Post natal care

Post natal care
("Puerperal Period, Post delivery, Puerperal, सूतिका , प्रसव )"

Sweet Blessings

How a new mother spends the weeks directly after the child arrives lays the foundation of how the family functions for many years to come. The first forty days after the childbirth are considered as a period of rest , rejuvenation and bonding. Care after delivery for the mother (Sootika, Paricharya) सूतिका परिचर्या is important as the pregnancy care.

A new child is a blessing for the family and the world. Giving a new mother the space to properly heal is a gift that ensures she will have the strength and emotional well being to usher her new baby to life. After child birth mother needs rest, calm and recovery time. The calmer the mother, the more natural and harmonized are mother and baby's responses to each other. Child birth is a significance event for the body and mind. The perinatal care aims at easy delivery and a healthy child.

Introduction

Post natal period (सूतिका कला ) is considered to be the time after expulsion of placenta (the supporting nutrition system of the baby) till 1.5 months or till onset of menstrual cycle after delivery. It is the time when the tissues of the body are weak and vata vridhi.(वात वृद्धि) (increase of air element). There are 64 disorders. The disease arising in this phase are considered to be difficult to treat and hence proper care after delivery is very crucial in the physical and psychological health of the mother.

Puerperium refers to the six weeks following childbirth during which the pelvic organs return to the pre - pregnancy state and the physiological changes of pregnancy are all reversed. The duration of puerperium last until 1 1/2 months( usually after which the menstrual cycle starts). The boundary of the room where mother is their with her newborn is strewn all over with mustard seed,Linus seeds and rice grains. They serve as a boundary preventing the entry of insects. Herbal medicines like asafoetida,cuscus,mustard,Linux,garlic and long pepper which dispels mosquitoes, germs are tied in packets and suspended from the top of the beam of the doorframe. The room is disinfected with antiseptic drugs like Khadija ( Acacia catechu) etc.

It is divided into three phases:

Immediate Puerperium : Within 24 hours of delivery.
Eary Puerperium : Upto 7 days
Remote Puerperium : Upto 6 weeks

There can be many complications for the mother such as

Postpartum depression,
Infections
Inadequate milk supply
Low back pain
Excess weight gain
Genital organ prolapse in later life.

If adequate care is not taken after delivery.

General care

As soon as you give birth to your baby, there are lots of things which has to be taken care of. The new baby has to be fed in time, hygiene of baby and your self has to be maintained, giving a gap between two offspring takes a priority. Along with these losing the weight which you have gained during pregnancy also bothers you. Losing weight after pregnancy is a very big task. A delicate balance has to be maintained with diet and exercise since your welfare is directly tied with that of your infant.

Depression : Reduced hormone levels quickly after delivery by experiencing emotional distress can also lead to depression. Approximately 15% of woman experience depression after child birth.,

It takes 6 months after delivery for a woman to regain her normal health and strength.

Benefits of Post Natal Care
* Tones up abdominal and pelvic muscles.
* Relief from body aches and back pain.
* Aids faster physical and psychological recovery.
* Optimize milk production.
* Improves immunity of mother.
* Prevents gynecological disorders like uterine prolapse, urinary incontinance in future.
* Helps to attain pre-pregnant weight at a faster pace.
General care
Sleep and rest
Sufficient sleep and rest durning post natal period is required by the woman to regain all her energies and going back to normalcy.
Temperature and pulse
Bowel and bladder
It is usual to be constipated after delivery. Laxatives are given to promote bowel. Movement. Every effort should be made to induce the woman to pass urine, within 6-8 hours of delivery. The genital area should be cleaned and protected after evacuation of the bowel.
Diet
To aid this process her diet is designed in such a way that any disorder is prevented in the process of re-establishing the change. Most of the diet suppresses vata( wind) , are immune boosters, saturating,uterine relaxants and cleansers & galactogogues. The diet is basically unctuous and hot in potency.
She is given rice gruelling and ghee as well as milk. Moong dal soup,horse gram, mutton soup,pumpkin, carrot and cucumber.
She should take boiled and warm water. She should drink a good quantity of hot water.
Nourishing drugs and scum are beneficial.
Sudation.

