prepare all your materials and even the temperature of the bath water before the bath starts. Because after undressing your baby, he will be restless and it will not be possible for you to prepare at that time. In the meantime, the baby’s room temperature should be between 24-26 degrees.
Lying Positions: The healthiest lying position is to lay your baby alternately on the right and left side by supporting his/her back. If you are in the same room with your baby and close enough to intervene, you can lay your baby in the prone and supine position. The reason for this is to take precautions against the possibility of possible vomiting and the possibility of aspiration by swallowing the vomit again.
Hiccups : Newborn babies hiccup so often that we can say after almost every feeding. The most natural and safe way to relieve it is to continue breastfeeding for a few more minutes. Lemon, water etc. should not be given.
Eye Care : You can use saline and sterile gauze to clean your baby’s eyes. For this purpose, a drop of saline should be applied to the bottom of the eye and the gauze should be cleaned with a single movement from the inside to the outside. If the same movement is to be repeated for the second time, a new gauze pad should be used and the same gauze pad should not be used for the second time. In addition, inform your pediatrician if there is excessive burring, redness or discharge from the eyes.
Hormonal Changes in Babies
Babies may have swollen breasts due to the hormones passed on by the mother. This is completely normal and the breasts should never be squeezed. In baby girls, there may be a white, clear vaginal discharge or even a slight pink bleeding. This condition will disappear spontaneously after about 2-3 weeks.
Nasal congestion
Newborn babies can often have a blocked nose. For this, you can drip physiologic saline drops into each nostril 4-6 times a day. It would be better to instill the drops before breastfeeding your baby. Otherwise, drops instilled on a full stomach may make your baby vomit. You can also use commercially available nasal aspirators.
Feeling of fullness in the breasts
Even if your baby sucks regularly and actively, sometimes he or she may not be able to finish the milk that has accumulated in the breasts. Therefore, you should check your breasts after each breastfeeding. Because the milk accumulated in your breasts will make you feel pain after a while, your fever will rise and your baby will have difficulty sucking because the breasts are tense, so breastfeeding will become a torture. The milk accumulated in the breasts should be emptied manually or with a pump. A warm dressing on the breasts before emptying allows the milk to flow more easily. The expressed milk is placed in sterile milk storage bags and stored at room temperature for 6-8 hours, in the refrigerator for 24 hours and in the freezer for 6 months.
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