Ensuring babies sleep safe and sound
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The first 6 to 8 weeks after giving birth are known as the postnatal (postpartum) period. In this section, we offer you breastfeeding tips and show you which postnatal exercises will help you to regain a healthy posture and to strengthen the muscles and tissue again.
Stay at the hospital
Following a natural birth or a Caesarean section, your stay in the hospital generally lasts for four to seven days. During this time, you and your child will be cared for in our Maternity Ward by our specially trained nursing staff and medical specialists. In the private hospital, your personal gynaecologist will visit you once daily.
Our nursing staff will introduce you step by step to caring for your newborn child, offering you support and advice throughout your stay at the hospital. Perhaps you have already become familiar with some aspects during a baby care or birth preparation class. Now you will learn how to feed and care for your baby, and how to change its nappy; in no time you will feel secure and on top of the world with your new baby.
The offer may vary depending on the maternity hospital. For a comprehensive overview, we recommend consulting the respective pages of the individual maternity hospitals.
Initial examinations
During your stay at the Maternity Ward, your newborn child will be thoroughly examined by a paediatrician.
Following their birth, many babies have what is known as “newborn jaundice”, which is usually perfectly harmless. If the jaundice measures above a certain level, the paediatrician may decide to treat your child with a special, harmless light procedure known as phototherapy.
If your baby requires specific medical care or monitoring, he or she be in the best hands with our paediatricians and specialist nursing staff. The modern medical and technological infrastructure of our clinics guarantees the greatest possible safety for newborn children.
Breastfeeding counselling
The Hirslanden clinics employ breastfeeding consultants to provide support and to demonstrate the most important aspects of breastfeeding. These consultants will provide you with information as part of a general breastfeeding consultation and also offer individual care in your own room. Following your stay at the hospital, the breastfeeding consultant at your birth hospital, or an independent breastfeeding consultant, will be made available to you should you have any questions or feelings of uncertainty.
Rooming-in
The Hirslanden Maternity Wards offer you the option of having your newborn baby in your room with you 24 hours a day. This is an optimal way to become familiar with your child’s nature and needs. If you want to take a rest from time to time, the nursing staff will look after your baby with care.
Personal hygiene
During the first six weeks after the birth, you should pay particular attention to your personal hygiene. During this time, your body is at a greater risk of infection. Change your sanitary pads frequently and at the hospital use the peri bottle to rinse your genital area after you urinate. The lochia discharge usually lasts for around four to six weeks. We also recommend that you only have showers or sponge baths during this time instead of having proper baths.
Mother's milk offers much more than just being available when the baby is hungry and having the right temperature and composition. It is also good for your baby’s health. This is why breastfed babies have fewer gastrointestinal issues, fewer infections, and improved cognitive development. They also have a lower risk of respiratory disease and asthma. Moreover, breastfeeding promotes bonding between mother and child and the postnatal recovery.
Every woman can decide whether she wishes to breastfeed her baby, or not.
Useful tips and advice on different aspects of breastfeeding
Breastfeeding positions
Which breastfeeding position is the right one for mother and baby? Anna-Tina Weber-Tramèr, Midwife at Hirslanden Klinik Im Park, explains the 7 most common breastfeeding positions and provides tips on what you should be aware of while breastfeeding.
Nutrition
When you are breastfeeding, the same rule applies as during pregnancy: do not eat for two, but rather think for two. Dietician Sandra Müller explains how you can have a healthy, balanced diet during while breastfeeding.
Breast care
Many mothers complain of painful, sore nipples while breastfeeding. Correct nipple care is particularly important in this case. Tips on breast care while breastfeeding are available here.
What is Sudden Infant Death Syndrome (SIDS)?
Sudden Infant Death Syndrome (SIDS) is the death of an infant without any warning signs or discernible causes. SIDS is triggered by various external factors that impact the child’s breathing and natural regulation of their body temperature. Older children and adults react to these factors unconsciously by changing their sleeping position or waking up. These vital reflexes are not yet developed in newborns, so their breathing and circulation may collapse.
