Abdominal or tummy pains may have a number of causes after the birth of your baby. The most common causes are after pains, UTIs (urinary tract infection - an infection of your bladder or kidneys resulting in pain when you pee), an infection in your womb (uterus), or pain following a caesarean section.
If you have any of the following:
Go to the nearest Hospital Emergency (A&E) Department or phone 999
Please ring your maternity unit within the next hour.
You need to contact a Doctor today.
Please ring your GP surgery or call NHS 111 - dial 111
Self care at home if:
Continue providing care at home. If you are still concerned, call NHS 111 – dial 111
Continue providing care at home. If you are still concerned call your GP or NHS 111 – dial 111
After pains following birth are normal and not a cause for concern. You may notice these are worse when you have had more than one child and during a breastfeed. You should expect after pains to improve day by day as your uterus returns to its normal size. Taking regular paracetamol (1g every 4-6 hours- not exceeding 4g in 24hrs) and ibuprofen (300–400 mg 3–4 times a day) will help with the discomfort.
If you become constipated you may experience pain/cramp in your pelvis; you may also notice that your blood loss (lochia) is slightly heavier or redder in colour when you attempt to open your bowels. You might also pass small blood clots (the size of your little fingernail). Increasing your water and dietary fibre intake should provide relief or an over the counter gentle laxative. Contact your GP if this does not resolve.
It is normal to experience post caesarean section abdominal discomfort which should improve when taking regular pain killers. This should improve day by day but mild discomfort may be experienced for up to 6 weeks. Please click here for more information about post caesarean recovery.
You can treat your child's very minor illnesses and injuries at home.
Some illnesses can be treated in your own home with support and advice from the services listed when required, using the recommended medicines and getting plenty of rest.
Children can recover from illness quickly but also can become more poorly quickly; it is important to seek further advice if a child's condition gets worse.
For information on common childhood illnesses go to What is wrong with my child?
Pharmacists are experts in many aspects of healthcare and can offer advice on a wide range of long-term conditions and common illnesses such as coughs, colds and stomach upsets. You don’t need an appointment and many have private consultation areas, so they are a good first port of call. Your pharmacist will say if you need further medical attention.
Health visitors are nurses or midwives who are passionate about promoting healthy lifestyles and preventing illness through the delivery of the Healthy Child Programme. They work with you through your pregnancy up until your child is ready to start school.
Health Visitors can also make referrals for you to other health professionals for example hearing or vision concerns or to the Community Paediatricians or to the child and adolescent mental health services.
Contact them by phoning your Health Visitor Team or local Children’s Centre.
Health visitors also provide advice, support and guidance in caring for your child, including:
For more information watch the video: What does a health visitor do?
School nurses care for children and young people, aged 5-19, and their families, to ensure their health needs are supported within their school and community. They work closely with education staff and other agencies to support parents, carers and the children and young people, with physical and/or emotional health needs.
Contacting the School Nurse
Primary and secondary schools have an allocated school nurse – telephone your child’s school to ask for the contact details of your named school nurse.
There is also a specialist nurse who works with families who choose to educate their children at home.
Before your child starts school your health visitor will meet with the school nursing team to transfer their care to the school nursing service. The school nursing team consists of a school nursing lead, specialist public health practitioners and school health staff nurses.
They all have a role in preventing disease and promoting health and wellbeing, by:-
Each member of the team has links with many other professionals who also work with children including community paediatricians, child and adolescent mental health teams, health visitors and speech and language therapists. The school health nursing service also forms part of the multi-agency services for children, young people and families where there are child protection or safeguarding issues.
GPs assess, treat and manage a whole range of health problems. They also provide health education, give vaccinations and carry out simple surgical procedures. Your GP will arrange a referral to a hospital specialist should you need it.
You have a choice of service:
If you’re not sure which NHS service you need, call 111. An adviser will ask you questions to assess your symptoms and then give you the advice you need, or direct you straightaway to the best service for you in your area.
Use NHS 111 if you are unsure what to do next, have any questions about a condition or treatment or require information about local health services.
A&E departments provide vital care for life-threatening emergencies, such as loss of consciousness, suspected heart attacks, breathing difficulties, or severe bleeding that cannot be stopped. If you’re not sure it’s an emergency, call 111 for advice.