Sleeping in air free space.
After 10 days Khmer of poppy seeds
Drink medicated with careway seeds, fenugreek seedsAsparagus roots and fennel seeds.
Hygiene
Antiseptics
Uterine relaxants and cleansers.
After delivery the woman should use unction fomentation as hot water with full alertness for one month. From 2nd to 10th day the vulva should be cleaned with warm water and exposed to the smoke of caraway seeds and fennel seeds.
She should be given bath, preceded by oil massage.(Oil massage after 4th day)
After bath she should be exposed to fumigation .
The bath may be started on first day if she is not weak.
The first bath or shower after delivery should be supervised as the mother is little unsteady.
Placental site is the site of infection. Proper wash of genitals, should be done to prevent infection.. The area should be kept clean and dry and free from infection.
Washing the used clothes and blankets should be done regularly.

The Lochia

The quantity, quality, odour, the method of staining on the diaper and the presence of any abnormality in the discharge should be noted.

During the puerperium, the diaper should be frequently changed, particularly if the lochia is abundant and offensive and the parts washed well and protected..

Eat jaggery for its purifying effect on the uterus.

Dasamularishta in the dose of 1 ounce (30 ml) twice a day should be given.

Period of 6 weeks following the expulsion of placenta is called puerperal period. A restricted diet, rest and a specific mode of life for a mother.

For the first 2-3 days after the delivery a women should be given rice gruel prepared with milk and ghee.

Three to five grams of pippali powder ( piper longum )Pippali moola ( Piper Chaba)

Ginger should be taken with ghee / oil / bone marrow according to her capacity once a day,

After taking this, her abdomen should be massaged with oil and wrapped properly with a clean cloth.

This should be followed by rice gruel prepared with drug of vidarikand mixed with ghee or milk for next three days. ( 6-7) days.

On 7-8 day she should take cooked sail rice with meat soup. Decoction of Shatavari prepared with yava and horse gram should be given considering her strength and digestive power

After twelve nights she should take nourishing diet to boost her strength and digestive capacity. Ghee should be added to her diet.

Sweets and drugs having vaatahar properties ( alleviates wind) should be preferred.

Bala tail a ( oil that gives strength) should be used for body massage.

Breast feeding

After delivery a mother should feed her child.

For Lactationm

Milk and milk products should be taken in plenty.

Five grams of fennel should be consumed 2-3 times a day with a betal leaf.

3 GMs of cumin seed powder and 2 grams of Shatavari powder should be taken with milk.

Milk should be medicated with 3 GMs of vaata ( Ficus Bengalis ) sauwarchala lava a, jaggery and ghee.

Milk boiled with Shatavari, door a and ikshu should be taken two times a day.

Signs of Labour
* Contractions occurring at regular and increasingly shorter intervals, which turn stronger as, the time passes by.

* Menstrual cramps - like pain in the lower abdomen and back, which do not recede away.

* Water bag breaks and comes out in gush.

* Mucus plug, which blocks the cervix is thrown out and comes out as bloody mucous discharge. This indicates that labour could be anytime or few days away.

* Cervix is dilating (opening up) and becoming thinner and soft (also called effacement). This can be made out by vaginal examination.

To promote easy delivery

* Milky Yam (Ipomoea digitata) (विदारी कंद ): Big tuber of this plant is used. To take decoction 1-2 teaspoonful of this tuber regularly in last month of pregnancy.

* Just before delivery castor oil with pepper is given as lintus.

Care of the breast

Sufficient care should be taken to keep the breasts clean and have the nipples drawn out.

The nipples require little attention other than cleanliness and attention to fissures if any.

Since dried milk is likely to accumulate and irritate the nipples, cleansing the areole with water and mild soap is helpful after each nursing.

Post natal abdominal care

nursing After expulsion of placenta the woman should be assured and advised to lie on her abdomen. She should be massaged with oil on her back. Sides and lower abdomen and sweating should be induced..

The lax abdomen should be tied with a bandage.

She should be given ghee, vegetable soup or rice gruelling with dry ginger, cumin seeds,rock salt and pepper. This gives the mother a sense of well being. It also encourages a good circulation , lessens the possibility of venous thrombosis and more specifically restores the muscle tone of the abdominal wall and pelvic floor .