Premature babies and multiples, children with anatomical developmental disorders in the respiratory tract and children of very young or socially disadvantaged mothers belong to the risk groups. Their stress can transfer to the child and contribute to SIDS.
How often does Sudden Infant Death Syndrome occur?
An average of nine children die of Sudden Infant Death Syndrome in Switzerland every year. This corresponds to four percent of all deaths in infancy. Around 60 percent of those affected are boys.
In approx. 80 percent of all cases, Sudden Infant Death Syndrome occurs within the first six months of life. It rarely occurs in children over the age of one.
How can the risk be reduced?
Sudden Infant Death Syndrome can be prevented by making sure your baby sleeps on his back. Soft mattresses, pillows and stuffed animals in bed should be avoided to prevent overheating. Possible diseases and development disorders can be detected early on and treated with regular preventive check-ups.
Important tips for a safe sleeping environment for your baby:
Sleeping bag
Baby fat regulates a child’s body temperature very reliably. However, a baby requires a warming cover in order to avoid getting cold during the night.
Pillows & blankets
Sleeping bag
Sleeping position
The risk of Sudden Infant Death Syndrome can be significantly reduced with the correct sleeping position.
Side-lying position
Back position
Stomach position
Parents’ bed vs. cot
Many young parents want to have their baby with them at night. However, being too close can increase the risk of Sudden Infant Death Syndrome.
Parents’ bed
Cot
Cot accessories
The cot shouldn't be set up to be comfortable, soft and cosy as all these factors contribute to SIDS. It is better to have accessories which promote the baby’s health.
Soft mattress
Form stable mattress
Stuffed animals inside the baby bed
Stuffed animals beside the baby bed
Sleeping place
The bedroom should be a comfortable temperature for the baby. It must be well aired and smoke free so the baby’s airways aren't affected.
Overheating
Ideal temperature
Underheating
But what exactly are the baby blues and what causes this condition?
Baby or postpartum blues are short-lived low moods after childbirth that usually only last a few days. During this time, mothers tend to feel exhausted, tired and highly emotional. The latest studies show that around 50 to 85 per cent of all mothers experience postpartum blues. First-time mothers may experience more severe baby blues due to having unrealistic expectations of themselves. The blues usually develop between two and four days after the baby is born and generally disappear within 14 days.
They are mainly caused by the hormonal shift that takes place in the body postpartum. Progesterone and oestrogen levels, both pregnancy hormones, fall dramatically at this point. On top of that, mothers are adjusting to a new way of life, which requires a lot of energy on their part.
What are the common symptoms?
Mothers with baby blues generally tend to be more sensitive, more emotional, and prone to mood swings. Other symptoms include lack of energy, difficulty sleeping, anxiety, frequent crying without apparent reason, loss of appetite and lack of concentration.
How is it dealt with?
The onset of such symptoms during the postpartum period can be worrying and unsettling. However, they are not necessarily a cause for concern.
The symptoms usually subside after a few days, so no medical treatment is needed. In those early days after giving birth, mothers need a lot of practical and emotional support from their partners, family and friends. During this phase, it is important for mothers to spend plenty of time with their baby to strengthen the mother-child bond. But it is also essential that they take time for themselves to recharge their batteries.
Sharing experiences and tips with other mothers during these first few weeks can also help.
The term postpartum depression is used to describe cases where the symptoms do not subside after a couple of weeks. In such situations, it is important that mothers contact their obstetrician for professional support.
Tips for dealing with postpartum depression
Many women experience mood swings after giving birth. These can range from happiness when they cradle their newborn in their arms to a sudden fear of loss. Psychologist Dr Valentina Rauch-Anderegg explains the difference between the baby blues and postpartum depression, and gives tips for dealing with this sort of low mood.
