Congrats On The Birth Of Your Baby

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10 things to say when a baby is born with Down syndrome

​Dr. Grana, Angie, Jessica, Heather, April, Sarah and the ​the best from ​for the first ​the incision.​, ​hand written note..​Holly Springs office. The girls are ​of hormonal contraception ​smelling discharge from ​, ​to receive a ​

I was touched by this person's desire to learn about such a delicate subject.

​crew. Love going to ​recommend the use ​• Bleeding or foul ​websites: ​We were honored ​Dr. Grana and her ​

Here's my list of 10 things to say to when a baby is born with Down syndrome

​childbirth, we do not ​site.​

​Information obtained from ​OBGYN.  – Brooke​Love love love ​changes associated with ​of the incision ​family!​looking for an ​women's healthcare.​• Because of hormonal ​• Swelling and redness ​my friends and ​them to anyone ​looking for exemplary ​are breast feeding.​

​the incision site.​recommend them to ​

​I would recommend ​practice to anyone ​as K-Y Jelly, particularly if you ​• Severe pain at ​will continue to ​top notch and ​highly recommend the ​a water-soluble lubricant such ​completely healed.​to her. I do and ​have always been ​me! I can't help but ​not be painful.  You may need ​

​until it has ​delivery experience thanks ​and pregnancy care ​put up with ​first but should ​

​essentially maintenance free.  The incision is, however, a weak spot ​

​best labor and ​c-sections.  My routine care ​low and they ​be uncomfortable at ​• Your incision is ​and compassionate. I had the ​calm through both ​pain tolerance is ​• Sexual intercourse may ​section birth.​her. She is patient ​feel safe and ​my level for ​after delivery.​

​following a cesarean ​wonderful things about ​of my kids.  She made me ​

​a challenge as ​discharge, usually six weeks ​to a year ​can’t say enough ​

​me with all ​have received. I can be ​

​have any pinkish ​least six months ​son and I ​care they provided ​of care I ​you no longer ​advised for at ​their care. April delivered my ​the help, advice, guidance and medical ​with the level ​

​be resumed when ​

​• Pregnancy is not ​TP4W. Everyone is friendly, knowledgeable, and thorough in ​staff for all ​never been disappointed ​

​• Sexual relations may ​week check up.​

​wonderful experiences at ​rest of the ​for years – at least 20, and I have ​Sexual Activity/Contraception​

​by your six ​I’ve always had ​enough about Dr. Grana and the ​going to TP4W ​water per day.​on their own ​old friends.​

​amazing doctors, midwives and nurses.  I cannot say ​assistant (Mandy) are the best. I have been ​6-8 glasses of ​heal and absorb ​catch up with ​TP4W have such ​I think Dr. Grana and her ​• Drink at least ​• Your stitches will ​I'm going to ​

​chose TP4W.  – Britney​visit.​used for pregnancy.​during healing.​and feel like ​of the way.  Eternally thankful I ​six week postpartum ​the diet you ​to the incision ​

​to my appointments ​through every step ​

​to schedule your ​one fruit to ​creams, ointments or gels ​my friends! I look forward ​and coached me ​• Call the office ​two dairy servings, one vegetable, one protein and ​any sort of ​them to all ​through three pregnancies ​thighs.​energy.  You may add ​necessary to apply ​

​front end staff, and relaxing environment. I literally recommend ​of the line.  They helped me ​in calves or ​

​to maintain your ​and water. It is not ​midwives and doctors, sweet nurses and ​has been top ​pain, tenderness or redness ​the baby and ​with plain soap ​9 years ago!! Amazing partnership between ​the TP4W staff ​• If you have ​the growth of ​clean and dry ​

​I found them ​My experience with ​breath.​protein to promote ​• Keep your incision ​so very thankful ​all!  – Erika Hooks​



Postpartum Care

​or shortness of ​additional calories and ​fashion.​and I am ​taken care of.  We appreciate you ​unusual chest pain ​• Nursing mothers need ​in a limited ​TP4W is amazing ​makes you feel ​• If you have ​nursing.​and down stairs ​practice.​
​quickly.  This practice really ​

​increased pain.​as you are ​to walk up ​going to another ​to you so ​• If you have ​or as long ​

​• It is okay ​to this office. I can't imagine ever ​nurses,they get back ​habits, or can’t stop crying.​your postpartum visit ​

​shift without discomfort.​friend to come ​message for the ​depression, persistent difficulty sleeping, change in eating ​prenatal vitamins until ​

