Postpartum Vaginal Delivery Instructions


Call our office within the next week to make an appointment for your six week postpartum check-up unless advised to return earlier. Please keep your appointment for your six week check-up even if you are still having some bleeding.

Report any fever over 100.4 degrees, or increased vaginal bleeding (more than a pad an hour) or pain.

You should not have sex until after your six week check-up. Please do not use tampons or douche for six weeks.

You may shower or wash your hair as soon as desired. Don't take a bath until all vaginal bleeding has stopped for one week.

Cramping is normal, especially if you are breastfeeding. You may use 600 mg of ibuprofen (Motrin) every 6 hours or 650 mg of Tylenol every 6 hours as needed.

Your vaginal bleeding (lochia) may continue for four to six weeks. This may be followed by a yellow or white discharge for several more weeks.

Please continue your prenatal vitamins for at least six weeks.

Breastfeeding mothers should continue taking your vitamins for as long as you are nursing. Breastfeeding mothers should notify us if you notice red, sore, tender breasts associated with a fever. You may have mastitis which will need to be treated with antibiotics.

Bottle feeding mothers will notice engorgement about 3 days postpartum. Your breasts will be sore and hard. You will need to wear a tight fitting bra or sports bra 24 hours a day. Tylenol and ice packs can be used for relief of the discomfort. A breast binder may also be used (a baby blanket or towel clasped with diaper pins).

You may use a mild laxative such as Senokot, Metamucil or Colace as necessary.

Please keep stair climbing to a minimum for the first week, as well as only light housekeeping. You may resume exercising 6 weeks postpartum, although walking as tolerated may begin as soon as heavy bleeding has stopped. Please start slowly and as tolerated for exercise resumption.

Avoid crowds and friends or family members who are sick for a minimum of two weeks.

Birth control may be started six weeks postpartum. Please ask Dr. Ayoub for a prescription or other options at your 6 week appointment.

Our Locations:

Leesburg, VA OBGYN
Virginia Obstetrics & Gynecology
19490 Sandridge Way
Suite 350
Leesburg, VA 20176

For Maps and Directions click here

Hours Of Operation:
Monday - Thursday: 8AM - 5PM
Friday: 8AM - 3PM
Saturday & Sunday: Closed


Virginia Obstetrics & Gynecology
1800 Town Center Dr.
Suite 312
Reston, VA 20190

For Maps and Directions click here

Hours Of Operation:
Wednesday: 1PM - 5PM
Visit VA Robotic Surgery website

Reston Hospital Center


March 2015
Congratulations to Dr. Jack Ayoub for winning The 2014 Vitals On-Time Doctor Award.
Dr. Ayoub won The Vitals' On-Time Doctor Award Read More
February 2015
Congratulations! Dr. Ayoub has been named one of Northern Virginia’s Top doctors
May 2014
We are pleased to announce our new OBGYN office in Reston, VA.
Reston VA OBGYN Read More
Dr. Jack Ayoub has been designated as a Center of Excellence in Minimally Invasive Gynecology!!
Read More

Dr. Ayoub has been selected as president-elect for the Board of the Medical Society of Northern Virginia
Medical Society of Northern Virginia
Dr. Ayoub has been elected as a Board Member of the Medical Society of Northern Virginia.
The Medical Society of Northern Virginia is a not-for-profit association founded in 1884 serving more than 1,200 physicians. Read More
Virginia Obstetrics & Gynecology, P.C has joined the Shenandoah Independent Practice Association, Inc. (SIPA), Read More SIPA logo
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