POST-OP care INSTRUCTIONS
Everything you need to know for post surgery, at home care
post operation, discharge care instructions
Robotic hyst
d & C
postpartum
cesarean section
tk laparoscopy
Click on the procedure below to take you to the post-op instructions.
Or scroll down to the procedure instructions...
robotic hyst discharge instructions
DaVinci Robotic Surgery
CONTACT THE OFFICE IMMEDIATELY IF YOU DEVELOP A FEVER OVER 100.5∞ OR IF
EXCESSIVE BLEEDING OCCURS. Spotting and discharge are common after a major
surgical procedure.
We encourage all patients undergoing surgical procedures to remain in close contact with their
physician and office nurse. If you have any questions, we ask that you call the office at (989-
791-9100) day or night. Normal office hours are 9:00 a.m. to 5:00 p.m. Monday – Thursday
MEDICATIONS:
You, or your representative, have received your prescriptions and discharge medication
information.
Please ask if you have any medication questions. Call your family doctor for instructions
about any medications not listed.
Call your doctor if you have any of the following:
Education:
Your Education Plan has been reviewed with you prior to discharge.
If you have turned down our offer to make your follow-up appointment(s), it is important for you
to make these appointments as soon as possible. We will be calling you within the next few
days to make sure you have an appointment, and help as needed
Discharge Instructions Following Anesthesia / Ambulatory Surgery
If you had either Sedation or General Anesthesia:
• The Anesthesia drugs you received today are short acting. However, you may feel
dizzy or lightheaded the next 24 hours, so rest quietly the remainder of today.
• Drink extra fluids to make up for pre-procedure fasting.
• For your protection and safety, have a responsible person stay with you today and
tonight.
• For the next 24 hours DO NOT: Drive a car, operate machinery/power tools, drink
alcohol, make important decisions or sign legal documents.
If you had General Anesthesia:
Most side effects of general anesthesia occur immediately after your operation and
don’t last long. Once surgery is done and anesthesia medications are stopped, you’ll
slowly wake up in the operating room or recovery room. You’ll probably feel groggy and
a bit confused.
You may also feel any of these common side effects:
• Nausea and vomiting. This common side effect usually occurs immediately after
the procedure, but some people may continue to feel sick for a day or two.
• Dry mouth. You may feel parched when you wake up.
• Sore throat or hoarseness. The tube put in your throat to help you breathe during
surgery can leave you with a sore throat after it’s removed.
• Chills and shivering. It’s common for your body temperature to drop somewhat
during general anesthesia.
• Confusion and fuzzy thinking. When first waking from anesthesia, you may feel
confused, drowsy, and foggy.
• Muscle aches. The drugs used to relax your muscles during surgery can cause
soreness afterward.
• Itching. If narcotic (opioid) medications are used during or after your operation, you
may be itchy.
• Bladder problems. You may have difficulty passing urine for 8-10 hours after
general anesthesia.
Most people won’t experience any long-term side effects. However, older adults are
more likely to experience side effects that last more than a couple of days, such as
confusion, disorientation, or having trouble remembering things after surgery. This
disorientation can come and go, but it usually goes away completely after about a week.
Pediatric patients can sometimes have what is described as postoperative delirium,
where they may cry excessively, appear disoriented/confused and difficult to console.
This is typically a temporary side effect of the general anesthesia agents and may take
up to 24 hours to gradually go away.
If you had a Nerve Block:
• Numbness, tingling in the blocked area may last up to 36 hours
• Protect the extremity from excessive heat/cold or bumping it against another object
due to decreased sensation and control.
• Rest and elevate the affected area to heart level or higher
• Foot / leg blocks: Do not attempt to weight bear until numbness is worn off and
sensation has returned. Weight bearing after this must be OK’d by your surgeon.
• Shoulder blocks: Usually last 8-12 hours, but can last up to 36 hours
o Very rare side effects of shoulder blocks: A sensation of shortness of
breath/difficulty taking a deep breath, hoarseness, throat/tongue numbness. These
complications are typically temporary and subside once the anesthetic medication
wears off.
• Caudal blocks: If your child had a caudal block, they will slowly regain lower body
sensation within 4 to 6 hours. After the procedure, they should be able to move their
legs but may feel weak or numb. They should not walk without assistance for the
first 8 to 10 hours after the operation. Occasionally, the patient may not feel heat on
their stomach or legs until the caudal block has worn off completely in about 8 to 10
hours.
Diet after Anesthesia:
• To avoid nausea/vomiting, start with liquids, toast, crackers. Avoid spicy, greasy,
gas-producing foods
• If persistent nausea/vomiting: Stop all oral intake for 2-4 hours. Then, start ice
chips, clear liquids, then advance diet as tolerated.
Sometimes pain pills taken on an empty stomach can cause nausea, so try taking with a
small amount of food.
- The first week should be spent recovering at home with light activity
- You may eat what you like, but start with easily digested foods (avoid greasy or
- spicy foods)
- The second week may include increased activity including light exercise (walking,
- treadmill at a walking pace, stationary bike). No lifting, pushing, or pulling > 15
- pounds. Avoid exercises that target the abdominal muscles.
