Four weeks after delivery, mothers should have a pelvic exam, cervical cancer screening, and breast lump examination to check for any other postpartum issues, as well as receive advice on postpartum contraception.
Health Checkup and Self-Care After Delivery
- Lochia
Normally, it lasts for 2 weeks and gradually changes from red to pink and brown during the first 10 days after delivery, then changes to light yellow in the 3rd and 4th weeks postpartum. Tampons should not be used in the vagina as they may cause infections easily. - Perineal Care (in case of vaginal delivery)
Mothers will feel pain at the perineal wound for about 2-3 weeks after delivery. Clean with liquid soap from front to back (not back to front) to avoid transferring bacteria from the anus to the wound. If the perineal wound is very painful, soaking in warm water mixed with a small amount of potassium permanganate for 15 minutes may help improve blood circulation and speed up healing. - Lower Abdominal Pain in the Uterine Area
This is a normal condition where the uterus contracts to reduce blood flow in the uterine cavity after delivery. If the pain is severe, especially during breastfeeding when the uterus contracts more, painkillers can be taken. - Lifting Heavy Objects
Do not lift objects heavier than the baby or strain excessively for a long time during the first 2 weeks after delivery. An abdominal binder can be used to support and prevent excessive uterine movement while walking.
If postpartum mothers experience these symptoms, they should see a doctor immediately
- Bleeding from the vagina with large clots or soaking one sanitary pad within 1 hour
- Severe lower abdominal pain or high fever with chills
- Pain or burning sensation when urinating
- Discharge of pus or blood from the perineal wound or abdominal surgical wound
- Lochia has a foul odor or remains bright red for 3 weeks after delivery
- A lump in the breast or breast swelling and redness
