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Bringing a baby in this world, is the most exhilarating moment in most women's lives. Yet, post pregnancy days are filled with insecurities and uncertainties. Sleepless nights, stretch marks, healing uterus and an unappealing body. So unless you are shilpa shetty or malaika arora khan, most new mothers suffer from figure issues after giving birth to their child.
In fact the issue of maintaining the personality, is quite real regardless of what men say to their women. According to a yummy mummy survey over 90 percent of new and expecting fathers agree that they want their wives to look the way she used to look before the pregnancy.
This article talks in detail about the body and mind issues of new mothers and ways to deal with them, based on knowledge shared by expert indian gynaecologists on popular daily newspapers.
1) what's the fuss about yummy mummy?
A yummy mummy is someone who is confident of herself, is comfortable with her body and her personality. A yummy mummy is a mother who takes care of her body and her mind. She exercises regularly, is particular about her fitness level and exudes confidence.
2) body issues that a new mother needs to accept:
A woman will gain a certain amount of weight during pregnancy to include the weight of the baby, the placenta, the amniotic fluid, the enlarged womb, an increased blood volume, plus enlarged breasts and other fluid retention, commonly noticed as swollen ankles. Additionally a pregnant woman will store a certain amount of fat to help nourish her child during breast feeding. Women are expected to gain between 11-15 kgs during a normal pregnancy. Approximately 2-3kgs of this weight is designed to remain after the birth, to provide a fat source for breast milk. The remaining weight gain will either disappear immediately, the baby, placenta etc. Or resolve over time as the uterus contracts and the body returns to normal fluid levels. The concept of" eating for two" can however cause some women to gain more weight than just normal pregnancy weight. You may well look down at your body in the months after having a baby and wonder if it's ever going to look the same again.
Another worry that every pregnant woman has is about stretch marks and wondering if they are ever going to go. For this, it is advisable to try and minimize stretch marks during pregnancy by regularly applying moisturizers and oils which contain vitamin e, lavender, calendula and rosemary. The same can be used after pregnancy also on the abdomen and breast to reduce stretch marks.
3) diet essentials for a pregnant and new mother:
Eating healthy is of utmost importance for a pregnant and a new mother. A good balance of proteins, fats and carbohydrates is a must in a pregnant and new mother's diet. Extra milk and curd should be had to increase the intake of calcium. Women should avoid excessive intake of salty, spicy and deep fried foods. It is advisable that they avoid cake, sweets and ice creams altogether as the women are in a state of semi diabetes because the placental hormones are anti -insulin. In addition, women should have a lot of fruits, vegetables and nuts in their diets.
4) what are the ways a new mother can ensure her pre-pregnancy shape after delivery?
Exercising is important to get back to shape but what is more, is doing the right kind of exercise.
-- the pelvic floor (the hammock-like layer of muscles that support the bladder, uterus, and bowel). If you were good, you'll have done your pelvic floor exercises during pregnancy. If not, don't let that stop you from starting now - they're all-important in the battle to keep leaky bladders at bay and, as an added bonus, can help to improve satisfaction during sex!
-- you can also make a start on the long, slow process of getting your tummy muscles back in shape by softly pulling them in whenever you get the chance. (if you're not sure how, imagine drawing your tummy in towards your spine.) hold for a few seconds, breathing all the while, and then release. Do this as many times a day as you can fit in. (it's also a good idea to hold in your tummy this way when you bend over or lift anything: it will help to support your back and so help to ease or prevent back pain, a common problem after birth.) you could also squeeze in a few pelvic tilts when you find yourself with a free moment: stand with your back to a wall, slide a hand into the gap between your lower back and the wall and use your tummy muscles to tilt your pelvis backwards. Hold for a little while before releasing. You'll know you're doing it right if you can feel your lower back pushing against your hand.
-- gentle walking is also okay in the early weeks
-- power walking: an ideal way for new mums to exercise as it can be fitted into a normal day.
-- pilates or yoga: these are great for improving strength and flexibility, but you'll still need to raise your heartbeat with some sort of aerobic exercise couple of times a week.