- By the third week, most normal daily activities (shopping, light housework,
- cooking, non-strenuous work) should be tolerable and safe. You should still
- avoid heavy lifting.
- In the fourth week, test your tolerance for activity and increase lifting to 25
- pounds.
- No intercourse, douching, or tampons for at least 6 weeks.
- You may shower at any time once at home
- You may drive as long as you are not taking narcotic pain medications and feel
- alert and nimble enough to steer and use the brake and gas pedals.
- Do not smoke during your postoperative recovery (try to quit altogether!)
- Keep your incisions clean and dry by washing/showering regularly with soap and
- water, then pat dry with a soft towel
- Vaginal discharge is to be expected, but if you find it is excessive, a large gush
- occurs, or a foul odor is associated, call the office or answering service
- Call the office (989-791-9100), Monday - Thursday if you experience:
- Increasing abdominal pain or distension
- Difficulty or inability to urinate or have a bowel movement
- Excessive vaginal bleeding (1 pad per hour)
- Persistent nausea and/or vomiting
CONTACT THE OFFICE IMMEDIATELY IF YOU DEVELOP A FEVER OVER 100.5∞ OR IF
EXCESSIVE BLEEDING OCCURS. Spotting and discharge are common after a major
surgical procedure.
We encourage all patients undergoing surgical procedures to remain in close contact with their
physician and office nurse. If you have any questions, we ask that you call the office at (989-
791-9100) day or night. Normal office hours are 9:00 a.m. to 5:00 p.m. Monday – Thursday
MEDICATIONS:
You, or your representative, have received your prescriptions and discharge medication
information.
Please ask if you have any medication questions. Call your family doctor for instructions
about any medications not listed.
Call your doctor if you have any of the following:
- Your pain is not controlled or suddenly increases
- You have a temperature of greater than 101 degrees Fahrenheit
- You have increased redness or drainage around your wound or incision
- Your incision begins to open
- You have sudden shortness of breath, chest pain, difficulty breathing, sweating, or confusion
- You have increased swelling or pain in your legs or calves
Education:
Your Education Plan has been reviewed with you prior to discharge.
If you have turned down our offer to make your follow-up appointment(s), it is important for you
to make these appointments as soon as possible. We will be calling you within the next few
days to make sure you have an appointment, and help as needed
Discharge Instructions Following Anesthesia / Ambulatory Surgery
If you had either Sedation or General Anesthesia:
• The Anesthesia drugs you received today are short acting. However, you may feel
dizzy or lightheaded the next 24 hours, so rest quietly the remainder of today.
• Drink extra fluids to make up for pre-procedure fasting.
• For your protection and safety, have a responsible person stay with you today and
tonight.
• For the next 24 hours DO NOT: Drive a car, operate machinery/power tools, drink
alcohol, make important decisions or sign legal documents.
If you had General Anesthesia:
Most side effects of general anesthesia occur immediately after your operation and
don’t last long. Once surgery is done and anesthesia medications are stopped, you’ll
slowly wake up in the operating room or recovery room. You’ll probably feel groggy and
a bit confused.
You may also feel any of these common side effects:
• Nausea and vomiting. This common side effect usually occurs immediately after
the procedure, but some people may continue to feel sick for a day or two.
• Dry mouth. You may feel parched when you wake up.
• Sore throat or hoarseness. The tube put in your throat to help you breathe during
surgery can leave you with a sore throat after it’s removed.
• Chills and shivering. It’s common for your body temperature to drop somewhat
during general anesthesia.
• Confusion and fuzzy thinking. When first waking from anesthesia, you may feel
confused, drowsy, and foggy.
• Muscle aches. The drugs used to relax your muscles during surgery can cause
soreness afterward.
• Itching. If narcotic (opioid) medications are used during or after your operation, you
may be itchy.
• Bladder problems. You may have difficulty passing urine for 8-10 hours after
general anesthesia.
Most people won’t experience any long-term side effects. However, older adults are
more likely to experience side effects that last more than a couple of days, such as
confusion, disorientation, or having trouble remembering things after surgery. This
disorientation can come and go, but it usually goes away completely after about a week.
Pediatric patients can sometimes have what is described as postoperative delirium,
where they may cry excessively, appear disoriented/confused and difficult to console.
This is typically a temporary side effect of the general anesthesia agents and may take
up to 24 hours to gradually go away.
If you had a Nerve Block:
• Numbness, tingling in the blocked area may last up to 36 hours
• Protect the extremity from excessive heat/cold or bumping it against another object
due to decreased sensation and control.
• Rest and elevate the affected area to heart level or higher
• Foot / leg blocks: Do not attempt to weight bear until numbness is worn off and
sensation has returned. Weight bearing after this must be OK’d by your surgeon.
• Shoulder blocks: Usually last 8-12 hours, but can last up to 36 hours
o Very rare side effects of shoulder blocks: A sensation of shortness of
breath/difficulty taking a deep breath, hoarseness, throat/tongue numbness. These
complications are typically temporary and subside once the anesthetic medication
wears off.
