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Gynaecology and obstetrics

Physical changes after childbirth

The maternity period starts with the birth and continues for approximately six weeks. After this period, most of the physical changes will have resolved and your body will revert to its pre-pregnancy state.

Post-partum changes to the uterus

After giving birth, spontaneous uterine contractions ensure that your uterus returns to its pre-pregnancy state. These contractions also seal the placenta-sized wound in the uterine wall so that you do not lose too much blood.

Blood loss after childbirth

With a normal delivery, you will lose primarily red blood during the first four days after giving birth. The amount is comparable to heavy menstrual flow and will gradually decrease. Over the following days, the blood loss tends to be brown and yellowish. This can last up to six weeks after the delivery.

Post-partum fluctuations in blood pressure

Immediately after giving birth, your blood pressure is often low because your blood vessels are wide open. This means that you are at greater risk of fainting if you stand up suddenly. If you had an epidural anaesthesia or serious blood loss, this may increase this risk further. So, when standing up for the first time after the delivery, be careful and accept support from others. High blood pressure may also be an issue. Limiting visitations, getting extra rest and good medical and obstetric follow-up care will all be necessary to help lower your blood pressure.

Post-partum sutures

The pain and discomfort women feel after an episiotomy or a vaginal or perineal tear varies. Some women experience little to no complaints, while other have considerable pain and discomfort. The wound is, after all, located in an area that you will feel it whether you sit, lie down or walk.

Pain

Each day, the midwife will inquire about your pain. Based on your answer, the midwife will determine your pain status and, if necessary, adjust your medication.

Post-partum bowel movements and urination

The first bowel movement after childbirth can be difficult. Urination may also be more difficult and painful.

Haemorrhoids

If you suffered from haemorrhoids during pregnancy, they can be exacerbated by childbirth. An ice pack may provide some welcome pain relief. If you suffer from haemorrhoids, it is important to either prevent or treat constipation. So, drink a lot of fluids and eat foods rich in fibre.

Abdominal, pelvic floor, leg and back muscles

After giving birth, the physical therapist will teach you modified exercises to help restore your muscles to their proper function. You can continue doing these exercises in your own home.

Figure and body weight

In the initial days after the delivery, you will be several kilos lighter. These lost kilos include the weight of the baby, placenta, amniotic fluid and your shrinking uterus, among others. Your body will slowly regain its shape.
Last edit: 25 August 2021