Post Natal

Gemaakt door Kevin Liang
Having a baby is much more than a physical experience. It is the beginning of a parenting role that will continue for a lifetime. A new little person has entered your life. Things will never be quite the same. This can be frustration at times.
 
Remember, you are not only adjusting to a new 24-hour-a-day job as a parent and changing a relationship with your partner , but you are also recovering from giving birth.These anxious feelings usually subside over several weeks, especially with understanding and support from your partner and friends, and as you watch your baby grow and develop. 
 
Should these symptoms persist (Initial signs that something might be wrong) please do get intact with us. Any further information can be found down below. We will pass by a few times after you delivery to check up on you so if you need help, please disuse this with us when we come by of with you care assistant. They will be there the first 10 days. 

Heb je het gevoel dat er iets gewoon niet goed is? Dat je gewoon niet lekker in je vet zit? Dit kan komen door een mogelijke postnatale depressie. 
Depression is often considered in terms of mild, moderate and severe.

Lichte depressie is als u een ‘low mood’ of ‘verlies van interesse of plezier’ in je relaties en omgeving en drie van de andere symptomen. Echter, als je een lichte depressie kunt u waarschijnlijk u dagelijkse activiteiten uit te voeren en hoeft u ziet niet zorgen te maken. Wellicht op letten dat de symptomen niet erger worden. Er over praten met vrienden en familie kan helpen en hulp vragen waar nodig is essentiële

Matige depressie is als u een ‘low mood’ of ‘verlies van interesse of plezier’ in je relaties en omgeving en je hebt 5 of 6 van de andere symptomen. Als u een matige depressie zult u waarschijnlijk problemen ondervindt bij het uitvoeren van uw dagelijkse activiteiten.

Severe depression is diagnosed if you have ‘low mood' or ‘loss of interest or pleasure in your relationships and surroundings and also have 7 or more symptoms. Sometimes slowing down of your movements and speech. Someone who has a severe depression will be in a highly dysfunctional state, not be able to carry out their every day activities and often have distressing feelings of worthlessness and guilt, they may also have suicidal thoughts.

Symptomen: 
– Low mood
– Verlies van interesse of plezier in uw relaties of omgeving.
– Constantly feeling tired. No energy ( NB: ask your GP about a thyroid function blood test and a full blood count to rule out anaemia or hypothyroidism)
– Sleeping problems - can't get to sleep or waking in the early hours and not being able to get back to sleep – Crying a lot, often over the smallest things or for no reason at all
– Can't eat or over-eating
– Physical aches and pains, such as headaches, stomach pains or blurred vision and worrying that it is something terminal or serious
– Lack of motivation to get up and do anything , feel things are piling up around you.
– A constant underlying sense of anxiety maybe escalating into panic attacks. Easily "set off" and difficult to calm down
– Difficulty concentrating, say on a book or film or even on a conversation
– Putting on a front. Feeling like you are playing out a role rather than just living the moment
–Feeling lonely and isolated. Perhaps feeling rejected by friends, family, even your partner and your baby or children. Or avoiding going out and meeting people.
– Sense of feeling overwhelmed and unable to cope
–No interest in sex
– Feeling guilty about everything - especially wondering if you are being a bad mother
–Overly anxious and over protective of your baby
– Feeling emotionally disconnected from or even rejected by your baby.
– Strange, frightening thoughts or visions popping into your head about harming yourself or the baby or awful things happening

Other things that may help are: 
  • Keep a record of when you are feeding the baby and when the baby has pooped or urinated in a notebook or the maternity file.
  • Try to sleep when baby is sleeping
  • Don't make too many appointment or very long ones.
  • Very important to get back into shape after delivery
  • Drink a lot of water. This is necessary for breastfeeding, replenishing blood lost during delivery and it reduces pain when urinating. 

After your delivery it is normal for you to expericence pain in the your pelvis. To help this pain you can do some exercise to relive the pain. We do however advise you to see you GP if after seral monthes you are stil in pain.

