Category : Doctors Speak
“And We have enjoined upon man [care] for his parents. His mother carried him, [increasing her] in weakness upon weakness, and his weaning is in two years. Be grateful to Me and to your parents; to Me is the [final] destination. Quran (31:14)”

Postnatal or Postpartal Care is the after-delivery care for the mother (and the newborn). The mother’s care is a component of postnatal care, which addresses issues such as:

• Preventing the complications of postpartal period
• Providing care for the rapid restoration of mother to optimum health
• Evaluating the efficacy of breast-feeding
• Educating the woman and her family on basic health issues
• Creating a welcoming environment at home

Physical, Psychological, and Social components are all important factors in ensuring a healthy motherhood journey during delivery and the post-delivery time. Let’s take a look at each of these elements separately.

Physical factors

1. Diet
The diet during pregnancy and postnatal period should be adequate to provide good maternal and new-born health, successful lactation, and the strength and vitality required. It should include high calories, adequate protein, fat, plenty of fluids, minerals and vitamins for the lactating mothers.

2. Rest And Sleep
The diet during pregnancy and postnatal period should be adequate to provide good maternal and new-born health, successful lactation, and the strength and vitality required. It should include high calories, adequate protein, fat, plenty of fluids, minerals and vitamins for the lactating mothers.
3.Breast-Feeding
Postnatal care offers an excellent opportunity to find out how the mother is getting along with her baby. A great asset in India is that an average Indian mother, although poor in nutritional status has a remarkable ability to breastfeed her baby for prolonged periods extending to nearly 2 years.
4. Bonding With The Baby
It starts from the first few moments of birth except in a few cases and is manifested by bonding, kissing, cuddling and gazing at the infant. The baby should be kept in her bed or beside her bed. It helps to establish the mother-child relationship and the mother becomes aware of the art of baby care.
5. Hygiene
Asepsis must be maintained especially during the 1st week following delivery. Clean surroundings and a limited number of visitors could be of help in reducing the chances of infection.

6. Postnatal Exercises
Asepsis must be maintained especially during the 1st week following delivery. Clean surroundings and a limited number of visitors could be of help in reducing the chances of infection.

7. Immunization
Vaccination for Rh-negative mothers, Tetanus Toxoid, Rubella, Hepatitis B is necessary. If it’s not given during pregnancy, all are safe during breastfeeding as well.
Psychological factors

Psychological issues and the family support for the mother should be taken into account which is often overlooked and misunderstood in society.
One of the Emotional conditions is fear which is generally borne of ignorance. Other problems are timidity and insecurities regarding the baby.
If a woman is to endure cheerfully the emotional stresses of childbirth, she needs the support and companionship of her husband.
Postpartum psychosis or mania can be precipitated by birth and the mother needs to be understood well by other family members.
She shouldn’t be tortured or chastised in any way for giving birth to a baby girl which is not unusual in our society. This awareness must be spread across the family, relatives and in-laws.

Social factors

It has been said that the most important thing a woman can do is to have a baby. This is only a part of the truth. The really important task is to nurture and raise the child in a happy, healthy home atmosphere. She and her husband should devise their own strategies for this work.
Some measures should be taken for the mother after she has delivered her baby, and some myths should be avoided, including-

•First and foremost, the mother must maintain a positive attitude toward her ability to manage the blessing of motherhood. Her family members should also reassure her that she is capable of handling this privilege and duty since many mothers are concerned about how they will manage everything. Due to hormonal fluctuations, this dread and mental weariness are totally typical after delivery.

•Mothers should not believe myths about eating an excessively oily or spicy diet. Rather, she should eat a higher protein-rich, fibre-rich diet and take more fluids to avoid being dehydrated and constipated.

•Sexual activity may be resumed (after 6 weeks) when the pelvic muscles are comfortable and bleeding has stopped.

•To avoid infection, the mother should clean the stitches after passing urine, stool, and bathing. She should maintain her personal hygiene because it is a fallacy that bathing should be avoided throughout this six-week time. She should immediately consult the doctor if she sees discharge of fresh blood, pus or feels any kind of discomfort.

•Following an uncomplicated delivery, early ambulation after delivery is beneficial.
In the case of a Caesarean section, the mother should follow the advice of the specialists.

•The mother should double-check all information with her doctor, as there is a lot of traditional advice that may or may not be correct. She should stay informed about what is normal and what is odd following delivery. After educating herself, she will be able to make an informed decision about whether or not to consult her attending physician.

Many people complain that delivery and post-delivery care has become very expensive which even persuades families to delay or not have children but there are solutions to deal with this. The government provides various facilities under the Reproductive and Child Health (RCH) Care approach to improving the health status of women and children with a focus on making the institutional deliveries more accessible to all particularly those who can’t afford the expenses or residing in rural areas. In attendants, WHO has emphasized that skilled attendants at every birth is essential to reduce the infections and unnecessary complications which are seen in home deliveries comparatively. Other facilities include Primary Health Centres, Community Health Centres and First Referral Units. Couples should be aware of these facilities and take advantage if needed.
Parenthood is a privilege, and every couple should have faith in the Almighty. Delaying or not having children is not the solution to this.

Role of Homeopathy in the management of Postnatal Issues- In some cases, the mother may experience post-delivery issues that necessitate treatment. Irregular Vaginal bleeding, leucorrhoea (White discharge per vagina), Backache, Postpartum depression/Psychosis/Mania, Hyperpigmentation of Skin, Puerperal Sepsis, Uterine Prolapse, Hemorrhoids (Piles) and many other complications are among them. Homoeopathic Medicines have proven to be quite effective in certain conditions but it is entirely up to her to choose which treatment method she prefers.
Homoeopathic medicines are recommended based on a person’s individuality, which includes their sensitivity to heat or cold, appetite, thirst, desires, aversions, intolerances, sleep, mental states, and so on, in order to establish a holistic approach to recovery, as each case is unique and different from the other. Even if the illness is the same, every woman does not necessarily require the same medication. It is entirely dependent on the person’s own distinct symptoms or expressions. As a result, whenever a mother has a concern, she should always consult a doctor.

Few Homoeopathic Medicines need to be specially mentioned here for their excellent results in this field like Actaea Racemosa, Sepia, Kali Carb, Sabina, Caulophyllum Thalictroides, Pulsatilla, Cicuta Virosa, Stramonium, Belladonna, Pyrogenium, Arnica Montana, Secale Cornutum, Satphysagria, Helonias Dioica, Millefolium, Collinsonia Canadensis, Hamamelis Virginica, Ignatia Amara, Cinchona Officinalis and many more depending upon the complaint.

Along with medicine, counselling for the mother and family members is essential in the case of postpartum depression because many people are unaware of it. Some Homeopathic Medicines are beneficial in easing the process of labour. But, they must be strictly taken only under the supervision of a Homeopath.
“And We have enjoined upon man [care] for his parents. His mother carried him, [increasing her] in weakness upon weakness, and his weaning is in two years. Be grateful to Me and to your parents; to Me is the [final] destination. Quran (31:14)”

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