Postpartum Issues

Postnatal (Latin for 'after birth', from post meaning "after" and natalis meaning "of birth") is the period beginning immediately after the birth of a child and extending for about six weeks. Another term would be postpartum period, as it refers to the mother (whereas postnatal refers to the infant). Less frequently used is puerperium.

Biologically, it is the time after birth, a time in which the mother's body, including hormone levels and uterus size, returns to prepregnancy conditions. Lochia is post-partum vaginal discharge, containing blood, mucus, and placental tissue.

In scientific literature the term is commonly abbreviated to PX. So that 'day P5' should be read as 'the fifth day after birth'.

The postpartum period in mothers

A woman in the Western world who is delivering in a hospital may leave the hospital as soon as she is medically stable and chooses to leave, which can be as early as a few hours postpartum, though the average for spontaneous vaginal delivery (SVD) is 1–2 days, and the average caesarean section postnatal stay is 3–4 days. During this time the mother is monitored for bleeding, bowel and bladder function, and baby care. The infant's health is also monitored.

Physical

The mother is assessed for tears, and is sutured if necessary. Also, she may suffer from constipation or hemorrhoids, both of which would be managed. The bladder is also assessed for infection, retention and any problems in the muscles.

The major focus of postpartum care is ensuring that the mother is healthy and capable of taking care of her newborn, equipped with all the information she needs about breastfeeding, reproductive health and contraception, and the imminent life adjustment.

Some medical conditions may occur in the postpartum period, such as Sheehan syndrome and peripartum cardiomyopathy.

In some cases, this adjustment is not made easily, and women may suffer from postpartum depression, posttraumatic stress disorder or even puerperal psychosis.

Psychological

Early detection and adequate treatment is required. Approximately 25% – 85% of postpartum women will experience the "blues" for a few days. Between 7% – 17% may experience clinical depression, with a higher risk among those women with a history of clinical depression. Rarely, in 1 in 1,000 cases, women experience a psychotic episode, again with a higher risk among those women with pre-existing mental illness. Despite the wide spread myth of hormonal involvement, repeated studies have not linked hormonal changes with postpartum psychological symptoms. Rather, these are symptoms of a pre-existing mental illness, exacerbated by fatigue, changes in schedule and other common parenting stressors.

Over 1 in 100 women develop Posttraumatic stress disorder following childbirth, many more suffer from one or more of the symptoms. PTSD may occur after severe complications during delivery, but personality characteristics and previous psychiatric illness has also been associated with the development of posttraumatic stress symptoms.

Postpartum psychosis (also known as puerperal psychosis), is a more severe form of mental illness than postpartum depression, with an indicence of approximately 0.2%.