• Caudal blocks: If your child had a caudal block, they will slowly regain lower body
sensation within 4 to 6 hours. After the procedure, they should be able to move their
legs but may feel weak or numb. They should not walk without assistance for the
first 8 to 10 hours after the operation. Occasionally, the patient may not feel heat on
their stomach or legs until the caudal block has worn off completely in about 8 to 10
hours.
Diet after Anesthesia:
• To avoid nausea/vomiting, start with liquids, toast, crackers. Avoid spicy, greasy,
gas-producing foods
• If persistent nausea/vomiting: Stop all oral intake for 2-4 hours. Then, start ice
chips, clear liquids, then advance diet as tolerated.
Sometimes pain pills taken on an empty stomach can cause nausea, so try taking with a
small amount of food.
D & C
Diagnostic D & C with or without endometrial ablation
CONTACT THE OFFICE IMMEDIATELY IF YOU DEVELOP A FEVER OVER
100.5∞ OR IF EXCESSIVE BLEEDING OCCURS. Spotting and discharge are
common after a major surgical procedure.
We encourage all patients undergoing surgical procedures to remain in close contact
with their physician and office nurse. If you have any questions, we ask that you call the
office at (989) 791-9100 day or night. Normal office hours are 9:00 a.m. to 5:00 p.m.
Monday – Thursday
MEDICATIONS:
You, or your representative, have received your prescriptions and discharge medication
information.
Please ask if you have any medication questions. Call your family doctor for
instructions about any medications not listed.
Call your doctor if you have any of the following:
Education:
Your Education Plan has been reviewed with you prior to discharge.
If you have turned down our offer to make your follow-up appointment(s), it is important
for you to make these appointments as soon as possible. We will be calling you within
the next few days to make sure you have an appointment, and help as needed.
Discharge Instructions Following Anesthesia / Ambulatory Surgery
If you had either Sedation or General Anesthesia:
• The Anesthesia drugs you received today are short acting. However, you
may feel dizzy or lightheaded the next 24 hours, so rest quietly the remainder
of today.
• Drink extra fluids to make up for pre-procedure fasting.
• For your protection and safety, have a responsible person stay with you today
and tonight.
• For the next 24 hours DO NOT: Drive a car, operate machinery/power tools,
drink alcohol, make important decisions or sign legal documents.
If you had General Anesthesia:
Most side effects of general anesthesia occur immediately after your operation
and don’t last long. Once surgery is done and anesthesia medications are
stopped, you’ll slowly wake up in the operating room or recovery room. You’ll
probably feel groggy and a bit confused.
You may also feel any of these common side effects:
• Nausea and vomiting. This common side effect usually occurs immediately
after the procedure, but some people may continue to feel sick for a day or
two.
• Dry mouth. You may feel parched when you wake up.
• Sore throat or hoarseness. The tube put in your throat to help you breathe
during surgery can leave you with a sore throat after it’s removed.
• Chills and shivering. It’s common for your body temperature to drop
somewhat during general anesthesia.
• Confusion and fuzzy thinking. When first waking from anesthesia, you may
feel confused, drowsy, and foggy.
• Muscle aches. The drugs used to relax your muscles during surgery can
cause soreness afterward.
• Itching. If narcotic (opioid) medications are used during or after your
operation, you may be itchy.
• Bladder problems. You may have difficulty passing urine for 8-10 hours after
general anesthesia.
Most people won’t experience any long-term side effects. However, older adults
are more likely to experience side effects that last more than a couple of days,
such as confusion, disorientation, or having trouble remembering things after
surgery. This disorientation can come and go, but it usually goes away
completely after about a week.
Pediatric patients can sometimes have what is described as postoperative
delirium, where they may cry excessively, appear disoriented/confused and
difficult to console. This is typically a temporary side effect of the general
anesthesia agents and may take up to 24 hours to gradually go away.
If you had a Nerve Block:
• Numbness, tingling in the blocked area may last up to 36 hours
• Protect the extremity from excessive heat/cold or bumping it against another
object due to decreased sensation and control.
• Rest and elevate the affected area to heart level or higher
• Foot / leg blocks: Do not attempt to weight bear until numbness is worn off
and sensation has returned. Weight bearing after this must be OK’d by your
surgeon.
• Shoulder blocks: Usually last 8-12 hours, but can last up to 36 hours
o Very rare side effects of shoulder blocks: A sensation of shortness of
breath/difficulty taking a deep breath, hoarseness, throat/tongue numbness.
These complications are typically temporary and subside once the anesthetic
medication wears off.
• Caudal blocks: If your child had a caudal block, they will slowly regain lower
body sensation within 4 to 6 hours. After the procedure, they should be able
to move their legs but may feel weak or numb. They should not walk without
assistance for the first 8 to 10 hours after the operation. Occasionally, the
patient may not feel heat on their stomach or legs until the caudal block has
worn off completely in about 8 to 10 hours.
Diet after Anesthesia:
• To avoid nausea/vomiting, start with liquids, toast, crackers. Avoid spicy,
greasy, gas-producing foods
• If persistent nausea/vomiting: Stop all oral intake for 2-4 hours. Then, start
ice chips, clear liquids, then advance diet as tolerated.