She should avoid

* Contact with anyone with an active wound, or exhausted by an active disease.

* Getting angry / sorrow

*. Sleep during the day

*. Travelling

*. Sitting for a long time

*. Talking loudly

*. Cooling measures like drinking cold water, application of sandlewood paste etc.

*. Exertion

*. Exposure to breeze

*. Exposure to heat.

*. Incompatible diet.

*. Excessive diet.

*. Diet not suitable for her constitution.

In general

*. Avoidance of the cause as the best medicine.

*. Massage with oil

*. Oral administration of fat with medicines and decoction for 3-7 days after delivery

"Watch your calories and consume nutritious food."

Restoration of body shape after child birth

Breast Feeding

* Eat well balanced diet.You will need 300-500 extra calories a day. Drink plenty of water and get as much as rest possible. Breast milk is the optimal nutrient mix for infants. Its full of good stuff like antibodies, antimicrobial factors, enzymes, and anti inflammatory factors along with fatty acids (which promotes brain development. Breast milk is delivered in a bio - degradable "organic package"

Exceptional Nutritional Quality of Breast Milk :

Protein in mother's milk helps in easy digestion and assimilation by the infant.
Fat in calcium are easily absorb able
Milk Sugar lactose provides easy energy. When converted into lactic acid destroys harmful bacteria in the intestine and easy absorption of calcium and other minerals.
Thiamine, Vitamin A, Vitamin C are present in mothers milk.

Perineal Care
* Clean the vulva from anterior to posterior.
* Detol antiseptic for washing the genital area after delivery help in faster wound healing even in those after an episiotomy.

Care of baby

* New born is given proper oil massage daily

* Application of turmeric paste so as not to get hairs on the body.

* lukewarm water bath is given to baby.

Lifestyle
DO,s

* Always drink 10-12 glasses of hot cumin (जीरा ) water. This boost metabolism and keep all body activities normal. To prepare this , add two teaspoon of cumin to a liter of water and boil it well.

* Keep yourself warm. Increased warmth boost blood circulation and helps in quick metabolism of fat. Elevated temperature speeds up burning of calories.

* Sleep : Proper sleep is very important.

* Massage your body for 20 minutes, if possible daily or twice in a week with warm sesame oil. Or medicated oil application on body.

* Abdominal binding with a broad cotton cloth.

After massage take hot water bath, instead of soap or body wash, use shikakai powder (soap nut powder) as body scrub. This method of applying powder scrub is known as Udhvartana, This is specially used in treatment of obesity.In this method massage is done in a 'down to up' motion.

* Take your dinner before 8 pm.

* Avoid too much of oily and fried foods.

* Ghee Pure ghee supplies the needed oil medium to dissolve vitamins during metabolism.Two teaspoons of ghee is advisable.

* Traditionally new moms are offered specific sweet greasy foods during first three months after child birth. Most of these foods are high in calorie because they are made with a lot of ghee and sugar. While you need extra calories to breast feed it's important to eat healthy to avoid excess weight. So strictly so no to sweets and processed sugar.

* Garlic milk Thus garlic milk helps in a great way to clear the clogged metabolic paths and reduce body cholesterol. Take 4-5 cloves of garlic and boil them in a glass if milk. Do not add sugar. Consume this milk twice a day after breakfast and dinner.
DON,T
*Avoid excess salt
* Avoid anger, grief,
* Excess physical strain

"Ragi is good for mother and infant."

Exercise
* Never try to exercise during first three months.
* After three months of recuperation simple non strenuous exercises can be done.
* Walking, Yogasanas, and light weight lifting can be performed for 45 minutes daily.
* Other than these daily household works or office work can be attended to.

Massage
* Whole body massage ( सर्वांग अभ्यंग )should be done for one month continuously, oil used Dhanwantharam Thaila

Yoga
With normal delivery you can start practice after three months of delivery. Women who have undergone caesarean procedure may need more time before they can start with yoga.
Shasshankasana
Adhomukh shwanasana
Gomukhasana
Ardhanavasana
Trikonasana
Veerabhadrasana,
Ustrasana
Padottanasana
Vipreeta karani
Setubandhasana
Pavanmuktasana

Pranayama
Mild breathing exercises

Meditation

Every day 15 minutes of meditation can bring many positive changes in your life.

