We miss seeing you! We know you want to focus on your new baby, but it is important to ensure you are cared for as well. Please make sure to schedule your 6 week postpartum visit. If you had a Cesarean Section, please make a 2 week appointment as well. Please call with any concerns. Mood changes are common in the postpartum period, see below for more information on resources for postpartum blues and postpartum depression, and general postpartum care in Denver.
Answers to frequently asked questions
Postpartum Blues and Depression
The postpartum period is challenging; with decreased sleep, physical and hormonal changes, as well as the overwhelming nature of change, many women experience mood changes. Click here for more information from Kim Evans, PsyD on Postpartum blues, depression and resources for moms and families in Denver including signs, symptoms, how long postpartum blues and depression lasts, and when to seek help.
Take Ibuprofen (Advil or Motrin) 600mg every 6 hours. Limit Tylenol to 4,000mg per day (Percocet and Norco contain 325mg of Tylenol per tab). You may need narcotics for pain control (Percocet/Oxycodone or Norco/Hydrocodone) but try to avoid them if possible as they may cause drowsiness and/or constipation. You can alternate medications (Ibuprofen followed by Tylenol or narcotic every 3 hours). All these medications are safe while breastfeeding. You may also try ice on the perineum or a belly band for compression against your C-section incision. Gas pain can also be significant, try simethicone (Gas-X) for relief.
Constipation and Hemorrhoids
Hormones, stress and medication can worsen constipation in the postpartum period. You may have developed hemorrhoids during your pregnancy, and these may have worsened after pushing. To combat constipation, start with drinking plenty of water and try prune juice. Other options include:
- Colace (docusate sodium), twice a day to soften stools
- Metamucil (psillium powder), one scoop in 8 oz of water, up to 3 times per day
- Milk of Magnesia, 2-4 tablespoons once a day
- Magnesium oxide pills, 500-1,000mg once to twice daily
- Miralax, one 17g packet dissolved in 4-8 oz of water
For hemorrhoids, doing sitz baths as described in the perineal care section and ice are helpful. The use of witch hazel wipes such as Tucks may also provide relief. Preparation H Rapid Relief contains lidocaine, which can give more immediate relief. Hydrocortisone cream (Anusol or 1% hydrocortisone) will help the itching and irritation. You may need prescription strength remedies, call our office if your symptoms are severe or not improving with over the counter remedies.
Perineal Laceration Care
The vagina is an amazing organ! It heals very quickly and without much intervention. If you received stitches, they will dissolve on their own. Use a spray bottle while urinating to prevent burning and to clean after bowel movements. Sitz baths or sitting in a few inches of warm water (no soap) is soothing. Avoid constipation. Ice is your friend!
Breast feeding can be challenging, but we are here to support you! If you develop redness, heat or significant pain in one or both breasts, or fever/chills/aches, call the clinic as this may be mastitis. It is safe to continue to breast feed through mastitis; in fact, it is important to empty the breasts.
Additional Breastfeeding Support in Denver:
Diastasis Recti - "Mommy Tummy"
How do you get rid of your “mommy tummy”? Check out this article from NPR.