• Sometimes pain pills taken on an empty stomach can cause nausea, so
try taking with a small amount of food.
- Activities as desired
- Resume work in 3 - 4 days
- Resume home diet as tolerated
CONTACT THE OFFICE IMMEDIATELY IF YOU DEVELOP A FEVER OVER
100.5∞ OR IF EXCESSIVE BLEEDING OCCURS. Spotting and discharge are
common after a major surgical procedure.
We encourage all patients undergoing surgical procedures to remain in close contact
with their physician and office nurse. If you have any questions, we ask that you call the
office at (989) 791-9100 day or night. Normal office hours are 9:00 a.m. to 5:00 p.m.
Monday – Thursday
MEDICATIONS:
You, or your representative, have received your prescriptions and discharge medication
information.
Please ask if you have any medication questions. Call your family doctor for
instructions about any medications not listed.
Call your doctor if you have any of the following:
- Your pain is not controlled or suddenly increases
- You have a temperature of greater than 101 degrees Fahrenheit
- You have increased redness or drainage around your wound or incision
- Your incision begins to open
- You have sudden shortness of breath, chest pain, difficulty breathing, sweating, or
- confusion
- You have increased swelling or pain in your legs or calves
Education:
Your Education Plan has been reviewed with you prior to discharge.
If you have turned down our offer to make your follow-up appointment(s), it is important
for you to make these appointments as soon as possible. We will be calling you within
the next few days to make sure you have an appointment, and help as needed.
Discharge Instructions Following Anesthesia / Ambulatory Surgery
If you had either Sedation or General Anesthesia:
• The Anesthesia drugs you received today are short acting. However, you
may feel dizzy or lightheaded the next 24 hours, so rest quietly the remainder
of today.
• Drink extra fluids to make up for pre-procedure fasting.
• For your protection and safety, have a responsible person stay with you today
and tonight.
• For the next 24 hours DO NOT: Drive a car, operate machinery/power tools,
drink alcohol, make important decisions or sign legal documents.
If you had General Anesthesia:
Most side effects of general anesthesia occur immediately after your operation
and don’t last long. Once surgery is done and anesthesia medications are
stopped, you’ll slowly wake up in the operating room or recovery room. You’ll
probably feel groggy and a bit confused.
You may also feel any of these common side effects:
• Nausea and vomiting. This common side effect usually occurs immediately
after the procedure, but some people may continue to feel sick for a day or
two.
• Dry mouth. You may feel parched when you wake up.
• Sore throat or hoarseness. The tube put in your throat to help you breathe
during surgery can leave you with a sore throat after it’s removed.
• Chills and shivering. It’s common for your body temperature to drop
somewhat during general anesthesia.
• Confusion and fuzzy thinking. When first waking from anesthesia, you may
feel confused, drowsy, and foggy.
• Muscle aches. The drugs used to relax your muscles during surgery can
cause soreness afterward.
• Itching. If narcotic (opioid) medications are used during or after your
operation, you may be itchy.
• Bladder problems. You may have difficulty passing urine for 8-10 hours after
general anesthesia.
Most people won’t experience any long-term side effects. However, older adults
are more likely to experience side effects that last more than a couple of days,
such as confusion, disorientation, or having trouble remembering things after
surgery. This disorientation can come and go, but it usually goes away
completely after about a week.
Pediatric patients can sometimes have what is described as postoperative
delirium, where they may cry excessively, appear disoriented/confused and
difficult to console. This is typically a temporary side effect of the general
anesthesia agents and may take up to 24 hours to gradually go away.
If you had a Nerve Block:
• Numbness, tingling in the blocked area may last up to 36 hours
• Protect the extremity from excessive heat/cold or bumping it against another
object due to decreased sensation and control.
• Rest and elevate the affected area to heart level or higher
• Foot / leg blocks: Do not attempt to weight bear until numbness is worn off
and sensation has returned. Weight bearing after this must be OK’d by your
surgeon.
• Shoulder blocks: Usually last 8-12 hours, but can last up to 36 hours
o Very rare side effects of shoulder blocks: A sensation of shortness of
breath/difficulty taking a deep breath, hoarseness, throat/tongue numbness.
These complications are typically temporary and subside once the anesthetic
medication wears off.
• Caudal blocks: If your child had a caudal block, they will slowly regain lower
body sensation within 4 to 6 hours. After the procedure, they should be able
to move their legs but may feel weak or numb. They should not walk without
assistance for the first 8 to 10 hours after the operation. Occasionally, the
patient may not feel heat on their stomach or legs until the caudal block has
worn off completely in about 8 to 10 hours.
Diet after Anesthesia:
• To avoid nausea/vomiting, start with liquids, toast, crackers. Avoid spicy,
greasy, gas-producing foods
• If persistent nausea/vomiting: Stop all oral intake for 2-4 hours. Then, start
ice chips, clear liquids, then advance diet as tolerated.
• Sometimes pain pills taken on an empty stomach can cause nausea, so
try taking with a small amount of food.
postpartum
The main reason for your hospital stay was childbirth.
Your condition is at the time of leaving the hospital.
MEDICATIONS:
You, or your representative, have received your prescriptions and discharge medication
information.
