Postnatal care (Sutika Paricharya)

After delivery, the new mother and her baby require special care. Ayurveda gives detailed guidance about the care to be taken, including lifestyle advice and specific dietary guidelines, during this extremely sensitive situation. The special and necessary post delivery care is described in Ayurveda in the following lines.

After delivery, the new mother is very weak, sensitive and susceptible. She has provided nourishment and energy to the child during its entire development, undergone the exertion and resulting the fatigue of labour, and blood loss, during and after delivery. Any health problem, arising during this time, could be difficult to treat, and in some cases, impossible to cure. Administering special remedies (to strengthen and protect her) can provide the necessary care and attention, right from the beginning of the post partum phase.

There are three post-partum phases as described below:

  • 1 – The first ten days:
    Immediately after the delivery the new mother is tired and she will surely have some vaginal bleeding. She requires special attention at this time.
  • 2 – The first 45 days:
    It is important to follow the guidelines that are meant to help the uterus contract to its normal size again. Diet, medicines and body care that ensure the adequate production of breast milk are recommended during this time.
  • 3 – Until the reappearance of menstruation:
    The time until the recommencement of menstruation is included in the post-partum period, so the woman is ‘sutika’ during this entire phase. Playing careful attention to diet, behavior and lifestyle, ensures the adequate production of breast milk and maintains hormonal balance. This also prevents weight gain, and helps her to regain her former physical shape.
Importance of Post Natal Care ( Sutika Paricharya)
  • To bring the woman’s health status to the pre pregnant state.
  • To prevent the complaints during Sutika kala such as urinary tract infection, backache, loss of appetite, thirst, anxiety, anger, disturbed sleep, depression etc.
Daily Routine :

Do’s

  • Daily massage with Vatahara oil eg Bala tail
  • Bath with warm water
  • Keep the breasts and perineum clean.
  • Fumigation of surroundings with guggulu, kushtha etc.
  • Wrap soft cotton cloth over abdomen
  • Proper breast feeding

Don’ts

During post natal care, Sutika has been advised to avoid factors such as Vvyama (exercise), Maithun (sexual intercourse), Krodha (anger), Sheetasevan (breezy things). Women experience lots of physical and mental stress during labour and get exhausted. This may be the reason behind restricting her from exercise. Emotional imbalance like anger,fear and depression badly affect lactation. Consumption of cold things aggravates Vata Dosha. Sexual intercourse involves strain and friction of genital tract which is already lacerated and weakened during the process of labor resulting into injury, bleeding and infection. The hypo estrogenic state following delivery makes vaginal epithelium thin and provides very little lubrication after sexual stimulation resulting into painful intercourse. Also there are chances of pregnancy which may affect breast feeding. Avoid Spicy Food - Postpartum, your body will be prone to constipation. So avoid spicy food and chillies, especially the red chilli. Besides, hot food also delays the recovery of the uterus. It is thus advisable to opt for pepper. Note that you must never include caffeine, nicotine and alcohol in your postnatal diet. They can reach the baby through your breast milk and is harmful for the baby.


Ayurvedic treatment for Sutika

Postnatal Care
  • Massage - Every morning after sedation of bleeding Sutika should apply Abhyag oil all over her body and especially to her waist, back and breasts. If the weather is cool, the oil should be warmed prior to use. Applying oil on the entire body should take about 25 – 30 minutes, and the oil should be fully absorbed in the skin.
  • Covering the ears -The ears should be protected with a scarf, not only for these ten days, but during the 45 days after delivery as well. A small ball of cotton or wool can also be placed in the ears, and be careful that the ears are not exposed to the wind or cold air, from a fan or an air conditioner.
  • Ghee - Ghee is given to the new mother to heal her wounds and also give her instant energy. As the mother feels fatigued in the postnatal period, ghee gives her strength and energy to cope with it.
  • Methi (fenugreek seeds) ladus can also be eaten for up to 45 days after delivery, (see Special Recipes). These help to restore the uterus to its former size, and enhance the quality of the breast milk. Methi or Fenugreek Leaves Fenugreek leaves have lots of iron and Vitamin K that helps the new mother regain her health. The body loses a lot of nutrients during childbirth and methi helps build the nutrient reserves again.
  • In accordance with the principle ‘like increases like’, the new mother should be sure to drink a sufficient quantity of milk, so that ample breast milk is produced. A cup of milk with shatavari kalpa, is recommended twice or three times a day.
  • She should continue to eat panchamrut as well as almonds which have been soaked in water overnight and peeled. All of these supplements are of tremendous benefit, and these benefits are passed on to the baby indirectly, through breast milk. It is advisable to have fixed and regular timings for meals, and to eat only as much as is satiating, but does not cause a feeling of heaviness in the stomach.
  • Gourds have a number of health benefits that are unknown to the West. Vegetables from the gourd family like bitter gourd and bottle gourd helps to correct the hormonal imbalances in the body of a new mother.
  • Dry fruits are rich in good cholesterol, energy and Vitamin E. Indian women are given generous amounts of cashew, raisins, walnuts and almonds (usually grounded and mixed with milk) to help her regain strength.
  • Drumsticks are green vegetables that are eaten mainly in India. This vegetable is an immunity boosting food that helps the mother fight off infections.
  • Spinach is universally accepted as a super food that given you iron, calcium, Vitamin K and Vitamin A. In the Indian context, spinach is given to mother in the form of gravies like palak paneer.
  • Beetroot is one of the best vegetables to have in the postnatal period. It gives the convalescent mother rich nutrients like iron and beta-carotenes.
  • Eggs provide the perfect combination of fats, proteins and calcium that a woman needs after childbirth. It helps to keep the mother strong and also helps correct hormonal imbalances in the body.
  • According to Yogaratnakar, the drinking of buttermilk mixed with Pimalmool (the root of piper longum) is recommended, every morning, for three weeks after delivery. This helps restore the uterus and the abdominal girth to their former status. Half a teaspoon of Pimpalmool powder should be mixed with the required quantity of buttermilk and consumed.
  • Besides these, Ayurvedic medicines such as Dashamool, Jeerakadhyarista, Devadarvyadi kwatha, Satavari Kalpa, Saubhagya Sunthipaka may be taken as well.
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