The Recovery Method

Here are the most common ones and their treatment

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1. Vaginal and Perineal Discomfort: The vaginal canal, vulva and the area between the vagina and anus undergo a lot of pressure and stretching with a vaginal birth which can result in pain, swelling and bruising of these areas.
   Treatment: Rest, oral pain medication (Ibuprofen alternating with Tylenol), ice packs to the affected area (especially for the first 24 hours), warm sitz baths and using a peribottle with warm water to clean the affected areas, keeping the affected area dry. 

2. Vaginal Bleeding (Lochia) or Discharge: The uterus will continue to shed its lining after birth and so heavy bleeding similar to a period is common the first few days after a vaginal delivery. Vaginal bleeding then tapers to spotting that can last up to 6 weeks. Treatment: Using heavy duty and supportive pads (no tampons!). Bleeding will resolve on its own. 

3. Perineal Tears: The perineum is the supportive layer between the vaginal opening and the rectum. This area goes through a lot of strain during labor. As a result, perineal tears can occur. Sometimes, the OB may need to create a perineal tear (called an episiotomy) to help a baby pass through the vaginal canal. Perineal tears can occur in varying degrees as described below and the degree of tear will determine treatment (supportive management vs. stitches).

   • First degree – Involves only the perineal skin (surface level)

   • Second degree – Involves the perineal deeper tissues 

   • Third degree – Extends to the rectal opening and muscles

   • Fourth degree – Extends through the rectal opening and into the rectum 

4. Uterine Cramping: AKA the “afterpains”. The uterus will begin to return its normal size leading to contractions described as sharp pains or a painful tightening of the abdomen/pelvic area. These pains are more noticeable if breastfeeding. 
   Treatment: Rest, oral pain medication (Ibuprofen alternating with Tylenol), heating pad to the affected area. 

5. Urinary Incontinence: An involuntary leakage of urine due to weakened pelvic floor muscles.
   Treatment: Kegel exercises, seeing a pelvic floor therapist (use the national provider registry at TheRecoveryMethodInfo.com to find a provider near you).

6. Hemorrhoids: Swollen veins in the rectum or anus from pushing during labor or due to pregnancy related pressure to the pelvic floor.
   Treatment:  Rest, oral pain medication (Ibuprofen alternating with Tylenol), sitz baths (after the first 24 hours), stool softeners (to help making passing stools easier), witch hazel pads (Tucks pads etc.).. 

7. Bowel Side Effects: Constipation and gas are common due to pain meds, dehydration, hormonal changes or fear of pain while having a bowel movement, especially if there is a perineal tear..
   Treatment: Adequate hydration, high fiber diet, stool softeners.

8. Breast Engorgement or Pain: As milk comes in, breasts can become swollen and tender. This can occur even if not breastfeeding.
   Treatment: Rest, oral pain medication (Ibuprofen alternating with Tylenol), cold compresses, supportive bras. If breastfeeding, frequent nursing/pumping, consulting with a lactation specialist (in the hospital AND outside the hospital). Use the national provider registry at TheRecoveryMethodInfo.com to find a provider near you).

9. Fatigue: A common side effect from the labor process, recovery and new demands of caring for a newborn.
   Treatment: Rest, walking/gentle movements and stretching, adequate hydration, well balanced diet and prioritizing sleep and recovery. 

10. Baby blues: A self-limited period of frequent and rapid emotional changes. Mood swings, irritability, and crying are examples of such emotions and usually last a few days to two weeks before resolving.
    Treatment: Rest, self-care and a reliable support system. 

11. Postpartum depression or anxiety: A more serious and longer-lasting emotional complication than baby blues. Symptoms tend to be persistent and could include persistent sadness, trouble bonding with baby, intrusive thoughts, or overwhelming worry.
    Treatment: Begins with an evaluation by a mental health provider, OB/GYN or primary care provider. Treatment can consist of prioritizing self-care, ensuring plenty of rest, exercise (when cleared for physical activity), healthy diet, medication treatment options and/or counseling. Use the national provider registry at TheRecoveryMethodInfo.com to find a mental health provider near you).