Please ask if you have any medication questions. Contact your healthcare
provider for instructions regarding any medications not listed, or medications
stopped because of your pregnancy.
Diet: Resume your normal home diet.
Activity: You can resume light activity for 2 weeks, increase as tolerated.
No sex, tampons, or douching for six weeks.
Incisions/Wounds: If you have perineal stitches, wash the area with soap and water
daily. Any stitches will dissolve.
Call your health care provider at (989-791-9100) if you have questions or concerns.
Call your health care provider, 911, or go to the Emergency Room, if you have any
of the following:
Call your physician if you have mood changes that are sudden or severe, or have lasted
more than 2 weeks that cause problems in caring for yourself or your baby.
Post Dural Puncture Headache:
If you have a constant severe headache that you find worse with standing or sitting up
that is unrelieved by Tylenol, Ibuprofen/Motrin/Aspirin, hydration, & caffeine you may
have a Post Dural Puncture Headache (PDPH). These occur in 1 out of 100 patients
who have received a spinal or epidural for labor or c-section. Although benign, these
headaches may make it difficult for you to carry out daily activities and may be very
uncomfortable.
Symptoms:
• Severe headache, sometimes accompanied by nausea
• Taken Tylenol, Ibuprofen/Motrin/Aspirin, hydration, & caffeine without relief
• Your headache is worse while sitting or standing, but relieved by lying flat
• Have difficulty carrying out normal tasks
• Sensitivity to light or sound
If the conservative therapies listed above are not working, you may contact the hospital
operator and request they patch you through to the Harrison on Call Anesthesiologist so
we may evaluate you over the phone. If the physician deems your headache to be a
PDPH, we will either recommend continuation of the conservative therapies above or
ask that you come to the Harrison building to receive an epidural blood patch.
An Epidural Blood Patch is a procedure much like an epidural for labor that has a 95%
success rate. After the procedure is preformed, we will need you to stay under our care
for 1 hour while lying flat. We will likely discharge you right after that.
If you believe you have a Post Dural Puncture Headache:
• Call the hospital operator at (989) 583-0000
• Have them patch you through to the Harrison on Call Anesthesiologist via
Vocera
If instructed to come in for a blood patch we will ask that you present to the front desk of
Harrison building at Covenant Hospital, 1447 Harrison Street Saginaw MI, 48602.
Education:
Your Education Plan has been reviewed with you prior to discharge.
If you have turned down our offer to make your follow-up appointment(s), it is important
for you to make these appointments as soon as possible. We will be calling you within
the next few days to make sure you have an appointment, and help as needed.
Covenant Breastfeeding Support
We are here for you and your baby. For more information about our lactation services,
call us at 989.583.4429 or 1.888.848.BABY (2229). Please leave a message if lactation
support is not available and they will return your call.
You are invited to attend Adventures in Breastfeeding, Covenant’s weekly breastfeeding
support group. The group meets each Monday from 6:30 to 7:30 pm at Covenant
Andersen in the Wellness Room, at 1020 Almira Street, Saginaw. If you have any
questions or would like more information, please contact Childbirth Education at
(989)583-4503
Thank you for choosing Covenant Healthcare!
Your condition is at the time of leaving the hospital.
MEDICATIONS:
You, or your representative, have received your prescriptions and discharge medication
information.
Please ask if you have any medication questions. Contact your healthcare
provider for instructions regarding any medications not listed, or medications
stopped because of your pregnancy.
Diet: Resume your normal home diet.
Activity: You can resume light activity for 2 weeks, increase as tolerated.
No sex, tampons, or douching for six weeks.
Incisions/Wounds: If you have perineal stitches, wash the area with soap and water
daily. Any stitches will dissolve.
Call your health care provider at (989-791-9100) if you have questions or concerns.
Call your health care provider, 911, or go to the Emergency Room, if you have any
of the following:
- You have a temperature of greater than 100.4 degrees Fahrenheit
- Bleeding more than 1 maxipad an hour, or passing clots the size of a small egg or
- have a foul smell to your flow
- If your stitches area is more red, has a discharge, foul smell, or swelling
- Burning pain when passing urine or problems with passing urine
- Pain in lower legs when walking, and/or legs are red, and have more swelling
- Headache that does not go away with pain medicine or rest
Call your physician if you have mood changes that are sudden or severe, or have lasted
more than 2 weeks that cause problems in caring for yourself or your baby.
Post Dural Puncture Headache:
If you have a constant severe headache that you find worse with standing or sitting up
that is unrelieved by Tylenol, Ibuprofen/Motrin/Aspirin, hydration, & caffeine you may
have a Post Dural Puncture Headache (PDPH). These occur in 1 out of 100 patients
who have received a spinal or epidural for labor or c-section. Although benign, these
headaches may make it difficult for you to carry out daily activities and may be very
uncomfortable.