Post Natal Diet
Do,s
Mother,s Diet
Light and easily digestible food for 3-5 days.

Traditional confinement food: It helps in quick recovery of mother and provide vital nutrients to mother, of course to the new born as well.
Panjiri : Highly nutritious for new mother.
https://madhufooddelicacies.blogspot.com/2020/08/panjiri.html
Cumin and Fennel / Saunf water : Boil half tsf of each of cumin and saunf. Strain and use.
Cumin or Jeera water : Boil a tsp of jeera in a cup of water, strain and use.
Fennel Water : Boil one teaspoon of fennel in a cup of water, strain and use.
Gond (गोंद ) Laddu : Prepared from roasted wheat flour / sooji, fried and powdered gond. Mix dry fruits, mix spices dry ginger turmeric, puffed lotus seeds (मखाने ) dried melon, water melon and pumpkin seeds, khuskhus (खसखस ) Saffron, (केसर ) desiccated coconut with lots of ghee. Given every day with a glass of hot milk. Provide vital nutrients.Aids lactation and strengthens uterus and backbone.
Methi Laddu : Fry on low flame methi seeds till you get nice aroma. Powder the fried methi seed. Make thick jaggery soup, add sufficient ghee and methi powder and stir well. Make small laddus. Give one laddu each day on empty stomach. It helps in lactation and deworming.
Jeera / Cumin Laddu : Fry on low flame jeera seeds till you get nice aroma. Powdered the fried jeera seeds. Make thick jajjery soup add sufficient ghee and jeera powder and stir well. Make small laddus. Give one laddu each day on empty stomach. It prevents acidity, stabilizes blood pressure, and increases breast milk.
Garlic milk : Boil 2-3 garlic pieces in a cup of milk. It helps to overcome post delivery complications.
Hot coffee / Kashaya : (masala milk made with turmeric, roasted jeera,saunf,dry ginger with jaggery) is given post delivery/Masala chai /tea : prepared with saunf, (सौंफ ) moti elaichi/cardemom,(मोटी ईलायची ), choti elaichi, (छोटी ईलायची )dry ginger tea powder and milk with jaggery as a sweetener if given post delivery.
Black Sesame Seed / Til laddu : Sesame seed fried on low flame and coarsely pounded powder is mixed with jaggery syrup tied into tiny laddu given to lactating mothers. It helps to overcome calcium deficiency.
Ginger lehya : Prepared with ginger, mixed spices, jaggery, ghee, and coconut milk. Provides vital nutrients, aids lactation and strengthens uterus and back bone.
Pepper Rasam/ Garlic Rasam : Aids in improving immunity of mother and in turn child.
Tapioca and green leafy Vegetables : (especially Dil leaves and methi leaves) Aids in lactation and folic acid suppliment.
Ragi porridge can be taken which is a natural source of calcium and iron.

* Rice gruel
* Milk
* Kulthi soup (Horse gram) + ghee and salt
Methi seeds soaked in water overnight and well cooked along with rice.
* Moong dal Khichadi
* Meat soup
* Ash guard cooked in ghee.
* Warm water with lemon and honey has to be consumed first thing in the morning. This effectively detoxifies body and boost fat burning.
* Always eat well balanced diet.

* Keep snacks like oat biscuits, wheat rusk and whole wheat biscuits at home. Munch on these when you are hungry

* Include green leafy vegetables specially dill leaves and spinach in your diet.

* Fruits like watermelon,, pomegranate , apple, , sweet lime orange etc. are less in calories These can be easily added to your diet

* Cooked pulses, egg white, lean meat and fish also provides good amount of proteins.

* Apple slices vegetable salads and dry fruits can also be eaten when you have hungry pangs.

* Spices like pepper, cumin seeds and ajwain (carom seeds) play a great role in bringing back the balance between vital forces. Here is a simple recipe to use these spices.Take a part of cumin one part of pepper and 1/2 part of ajwain. Fry these separately with little ghee. Mix all these spices and powder them in a blender . Store this spice mix in an air tight jar . Half teaspoon of this mix has to be consumed with a serving spoon of hot rice, half teaspoon ghee and little salt during lunch and dinner. Avoid using pepper and ajwain if you have hemorrhoids or constipation problem.

