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.
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.
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: