The fundus should be firm and at or below the umbilicus. Gradual involution occurs over the next 6 weeks. By 2 to 3 weeks it should be white. Tampons are contraindicated. Breasts are examined for signs of infection and presence of milk.
Colostrum is present initially.
Milk production should occur by the third to fifth day in primiparas, sooner in multiparas. Breast feeding should not be allowed for greater than 15 minutes on each side per feeding initially to help prevent soreness. Legs should be examined for evidence of thrombophlebitis. Breast feeding if applicable. Prevention of lactation or engorgement if applicable.