Physical Changes After Birth Fundus The top of the uterus is known as the fundus. Right after birth you will feel a grapefruit size ball just below your bellybutton. After birth you will feel a lot of cramping as your uterus is contracting to prevent excessive bleeding and begin shrinking back to its pre-pregnancy size. The fundus will begin to shrink in size and by two weeks you may not be able to feel it all. It is important to try and empty your bladder every 3-4 hours while in the hospital to prevent your bladder from becoming too full and pushing on your uterus.
Lochia (Vaginal Discharge) Lochia is the drainage from the vagina following birth. Lochia is present even in women who have had a cesarean birth. There is often an odor described as “musty” or “earthy” but the smell should not be bad. As the lining of the uterus heals you may notice that the amount and color of the lochia changes. You may experience some cramping and passing of small clots which is normal, but if you are soaking through one pad per hour or have blood clots the size of an egg or bigger contact your healthcare provider. • Day 1: Dark red similar to menstrual flow • Days 2-4: Pink or brown-tinged becomes more watery and pale • Days 10-14: White or yellowish • Weeks 2-4: Very little but can vary among mothers.
Hemorrhoids A hemorrhoid is a swollen blood vessel under the skin and can be found inside the rectum or outside on the anus. They can range in size and can be as large as a grape. Common symptoms are pain/ discomfort, irritation, itching, small amounts of bleeding and swelling around the anus. Hemorrhoids are not usually serious and can be common in pregnancy and in the postpartum period. Treating hemorrhoids: • Avoid sitting or standing for long periods of time • Avoid straining during bowel movements • Take stool softener and eat fiber rich foods (do not resist the urge) 70
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