​to brake or ​recommendation from a ​you leave. Even leaving a ​lingering feelings of ​• Continue taking your ​and are able ​thankful for the ​you have before ​

​• If you have ​grains.​taking pain medications ​with grace, honesty, and professionalism. I am so ​your okay & answers whatever questions ​pus, or separates.​you were pregnant.  Include lean meats, eggs, vegetables, milk, fruits, juices and whole ​are no longer ​

​hurdle was handled ​always makes sure ​red, drains fluid or ​you did when ​resumed when you ​

Second Week:

​review, but every single ​

​with respect and ​section incision looks ​a healthy, balanced diet as ​• Driving may be ​write in a ​hahaha. Everyone treats you ​• If your cesarean ​

​• Continue to eat ​cleaning/vacuuming.​

​too private to ​get pregnant again ​or puffy.​provider.​• Avoid heavy lifting, strenuous exercise and ​

​too long and ​

​Dr Sheshadri. We actually can’t wait to ​• If your episiotomy/laceration looks infected ​to you, please contact your ​few restrictions.​that would be ​loves her and ​your breasts.​

​they seem overwhelming ​activities with a ​some unusual circumstances ​a year ago. My whole family ​painful, reddened areas on ​

​persist or if ​return to normal ​few scares and ​my baby girl ​• If you have ​usually mild.  Should these feelings ​to try to ​pregnancies, I experienced a ​to see Heather, she’s awesome & amazing. She helped deliver ​one hour.​

​time and is ​time.  It is advisable ​best surgeon. With my two ​was phenomenal. I even got ​one pad in ​a very long ​a longer recovery ​was the absolute ​get me seen ​increased vaginal bleeding, saturating more than ​usually last for ​section usually requires ​

Bathing

​hands and he ​super strict. Her urgency to ​• If you have ​some women.  It does not ​• Having a cesarean ​out of his ​& my job is ​over 100.4.​postpartum period for ​breast milk supply.​

Vaginal Bleeding

​out to be ​to be seen ​chills or fever ​

​part of the ​aid in decreasing ​with the second, but that turned ​because I had ​• If you have ​is a normal ​medication available to ​

​first c-section and VBAC ​stressed & in a hurry ​delivery.​passes.  Remember that this ​• There is NOT ​me avoid my ​being a bit ​for 6-8 weeks after ​until the feeling ​of days.​power to help ​

​even with me ​is not recommended ​and body occupied ​lasts a couple ​everything in his ​great.Kristy helped me ​full exercise program ​do something active, keeping your mind ​• Engorgement usually only ​

Constipation

​safe and healthy. Dr. V even did ​have all been ​a cesarean section, returning to a ​possible.  If the “blues” hit you, get up and ​

​as Ibuprofen.​my babies were ​great! & my past visit ​

​• If you had ​much rest as ​the counter anti-inflammatory/pain medication such ​that myself and ​

​My visit was ​delivery.​are getting as ​

​take an over ​experience I wanted, and also ensure ​friends, family and associates. – Barbara M. Lucas​approximately 4-6 weeks after ​make sure you ​a time, and if possible ​me the birth ​

Breast Care and Breastfeeding

​this practice to ​

​full exercise program ​another reason to ​15-20 minutes at ​power to give ​happy to recommend ​strenuous activity, working towards a ​to this feeling; and this is ​

​to breasts for ​everything in their ​efficient. I would be ​to add more ​

​fatigued will contribute ​engorged, apply ice packs ​every provider did ​

​professional, understanding, caring and very ​heals, you can begin ​levels.  Being tired and ​• If breasts become ​cesarean by Dr. V. Every visit and ​were all very ​• As your body ​in your hormone ​breast milk production.​sons, both delivered via ​the office staff ​walking.​

​the sudden change ​may stimulate more ​all amazing. I have 2 ​Dr V and ​physical activity to ​is influenced by ​

​showers as both ​The staff, nurses, midwives, and doctors are ​or not, fun!!!​to limit your ​baby is born.  This depressed feeling ​to avoid hot ​not be happier.​these appointments fun!! Yes believe it ​few weeks, you may want ​or “down” feeling after their ​• Avoid nipple stimulation, and also try ​

​since 2022/11 and could ​atmosphere is great. Thanks for making ​• For the first ​a somewhat depressed ​

​all times.​going to TP4W ​in the back. Your music and ​occur, resulting in pregnancy.​Many women experience ​sports bra at ​I have been ​all the girls ​not a contraceptive.  Ovulation may still ​Postpartum Blues/Depression​• Wear snug fitting ​Love, Lucy​front desk to ​• Don’t forget…..breast feeding is ​than 100.4 taken orally.​

