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Postnatal Medications and Nutrition

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Postnatal Medications and Nutrition

Postnatal Medications and Nutrition - What is it for

Postnatal Medications and Nutrition - Side Effects, Precautions, and Contraindications

What side effects can Postnatal Medications and Nutrition cause?

Before taking Postnatal Medications and Nutrition , what precautions must I follow?

What food or medicine must I avoid when I take Postnatal Medications and Nutrition ?

Postnatal Medications and Nutrition - Dosage and How to Use

How should Postnatal Medications and Nutrition be used?

What should I do if I miss a dose?

What should I do if I overdose?

Postnatal Medications and Nutrition - Handling

How should I handle Postnatal Medications and Nutrition safely?

Postnatal Medications and Nutrition - Storage

How should I store Postnatal Medications and Nutrition ?

How should I dispose of Postnatal Medications and Nutrition safely?

​This leaflet describes some of the medications that may be prescribed by your doctor after your delivery. 

Paracetamol
​What is this for
​This is a painkiller which can help reduce mild pain or fever.
​How to take
Take when necessary. It may be taken with or without food. 
​Side effects
​Generally well tolerated without any significant side effects. 
​Other
considerations
Do not take with any other paracetamol-containing products e.g. Panadol, Anarex


Mefenamic Acid / Naproxen / Ibuprofen (Non-Steroidal Anti-Inflammatory Drugs or NSAIDs)
​What is this for
​These are painkillers which can help to reduce moderate to severe pain, or when your pain is not relieved by paracetamol. 
​How to take
Take when necessary or as directed by your doctor. Take after food.
​Side effects
Stomach discomfort or gastric irritation is a common side effect.  Taking this medication after food reduces this side effect. You may also be given some medications such as antacids that will help protect the stomach from gastric irritation.
​Other
considerations


Stomach Protectants e.g. antacids / famotidine
​What is this for
​Antacids or famotidine may be prescribed by your doctor as a stomach protectant when you are given NSAIDs, to help with stomach discomfort.
​How to take
As antacids may come in tablet or liquid form, always follow the instructions provided. Most antacids are usually chewable tablets and you should chew them before taking the NSAIDs. 

Famotidine is usually given once or twice daily, and can be taken together with NSAIDs.
​Side effects
Generally well tolerated without any significant side effects.  
​Other
considerations
You may need to space antacids at least 2 hours apart from some medications. Please check with your healthcare professional if you are taking some other medications.


Multivitamins and Iron supplements 
​What is this for
​Iron is needed to make red blood cells. Multivitamins containing iron or plain iron supplements may be given after a delivery, to help replenish the blood loss during delivery.
​How to take
Follow the instructions on the medication label.  
​Side effects
Generally well tolerated. Some of the common side effects are:
  • Dark-coloured stools. This is harmless.
  • Constipation. You can drink more water and take plenty of fruits and vegetables to prevent it.
​Other
considerations
For supplements containing iron, space at least 2 hours apart from coffee, tea, milk, dairy products, and calcium-containing supplements for better iron absorption.
(Exception: Iron polymaltose e.g. Maltofer / Floron).


Laxatives e.g. liquid paraffin / lactulose
​What is this for
​You may be prescribed laxatives, either a lubricant (e.g. liquid paraffin) or a stool softener (e.g. lactulose) for short-term treatment of constipation. 
​How to take
It may be taken with or without food.
​Side effects
Generally well tolerated.
May cause diarrhea, upset stomach
​Other
considerations
If you are prescribed liquid paraffin: Do not lie down for at least 30 minutes after taking this medicine to avoid aspiration pneumonia (medicine leaking back into the lungs).

Avoid taking liquid paraffin with multivitamins as it may interfere with the absorption of the fat-soluble vitamins in multivitamins. Space at least 1 hour apart between these two medications 


Galactogogues e.g. domperidone / fenugreek  
​What is this for
​You may be prescribed galactogogues, which are medications to stimulate breast milk productionIt may be taken with or without food.
​How to take
If you are prescribed domperidone, take half to one hour before food.

If you are prescribed fenugreek, it may be taken with or without food
​Side effects
Generally well tolerated.

What should I do if I forget to take/use this medication?

You should take multivitamins and iron supplements regularly. If you forget to take a dose, take it as soon as you remember. Then take your next dose at the usual time. Do not take two doses to make up for the missed dose.

Most of the other post-natal medications are only to be taken if you have symptoms, if you have no symptoms, you do not need to take the medication.

What are some rare but serious side-effects that I need to seek medical advice immediately?

Symptoms of a drug allergy include one or more of the following:
  • Swollen face/eyes/lips/tongue
  • Difficulty in breathing
  • Skin rashes 
If you experience any of these symptoms, stop taking the supplement and seek immediate medical attention.

How should I store these medications?

Follow the instructions on the medication label. Keep this medication away from children. 

How should I throw away these medications safely?

Pack this medication into a black trash bag and seal it tightly before throwing it into the rubbish chute or bin.

Additional information on postpartum nutrition

Why is good nutrition after delivery important?

