AFTER DELIVERY CARE
After delivery Care/ post partum care in ayurveda / THE PRASAVA RAKSHA The first three months after delivery is very important for the mother. During this period, the expanded uterus shrinks back to normal position, ligaments, muscles and tendons associated with uterus start gaining back the lost power. Mother also recovers back the mental strength, which will be a bit low in the first week after delivery. Motherhood is a special and joyous moment in every woman’s life. But this is possible if her health is taken care of during postnatal period. The postnatal period or Puerperium is called ‘Sutika kala” The duration of ‘Sutikakala’ is usually 1-1/2 month (45 days). Great emphasis has been laid on postnatal care i.e. Sutika Paricharya, as during this period she restores her health . If proper care is not taken during postnatal period, her health deteriorates. The first three months after delivery is very important for the mother. During this period, the expanded uterus shrinks back to normal position, ligaments, muscles and tendons associated with uterus start gaining back the lost power. Mother also recovers back the mental strength, which will be a bit low in the first week after delivery. AIMS OF POSTNATAL CARE (Sutika Paricharya) *To restore the agni. (Digestive fire) *Normalize the vata, which may vitiated after the delivery *Optimize the quality of breast milk. *To avoid exertion. * To prevent the complaints during Sutika kaala such as UTI,Backache,Loss of appetite,Thirst,Anxiety, Anger,Disturbed sleep,Depression, etc Ayurvedic post natal care based on season and place and health of the patient. External care: To calm the vata which was vitiated during post natal period. some special treatments are needed. It include abhyangam(full body oil massage) with Dhanwantaram kuzhambu, Pinda thailam,etc.The water should boiled by adding Nalpaamaraadi patta. Locally these treatments termed as Vethu kuli. It helps to strengthen the lower back, hip area, bones, muscles and ligaments. 1.Abhyangam :Oils preferred are – Balaswagandhadi Taila, Ksheerabala taila or Bala taila or dhanwantaram tailam according to the condition of the patient.It helps to strengthen the lower back, hip area, bones, muscles and tendons. 2. Herbal decoction bath 3.Udara veshtanam-uterus and ligaments and as a tummy care Note: these external treatments should done only after the complete healing of wounds in case of caesarian session. Rest – While mild walking is quite ok, rigorous work, heavy weight lifting is totally discouraged. It leaves the uterine muscles and tendons weak. Uterine prolapse during post mid life is linked to improper after delivery care of mother and rest. In case of normal delivery – rest for at least 3 months. In case of CS delivery – rest for at last 4-5 months. Internal medicines for post natal care Ayurveda explains different Ayurvedic products based on the need of the mother. Here is a general bird view regarding a few basic Ayurvedic products. Consult our doctors for suitable suggestion. Self medication will be dangerous. The medicines given will help in the healing of surgical wound, increase production of milk, help proper digestion and bowel movements. Give relief to constipation, help contraction of uterus, enhance excretion of waste, relieve body pain , strengthens muscles,etc.The medicine given in this stage will help the nourishment of the body, improvement of general health, and toning up of the nerves and muscles. This also keeps away flatulence, gastric discomforts etc. Medicines recommended are follows: Dasamoolarishta, jeerakarishta, asokarishta, Dhanwantharam kashayam ,Dhanwantharam gulika,Panchmakolasavam,thenginpookuladi lehyam,vidaryadi lehyam ,pulilehyam,etc. Note: All the products are not advised together. usually doctor permutes and combines the medicine based on symptoms in the mother. Commonly used herbs: Musta – Nut grass – It helps to improve breast milk production and also relieves milk duct clogs. Its paste is made with water and applied over breasts to relieve inflammation and to improve lactation. If the baby has mild fever or diarrhea, a water decoction of this herb is made and administered to the mother. Shatavari – A teaspoon of powder is mixed with a cup of milk and boiled. It is administered for a period of 5th day to 3 – 4 months to improve breast milk production. Apart from improving breast milk, it is also useful to calm the mind (useful in post partum depression). It assists in normal involution of uterus as well. Yashtimadhu (Mulethi, Licorice) and fennel are the other two herbs used for improving lactation. Home Remedy for cleansing uterus Mukkutti(Botanical name : Biophytum sensitivum) After delivery, the leaves of this plant along with jaggery is cooked and given to the delivered ladies to expel the lochia and remains from the uterus. Medicines for the Baby Apply Lakshadi keram over head and Nalpamaradi keram over body for massage according to the prescription of a doctor and give warm water bath. The water should be boiled with Nalpamaradi choornam and filtered. The above mentioned oils have antiseptic and anti allergic properties and these will provide strength to bones and muscles, enhance complexion and give nourishment to skin. Ura marunnu gulika to be used after one month of the birth of baby.(Rub one by fourth of one tab gulika with breast milk and give to the baby every weekend to avoid gastric problems) Dietetics for the lactating mother Regular intake of canned foods, hot, pungent, and spicy food recipes should be avoided, as these decrease milk secretion. The best diet for a nursing mother is a simple, bland vegetarian menu. Also, Ghee and oils should be taken in adequate amounts to improve digestion, facilitate the evacuation of bowels, nourish the traumatized tissues, and subdue the vitiated Vata Dosha, which gets aggravated during the process of childbirth. Exposure to pollution and infectious climatic conditions should be avoided, since any infection to the mother during lactation period can easily be transferred to the child. Care should be taken while taking drugs during lactation, since many drugs are excreted through milk and might exert an adverse effect on the baby. Breast-feeding should be stopped in cases of breast abscess, when milk is infected. It should be squeezed out and discarded to avoid further hardening. Home Remedies to Increase Breast Milk Breast feed frequently: Try to feed the baby as frequently as possible in an interval of two hours. This will increase the breast milk production considerably. Plenty of fluids: The production of the breast milk goes down when the body is dehydrated. Make sure that you drink enough water to keep yourself hydrated. Besides water you can also have other fluids like juice or milk to keep a track of fluid intake. Take ample rest: The body goes through a lot during the child birth. Taking rest should become your utmost priority. This will ensure that the body recovers after the delivery. Rest and relaxation are the best home remedies to increase breast milk. Have oatmeal: It is said that adding oatmeal to your diet does help in the breast milk production. Steel-cut oatmeal seems to be a good option. You can have a bowl full of oatmeal in the morning, afternoon snack or any time during the day. Remove the pacifier: The more the baby sucks the nipples, the more the production of breast milk. If your child is using a pacifier, it would be a good idea to take it away. This will ensure that the infant will suckle at the breast for a longer time. Diet: Some foods are said to be good for nursing mothers. Add sweet potatoes, asparagus, apricot, carrots, peas, pecans, green beans, green leafy vegetables (mainly moringa leaves) etc., to your diet. Herbal remedy: Studies have proven that herbs also assist in the production of breast milk. Some herbs like fenugreek, borage leaves, alfalfa, milk thistle etc can help you increase the breast milk naturally. Breastfeeding women should avoid smoking as it is one of the major factors responsible for low breast milk supply. Nuts are very good for the production of milk in the body. Almonds, cashew nuts and macadamia nuts are very effective in promoting lactation. Soak ten almonds in water overnight. Then peel them, put them in a blender, add a cup of hot milk and pure them.drink daily. pomegranate juice is good daily to regulate lactation. Powder of Asparagus recemosus (Shatavari) should be taken in the dose of 1 gm daily along with milk to maintain the quality of lactation. Kottakkal Ayurveda has an extensive After delivery package with a group of dedicated and well trained doctors and professional staff . Services will be provided in Hömé or in our clinic.