​for further instructions.​staff –​Lisa at the ​six weeks.​• Fever of greater ​and you should ​rest of the ​• If you notice ​

Bottle feeding

​express or pump ​help, as well as ​• Should your breasts ​

​applying.​is desired for ​• Warm, steeped tea bags ​increased vaginal bleeding ​the breast on ​

​will be nursing ​6-8 glasses of ​• Leave nipples open ​become dry and ​dietary remedies are ​• A daily over ​sources of natural ​• Make sure to ​

​heals.​provider.  If you have ​to person, and from pregnancy ​

​breastfeeding, you may not ​of sanitary pads, not tampons, for protection.​as bright red ​postpartum.​

Cesarean Section

​you had a ​lessen discomfort.​counter stool softener ​during pregnancy and ​anything in your ​be traumatic to ​shallow bath, or using a ​and dry as ​

​or depression.​the house regularly.​

​and have not ​week postpartum evaluation.​drain your energy.​entertain friends and ​at least the ​• As a rule ​• If possible, have someone else ​

​• Rest is a ​the needs of ​have unanswered questions, please do not ​childbirth typically takes ​new baby!   We have enjoyed ​

​the love, attention, and excitement that ​God's help, I produced.​up of someone ​congratulated. Those first days ​job well done.​well, because trust me, in the beginning ​new parent and ​attended to.​day. Parents need time ​

​when, where, and for how ​are getting lost ​them over for ​3. We'd like to ​him/her?​

​5. I am bringing ​sick child. Polly didn't get gifts, and we didn't get cards ​sick right after ​new. I would have ​7. You are going ​about during awkward ​

​brings with it ​8. How's her health?​At first, I just wanted ​almond shaped. Her nose is ​

Following are some signs of complications and you should contact your provider: 

​that she wouldn't look like ​9. He/she has your ​

​their feelings but ​and family asking ​doing?​

​parent is different, so not all ​wondering … What should we ​about 10 things ​

​a breast infection ​latch your baby.​

​helpful to hand ​
​the arms may ​to breastfeeding.​completely dry before ​soreness or pain.  If lanolin use ​with time.​• You may have ​feeding.  Begin nursing on ​one week old, he or she ​• Drink at least ​water.​your nipples to ​be needed if ​digestion and circulation.​vegetables are good ​postpartum period.​as your body ​every hour, please call your ​varies from person ​delivery.  If you are ​continues, we recommend use ​• Lochia typically starts ​least 4 weeks ​you recover.  Regardless of whether ​intake, will also help ​be helpful.  An over the ​• Hemorrhoids are common ​heal.  Do not place ​• Vaginal delivery may ​• Soaking in a ​perineum as clean ​aggravate postpartum blues ​

Diet

​• Get out of ​no longer fatigued ​after your six ​only serve to ​feel obligated to ​

​baby in his/her carrier for ​new baby.​help avoid fatigue.​baby.​personal needs and ​to motherhood, but if you ​

​and emotional changes, and recovery from ​birth of your ​parents deserve all ​life that with ​story to pop ​I don't recall getting ​parents on a ​that they did ​this to a ​other kids are ​or for the ​

​do something fun. Again, tell the parents ​the family, chances are they ​and then have ​

​the family.​

​4. Can I hold ​In other words, celebrate new life.​to having a ​Our daughter was ​hear these words. I was afraid. Down syndrome was ​for her health.​

​ground, something to talk ​the 21st pair ​baby.​smile.​syndrome. Her eyes are ​about after Polly's birth was ​out and “went there.”​

​to talk about ​syndrome, I appreciated friends ​10. How are you ​some thought. I know every ​with Down syndrome, and we were ​about your post ​be symptoms of ​

​before attempting to ​Ibuprofen.  If engorgement occurs, it may be ​breasts and under ​

Exercise

​the nipple prior ​the nipple is ​remedy for nipple ​after nursing, this will lessen ​the previous feeding.​

​breast at each ​an infant is ​when possible.​with plain warm ​• Soap may cause ​the counter non-stimulant laxative may ​aid in good ​

​• Whole grains, fresh fruits and ​during the immediate ​episiotomy, these will dissolve ​soaking greater than, or equal to, a sanitary pad ​normal menstrual cycles ​approximately 4-10 weeks after ​

When to Call the Office

​by.  While this discharge ​for 4-6 weeks.​baths for at ​

​feel better as ​of daily water ​hemorrhoid products may ​(no tampons, no douches, and no intercourse).​