  • Replenish nutrient store that may have been depleted during pregnancy.
  • Improve mood and energy levels.
    • What and how often we eat will affect blood sugar levels and chemical levels in the brain, influencing the way we think, feel and behave.
  • ​Boost your immune system.
    • Extra stress is placed on your immune system from blood loss during delivery, demands of breastfeeding, fatigue from interrupted sleep and care for your newborn child.
  • ​Manage constipation, especially if taking iron supplements.
  • Manage or prevent Type 2 diabetes
    • A healthy diet and weight, together with physical activity, can reduce the risk of diabetes for everyone.
    • Women who experienced gestational diabetes are at an increased risk of developing Type 2 diabetes.
What do I need to consume if I am breastfeeding?

​A nursing mother’s requirements are similar to those of pregnancy. About 500 additional calories are needed each day, as the remainder is assumed to come from fat and nutrient stores. This can easily be achieved through eating the recommended portions from all the food groups, which will meet the nutritional requirements of a lactating mother. The table below serves as a guide to a healthy balanced diet and highlights the differences between the diet of a lactating mother and that of a general Singaporean adult woman/female.

​​Food Group ​Number of servings per day ​​​ ​Example of 1 serving
​General adult​Lactating women
​Brown Rice & Wholemeal Bread​​5-7
​6-7
  • ​​2 slices bread
  • ½ bowl* rice/noodles
  • 4 plain wholemeal crackers
  • 2 small chapatis​
  • 1 large potato
  • 1½ cup** plain cornflakes
​Fruit​2​2
  • ​1 small apple, orange, pear or mango
  • 1 wedge pineapple, papaya or watermelon
  • 10 grapes or longans
  • 1 medium banana
  • ¼ cup dried fruit
​Vegetables​2​3
  • ​¼ round plate*** cooked vegetables
  • 150g raw leafy vegetables
  • 100g raw non-leafy vegetables
​Meat & Others of which



Dairy/Calcium-rich Foods


​2-3



1/2



​3 ½



1


  • ​1 palm-sized piece fish, lean meat or skinless poultry
  • 2 small blocks soft beancurd
  • ¾ cup cooked pulses (e.g. lentils, peas, beans)
  • 2 cups milk
  • 2 slices of cheese

*1 rice bowl   **250ml cup   ***10-inch plate​

What else can I do?
  • Drink at least 8-10 cups of fluids daily. This replaces fluids lost through breastfeeding and also helps to relieve constipation. Be sure to avoid sugar sweetened drinks!
  • Have a supply of staple food items (e.g. rice/noodles/pasta, eggs, frozen vegetables) so that quick easy meals can be made.
  • Cook extras at dinner and freeze in single portions to use at busy times.
  • Have healthy snacks readily available for convenience when hungry (e.g. tubs of yogurt, dried fruit and nuts, wholemeal crackers, fruit).
  • You should try to limit alcohol consumption while you are breast-feeding. Generally, moderate alcohol intake by the breast-feeding mother (up to 1 standard drink a day) is not known to be harmful. You should also:
    • Wait for at least 3 hours after alcohol consumption before the next breastfeed.
    • Avoid alcohol completely in the 1st week after delivery as (i) baby’s liver is not completely mature, and (ii) to allow establishment of breast milk supply so that breast milk can be pumped and stored for later use in case baby needs an earlier feed.
  • Limit to 2 cups of coffee or tea per day as caffeine has been shown to pass to babies through breast milk.
  • Confinement is part of the Asian culture and many beliefs are not tested on a scientific basis. It is acceptable to follow traditional practices in moderation as long as it is in the context of a well-balanced diet.

Key nutrients to note:

​Nutrient​What happens if I am deficient?​Daily 
requirements
​Examples

Calcium
  • ​Transient bone loss during lactation.
  • Increased risk of osteoporosis i.e. poor teeth and bone health.

1000 mg/day

​√√ Dairy foods (milk, yogurt, cheese), high-calcium soy milk

√ Fish with edible bones (sardines, ikan bilis), beancurd, nuts


​Iron
  • ​Fatigue and/or low mood.
  • Poor concentration and impaired work efficiency.
  • Reduced immune function.

 


18 mg/day

√√ Lean red meat, chicken, fish

√ Leafy vegetables, eggs, iron-enriched breakfast cereals, legumes, nuts – Consume with high vitamin C foods for better iron absorption (e.g. fruit, capsicum)


​Folate
  • ​Fatigue and loss of appetite.
  • Required for normal growth of cells, including blood and nerve tissue
  • Only source of folate for baby is exclusively breastfed

500 mcg/day
√√ Dark green leafy vegetables, citrus fruit/juices, yeast and meat extracts, beans, fortified cereals

√√ Excellent dietary source    √ Good dietary source

 

Medicines after Delivery - What you should know

Scan the QR code below to find out more


English

https://youtu.be/2L9MFuI0hJY



中文

https://youtu.be/uHE1fKgmLnw



  • Updated on 5/31/2022 12:00:00 AM
  • Article contributed by PSS National Medication Information Workgroup, KK Women's and Children's Hospital PSS National Medication Information Workgroup, KK Women's and Children's Hospital
The information provided is not intended as medical advice. Terms of use. Information provided by SingHealth

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