The difference between feeling down and postpartum depression
A few days after giving birth, most women experience a low (the «baby blues»– lit. «crying days» – or what used to be called «milk fever»), which disappears again within hours or days. It affects 40-80 % of mothers and does not require treatment. In contrast, postpartum depression is a depressive disorder that has a clear temporal connection with giving birth (according to classification systems, a period of up to one month after giving birth) that lasts for at least two weeks. The risk of depression increases already during pregnancy (especially in the third trimester). The depression can also set in more than four weeks after giving birth.
Symptoms of postpartum depression
The main symptoms of postpartum depression are as follows:
- Feeling depressed most days
- Lost of interest and reduced enjoyment of most activities
Additional symptoms which may appear during postpartum depression include:
- Weight loss or weight gain (> 5%)
- Sleeplessness or sleeping more
- Physical restlessness or slowing down
- Loss of energy or fatigue most days
- Feeling useless or undue feelings of guilt
- Concentration difficulties and reduced ability to think
- Recurrent suicidal thoughts
Postpartum depression is defined as when one (or both) of the main symptoms and at least four of the additional symptoms are present for a period of at least two weeks.
Besides the symptoms listed above, the following are also possible: ambivalent feelings, no feelings at all or a negative attitude towards the baby, as well as constant fear and concern for the baby. These sensations can also lead to the parents having strong feelings of guilt. It is currently assumed that about 10-15 % of all women (some studies even speak of 30 %) and about 10 % of all men develop postpartum depression. The diagnosis is more difficult with new parents, because they often suffer from lack of sleep, loss of energy and concentration difficulties. This is probably also the reason why the studies mention such diverse figures.
Risk factors
Scientists have not yet been able to conclusively establish why people suffer from postpartum depression. Nevertheless, studies can reveal risk factors which contribute to postpartum depression. They include:
- Earlier episodes of depression
- Sensitivity to hormonal changes (such as premenstrual syndrome)
- Low satisfaction with your relationship and little support from your partner
- Unplanned pregnancy
- Stress during pregnancy
- Financial difficulties
- Dissatisfaction with your living situation
Tips for dealing with postpartum depression
The following tips can help you in your day-to-day life:
Emotions
Talk openly about your emotions
During a depressive phase in particular, many people withdraw and shut themselves off. This makes it difficult for those around them to offer support. As a result, they often feel helpless and turn away from the affected person. So try to share your feelings. If you do so, this can help those listening to understand you better and make it easier for them to give you the appropriate support or to look for support together.
Small steps
Take small steps
When you are depressed, dealing with the ups and downs of day-to-day life can feel like an insurmountable hurdle. You only see mountains of laundry, a baby that wants to be looked after, the gaping hole in the fridge, and so on. All this can put enormous pressure on people who are affected. Do not try to do too much too soon, as you need to feel a sense of achievement to strengthen your self-belief. Set goals that you think you can achieve, such as getting up before 9 am, washing your hair, eating something hot, or drinking a cup of coffee.
Positive experiences
Write down positive experiences
When you are depressed, a lot of things seem bleak and your thoughts go round in circles. You often focus on negative thoughts (e.g. «This will never get better», «I’ll never be able to do it», «I’m a bad mum / a bad dad»). This makes you feel even worse.
Every day, write down three positive experiences that you had that day (even if the positive moment only lasted for a few seconds). This will help you to focus on the positive again and at the same time, you will be creating a list of things/activities that do you good. You can always look at the list when you want to do something to make yourself feel better.
Specialist support
Postpartum depression has complex consequences: People who are affected by it go to their family doctor more often, are more anxious, have a lower quality of life and feel more stressed than people who are unaffected. Affected people also find it difficult to interpret signals from their baby correctly and to respond to the baby appropriately. In general, people who are affected are less engaged with their children, which in turn also has measurable negative consequences. These children are ill more often (e.g. have more episodes of diarrhoea and colic), have problems sleeping more often and their emotional and cognitive development is affected (which may cause subsequent problems at school or in relationships).
