It’s not unusual for the need for postpartum follow-ups to extend for four to six months, especially in cases where there are physical and emotional issues and health complications.
In South Africa, primary health care provides free services to pregnant and lactating mothers, as well as children under six years. Given the severe economic impact of the global pandemic, this access to postpartum care has become particularly important to the country’s new mothers.
As with pregnancy, nutrition is a particular focus of postpartum care. New mothers need the support to recover from the rigours of pregnancy and childbirth so that they can cope well with the different challenges presented by infant care.
Exclusive breastfeeding, which means providing only breast milk to the exclusion of water, tea, juice or food, from birth for the first six months of life, is crucial and requires ongoing support within the family and through community and health-care connections.
According to The Association for Dietetics in South Africa (ADSA) spokesperson, Professor Lisanne du Plessis, breastfeeding is not only the best source of food for babies; it is also a major cost saver for food-insecure families and a major immune support for vulnerable children.
We have to make sure during this Covid-19 time that our new moms are healthy and well-nourished.
She says: “Mothers should try and eat a healthy balance of fresh, whole foods including carbohydrates from unrefined, whole grain starches; proteins from meat, eggs, fish, chicken, beans and legumes; healthy fats; fruit and vegetables as well as dairy that supplies vitamins and minerals.
“They should try to avoid fast foods and other ultra-processed foods that are high in salt, sugar, preservatives, and unhealthy fats.
“It is interesting to note that breastfeeding moms need about 500 additional calories daily, which equates to an extra snack such as a wholewheat bread sandwich with cheese or peanut butter; one to two glasses of milk, and an extra vegetable plus a fruit. What is most important is a focus on fresh and whole foods.
“New moms who are battling with household food insecurity need to raise this issue with their primary health care providers and get connected to a community-based or non-profit initiative which supports families through food parcel or other food security programmes.”
When it comes to nutrition, postpartum care and breastfeeding, some of the same pregnancy restrictions should continue.
Du Plessis says, “Limit coffee drinking to just one cup a day, avoid other drinks and snacks that contain caffeine, and keep avoiding cigarettes and alcohol.”
An issue for many new moms is managing the weight they gained through pregnancy.
Another Registered Dietitian and ADSA spokesperson, Cath Day says: “Don’t rush it. Don't worry about how much you weigh for at least the first six weeks after the birth of your baby. During this time, concentrate on eating fresh and minimally processed food.
“Focus on your support system and on getting enough rest. Once you have healed from childbirth and established a good breast milk supply, you can begin to think about getting your body back.
“Go slow, do what you can, and be kind to yourself. If you are not back to your pre-pregnancy weight by six months, then you can start looking at your diet and exercise regime. Remember, it took you nine months to gain the extra weight, so give yourself enough time.”
As disruptive as the pandemic has been, and how it has shaped many women’s experience of pregnancy, childbirth, and new motherhood, what’s important to remember is that Covid-19 has not changed the essentials of bringing a new life into the world.
Moms need the same as they always have. They need support and encouragement from their families and friends. They need access to good, fresh foods. They need easy access to quality health care and professional support when needed.