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Pain medications prescribed by your physician or midwife are safe to take while breastfeeding, and should be taken as directed to remain comfortable. Cramping is most noticeable after the birth of a second or third baby. You may use soothing over-the-counter medications such as Tucks, witch hazel, or hemorrhoid ointments. It is also a side effect of many pain medications. We support your choices and have very few routines or rules. If you are expelling many large clots or experiencing an unusually heavy flow soaking through a large pad in an hour or less , call your nurse while you are in the hospital, or your physician or midwife once you are home. It is caused by the swelling of the tissues surrounding the vagina as well as by the incision or deep tear. Cesarean Birth Helpful Hints If you need to cough or sneeze, hug a pillow snugly against your incision to splint it and reduce the pain and pressure over the incision.

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