Postpartum Care and Resources

• Care Management Summary
• Mood concerns
  • EPDS
  • GAD-7 (PDF)
  • Lactation Resources:
    • Maine Health Lacation- (207) 662-4555
    • KellyMom (Breast/Chest/ -feeding/Pumping) : https://kellymom.com/
    • LactMed : https://www.ncbi.nlm.nih.gov/books/NBK501922/
    • La Leche League: https://www.llli.org/
  • Postpartum Support / Education
    • Birth Roots: https://birthroots.org/
    • Maine Mother & Company : https://www.mainemother.com/
    • https://www.lucieslist.com/

 

Behavioral Healthcare Resource Links

• If you are in a crisis, please call 911.
  • Maine Crisis Numbers
  • MGH Center for Women’s Mental Health: https://womensmentalhealth.org/specialty-clinics-2/postpartum-psychiatric-disorders-2/
  • Postpartum Support International: https://www.postpartum.net/

 

When to Call after having your baby

• Mood Concerns
  • During the postpartum time, moods may fluctuate. If you are having increased anxiety, depression and thoughts of self-harm or harming others you should contact the office AS SOON AS POSSIBLE at 207-874-2445. Your provider will want you to come into the office to check in regarding mood and any concerns you are having. At this time your provider and you will discuss a plan of care that best fits you. They will also have you complete a few mood screenings.
    • GAD-7
    • EPDS

• Breast Concerns
  • Lactational Mastitis often occurs as the result of prolonged engorgement or a clogged milk duct. Signs of mastitis include pain, swollen/ firm, red area on breasts, engorgement, fever/ chills, and flu-like symptoms.
    • If you have signs of lactational mastitis please call the office at 207-874-2445 to discuss your symptoms with a clinical staff member/ provider.
  • Lactational Yeast infections can be see in women who are breast feeding, the infection may be topical on the nipple or areola and can also be found deep within the breast. Symptoms include persistently sore nipples with burning and itching, shooting pain deep in the breast, nipples may be pink and shiny in appearance, nipples may flake or peel, tiny blisters may be present.
    • If you have symptoms of a Lactational Yeast infection call the office at 207-874-2445 to discuss your symptoms with a clinical staff member/ provider.

• Lactation Resources:
  • Maine Health Lacation- (207) 662-4555
  • KellyMom (Breast/Chest/ -feeding/pumping) : https://kellymom.com/
  • LactMed : https://www.ncbi.nlm.nih.gov/books/NBK501922/
  • La Leche League: https://www.llli.org/

 

• Infection Concerns
  • Whether you had a vaginal delivery or cesarean section it is important to identify signs of infection. If you have any of the following signs or symptoms please contact the office.
    • Fever (>100.4 F)
    • Chills
    • Flu-like symptoms
    • Abnormal Vaginal Discharge
    • Abnormal drainage from incisions or lacerations (green, bloody, Foul smelling)
    • Severe abdominal pain
    • Redness at incision site
    • Swelling at incision site
    • Increased vaginal bleeding, passing clots.
    • Leg pain or swelling
  • Mastitis is an infection present in the breast. Please see Breast concerns for Mastitis infection information and signs and symptoms.

• Bleeding Concerns
  • If you’re soaking a super pad every hour for the past 2 hours, passing golf-ball sized clots or experiencing lightheaded, dizziness, and shortness of breath please call the office ASAP at 207-874-2445.
  • Bleeding is normal up to 12 weeks postpartum.
  • Bleeding can increase with activity.