The postpartum period is a time of immense physical and emotional changes for new mothers. From managing weight after childbirth to recovering from a C-section, many mothers have questions about how to navigate this journey safely and effectively. In this expert Q&A session, Dr. Smily addresses some of the most common concerns, providing evidence-based advice on postpartum recovery, nutrition, breastfeeding, mental health, and more.
Will breastfeeding make me gain or lose weight?
Dr. Smily: Breastfeeding burns an additional 330-500 kilocalories per day, depending on the mother’s age, BMI, activity level, and whether she is exclusively breastfeeding or supplementing with formula. Generally, with proper nutrition, breastfeeding mothers tend to lose weight and return to their pre-pregnancy weight within 6-12 months, with the most significant weight loss occurring in the first six weeks postpartum.
What helps with faster recovery after vaginal birth?
Dr. Smily: Recovery happens on multiple levels—biological, psychological, and social. Keeping a perineal or C-section wound clean and avoiding strenuous activities promotes healing. Emotionally, sharing your childbirth experience with a loved one can help process emotions of happiness, excitement, and anxiety. Socially, having a strong support system for household chores and errands allows mothers to focus on their recovery and bonding with their baby.
Any tips for managing perineum recovery after delivery?
Dr. Smily: Keeping the wound clean by gently washing it with clean water and avoiding strain on the perineal area is essential. If abnormal pain, swelling, or discharge develops in the days following delivery, consult a medical professional for further assessment.
What postpartum infections can occur, and how can they be avoided?
Dr. Smily: Postpartum women are at risk of vaginal and C-section wound infections. Proper wound care is essential. Another common issue is mastitis, an infection of the breast caused by breast milk stasis in the milk ducts. Regular breastfeeding and complete milk expression help prevent mastitis.
What are the nutritional needs after delivery? What foods are safe?
Dr. Smily: Breastfeeding mothers should maintain a balanced diet with fruits, vegetables, carbohydrates, proteins, and dairy. Safe foods include chicken, beef, fish, milk, cheese, yogurt, oats, bread, spinach, broccoli, tofu, nuts, oranges, and bell peppers. Some herbs and spices, such as ginger, garlic, and fenugreek, may aid postpartum healing. If you are vegetarian, vegan, lactose intolerant, or have limited sun exposure, additional supplements may be needed under medical guidance. Alcohol should only be consumed after breastfeeding or at least three hours before the next feeding to prevent excessive alcohol in breast milk.
How soon can exercise be resumed after birth?
Dr. Smily: Light exercise may typically resume six weeks postpartum, as this is when most wounds have healed. However, if pain persists, consult a medical professional before engaging in physical activity.
Is excessive bleeding after childbirth normal? When should I see a doctor?
Dr. Smily: Some vaginal bleeding, known as lochia, is normal after childbirth. However, excessive bleeding should be evaluated by a healthcare provider.
How long does it take to recover from a C-section? Any tips for faster healing?
Dr. Smily: Recovery varies, but keeping the wound clean and following postnatal care instructions from healthcare providers can promote faster healing. Avoiding strenuous activities is crucial.
Do fenugreek tea and lactation cookies help boost milk supply?
Dr. Smily: Research on fenugreek as a galactagogue shows mixed results. It is not scientifically proven or internationally recommended for increasing breast milk supply.
I have back pain six weeks after my C-section. How can I recover?
Dr. Smily: Back pain can have various causes. A medical consultation with your doctor is recommended to assess and address the issue.
Should postpartum women continue prenatal vitamins?
Dr. Smily: Prenatal vitamins are formulated for pregnancy, primarily containing folate for fetal development. Postnatal needs may differ, so consult a doctor to determine the appropriate supplementation.
How can husbands recognize postpartum depression in their wives?
Dr. Smily: Postpartum depression (PPD) is a major depressive episode occurring during pregnancy or within the first four weeks postpartum. Symptoms include low mood, poor sleep, guilt, and lethargy. The Edinburgh Postnatal Depression Scale (EPDS) is a useful screening tool (https://www.healthhub.sg/programmes/183/parent-hub/depression-scale). If concerned, seek medical advice.
What is “mummy’s wrist,” and how can it be treated?
Dr. Smily: De Quervain’s tenosynovitis, often called “mummy’s wrist,” is a common postpartum tendinitis that can make daily activities difficult. Treatments include wrist guards, anti-inflammatory medications, and steroid injections. Consult a healthcare provider for a personalized treatment plan.
I am still experiencing pain when walking after my C-section. Can I request more painkillers?
Dr. Smily: If you are experiencing ongoing pain after a C-section, seek early medical advice from your obstetrician or general practitioner for assessment and appropriate pain management.