*

* Continue using the cumin, pepper and ajwain mix in salads and smooth.

* Make i a habit to eat a fistful of dry fruits like almonds, figs, raisins and walnuts in the morning (at 11 am) which helps in supplying vital vitamins and minerals.

Don,ts
* Do not opt for uncooked foods.

"Watch your calories and consume nutritious food."

"Best diet and good exercise will help in a long way to lose post pregnancy weight."

"Best diet and good exercise will help in a long way to lose post pregnancy weight. You will be more beautiful, graceful and a glowing mommy."

"Watch your calories and consume nutritious food."

" Yoga is the journey of the self, through the self, to the self."

Herbs

* Shatavari (Aspagus recemos) Improves lactation
* Vidari (pueraria tuberosa) Improves lactation.
* Drumstick ( Moringa ilefera) leaves are natural galactagogues which optimize milk production and and ensure smooth bowel habit.

* Dry Ginger
* Harad
* Pippali
* Fenugreek seeds

Treatment

welfare
Ayurvedic
* Dhanwantaram thaila for external application. Medicated oil application followed by sudation and bath in medicated water.
* Fumigation of body by specific herbslikepippali,kushta and agaru to prevent infections

Neem,mango,tulsi,ficus are extensively and judiciously used after birth

Dasamula : As a tonic for vata following delivery

The post natal period is very special time where women undergo a transition into motherhood.

Good post natal care when provided heips mother to regain her normal health, It works as recuperative and rejuvenative . It also improves lactation and helps to nurse the child well.It also aims at proper involution making uterus come back to its size and contour.It also help to reduce the excess weight gain that occured during pregnancy.As the jmothers mody is prone to many infections, these practice are also aimed at preventing such infections.

For both mother & Child
Child care including care of new born, post parturition care of mother, infant feeding, teething to various typical diseases of children including mental retardation.
The physiology of children below the age of five ( ) bal - avastha . To protect the children from respiratory disorders, diarrhoeas, skin disorders and intestinal worms. Every child should have access to limited quantities of the. Medicinal fruit Terminalia chebula( Haritaki or Harad) The fruit is called 10 mothers( Dash Mata) because of its protective nature,especially in respiratory disorders of infants. Other easily available plants that every mother should have excess to are: Brahmi ( Bacopa monnieri) for mental growth. Pippali ( Piper longam) for indigestion and Vacha(Acorus calamus) for early development of speech.
Sweet flag or vacha is administered with honey in minute quantities to infant on the 11th and 21 st day of birth. It is believed that this practice makes the child mentally active and talkative.
The mother should ensure complete burping by the baby every time when she feeds the baby, Failing to do so causes flatulence and colic in the baby
It is advisable to use ajwain water or boiled and cooked water for baby.
it is better to avoid gas producing items like potatoes and deep fried items in mothers diet.
liberal consumption of milk should be encouraged.
mother should take well balanced diet.

child care
Emphasis is in keeping the cord clean and dry
Oil massage is good for babies.
mouth of children after breast feeding, should be cleaned.

" The moment a child is born, the mother is also born."

Don,s
Pomegranate aggravates vata dosha so it should not be given to nursing mother.
Post Partam Care
It is best for the mother and child to indulge in abhyanga( body massage), Swedana ( Sweating) one of the extremly beneficial therapies

Special foods

new born is given proper oil massage daily

application of turmeric paste so as not to get hairs on the body.

lukeworm water bath is given to baby.

General childhood diseases:

Tonsillitis, cough, asthma, sinusitis, ear infection, fever, skin diseases, diarrhoea and indigestion, lack of appetite, attention deficit disorders.

Cracked nipples

episiotomy

induction of labour (causing labor to start early.

Herbs :

Shatavari:One gram daily with milk for lactation.

Mother

Diet

Do,s

Diet for new mother:

* Vata is cold and dry., since the goal is to balance vat dosha,Food that are vata pacifying ( शांत करना ) and nourishing, unctuous, grounding and easy to digest.

