Women & Infants offers a variety of health education programs aimed at keeping you and your family healthy. For more information about our programs, call the Health Education Department at (401) 276-7800 or view and register for one or more of our classes.
The Warm Line is a popular service for new parents, staffed by professional nurses, that offers helpful information regarding your new baby and postpartum issues. The Warm Line also offers breastfeeding tips.
Feeling tired after having a baby is normal. Get as much rest as possible and try napping when your baby sleeps. Gradually increase your activities as you feel up to it. If you have had a cesarean birth, you have also had major surgery. Limit your activity to caring for your baby and giving your body time to recover.
If you have received stitches as part of an episiotomy, that area may be uncomfortable. For comfort and healing:
It is recommended that you use condoms with foam. You can buy both at a pharmacy. If your doctor has ordered birth control pills for you, you should use another form of birth control (such as foam and condoms) for the first month until your menstrual periods become regular.
After your six-week checkup, you may return to your choice of birth control. Keep in mind that some forms of birth control affect breastfeeding. Discuss the options for ongoing birth control with your doctor or nurse midwife.
Family planning is also important for moms of preemies. Many women feel overwhelmed after preterm birth. While it can be hard to think about yourself, it is important to take control of your reproductive life. This includes using appropriate birth control methods and getting pregnant again only when you are ready to get pregnant.
Whether you are feeding your baby at the breast or with a bottle, your body will naturally produce milk. As your milk supply increases, your breasts may become very tender and/or swollen. This is called engorgement and begins on the second or third day after your baby's birth. It will last about 24 to 48 hours.
Call the Warm Line at 1-800-711-7011 if you have any questions or concerns.
After your six-week checkup is a good time to start exercising again, but talk with your doctor before you start a formal exercise program. Your body will return to its pre-pregnant state naturally, except for muscle tone. Exercise will help you regain this tone.
You can try Kegel exercises to help tighten the muscles around the vagina. You can begin these shortly after delivery. Tighten the muscles that surround the opening of the vagina and rectum as if you are trying not to urinate. Hold for several seconds and then slowly relax. Repeat five to 10 times, several times a day.
In addition, you can help your body return to normal by using good body mechanics. Sit, stand, and walk with proper postural alignment. Bend at your knees to pick things up. Avoid bending from the waist, which strains and pulls the back muscles.
Your body needs time and a balanced diet to recover from pregnancy and adjust to meeting the needs of your new baby.
For any significant problems such as severe constipation, please contact your health care provider for a laxative or stool softener or other medical advice. If you would like a nutrition consult, have your health care provider make a referral to the Women & Infants Outpatient Nutrition Services Department at (401) 274-1122, ext. 42749.
Bleeding from the vagina is normal in both vaginal and cesarean births. It usually lasts 10 days to three weeks. The color of the bleeding will change from bright red to brownish to tan, and will become less in amount and then disappear. You can take showers and baths at any time, but do not douche before your six-week checkup.
Some new mothers develop complications following their delivery whether it was a vaginal or cesarean birth. Call your doctor if you have any of the following signs or symptoms:
Your emotional health is just as important as your physical health. As the number one medical complication of pregnancy and childbirth, one in five women suffers from a mood disorder during their pregnancy and postpartum period. Know that you are not alone. Seeking help is the best thing you can do for yourself and your family.
There are several types of diabetes that can be diagnosed before or during pregnancy, including:
Gestational Diabetes: Gestational diabetes is a type of high blood sugar that is brought on by pregnancy. Normally your body makes a hormone called insulin which keeps your blood sugar under control. During pregnancy the placenta makes hormones that cause your body to respond less to insulin, so your sugars are higher (we call this “insulin resistance” – meaning your body is more “resistant” to the insulin it is making). If your blood sugars were too high in pregnancy, then your doctor may have started you on insulin. This doesn’t mean your body isn’t making insulin. Instead it means that your body needs MORE insulin to do the same work keeping your blood sugars at a good level.
Type 2 Diabetes: Type 2 diabetes is a type of high blood sugar that is NOT brought on by pregnancy. Even though pregnancy does not cause Type 2 diabetes, sometimes it is first diagnosed during pregnancy. Like gestational diabetes, it is caused by your body being resistant to the insulin it makes.
Type 1 Diabetes: Type 1 diabetes is a type of high blood sugar that is NOT brought on by pregnancy and is often diagnosed early in life (as a child or teen). It is different from type 2 diabetes because people with type 1 diabetes have problems making insulin. They make little or no insulin.
Gestational diabetes is diagnosed in the second or third trimester, a time where the placenta is growing quickly and making more hormones that raise your blood sugars. But, if your blood sugars were high early in pregnancy (when the placenta is small and its hormones are not affecting your sugars much), this means you probably had high blood sugars even before pregnancy (rather than high sugars caused by pregnancy). If the blood sugars were high before pregnancy, this may mean you have pre-diabetes or Type 2 diabetes. Another way your doctor can tell if you had high blood sugars before pregnancy is by sending a blood test called a “hemoglobin A1c” which indicates your average blood sugars over the past 3 months. If this test is high, it may mean that you had high blood sugars before pregnancy.
Not necessarily. For most patients, gestational diabetes goes away after pregnancy. Sometimes patients will continue to have high blood sugars after pregnancy. In these circumstances they may be diagnosed with pre-diabetes or type 2 diabetes. The only way to know if your diabetes goes away after delivery is to have a glucose tolerance test (see below for more information). But, even if your blood sugars go back to normal after pregnancy, you are at higher risk of having diabetes later in life.
