Daily Archive: March 22, 2018
Puerperium is the postnatal period beginning immediately after the birth of a child and extending for about six weeks. During this period the body tissues, in particular the genital and the pelvic organs, return to the condition in to pre-pregnancy state of the women. This post delivery period of change continues till about 6 weeks (42 days) from delivery to normal, traditionally the concept of 40 days (or ‘sava mahina’) of post-partum confinement was and often still is, the rule in most Indian homes. It gives you time to recover and rest.
The first 24 hours after birth (immediate Puerperium) is a critical stage. This is the time when your uterus has to contract well, in order to stop the bleeding from the site of placental attachment. It is also the initiation of breastfeeding and bonding. Occasionally, this is the time that most life threatening complications of delivery manifest. These include postpartum excessive bleeding, collapse of the circulation, cardiac failure, etc. These are not common, but even with normal vaginal birth; there is a risk of death of about 1 in 10,000 women. This risk may be more in women with pre-existing medical conditions like anaemia, hypertension or heart diseases. It is also more with operative deliveries. Hence you will be advised to stay in hospital for at least 24 hours following childbirth.
This refers to the 2nd to 7th day post-delivery where major changes start in your genital tract. This is probably also the time of maximum adjustment when you come to terms with your new role as ‘mother’. You will also be going home with your baby in this period. There are many relatively minor, yet significant bodily changes you should be aware of. These include:
Lochia / Vaginal discharge
This term refers to the discharge from the vagina, coming mainly from shedding of the inner lining of the uterus. For the first 4 days, there is fresh bleeding, like a heavy menstrual flow. You may need to use 2 pads at a time, changing 3 – 4 times a day. However, if you find it very heavy, or large clots keep coming out, you must inform your doctor. Usually by the 5th day the flow becomes much less, and may now be more of a blood stained yellowish-brown discharge. You may still require sanitary protection, about 2 – 3 pads a day. This discharge usually stops by the end of the second week after which it becomes a plain white discharge. Good hygiene and care of episiotomy will prevent infection. Any foul smell in the discharge should be reported to your doctor.
The first day you must pass urine at least 2 – 3 hourly, despite pain in the stitches. This is because the bladder may become overfull without your notice, which can cause problems, especially infections later. During the first week, you may notice that you seem to be passing a lot of urine. This is because your body is removing some of the excess water and salt that was retained in pregnancy.
You may not have a good bowel motion for the first 2 days following delivery, for various reasons. One is that you have not eaten much during labour, you are exhausted and sleepy. Secondly you may be having pain in the stitches of the episiotomy. It is important to take a high fiber diet and plenty of liquids to prevent hard stools. You may need a mild laxative for a few days.
The first day you will have only a watery, yellowish discharge, not looking like ‘real’ milk coming from the breasts. This is called colostrum and it is rich in many nutritive factors that are needed by your baby. You must feed your baby at this time. By the third day, the milk flow increases a lot, due to hormonal changes in your body. Regular feeding is important to prevent engorgement.
It’s not easy being a woman. Women are still primary care givers and nurturers in any family. Those who work outside, have the additional challenge of juggling domestic responsibilities with professional aspirations. However, even as women effortlessly go about their varied roles, many end up neglecting their own health. And the one aspect of health that is perhaps the most neglected is intimate care, with over 75 per cent of all women being completely unaware of the need for a separate intimate care regime. Most women only seek curative measures and visit a doctor only when they experience discomfort and irritation in their intimate areas. However, with the following simple and basic tips, they can take preventive measures and take greater control of their intimate care.
Intimate care isn’t something you should have to worry about only when you start experiencing discomfort. Regular care and preventive measures ensure you stay clean and healthy always. Care shouldn’t be limited to washing only while bathing. Women should wash their intimate areas 2-3 times, especially during monsoons and menstrual cycles to keep infections at bay.
Don’t use soap
Soap has a Ph factor of 5.5 which is the same as your skin. However, vaginal skin is very delicate and therefore Ph balance ranges from 3.8 to 4.5. It is essential to maintain the Ph balance to avoid dryness, soreness and irritation of the vagina as well as check the growth of harmful bacteria.
Don’t srub your intimate area
Never scrub or use a brush on your vagina. Vaginal skin is very delicate and you could end up with scratches and in pain. Use a soft towel to wipe the region.
Clean from front to back
Always clean the intimate area from the front to the back. In other words, clean the vagina first and move backwards towards the anus. This will prevent harmful bacteria that reside in the anus from infecting the vagina.
Use a wash with natural ingredients
Artificial chemicals make the vagina dry. However, naturally occurring chemicals like lactic acid help maintain the Ph balance and help restore smoothness of the vaginal area. Natural oils like Tea Tree Oil and Seabuck Thorn Oil are known for their soothing quality and fresh natural fragrance.
Wear cotton underwear
Cotton is the softest and most skin friendly fabric. It allows for air circulation and absorbs moisture quickly. While silk and satin underwear can be worn on special occasions, cotton underwear can be worn on a daily basis.
Wear comfortable clothing
Avoid tight fitting clothes as they restrict air circulation and cause the vaginal area to get compressed or creased in an unnatural way.
e Raj Thackeray-led Maharashtra Navnirman Sena (MNS), which spearheaded the stir, said.
A similar strike by drivers of Ola was called off on Wednesday.
Claiming “victory” for the “owner-operators” of Uber cabs in Mumbai and other places, the MNS, in a statement in Mumbai on Thursday evening, said the Uber management, during their talks with the police and the wing’s representatives earlier in the day, has given a written commitment on meeting the various demands.
These include a relook at drivers blacklisted by the taxi aggregator and putting up stickers in Marathi on Uber cabs, the statement said.
An Uber spokesperson, in a separate statement, confirmed that the strike had been called off with immediate effect. MNS transport wing president Sanjay Naik told PTI, “Like Ola, Uber has also assured us that the company will look into ways to increase earnings of the Uber driver-partners”.
On 19 March, drivers of Uber and Ola went on an indefinite strike to protest “low profit margins”. It is estimated that over 45,000 app-based cabs operate in the financial capital alone.
New Delhi, Mar 22 The National Coalition for School Education (NCSE) today launched the ‘Shiksha Bachao Adhiyan’ and announced a protest at the Ramleela Maidan here on April 7 to demand reforms in education, including amendment to the Right to Education Act.
The body is a coalition of private school associations.
Speaking to reporters, NCSE chairman Kulbhushan Sharma said, “While the state of education calls for urgent reform, the government seems to be working only for appeasement and quick fix. Private schools from across the country will protest at Ramleela Maidan on April 7.”
Some of the demands include offering parents Rs 2,500 per child per month to meet schooling expenses, making education and teaching services tax-free, ensuring safety and security of all students, among others, he said.
“Amendments needs to be made to RTE legislation for learning outcome-based school recognition system instead of mere infrastructure-based norms, which have led thousands of schools to close down,” Sharma said.