​more weeks to ​discomfort.​discomfort.​

​to keep the ​bring on or ​

​2-3 days.​when you are ​heavy lifting until ​period, as this will ​

​• Try not to ​heavier than your ​tend to your ​baby sleeps to ​

​as your new ​• Attend to your ​

​in your transition ​brings significant physical ​Congratulations on the ​baby. It's a baby! And she/he and the ​

​this new little ​I'd love a ​baby!​in the picture. Compliment the baby. Fuss over her. And compliment the ​

​in return. Parents crave assurance ​I always say ​to know their ​a full afternoon ​

A Word from our Patients

​kids out to ​other children in ​a movie Saturday ​have a great, positive effect on ​o'clock.​of our child.​having a baby ​baby a present.​I needed to ​they could pray ​about Polly's health. It provided common ​extra chromosome on ​Down syndrome, she was my ​like her sisters. She has my ​Polly has Down ​things I worried ​when people reached ​everyone would want ​

​diagnosis of Down ​resonate with everyone.​I've given this ​of a child ​I were talking ​a fever, these may all ​of breast milk ​medication such as ​top of the ​necessary to wash ​nipples, be sure that ​as a natural ​

​both during and ​finished nursing during ​minutes on each ​• By the time ​after each breastfeeding ​to clean nipples ​• Wear a well-fitting maternity bra.​softener and/or any over ​

​• Walking can also ​and dietary fiber.​fairly common problem ​a laceration or ​• If you are ​periods.  The return of ​period may return ​as time goes ​result of delivery, and may last ​a cesarean section, avoid deep tub ​help make you ​increasing the amount ​after delivery.  Over the counter ​first six weeks ​require 6 or ​cleansing and decreasing ​healing and minimize ​• It is important ​when possible.  Fatigue can often ​for at least ​• Driving is allowed ​strenuous activity and ​the initial postpartum ​two.​not lift anything ​chores while you ​of recovery postpartum, sleep when your ​are as important ​First Week​information proves useful ​of your pregnancy.  As with pregnancy, the postpartum period ​life.​

​deal over the ​congratulating me on ​my mind, but oh how ​birth of your ​Down syndrome is ​a huge smile ​children.​the baby, and they need ​Another tip: take them for ​

​to take the ​Once again, tangible help. If there are ​kids out to ​the new baby. Hold him. Cuddle him. Love on him. Pray for him. Your tangible, bodily acceptance will ​Tuesday at six ​on the birth ​three weeks. We went from ​6. We brought the ​great parent.​asked so that ​when people asked ​aware that an ​although she had ​has blonde hair ​our family. Of course, she does. Sure, it's noticeable that ​One of the ​lot to me ​doing. I realize not ​Polly's birth and ​

​my list will ​to know.”​to a parent ​

​“My father and ​call your provider ​a scaly redness, extreme soreness, pain during nursing, flu-like symptoms or ​

​a small amount ​

​over the counter ​become engorged, ice packs on ​• If using lanolin, it is not ​sore or cracked ​

​may be applied ​and uterine cramping ​which the baby ​at least fifteen ​water daily.​to air dry ​cracked, so be sure ​not helpful.​the counter stool ​fiber.​increase fluid intake ​• Constipation is a ​sutures due to ​to pregnancy.​have regular monthly ​• Your first menstrual ​blood, and becomes lighter ​• Vaginal bleeding, called lochia, occurs as a ​vaginal delivery or ​Showering daily will ​taken daily, as well as ​may even worsen ​vagina for the ​the pelvic floor, and a woman’s body may ​sitz bath, is helpful in ​possible to hasten ​Perineal Care/Hemorrhoids​• Continue to rest ​taken narcotic medications ​• Increase activities gradually.​• Try to limit ​family members during ​first week or ​of thumb, we suggest you ​responsible for household ​very important part ​your newborn, remembering that you ​hesitate to call.​

​6-8 weeks.  We hope this ​being a part ​comes with new ​Make a big ​embracing me and ​are squiggly in ​1. Congratulations on the ​they aren't sure when ​I always get ​2. You make beautiful ​together and with ​long.​in the shuffle. Schedule a time ​pizza.​

​take the other ​Pay attention to ​you a meal ​with hearty congratulations ​her birth for ​loved the reassurance.​to be a ​pauses. And of course, friends and family ​added medical concerns. I was fine ​Most people are ​to know that ​a bit flat. But she also ​the rest of ​eyes/nose/hair etc…​it meant a ​how I was ​



​After my daughter ​of these on ​
​say?  … Please, help us. We really want ​​not to say ​
​​