A glucose tolerance test is a blood test that is done after you are given a certain amount of sugar (glucose) to drink to see how your body handles the sugar. We recommend that you have this test done again after you deliver to see if your diabetes has gone away now that the pregnancy is over. The test should be done by 12 weeks (3 months) after delivery. For some patients, the diabetes does not go away. If that happens, it is likely that you have Type 2 diabetes.
Yes. If you had gestational diabetes, you are at a higher risk of having Type 2 diabetes in the future. It is very important to see your primary care doctor at least every year to be screened for diabetes, high blood pressure, and other medical problems.
If you had gestational diabetes in one pregnancy, you are also more likely to have gestational diabetes in future pregnancies. It is important to talk to your obstetric provider before planning your next pregnancy. Having high blood sugars early in pregnancy (in the first 12 weeks) increases your risk for miscarriage and your baby’s risk of birth defects. By working with your medical providers to get your blood sugars into a normal range before pregnancy, you will be setting yourself and your baby up for success.
Pregnancy can be like a “stress test” for your body. It may reveal some weaknesses with how your body handles sugar. Your risk may also be higher because a lot of the conditions that make you more likely to have gestational diabetes also make you more likely to have Type 2 diabetes. These may include:
Having high blood sugar levels can cause damage to important organs (like your heart, kidneys, brain, and eyes) as well as your blood vessels and nerves over time. Patients who keep their blood sugars in a safe range are less likely to have medical problems from diabetes (like heart attacks, strokes, blindness, numbness in toes and fingers, etc). That’s why earlier diagnosis and blood sugar control is important.
These healthy habits can also decrease your family’s risk of diabetes. Children of mothers with gestational diabetes are more likely to have diabetes in their life too. So get the whole family involved!
Yes! You are NOT ALONE. You can always talk to your obstetrical or primary care provider.
Learn more about diabetes and prevention methods:
You may have been diagnosed with high blood pressure during or after pregnancy. There are a few different types of high blood pressure that can be diagnosed during or after pregnancy, including:
Gestational hypertension: Gestational hypertension is high blood pressure that only starts during pregnancy and goes away after pregnancy. It does not usually cause problems during pregnancy, but can affect your health over the long term.
Preeclampsia: Preeclampsia is a more dangerous condition with high blood pressure that can start any time in the second half of pregnancy or even after the baby is born and comes along with other problems like too much protein in the urine or problems with organs like the liver, kidneys, brain, eyes, or placenta. It may go away after pregnancy, but can also affect your long term health.
Chronic hypertension: Chronic hypertension is longstanding high blood pressure that is diagnosed before pregnancy or very early in pregnancy, but is not caused by pregnancy. This does not go away after pregnancy and affects your long term health.
It is important to know if you had high blood pressure during or after your pregnancy because this can affect your long term health. If you are not sure which type of high blood pressure you had, ask your obstetric medical provider.
We know that women with high blood pressure during pregnancy are more likely to have long-term high blood pressure, stroke (blood clot or bleeding in the brain), diabetes (high blood sugars), and heart disease in the future.
Even if your blood pressure goes back to normal a few months after you deliver, you should still have your blood pressure checked with your primary medical provider at 6 months and 1 year after you deliver, and then every year after to make sure you are not developing high blood pressure.
If your blood pressure does not go back to normal after you deliver, it is important to see your primary medical provider – they can help you keep your blood pressure in a healthy range and check for any problems that may happen from high blood pressure over the long term.
Yes, even small changes can make a big difference!
If you are above a healthy weight, lowering your weight by 5% (10 lbs if you weigh 200 lbs) can lower your chances of high blood pressure, heart disease, and diabetes.
Eating healthy foods (like whole fruits, vegetables, and whole grains) and avoiding processed foods high in sugars, fats, and salt can help keep you at a healthy weight and blood pressure. Ask to see a nutritionist if you have questions about healthy eating.
Keeping active by doing at least 30 minutes, 5 times per week, of dedicated exercise that gets your heart rate up can help to lower your blood pressure. If you are not sure where to start, try walking and increase your pace over time!
If you smoke, consider quitting. Smoking can raise your blood pressure and affect your heart over time.
All of the above recommendations can help get you ready for a future pregnancy, but it is important to also talk with your obstetric provider so that you can make a safe plan for pregnancy together. There are certain medications that can be used to decrease your risks during pregnancy.
Preeclampsia Foundation: https://www.preeclampsia.org/women-and-families
After pregnancy, the goal is to return to your pre-pregnancy weight by the time your baby is 1 year old. If you have a body mass index (BMI) over 30 or do not return to your pre-pregnancy weight, you have higher chances of having high blood pressure (hypertension), high blood sugar (diabetes or pre-diabetes), high cholesterol, and infertility.
Even small changes can make a big difference! While we recommend aiming to return to your pre-pregnancy weight by 1 year after delivery, lowering your weight by even 5% (for example, losing 10 lbs if you weigh 200 lbs) can lower your future risk of high blood pressure (hypertension), heart disease (like a heart attack or heart failure), high blood sugar (diabetes or pre-diabetes), and certain types of cancer. We know that healthy food choices and portions help the most with weight loss; if you want help with this, ask for a referral to a nutritionist. Breastfeeding and exercising may also help you with this weight loss so aim to exercise for 150 minutes each week and breastfeed if you are able.
If you are thinking of having another child, it is important to know that having obesity puts you at higher risk of having medical problems during pregnancy, like preeclampsia and diabetes. Losing weight before your next pregnancy can lower your risk and can even increase your chances of getting pregnant.
How can I decrease my risk of having medical problems in future pregnancies?
ACOG Healthy Eating: https://www.acog.org/patient-resources/faqs/womens-health/healthy-eating