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Going Home

Your midwife will talk to you about when it is safe for you and your baby to go home.  A copy of all of the information you will be given on discharge is available here and further information is given below.

Why do I need dalteparin (Fragmin) injections?

You have been given these injections as you have been identified as being at higher risk of developing blood clots following the birth of your baby.

You should give the injections daily for as long as advised.  Your midwife will show you and your partner how to give the injections safely.  A further guide is shown in this leaflet.

Once you have completed your course, you need to dispose of the sharps.  A list of places which will accept a sharps bin can be found in this leaflet.

Contraception

You can resume sexual intercourse as soon as you feel ready and recovered from the birth of your baby.  This should always be your choice.  It is also normal to not want to have sex, but if this is bothering you, please talk to your GP.

You should start thinking about your contraceptive choices in order to prevent an unplanned pregnancy.  Your GP will also talk to you about your options at your 6 week check.

Information about contraceptive options is available here.

Pelvic Floor Exercises

Pregnancy and giving birth, whether vaginally or by caesarean section, can affect the functioning of your pelvic floor muscles.

It is extremely important to strengthen your pelvic floor muscles after you have given birth to prevent problems with incontinence (leakage of urine or faeces/flatus), prolapse (bulging of one or more of the pelvic organs into the vagina), lower back / pelvic pain and increase sensation during intercourse.

You can learn about how to do pelvic floor exercises by reading this leaflet.

Registering your baby

You are legally required to register your baby’s birth within 42 days of the date of his or her birth.  For babies born at St George’s Hospital, the registration should be done at Wandsworth Register Office.  To book an appointment, please click here.

For further information, please see this leaflet.


Recovering from a caesarean section

The recovery from your caesarean can depend on many things, including whether it was planned or not.  For full details of what to expect after your caesarean section, please read this leaflet.

What medical care will I receive? 

Your midwife will regularly monitor your blood pressure, pulse and temperature and will also check your wound and bleeding. You will continue to have a drip in your arm until you can drink a normal amount.  If you have had an emergency caesarean section, you will be reviewed by the doctors at least once during your time on Gwillim.

When can I get up?

As part of the Enhanced Recovery Programme we encourage you to get out of bed the evening of your Caesarean to sit in a chair have a meal.   We also ask you to get dressed into your normal daytime clothes on the first morning after your caesarean as this has been shown to help with your recovery.  You will usually be discharged from hospital on the first day following your caesarean.

Will I be in pain?

You may experience some pain around your wound, especially when you move quickly.  We aim to keep you as pain free as possible and pain relief will be given at regular intervals.  Please talk to your midwife or doctor if you are experiencing pain.

Will I be able to care for my baby?

Caring for your baby may be difficult for the first day but our staff and your partner will be able to help you with your baby’s needs.  A call bell will be next to you if you need help for yourself or your baby. Your baby will be checked by a paediatrician or specially trained midwife on the day after the birth to ensure that all is well.

It is safe for you to lift your baby but you should not try to lift anything else.

Will I be able to breastfeed after my Caesarean?

Yes. Having a Caesarean birth does not stop you breastfeeding. Staff, including our Infant Feeding Advisor on Gwillim Ward, will be able to help you find comfortable positions to feed your baby.

What other discomforts might I have?

Some women experience “wind pain”. This is where your bowel is trying to start working again, because you did not have anything to eat for quote a long time before your operation. Sipping hot peppermint water, massaging your tummy and moving around usually helps this.

Like all women who have given birth, you will experience bleeding which is like a heavy period. You will need to use absorbent sanitary towels or maternity pads held in place with comfortable underwear that covers your wound.