Après La Naissance

The first hours

After your delivery, you will stay in the delivery room for about two hours for close observation. The midwife will carry out the necessary checks to ensure that the uterus is well contracted and to prevent certain risks such as hemorrhaging. In the event of a tear in the perineum or episiotomy, the suture will be done directly after delivery.

During this time, your baby will remain with you for breastfeeding and initial bonding. You will then be transferred with your child to your postpartum room.

The pain

During vaginal delivery, all structures – including the coccyx – remain stretched following the passage of your baby. This is not serious. But pain, sometimes persistent, can occur. It may be necessary
to adapt your sitting position (e.g. by sitting on a swimming ring) or to undergo physiotherapy as prescribed by your doctor.

Painkillers (paracetamol or anti-inflammatory drugs), compatible with breastfeeding, can lessen pain.

After a tear of the perineum or an episiotomy

During the first few days after childbirth, in case of a perineal tear or episiotomy, you may experience some discomfort or pain (e.g. when urinating or sitting). Report this to the midwife.

Local remedies such as chamomile sitting baths or a change in your sitting position (e.g. by sitting on a swimming ring) are helpful. Painkillers compatible with breastfeeding may be prescribed for your relief.

After a cesarean section

You gave birth by caesarean section. After the caesarean section, you will be transferred to intermediate care for close observation. Your baby will accompany you for breastfeeding and so it can be near you (unless the baby’s state of health requires special monitoring in neonatology). If the check-ups turn out to be normal, you will be transferred a few hours later with your baby to your postpartum room.

The perineum

During pregnancy and delivery (vaginal and caesarean), your perineum is put under great strain. In the medium term, you may experience involuntary loss of urine, stools or wind when sneezing, coughing or exerting yourself. If the problem persists beyond six weeks after delivery, talk to your gynecologist or midwife. Specialized perineum consultations such as those in the maternity ward are available. Perineal re-education can be offered to you by a midwife or a specialized physiotherapist.

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It may take a few days before your digestion gets back to normal.

After a vaginal delivery, some women are afraid to push and withhold their stools. This may lead to constipation.

Whatever happens, try to maintain a balanced and high fiber diet. If needed, syrup of figs or another laxative may be prescribed.

Before taking any medication, check with your midwife, doctor and/or pharmacist to make sure they are compatible with breastfeeding.


Return of periods

The return of your periods or the “restoration of menstruation” generally occurs after six to eight weeks, or possibly later in the case of breastfeeding.

These “first” periods are often more abundant and longer than usual. The menstrual cycle regulates itself
thereafter. Fertility returns before the restoration of menstruation.

If you do not want another pregnancy immediately, contraception can be offered. Talk to the gynecologist or midwife before leaving the maternity ward.

The emotional context

A new life

Pregnancy and childbirth are periods of profound change and adjustment at the physical, psychological and emotional levels. Like many young mothers, you may feel tired, stressed or depressed.

Be indulgent with yourself and give yourself time to adapt to your new way of life. Your baby is your priority, but do not forget yourself. Make sure you get enough rest, it will be good for your baby, too.
Do not hesitate to ask for help from those around you with regard to shopping, cooking, cleaning, laundry, etc.