Symptoms:
• Severe headache, sometimes accompanied by nausea
• Taken Tylenol, Ibuprofen/Motrin/Aspirin, hydration, & caffeine without relief
• Your headache is worse while sitting or standing, but relieved by lying flat
• Have difficulty carrying out normal tasks
• Sensitivity to light or sound
If the conservative therapies listed above are not working, you may contact the hospital
operator and request they patch you through to the Harrison on Call Anesthesiologist so
we may evaluate you over the phone. If the physician deems your headache to be a
PDPH, we will either recommend continuation of the conservative therapies above or
ask that you come to the Harrison building to receive an epidural blood patch.
An Epidural Blood Patch is a procedure much like an epidural for labor that has a 95%
success rate. After the procedure is preformed, we will need you to stay under our care
for 1 hour while lying flat. We will likely discharge you right after that.
If you believe you have a Post Dural Puncture Headache:
• Call the hospital operator at (989) 583-0000
• Have them patch you through to the Harrison on Call Anesthesiologist via
Vocera
If instructed to come in for a blood patch we will ask that you present to the front desk of
Harrison building at Covenant Hospital, 1447 Harrison Street Saginaw MI, 48602.
Education:
Your Education Plan has been reviewed with you prior to discharge.
If you have turned down our offer to make your follow-up appointment(s), it is important
for you to make these appointments as soon as possible. We will be calling you within
the next few days to make sure you have an appointment, and help as needed.
Covenant Breastfeeding Support
We are here for you and your baby. For more information about our lactation services,
call us at 989.583.4429 or 1.888.848.BABY (2229). Please leave a message if lactation
support is not available and they will return your call.
You are invited to attend Adventures in Breastfeeding, Covenant’s weekly breastfeeding
support group. The group meets each Monday from 6:30 to 7:30 pm at Covenant
Andersen in the Wellness Room, at 1020 Almira Street, Saginaw. If you have any
questions or would like more information, please contact Childbirth Education at
(989)583-4503
Thank you for choosing Covenant Healthcare!
cesarean section
POSTOPERATIVE INSTRUCTIONS FOR CESAREAN SECTION
1. Resume your normal home diet.
2. Keep your activity light and easy for at least the first 2 weeks after your
surgery. You should care for yourself and the baby (or babies) and let
others take care of the housework, etc. No lifting, pushing, or pulling
more than 10 pounds during this time frame.
3. Begin a gradual increase in activity after 2 weeks, but still avoid strenuous
activity or vigorous exercise until 6 weeks after surgery. Walking is OK
soon after your surgery, but at a slow or moderate pace.
4. You should not drive a car or operate any machinery while taking any
narcotic pain medications. Wait at least 7-10 days after surgery before
you drive.
5. You may go up or down stairs as soon as you are home, but be sure to
have someone with you the first 1 or 2 times that you try. Do not carry
anything when going up or down stairs.
6. No intercourse, douching, or tampons for 6 weeks after surgery.
7. Surgical site care at home:
• Wash your hands thoroughly with soap and water or hand sanitizer
before touching the incision or the area around it.
• Keep your incision clean and dry.
-Shower daily with soap and water, including gently washing over the
incision. Pat dry with a clean towel.
-If there is a small amount of drainage or the area remains moist
because of the skin folding over, you may keep gauze or a peri pad in
the area to help keep it dry. Change the gauze or pad when it
becomes moist.
-After 7 days, remove the steri-strip bandages if they have not come
off on their own. Skin glue will come off on its own after about 1 week
of gentle washing.
-Change the clothing over your incision if it becomes damp or soiled.
Use clean bed linens.
8. Staples in your incision should be removed by at least 7 days after
surgery, unless your doctor has indicated otherwise. If you are
discharged with staples still in place, you must call the office to arrange
for their removal in a time frame your provider has given.
9. You should also call the office (989-791-9100) if:
• You experience nausea or vomiting.
• You are unable to have a bowel movement within 4-5 days of surgery
• You have difficulty urinating.
• Vaginal bleeding becomes heavy, more than 1 pad per hour for 2-3
hours
• Your pain is not controlled by your medications.
• You notice pain or swelling, with or without redness, in 1 or both legs
• You have chest pain or shortness of breath
• You have a headache that does not go away with medication or rest
• You have pain in your belly, especially the right upper area below
your ribs
• You have blurry or double vision, or you are seeing spots
• You have difficulty catching your breath
• Your swelling worsens or you gain more than 3 pounds in 3 days
• You have any new or unusual symptoms
• Your incision becomes more swollen or red, begins to open up,
drains a large amount of fluid or bloody discharge, has a foul smell,
or if the drainage looks like pus
CONTACT THE OFFICE IMMEDIATELY IF YOU DEVELOP A FEVER OVER
100.5∞ OR IF EXCESSIVE BLEEDING OCCURS. Spotting and discharge are
common after a major surgical procedure.
Call your physician if you have mood changes that are sudden or severe, or have lasted
more than 2 weeks that cause problems in caring for yourself or your baby.
We encourage all patients undergoing surgical procedures to remain in close contact
with their physician and office nurse. If you have any questions, we ask that you call the
office at (989-791-9100) day or night. Normal office hours are 9:00 a.m. to 5:00 p.m.
Monday – Thursday.
MEDICATIONS:
You, or your representative, have received your prescriptions and discharge medication
information.
Please ask if you have any medication questions. Call your family doctor for
instructions about any medications not listed.