- swimming, or aquarobics: a perfect all-round exercise - it will increase your heart rate but as the water offers you support, has minimal risk of injury. It's also good for firming up post-baby breasts
5) how much should a mother wait after a c-sec before resuming workout?
Whether it's a c- sec or normal delivery, no strenuous workout should be done for at least 40 days or 6 weeks after delivery. It takes 40 days for the large uterus to involute back to its small pre pregnant state. Exercise during this period would strain the ligaments and cause back ache. It may also predispose the uterus to prolapse after menopause during weakened ligaments that support the uterus. In addition, after a c-sec, the abdominal muscles and ligaments need to heal well, so active workout is recommended only after 3 months.
6) what are the dos and don'ts of the first 3-6 months after delivery for workout/diet?
After 3-6 months, all forms of exercise are permissible, however, during breast feeding, lifting weights and push- ups should be restricted. Breast feeding mothers require extra calories and nutritious food and diet. Diet foods or low calories diets are recommended. A good balance of protein, carbohydrates and fats along with extra milk and fruits are a must. Breast feeding itself is a great calorie burner and helps the mother to lose weight and regain her pre pregnant figure within 6 months of delivery.
7) how many post-partum depression cases do you get on an average?
70 % of women experience mild baby blues for about 1-2 weeks due to placental hormones leaving the body. The post- partum depression is a bit rarer. The signs and symptoms are more severe and last longer.
The symptoms may include:
Depressed mood/ severe mood swings
Difficulty in bonding with the baby
Withdrawing from family and friends
Loss of appetite or eating too much
Inability to sleep/ insomnia
Fatigue and loss of energy
Intense irritability and anger
Feelings of worthlessness and inadequacy
Severe anxiety and panic attacks
Thoughts of suicide ad harming the baby
Very severe post -partum depression may lead to psychosis. These patients do require help in the form of counseling and medication.
8) how can a mother avoid succumbing to depression?
Women should attend pre-natal classes, which prepare them for labor delivery and breast feeding during pregnancy. After birth, the mother should
Accept help from family and friends
Connect with new mothers
Always take time to take care of themselves
Avoid alcohol and medicines that cause depression
All said and done, it is very important that dads support new mothers to regain their lost shape, without hampering their confidence.
Post pregnancy, a woman is very stressed- she is worried about the baby and herself and is very busy taking care of the two. Being a mother can be very taxing and there are a few simple things that fathers can do.
Things dads can do with the baby:
Take baby out for a walk so mum can have some quiet time.
Feed the baby in the middle of the night or bring the baby to mum if breastfeeding. He could also help the baby feed if there is expressed breastmilk or feed the baby in the morning so mum can get some extra sleep.
Help to look after older children so that mum can adjust to life with a newborn again.
Make sure you learn how to bathe the baby and change nappies.
Things dads can do for mum:
Make mum any meals, e. G. Breakfast in the morning before going to work.
Tell her she's doing a great job and that you are proud of her and how much you love her.
No pressure for sexual acts - intimacy will return again soon.
Let her de-brief / talk about the labour and birth as many times as necessary, without getting annoyed. Being a good listener is important.
Tell her that it doesn't matter if the home is messier than usual and help to do a bit of tidying.
Let her cry or be emotional without trying to'fix' her - simply comfort her.
Husband's support makes a huge difference in the new mother experience of every woman and only makes him happier in return!
If you have any gynae / pregnancy concerns, feel free to consult me privately by clicking on'consult' button below.
Dr sangita malhotra
For those who are under the age of 35 and healthy, an annual checkup is not necessary, one every 2 to 3 years is fine. Even between 35-45 years if you continue to live a healthy lifestyle and face no medical problems, an annual medical checkup is not essential. But, for those who are above the age of 45, an annual checkup is recommended. The regular checkup will detect any medical issue, which can then be treated effectively. And as you know, early detection can help overcome even deadly diseases like cancer.
What should a checkup involve?
- Essentially a full body checkup starts with obtaining patient and family history to check for any genetic problems. Details on lifestyle habits and exercise routine are also recorded.
- It is followed by a thorough physical examination, which includes measuring blood pressure, checking eye and thyroid, reflex examination, chest examination etc.
