Pregnancy and Substance Abuse—Postpartum Care

Also called: Post-pregnancy health

Taking home a new baby is one of the happiest times in a woman’s life. But it also presents both physical and emotional challenges.

• Get as much rest as possible. You may find that all you can do is eat, sleep, and care for your baby. And that is perfectly okay. You will have spotting or bleeding, like a menstrual period, off and on for up to six weeks.
• You might also have swelling in your legs and feet, feel constipated, have menstrual-like cramping. Even if you are not breastfeeding, you can have milk leaking from your nipples, and your breasts might feel full, tender, or uncomfortable.
• Follow your doctor’s instructions on how much activity, like climbing stairs or walking, you can do for the next few weeks.
• Doctors usually recommend that you abstain from sexual intercourse for four to six weeks after birth.

In addition to physical changes, you may feel sad or have the “baby blues.” If you are extremely sad or are unable to care for yourself or your baby, you might have a serious condition called postpartum depression.

Dept. of Health and Human Services Office on Women’s Health

• After vaginal delivery – in the hospital (Medical Encyclopedia)
• Losing weight after pregnancy (Medical Encyclopedia)
• Vaginal delivery – discharge (Medical Encyclopedia)

When you are pregnant, you are not just “eating for two.” You also breathe and drink for two, so it is important to carefully consider what you give to your baby. If you smoke, use alcohol or take illegal drugs, so does your unborn baby.

First, don’t smoke. Smoking during pregnancy passes nicotine and cancer-causing drugs to your baby. Smoke also keeps your baby from getting nourishment and raises the risk of stillbirth or premature birth. Don’t drink alcohol. There is no known safe amount of alcohol a woman can drink while pregnant. Alcohol can cause life-long physical and behavioral problems in children, including fetal alcohol syndrome. Don’t use illegal drugs. Using illegal drugs may cause underweight babies, birth defects or withdrawal symptoms after birth.

If you are pregnant and you smoke, drink alcohol or do drugs, get help. Your health care provider can recommend programs to help you quit. You and your baby will be better off.

Dept. of Health and Human Services Office on Women’s Health

• Alcohol and pregnancy (Medical Encyclopedia)
• Neonatal abstinence syndrome (Medical Encyclopedia)
• Smoking and Pregnancy (Centers for Disease Control and Prevention) – PDF