Education:
Your Education Plan has been reviewed with you prior to discharge.
Post Dural Puncture Headache:
If you have a constant severe headache that you find worse with standing or sitting up
that is unrelieved by Tylenol, Ibuprofen/Motrin/Aspirin, hydration, & caffeine you may
have a Post Dural Puncture Headache (PDPH). These occur in 1 out of 100 patients
who have received a spinal or epidural for labor or c-section. Although benign, these
headaches may make it difficult for you to carry out daily activities and may be very
uncomfortable.
Symptoms:
• Severe headache, sometimes accompanied by nausea
• Taken Tylenol, Ibuprofen/Motrin/Aspirin, hydration, & caffeine without relief
• Your headache is worse while sitting or standing, but relieved by lying flat
• Have difficulty carrying out normal tasks
• Sensitivity to light or sound
If the conservative therapies listed above are not working, you may contact the hospital
operator and request they patch you through to the Harrison on Call Anesthesiologist so
we may evaluate you over the phone. If the physician deems your headache to be a
PDPH, we will either recommend continuation of the conservative therapies above or
ask that you come to the Harrison building to receive an epidural blood patch.
An Epidural Blood Patch is a procedure much like an epidural for labor that has a 95%
success rate. After the procedure is preformed, we will need you to stay under our care
for 1 hour while lying flat. We will likely discharge you right after that.
If you believe you have a Post Dural Puncture Headache:
• Call the hospital operator at (989) 583-0000
• Have them patch you through to the Harrison on Call Anesthesiologist via
Vocera
If instructed to come in for a blood patch we will ask that you present to the front desk of
Harrison building at Covenant Hospital, 1447 Harrison Street Saginaw MI, 48602.
Covenant Breastfeeding Support
We are here for you and your baby. For more information about our lactation services,
call us at 989.583.4429 or 1.888.848.BABY (2229). Please leave a message if lactation
support is not available and they will return your call.
You are invited to attend Adventures in Breastfeeding, Covenant’s weekly breastfeeding
support group. The group meets each Monday from 6:30 to 7:30 pm at Covenant
Andersen in the Wellness Room, at 1020 Almira Street, Saginaw. If you have any
questions or would like more information, please contact Childbirth Education at
(989)583-4503
If you have turned down our offer to make your follow-up appointment(s), it is important
for you to make these appointments as soon as possible. We will be calling you within
the next few days to make sure you have an appointment, and help as needed.
1. Resume your normal home diet.
2. Keep your activity light and easy for at least the first 2 weeks after your
surgery. You should care for yourself and the baby (or babies) and let
others take care of the housework, etc. No lifting, pushing, or pulling
more than 10 pounds during this time frame.
3. Begin a gradual increase in activity after 2 weeks, but still avoid strenuous
activity or vigorous exercise until 6 weeks after surgery. Walking is OK
soon after your surgery, but at a slow or moderate pace.
4. You should not drive a car or operate any machinery while taking any
narcotic pain medications. Wait at least 7-10 days after surgery before
you drive.
5. You may go up or down stairs as soon as you are home, but be sure to
have someone with you the first 1 or 2 times that you try. Do not carry
anything when going up or down stairs.
6. No intercourse, douching, or tampons for 6 weeks after surgery.
7. Surgical site care at home:
• Wash your hands thoroughly with soap and water or hand sanitizer
before touching the incision or the area around it.
• Keep your incision clean and dry.
-Shower daily with soap and water, including gently washing over the
incision. Pat dry with a clean towel.
-If there is a small amount of drainage or the area remains moist
because of the skin folding over, you may keep gauze or a peri pad in
the area to help keep it dry. Change the gauze or pad when it
becomes moist.
-After 7 days, remove the steri-strip bandages if they have not come
off on their own. Skin glue will come off on its own after about 1 week
of gentle washing.
-Change the clothing over your incision if it becomes damp or soiled.
Use clean bed linens.
8. Staples in your incision should be removed by at least 7 days after
surgery, unless your doctor has indicated otherwise. If you are
discharged with staples still in place, you must call the office to arrange
for their removal in a time frame your provider has given.
9. You should also call the office (989-791-9100) if:
• You experience nausea or vomiting.
• You are unable to have a bowel movement within 4-5 days of surgery
• You have difficulty urinating.
• Vaginal bleeding becomes heavy, more than 1 pad per hour for 2-3
hours
• Your pain is not controlled by your medications.
• You notice pain or swelling, with or without redness, in 1 or both legs
• You have chest pain or shortness of breath
• You have a headache that does not go away with medication or rest
• You have pain in your belly, especially the right upper area below
your ribs
• You have blurry or double vision, or you are seeing spots
• You have difficulty catching your breath
• Your swelling worsens or you gain more than 3 pounds in 3 days
• You have any new or unusual symptoms
• Your incision becomes more swollen or red, begins to open up,
drains a large amount of fluid or bloody discharge, has a foul smell,
or if the drainage looks like pus
CONTACT THE OFFICE IMMEDIATELY IF YOU DEVELOP A FEVER OVER
100.5∞ OR IF EXCESSIVE BLEEDING OCCURS. Spotting and discharge are
common after a major surgical procedure.