The relationship with the partner is also affected, as postpartum depression often leads to less support in the relationship, reduced intimacy and sexuality and increased conflict. This in turn can make postpartum depression last longer.
Do not feel ashamed of feeling depressed after giving birth. It is important that you do not keep everything to yourself and withdraw, but instead talk about it and seek help. Psychologists (or psychiatrists) are responsible for treating postpartum depression. Treatment is planned and carried out together. It has been shown to be very effective and lasting when people around you are involved. It is not easy to seek help, but is very worthwhile.
Dr Valentina Rauch-Anderegg is a clinical psychologist and a federally approved psychotherapist. She gained her PhD as part of the «Couples becoming parents» study at the University of Zurich and undertook her postdoc at the renowned Harvard Medical School. In her own practice she is able to apply her knowledge directly and advise and support individuals and couples on the subjects of pregnancy and parenthood.
Do you think you are suffering from postpartum depression? If so, please contact a specialist such as your gynaecologist, your midwife, a psychologist or the association Postnatal Depression Switzerland (only available in German and French).
Postnatal recovery
Our physiotherapists can show you special exercises aimed at making your body feel fit again as soon as possible. Special back strengthening gymnastics aid in tautening your stomach muscles and strengthening your lower pelvis, and promote your feeling of physical and emotional wellbeing. Mothers are advised not to place unnecessary strain on their bodies in the first six to eight weeks following childbirth.
During pregnancy and childbirth, the pelvic floor and abdominal muscles are subject to considerable strain. Postnatal exercises are therefore essential in order to regain a healthy posture and to strengthen the muscles and tissue again. Our midwives show you which exercises will help you with your postnatal recovery.
How to correctly lie down, sit down and stand up
Protects the stomach muscles from excessive pressure
Sitting down on a chair
- Pull in your belly button and activate your pelvic floor.
- Assume a lunge position.
- Look back at the chair.
- Sit down with a straight back.
Standing up from a chair
- Pull in your belly button and activate your pelvic floor.
- Assume a lunge position.
- Bend forward while keeping your back straight.
- Push up strongly from the floor with your legs.
Lying down in bed
- Pull in your belly button.
- Slide onto your side.
- Lay down your head.
- Turn onto your back.
Getting up from the bed
- Pull in your belly button.
- Turn onto your side.
- With both arms push yourself up into a sitting position.
Lying down onto a mat
- Pull in your belly button.
- Assume a lunge position und come onto the mat with bend knees.
- Turn to the side and glide onto the mat with extended arms.
- Turn onto your back.
Standing up from a mat
- Pull in your belly button.
- Turn onto your side, leaving your head on the mat. Belly button stays pulled in.
- Push up with both arms.
- Assume the lunge position and stand up.
Abdominal Breathing
Activates the entire torso and helps you to relax
- Breathe in through your nose and let your stomach expand.
- Breathe out through your mouth and pull your stomach towards your spine.
- Repeat the exercise several times
Note:
- Activates the pelvic floor and supports the healing process.
- This exercise can either be performed on your hands and knees or lying on your back.
Pocket lamp
Mobilises the lower back and the pelvic floor
- Tilt your pelvis forwards while drawing your pubic bone towards your belly button.
- Tilt your pelvis backwards and increase the distance between your pubic bone and belly button.
- Complete the exercise slowly while keeping your breathing calm and steady.
Note:
- Helps with back pain around the sacral region (tailbone).
- This exercise can either be performed on your hands and knees or lying on your back.
One hand at a time
Strengthens the oblique abdominal muscles
- Get down on your hands and knees. Position your hands underneath your shoulders and your knees underneath your hips. Keep your back straight.
- Shift your weight from one hand to the other.
Note:
- To maintain a steady rhythm, you can say the words “tick-tock-tick-tock”.
Pelvic lift
Strengthens the back and the buttocks
- Pull in your belly button and activate your pelvic floor. Keep your back straight.
- Raise your pelvis and hold it for a moment. Slowly lower your pelvis back down to the floor.
- Repeat the exercise several times.
