Maternal discharge information (for cesarean section)

What is the puerperium?

-It is 6~8 weeks after delivery, when the body returns to its pre-pregnancy state.

-If you are not breastfeeding, ovulation may resume at this time, so contraception is absolutely necessary during sex.

Postpartum check-up

·         Initial: Day 6 after discharge (check for wounds and bleeding)

·         Review: 8 weeks after delivery (recovery and gynecological examination) —  mobile phone text call from the hospital.

Wound care after cesarean section surgery

·         After the sutures are removed on the day of discharge, the wound will not be disinfected.

·         For the prevention of keloid wounds, keloscar tape will be applied to the wound immediately after suture removal.

·         When showering, the Keloska tape is separated from the wound and then showered, and the wound area is not rubbed.

·         After showering, dry the skin and then reapply the keloscar tape.

·         One sheet of keloscar tape can be used for about 1 month.

**Caution: If the caesarean section wound is open, reddened, or oozing, please do not apply keloscar tape and come to the hospital.

Postpartum pain & Oro

• Postpartum pain: Pain caused by the uterus contracting to stop bleeding. (It is more severe in both  multiparous woman and  lactating  mothers, weakens over time and occurs only during lactation).

            -Postpartum pain is an indicator of good uterine contractions.

• Oro: -Discharge of debris, blood, and tissue in the uterus after childbirth.

            -At first, the red → gradually fades, and after about 10 days, it becomes light yellow and colorless.

            **If it lasts more than 2 weeks or if you smell bad, you may have endometritis and need to see a doctor.

Postpartum hemorrhage

If the bleeding that has been decreasing suddenly increases, there is  a possibility of residual placenta, poor uterine contractions, or endometritis, so visit the hospital immediately.

When to consult a doctor

·         Profuse bright red bleeding or blood clots

·         High fever above 38°C

·         Severe pain in the lower abdomen

·         If the breasts are hard and swollen

·         Cesarean section wound - if there is openness, redness, pain, oozing, etc.

·         Severe pain when urinating

·         Severe pain in the side

Shower and bath

·         Shower: Available immediately after suture removal on the day of discharge

·         Whole bath: Available from 3 weeks after childbirth (after the aura is gone)

Sexual life, menstruation, contraception

·         Sexual life: If there is no bleeding or wound pain, it can be done from 3 weeks after childbirth.

·         Period Recovery:

o   Non-feeding: 6~8 weeks after delivery

o   Exclusive feeding: up to 18 months later

o   Mixed feeding: Individual varies

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·         Contraceptive initiation:

o   Non-lactation/mixed feeding: 3 weeks after delivery

o   Exclusive feeding: after 5 months of delivery

·         Contraception is required regardless of whether you are menstruating or not (waiting for your period to start may cause an unwanted pregnancy)

Health Recovery Tips

·         Weight management, nutrition management, diet

·         Light postpartum exercise

·         Immediately after giving birth, you can secure at least 30~60 minutes of sleep time a day to exercise and rest→ speed up recovery, prevent postpartum depression, and have happy parenting.

·         Husband and family help and cooperation required