Instructions for C-Section Delivery Postnatal Care



Instructions for C-Section Delivery Postnatal Care


After a safe C-Section delivery, the following are circumstances which you may encounter:



1. Chill and shivering: Inducted by the subsiding anesthetics. Simply keep the body warm and it will restore after the anesthetics has fully subsided.



2. Changes in lochia: After the placenta has elevated, the uterine secretion is discharged through the virginal. More amount will be discharged for the first 2~3 days with red color and strong smell.

The secretion will become less in 5~6 days to 10 days after delivery, where the color gradually turns dark color.

This circumstance could last for 2~3 weeks and will become completely clean in 4~6 weeks(in the event of large blood chunks or surging blood, please immediately notify the nurses or return for revisit).



3. Perineal Douche: The nurses will rinse and check your wound as well as uterine contraction on the first two days after delivery. The family members should help the maternal woman change the pad in every 3~4 hours to keep the perineal clean and dry. Rinse with the flusher filled with drinking water after urination and bowel movement, as shown in Figure 1.


4. Wound pain: We can inject painkiller for you (small painkiller will not become addictive. Do not worry).


5. Food (including water): Eat after notified by nurses.


6. Records of urinary catheter: Family shall record the every 500cc of pouring out to understand the restoration of kidney functions. The catheter will be removed according to medical order. Please urinate naturally in 6~8 hours.


7. Activity: Please turn the body around within the bearable scope of physical condition soon to promote early gas discharge and enhance blood circulation, so that the wound will heal soon.



8. Use of binder: Fix the binder on top of the wound to avoid excessively pressing the wound. Keep the binder in distance of 2 fingers from the abdomen to avoid the pain triggered by pulling the wound during activity, so your binder will be used on the close.


9. Wound: keep dry and do not dampen to avoid infection.


10. Diet: Gradually eat to avoid gastrointestinal burden and diarrhea.


Generally from liquid →soft→regular food






1. Liquid food: i.e. water, juice, and rice porridge.

2. Soft food: i.e. rice porridge and other digestive food.

3. Regular food: refers to the average food.

Do not eat greasy soup and other gas-producing food to avoid abdominal distention and diarrhea, i.e. milk, yam, soybean milk, and beans.


Alcohol food: Avoid eating such food in one week after the delivery.

Please take moderate amount of alcohol based food to avoid affecting wound healing and contraction.


Shenghua Soup:

Do not take this medicine in one week after delivery.

Shenghua soup is a type of contracting agent and severe contraction will cause extreme pain. Please suspend taking the medicine after the pain is alleviated.



11. Safety issues:

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 due to passing out.


12.Postnatal sex life: In general as both couple communicates after delivery with mental readiness, while the wound no longer feels discomfort, then the couple may begin the sex life.


Instructions for Maternal Women Discharged from the Hospital


1.Self-care method for wound upon returning home: No need to change medicine after returning home. But do not dampen the wound.



2. Perineal Douche: After urination and bowel movement, use lukewarm drinking water to rinse from front to back (virginal →anus) in addition to keeping it dry.


Medicine: The physician will prescribe medicine according to your recovery condition at discharge from the hospital. Follow the instructions on the medicine bag for administration.





In the event of the following conditions after discharge from the hospital, please return to the hospital for examination:

1. Massive vaginal bleeding or odorous secretion.

2. Continuous fever and diarrhea. Continuous abdominal pain or vaginal pain.

3. Rash, swollen and painful blocks on the breast.


Return to hospital for examination: Return to the hospital for postnatal examination according to the time scheduled by the physician in addition to taking Papanicolaou test. Discuss with the physicians for birth control measures.






Postnatal Exercises:

1. Postnatal loose abdominal muscles. Do proper exercises to tighten the muscles, maintain body shape and promote postnatal uterine restoration.

2. Choose proper exercise depending on individual situation. Consult with a physician for surgical delivery.

3. Exercise in the morning or at night every day until two months after the delivery.

4. Urinate first before exercise.

Lie down on the hardboard bed. Do not exercise excessively or too tired.

The number of exercises should be gradually added with proper rest, as shown in the following method:





Chest exercise: starting from the third day after delivery.

(1) Lie down, relax the muscles of the whole body and straighten the arms and legs. Breathe through the abdomen and try to expand the chest.

(2) Hold in the abdomen and slowly breathe out the air.

(3) Hold the breath and continue to hold the abdomen.

Have the lower back adhere at the bed and relax. Do total 5 laps.





Breast exercise: starting from the third day after delivery

(1) Lie on the bed, stretch the arms out and align with the shoulder, straighten and place flat.

(2) Put the two hands upward and close, then slowly put the hands back to the original position.

(3) Follow the diagram and do 5 laps.





Neck exercise: Starting from the seventh day after delivery.

(1) Lie on the bed and flatten the body. Straighten the arms and legs with palm stay close to the body.

(2) Lift the head and try to bed forward so the chin stays close to the chest, and then restore. Do 10 laps.

(3) This motion should be pull any other parts of the body.






Legs exercise: Starting from the tenth day after delivery (however persons with sewn perineal may not start until after 2 weeks).

(1) Lie flat and straighten the arms and legs.

(2) Lift both legs in turn. Straighten the knees;

the tip of toe straight and do 5 laps.

(3) Lift both legs up.

(4) Use abdominal muscles for operation and do not use the force of hands.




Hip exercise: The same as leg exercise.

(1) Lie on the bed, straighten the arms and legs with palm place close to the body.

(2) Lift one leg so the foot stays close to the hip.

The thigh stays close to the abdomen, then stretch and place back

on the bed.

Do the same motion with the other leg. 5 laps per each leg.




Virginal contracting exercise: starting from half month after delivery

(1) Lie on the bed, straighten the arms and flatten to the bed.

Bed the two legs separately to the same width as the shoulder.

Pull up the heels and lift the hip off the bed.

(2) Put the two knees together while pull up the hip muscles.

Keep this position for 1~2 minutes.