Kegels (Pelvic Floor Exercises) Kegel exercises strengthen the muscles of the pelvic floor. These muscles are weakened by the birth process and should be exercised immediately after birth. However, it may be somewhat difficult to do these exercises soon after your delivery; do as many as you can and gradually the tone will return.

-Squeeze the pelvic floor muscle for three seconds, relax the muscle for three seconds, then squeeze again. seconden, dan weer knijpen.
-Begin with 10 three-second squeezes, three times a day. Increase repetitions gradually. geleidelijk.

Work up to doing 50-100 kegels each day.

Abdominal Strengthening

Do each exercise one to two times each day with three to five repetitions.

Pelvic Tilt
-Lie on your back, with your knees bent.
-Tighten your stomach and buttock muscles.
-Allow your pelvis to tilt upward.
-Flatten the small of your back against the floor as you inhale.
-Hold for a count of five.
-Relax and exhale.
x Repeat three to five times.

CAUTION: DON'T arch your back, bulge your abdomen or push with your feet to obtain this motion.

Abdominal Breathing

-Lie down on a comfortable surface with your knees bent.
-Relax your body as much as possible, allowing your weight to sink into the surface on which you are lying. oppervlak waarop u ligt.
-Gently put your hands on your abdomen, close your eyes and begin to noticeyour breathing. Feel your hands rising as you inhale and falling as you exhale.
-Inhale, abdomen and hands rise upward; stretch your abdominal musclesoutward. Hold for a count of five.
-Exhale, abdomen and hands fall downward; pull in your abdominal muscles. Hold for a count of five. Repeat three to five times.

Ankle Circles (To enhance circulation)
-Make 10 circles with your ankles clockwise and counter-clockwise.
-Do the ankle circles in different positions such as sitting, lying down, etc. Repeat circular pattern three to five times.

Add the Leg Sliding exercise and the Arm & Upper Back Stretch Exercises to the previous exercises.

A few more things about the baby: 
Heel Prick (PKU):
This is done between 4-6 days postpartum by a midwife. (Only in Rotterdam) 
No message is valid for the result of the heel prick. Read further information; click here
 
Vitamin K en D
If you alone breastfeed it is important that you give your baby 150 micrograms of vitamine K and vitamine D. This could be done everyday from the 8e day until 3 months. More information klik hier.
Wellbaby Clinic (Consultatiebureau)
Information of the baby will be passed on to the baby clinic if baby is registered by the city council (gemeente). 
All appointment will automatically be send to you. For example the hearing test and immunisation 
 
Registering your baby
All babies must be registered by the city-council (gemeente) within three days of being born. This could be done by your partner or husband. Recognition of the baby before birth must be done if the baby is to get the surname of the partner after birth. (Especially for unmarried couples living together). 
 
Follow-up information
Six weeks after the delivery, you can come to the practice with your baby, where you, and other mothers, will be informed on adjusting to your new life with your baby. These are our post-natal dates (Nacontrole ochtend) Click or call the practice on 010-485 40 15 Click here for the date or call 010 485 40 15

Breastfeeding

Breastfeeding makes an important contribution to the well-being of mother and child. Breastfeeding ensures an optimal physical condition for the baby, it is healthy for the mother and always fresh, free and easy. Healthcare also benefits from a successful breastfeeding period: breastfed babies are generally less frequent and less seriously ill, even later in life.
For more information about the importance of breast milk: click here

Contraception

- So during your pregnancy contraception can come to mind. We will discuss it during your post partum and when we come for your home visit. Together with midwife will be able to give a receipt for your contraception that is easy for you. There are usually two options; hormone of IUDC which we will have to make an appointment. - Further information about the different kind of contraception can be found:Only in Dutch https://deverloskundige.nl/net-bevallen/tekstpagina/40/anticonceptie of op www.anticonceptie.nl, www.nfp-nederland.nl, https://ladycomp.nl/hormonen