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Postnatal Medications and Nutrition

Drug Class: Commonly Known As: Category:
Postnatal Medications and Nutrition Adult

Postnatal Medications and Nutrition - What is it for

Paracetamol

This is a painkiller which helps to relieve mild to moderate pain or fever.

Mefenamic Acid / Naproxen (Non-Steroidal Anti-Inflammatory Drugs or NSAIDs)

These are painkillers which help to relieve moderate to severe pain, which is not relieved by paracetamol

Antacid with Simethicone / Famotidine

NSAIDs may cause gastric discomfort, Antacid with Simethicone or Famotidine is usually taken as a gastric protectant.

Obimin / Sangobion / Hemoplex

These preparations contain multivitamins with iron. Iron is needed to produce red blood cells to replenish the blood loss during delivery.

Liquid Paraffin

This is a laxative for short-term treatment of constipation. It works by softening and lubricating the stools, making stools easier to pass through the bowel.

**Should you require more supply of medication, the following can be bought over-the-counter without Doctor's prescription: Paracetamol, Antacid with Simethicone, Obimin/Sangobion/Hemoplex, Liquid Paraffin​

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

What side effects can Postnatal Medications and Nutrition cause?

These medications are usually well tolerated ; however common side effects may still occur. 

For e.g

Mefenamic Acid / Naproxen (Non-Steroidal Anti-Inflammatory Drugs or NSAIDs)

May cause gastric discomfort . 

Obimin / Sangobion / Hemoplex

Iron may cause constipation, so drink extra fluids and increase intake of fruits and vegetables to prevent this. It may also cause darkening of the stools, but this is harmless

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?

Paracetamol

The dose is usually two tablets, to be taken three or four times a day, when necessary. Do not take more than eight tablets in one day. It may be taken with or without food. Do not take additional paracetamol-containing products.

Mefenamic Acid / Naproxen (Non-Steroidal Anti-Inflammatory Drugs or NSAIDs)

The dose is usually two capsules three times a day (Mefenamic Acid) or two tablets twice a day (Naproxen Sodium), to be taken when necessary or as directed by your doctor. These medications are to be taken after food to prevent gastric irritation. As an added precaution, Antacid with Simethicone or Famotidine is also taken with these medications as it acts as a gastric protectant.

Antacid with Simethicone / Famotidine

If Antacid with Simethicone is given to you, chew one to two tablets before taking the NSAIDs. Try to space the Antacid with Simethicone two hours apart from other medicines (except for NSAIDs). If Famotidine is given to you, take one to two tablets once or twice daily, as directed by your doctor.

Obimin / Sangobion / Hemoplex

The dose is usually one tablet a day or as directed by your doctor. These medicines are to be taken after food or as directed.

Liquid Paraffin

The dose is usually 10 mL three times a day, when necessary. It may be taken with or without food. Do not lie down for at least 30 minutes after taking this medicine to avoid aspiration pneumonia (medicine leaking back into the lungs). As far as possible, avoid taking Liquid Paraffin with Obimin as it may interfere with the absorption of the fat-soluble vitamins in Obimin. Space these two medications by at least an hour apart.

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?

Keep away from children;#Keep in a cool, dry place, away from direct sunlight;#Store at room temperature;#

How should I dispose of Postnatal Medications and Nutrition safely?

Postnatal Medications and Nutrition - Additional Information

Postpartum nutritional information leaflet

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​

Additional tips:

  • Drink at least 8-10 cups of fluids daily. This replaces fluids lost through breastfeeding and also aids in relief of 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 a quick, easy meal can be created.
  • 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).
  • If alcohol is consumed, limit to 30 ml a day from the 2nd week onwards.
    • Wait for at least 3 hours before the next breastfeed.
    • Avoid 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.
  • Keep 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 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.
​1000mg

​√√ 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.

 

​18mg

√√ 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 μg/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 Wednesday, May 17, 2017
  • Article contributed by Pharmacy Department KK Women's and Children's Hospital

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