गोंद

* For first ten days soupy part of the cooked moong dal is seasoned with spices and served to a new mother.

* Vegetables such as,carrots and different types of greens and beetroot are served to new mother

Vata spicifying spices:

Ghee balance the vata but is also nourishing and rejuvenative to the body.

* Boiled milk and water are served warm or hot.

* Vata pacifying spices: Ajwain,cumin,black pepper,seasalt,turmeric,fenugreek, fennel, saffron, cinnamon,nutmeg and cardemom.

* Edible resin are given to aid recovery after birth.

* Acasia gum (गोंद ) resin is used along with raisin, almonds and wheat cooked in ghee to normalize,reproductive organs after birth.

After tenth day , the mother is served one of these "gum balls"(गोंद के लड्डू ) early in the morning with a cup of boiled milk.

Dont,s

* For first ten days soupy part of the cooked moong dal is seasoned with spices and served to a new mother.

* It is important not to consume cold foods.

* Sour foods such as curd and tomatoes are not served often either as they are said to cause digestive problems.

* Vegetables such as beans not given as it is vata aggravating.And it is also difficult to digest proteins after birth.

* Potatoes, cabbage, cauliflower, green peas and broccoli as they aggravate vata dosha and canmake the baby gassy.(coliky pain in abdomen)

* Butter is never given to the mother as it has a cold effect.

* Cold drinks, ice, frozen foods are never given to a new mother.

How to position baby for the feed: A baby is correctly positioned at the breast when he/she has latched on to it with a wide open mouth, so that his lower gum is well below the base of the nipple on the areola, the dark area around the nipples. In this position newborn will compress the sinuses located beneath the areola to draw out milk.

If he/she instead latches on the nipple only one starts "chewing" the nipple will probably become sore and cracked and perhaps even bleed. The baby will also get too little milk.

Classic breast feeding position : The baby,s head is held in the crook of the mother,s arm.

Cross over hold: Position yourself comfortably in sitting position with a pilow behind you. Place one or two pillow on the lap so that the baby is at the level of your breast, Hold the baby in opposite hand as of the breast you are feeding. Hold baby in opposite arm, so that your hand rest between the shoulder blades and support the back of the neck and head.. Place your thumb behind and below one ear and your other fingers behind and below the other ear. Tip baby,s head slightly so that , when you pull baby into the breast, the chin will reach it first. Hold your breast with your hand so that thumb is positioned at the margin of the areola, abour11/2 inches from the nipple, at the spot where the baby,s nose will touch the breast. Place index finger some distance from the nipple at the spot where the baby,s chin will touch the breast.

Side lying position: Baby and mother lie on their sides, tummy to tummy, as with the cuddle hold. Place your fingers beneath the breast and lift upwards, then pull the baby in close after he/she roots. This position is easier and safe after 4-6 weeks, when the baby has better head control.

Frequency of nursing: born should be nursing often, at least eight times in 24 hours.

Burb after every feed: Hold the baby over your shoulder and pat baby,s back, or sit baby upright, bend slightly forward with your hand , supporting baby,s lower jaw and firmly pat his/her lower back. A good burp can take 15-20 minutes.

In today,s world of increasing allergies, it is advisable to keep the baby on breast feeding for minimum of 1-2 years.

FOR Lactation: Take A Almond milk, drink it twice a day. to help strengthen quantity and quality of milk.

Pomegranate juice gaily to regulate lactation

Shatavari (Asparagus recemosus: Powder of shatawari should be taken in the dose of 1 gram gaily along with milk.

Ashwagandha is good for lactation.

New Born Care:

Keeping the chord clean

Mother,s milk is the best

Basic hygiene : Mouth of a baby should be cleaned specially after breast feeding.

Daily oil massage with Bala taila

Routine bathing is advised.

Clean cloths bedding and proper handling of baby.

Burbing: The mother should ensure complete burping by the baby every time when she feeds the baby. Failing to do so causes flatulence and colic in the baby. Ajwain water of Gripe water is good for flatulence. It is advisable to avoid gas produsing foods such as potatoes,arbi,ladies finger and deep fried foodsin mothers diet

Water intake should be optimal.