- Sometimes depending on factors like the age and patient history a rectal examination may be done. For women, sometimes pap smear (test for cervical cancer) is also recommended.
- A blood test is generally also done. In case, the patient suffers from other problems related tests like Cholesterol, liver function tests, LDLs, HDLs etc. are done.
- The BMI (Body Mass Index) of the patient is taken to measure the weight. Nowadays a waist-hip ratio is generally taken as it offers a more accurate measure.
- After the examination and tests are complete, it is essential that you have a clear conversation with your doctor, and understand how your body is working currently. In case there is a medical problem, make sure that your doctor gives you details about its treatment and cure.
- Don't be afraid to ask questions in case you aren't clear about something. The doctor is there to help you lead a healthy and balanced life.
- It helps, if you conduct a self-examination of your body at regular intervals. Once a month, conduct a skin examination from head to toe for any abnormal spots, rashes or moles. Consult your doctor on the best way to go about it if necessary.
Hi i am 22 year old girl. Yesterday I had sex with my boyfriend after sex my vagina is bleeding still. Severe pain there inside my vagina. He didnt use condom. I lost my virginity one month ago. Whats the problem behind this issue.
Sir/mam my gf had periods on 26th may and after few day I inserted my fingers in her vagina, but from yesterday see saw blood on her vagina, it is like periods, I know what know exactly that is, whether she is pregnant or something else like hymen rupture, please give answer as I am too much worried.
Can someone please tell me why does some of the sperm spill out after the intercourse? And also should the hymen be broken to conceive?
Hi doctors I'm 25 weeks pregnant baby is going good but my cervix is weak. Internal Os dynamically opening with funneling with membrane, cervical length decrease from 2.9 to 1.7 cms. Stitch in situ is it ok.
Dear sir Is it advisable to do TORCH panel test IGG Measles, Rubella tests before going for pregnancy?
My period date was 16,17 but now I just feel pain but no period. Last one moth back I was with my husband for intimate but when he put his part in my part so I felt pain and he stopped. please tell me what is the reason. This is first time period date late.
What is IUF and how it is differ with IVF and what are the pros and cons in both method and is it safe and upto which age we should go?
Hi, I am 25years old female. I got married before 1 and half years. We didn't do any restriction to get pregnancy. We are doing sex continuously but still now I am not pregnant. I got period on Nov26. For the last time we have unprotected sex from Dec 5 to Dec 12. My cycle vary from 24 to 30 days. But I am having slight Nausea, dizzy.
She was doubt in unprotected sex her last date was 11 may now her menses is not occur if she pregnant.
Sir I was suffering from herpes 7 months before. Now some time their is small etching problem on private part. Please tell me their is some thing serious or not.
I had unprotected sex yesterday and next day dark discharge started to appear. My period is on 18th of every month. I had taken an ipill two months back. After that my periods were regular. Really need to know what I should be doing now? what might be the reason? please help.
The most common form of leishmaniasis, cutaneous leishmaniasis is generally identified as a parasitic disease caused by the bite of infected sand flies and is responsible for causing skin sores. These skin sores vary in size and appearance and are susceptible to changes over time. They have often been described as miniature volcanoes, having slightly elevated edges with a central crater, and at times covered by a scab. Occasionally, swollen glands can appear in and around the sores, and may or may not be painful.
Causes of cutaneous leishmaniasis include:
- Cutaneous leishmaniasis can be easily spread by the mere bite of certain types of phlebotomine sand flies. Initially, sand flies get infected when they bite an infected animal; say a rodent or a dog, or even another person already suffering from it. They then act as a vector agent and carry the virus around with them. If they happen to bite you, you will discover the growth of these volcanic skin sores gradually, if not immediately.
- Cutaneous leishmaniasis can also be spread via blood transfusions or through the use of contaminated needles.
- Occasionally, though very rarely, cutaneous leishmaniasis can also be spread from a pregnant mother to her newborn baby.
Cutaneous leishmaniasis can be treated in various ways. Some effective methods of treatment may include:
- Local heat therapy (most suitably at around 40 degrees celsius)
- Several topical paromomycin preparations
- Certain types of sodium preparations
- Antibiotic therapy