Postpartum Discharge Instructions

We would like to take this moment to extend our heartfelt congratulations on the arrival of your infant. It has been a pleasure and an honor to be involved in your care. We sincerely hope that your pregnancy and birth experience has been a rewarding and joyous event. However, the next six weeks will be very important for you and your baby. This is the time when you and your family will be establishing a schedule for your new addition, and your body will be healing from the delivery. These instructions apply primarily to the woman who have had a vaginal delivery.

  • Post Partum Visit
  • Physiologic Changes
  • Cramping
  • Swelling
  • Emotional Changes
  • Diet
  • Activity
  • Medications
  • Episiotomy Care
Post Partum Visit

Plan to see your doctor for a follow-up visit in six weeks. At this visit, your doctor will make sure that you’ve healed well since the delivery and will also discuss the issue of contraception. At any time if you feel that you are experiencing a problem, call the office to be seen before any scheduled visit.

Physiologic Changes

During the next six weeks your body will undergo many changes that will return it to its pre-pregnancy state. You will continue to bleed (called lochia) for the next 4-6 weeks. This will gradually subside. The uterus will markedly decrease in size, and the swelling that you may have experienced during your pregnancy will slowly disappear.


It is normal to have cramping after you deliver. The cramping can be quite intense for the first 48 to 72 hours. When a woman delivers her second or third baby, cramping can be even more intense than with the first baby. Cramping can usually be relieved with Ibuprofen, Tylenol or any pain medicine your doctor prescribes. These medications are safe for nursing.


Swelling may worsen before it gets better. It can take up to two weeks before all of the swelling disappears. It is important that you rest often and elevate your legs to help decrease any discomfort that may occur as a result of the swelling. If you begin to experience intense pain or develop a persistent headache that is not relieved with ibuprofen or Tylenol, you should contact your physician immediately.

Emotional Changes

The post-partum period is a time of tremendous change both physically and emotionally. Hormone levels change dramatically after delivery, and for that reason many women become emotional. These effects can be heightened up to two weeks after delivery and then gradually taper off. If you or any family members notice that you cry consistently, you cannot take care of yourself or your baby, or you wish to harm yourself or anyone else, you should contact your physician immediately.


You may resume a normal diet when you are discharged from the hospital. Remember that if you are nursing you still have increased caloric demands. Dieting is not recommended. It is important that you keep yourself well hydrated, especially if you are nursing. This will also help with constipation. You should continue your prenatal vitamins until your six week check-up or for as long as you may be nursing.


For the first week that you are at home it is best if you minimize your activity until you are more comfortable with your baby’s schedule. After the first week, you may begin driving, doing light housework, shopping, or taking easy walks. As time progresses, you can increase walking to exercising lightly. Again, it is important to rest often during the first six weeks. Sleep when your baby sleeps, and allow your family or partner to help you with daily tasks.


As previously stated, you should continue your prenatal vitamins until your six week check-up or for the duration of nursing. Ibuprofen or Tylenol are recommended for any minor discomforts. Your doctor may prescribe a stronger pain medication if you are experiencing more discomfort. Additionally, you may receive prescriptions for iron supplements, stool softeners, or antibiotics when indicated. If you are taking any other medications outside of what is stated here your doctor will tell you which medications you can resume. If you have questions about your prescriptions please ask your doctor or call the office.

Episiotomy Care

If you received an episiotomy or had to have your bottom stitched, these stitches will dissolve and need not be removed. We recommend that you soak your bottom twice daily in the bath tub with whatever temperature is most comfortable for you. We do not recommend bubble baths during this time, as the soap can irritate your bottom. Some women prefer to use Epsom salt in the water. This is perfectly fine to use, but we do not recommend using Epsom salt that is scented.

The hospital will give you a squirt bottle (called a peri spray bottle) that you can fill with water to clean your bottom every time you use the toilet. It is important that you use this every time you use the toilet, as this will help your bottom feel better sooner and help facilitate the healing process.

Postpartum Depression

Many women experience some mild mood changes during or after their birth, while 15 – 20% of women experience more significant symptoms of depression or anxiety. You can prevent a worsening of these symptoms, and with informed care, you can fully recover. You are not alone.

Any woman may become depressed during pregnancy or after having a baby. If you experience these symptoms it doesn’t mean you are a bad or “not together” mom. You and your baby don’t have to suffer. There is help.

Learn More

Special Instructions

We do not recommend resuming the use of tampons, douching, or intercourse for at least six weeks. Please Contact the Office if:

  • You notice an increase in pain, redness, or foul smelling discharge from your episiotomy
  • You have a temperature greater than 100.4 degrees Fahrenheit
  • You notice an increase in pain, redness in your legs, or an increase in pain or tenderness in your abdomen within the first week of delivery


At MyDoc, the level of care you receive will be managed by professionals—professionals who have your best interest at heart. Our staff includes two board certified physicians. Together we have over 40+ years experience in the medical field.

Contact Us

8419 S 73rd Plaza Suite 104 & 107
Papillion, NE 68046
Telephone: (402) 898-8500
Fax: (402) 898-8510

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