Balanced diet

well cooked vegetables

Fruits and vegetables.

Apprpiate amount of proteins

Milk : Liberal amount od milk is encouraged.

Herb

Cissus quadrangularis Hadjod Asthisamharaka : A Panacea for bone health.

Post Natal

Iron

Calcium

Engorged Breast: Breast becomes slightly full or feel swollen,tender,throbbing and lumpy.

treatment:

* Wear a supporting bra even in night but should not be too tight.

* Nurse frequently, every 1-3 hours.

* Gently massage the breast at which baby is nursing.

* Encourage baby to nurse ar least 10 minutes or longer on each breast.

Sore Nipple: Tenderness pain, cuts in the breast can turn the joyous experience sour.

Treatment:

* Apply ghee,fresh aloe vera pulp over the nipple and areola after nursing, wipe it off before next feed.

* Massage breast while nursing to encourage milk to flow and speedy emptying.

* release baby,s suction hold carefully using index finger before removing baby from the breast.

* Wipe and dry the nipples after each feed..

* Avoid excessive washing of nipples, avoid soap

* Leave scabs and blisters alone.

* Use breast pump during periods of soreness, pump milk every 3-4 hours.

Inadequate Lactation: Breast milk may fall short in secretion certain times.

Treatment: * Avoid spicy food.

* Assure plenty of fluid intake.

* Get proper sleep.

* Soak 3-4 tsf of methi seeds (fenugreek) seeds overnight in one liter water and use this water for drinking.

* Add garlic in diet.

* Have a very balanced diet.

* Shatavari granules two teaspoonful, twice daily with a glass of milk is recommended,colic or reflux for the baby.

Colic is a catch: All the terms for unidentified infant discomfort characterized by intense crying and apparent abdominal pain.

Treatment:

* Proper burp, after every feed or after one breast, before introducing the other.

* Put your baby to sleep on his or her back, hold baby on your chest while you are reclined or lying flat or place baby on a firm,safe surface, such as a blanket on the floor. Every day make it a routine for 2-5 minutes.

* Watch your diet carefully is triggering this colic in baby.

"Remember: Happy mommy = Happy baby."

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Neem,mango,tulsi,ficus are extensively and judiciously used after birth

The post natal period is very special time where women undergo a transition into motherhood.

Good post natal care when provided heips mother to regain her normal health, It works as recuperative and rejuvenative . It also improves lactation and helps to nurse the child well.It also aims at proper involution making uterus come back to its size and contour.It also help to reduce the excess weight gain that occured during pregnancy.As the jmothers mody is prone to many infections, these practice are also aimed at preventing such infections.

For both mother & Child
Child care including care of new born, post parturition care of mother, infant feeding, teething to various typical diseases of children including mental retardation.
The physiology of children below the age of five ( ) bal - avastha . To protect the children from respiratory disorders, diarrhoeas, skin disorders and intestinal worms. Every child should have access to limited quantities of the. Medicinal fruit Terminalia chebula( Haritaki or Harad) The fruit is called 10 mothers( Dash Mata) because of its protective nature,especially in respiratory disorders of infants. Other easily available plants that every mother should have excess to are: Brahmi ( Bacopa monnieri) for mental growth. Pippali ( Piper longam) for indigestion and Vacha(Acorus calamus) for early development of speech.
Sweet flag or vacha is administered with honey in minute quantities to infant on the 11th and 21 st day of birth. It is believed that this practice makes the child mentally active and talkative.
The mother should ensure complete burping by the baby every time when she feeds the baby, Failing to do so causes flatulence and colic in the baby
It is advisable to use ajwain water or boiled and cooked water for baby.
it is better to avoid gas producing items like potatoes and deep fried items in mothers diet.
liberal consumption of milk should be encouraged.
mother should take well balanced diet.

child care
Emphasis is in keeping the cord clean and dry
Oil massage is good for babies.
mouth of children after breast feeding, should be cleaned.

" The moment a child is born, the mother is also born."

Don,s
Pomegranate aggravates vata dosha so it should not be given to nursing mother.
Post Partam Care
It is best for the mother and child to indulge in abhyanga( body massage), Swedana ( Sweating) one of the extremly beneficial therapies

Special foods