Call your physician if you have mood changes that are sudden or severe, or have lasted
more than 2 weeks that cause problems in caring for yourself or your baby.
We encourage all patients undergoing surgical procedures to remain in close contact
with their physician and office nurse. If you have any questions, we ask that you call the
office at (989-791-9100) day or night. Normal office hours are 9:00 a.m. to 5:00 p.m.
Monday – Thursday.
MEDICATIONS:
You, or your representative, have received your prescriptions and discharge medication
information.
Please ask if you have any medication questions. Call your family doctor for
instructions about any medications not listed.
Education:
Your Education Plan has been reviewed with you prior to discharge.
Post Dural Puncture Headache:
If you have a constant severe headache that you find worse with standing or sitting up
that is unrelieved by Tylenol, Ibuprofen/Motrin/Aspirin, hydration, & caffeine you may
have a Post Dural Puncture Headache (PDPH). These occur in 1 out of 100 patients
who have received a spinal or epidural for labor or c-section. Although benign, these
headaches may make it difficult for you to carry out daily activities and may be very
uncomfortable.
Symptoms:
• Severe headache, sometimes accompanied by nausea
• Taken Tylenol, Ibuprofen/Motrin/Aspirin, hydration, & caffeine without relief
• Your headache is worse while sitting or standing, but relieved by lying flat
• Have difficulty carrying out normal tasks
• Sensitivity to light or sound
If the conservative therapies listed above are not working, you may contact the hospital
operator and request they patch you through to the Harrison on Call Anesthesiologist so
we may evaluate you over the phone. If the physician deems your headache to be a
PDPH, we will either recommend continuation of the conservative therapies above or
ask that you come to the Harrison building to receive an epidural blood patch.
An Epidural Blood Patch is a procedure much like an epidural for labor that has a 95%
success rate. After the procedure is preformed, we will need you to stay under our care
for 1 hour while lying flat. We will likely discharge you right after that.
If you believe you have a Post Dural Puncture Headache:
• Call the hospital operator at (989) 583-0000
• Have them patch you through to the Harrison on Call Anesthesiologist via
Vocera
If instructed to come in for a blood patch we will ask that you present to the front desk of
Harrison building at Covenant Hospital, 1447 Harrison Street Saginaw MI, 48602.
Covenant Breastfeeding Support
We are here for you and your baby. For more information about our lactation services,
call us at 989.583.4429 or 1.888.848.BABY (2229). Please leave a message if lactation
support is not available and they will return your call.
You are invited to attend Adventures in Breastfeeding, Covenant’s weekly breastfeeding
support group. The group meets each Monday from 6:30 to 7:30 pm at Covenant
Andersen in the Wellness Room, at 1020 Almira Street, Saginaw. If you have any
questions or would like more information, please contact Childbirth Education at
(989)583-4503
If you have turned down our offer to make your follow-up appointment(s), it is important
for you to make these appointments as soon as possible. We will be calling you within
the next few days to make sure you have an appointment, and help as needed.
tk laporoscopy
POSTOPERATIVE INSTRUCTIONS FOR DIAGNOSTIC OR OPERATIVE
1. Most patients can expect to return to normal activities within 3-7 days.
Check with your provider for a specific time frame.
2. Keep your incisions clean and dry; you may wash them with soap and
water after 24 hours. Steri strips can be removed after 3-4 days.
Surgical glue will wear off usually within 2-3 weeks.
3. Some vaginal bleeding is not unusual or worrisome unless excessive (i.e.
More than 1 pad per hour for 2-3 consecutive hours).
4. Avoid lifting, pushing, or pulling more than 20 pounds for at least 3-4
days.
5. Start with bland, soft foods and drink plenty of liquids. Avoid spicy or
greasy foods for the first 24 hours.
6. Be sure to call the office to schedule a postoperative visit according to the
time frame your provider has recommended.
7. You should also call the office (989-791-9100) if:
• Vaginal bleeding is more than 1 pad per hour for 2-3 hours
• Incisions become red, swollen, or have a pus-like discharge
• Your pain is not controlled by your discharge medications.
• You are unable to pass gas within 24 hours of the procedure
• You have difficulty urinating.
• Your temperature is above 100.4 degrees Fahrenheit
CONTACT THE OFFICE IMMEDIATELY IF YOU DEVELOP A FEVER OVER
100.5∞ OR IF EXCESSIVE BLEEDING OCCURS. Spotting and discharge are
common after a major surgical procedure.
We encourage all patients undergoing surgical procedures to remain in close contact
with their physician and office nurse. If you have any questions, we ask that you call the
office at (989-791-9100) day or night. Normal office hours are 9:00 a.m. to 5:00 p.m.
Monday – Thursday
Please ask if you have any medication questions. Call your family doctor for
instructions about any medications not listed.
Call your doctor if you have any of the following:
If you have turned down our offer to make your follow-up appointment(s), it is important
for you to make these appointments as soon as possible. We will be calling you within
the next few days to make sure you have an appointment, and help as needed.
Discharge Instructions Following Anesthesia / Ambulatory Surgery
If you had either Sedation or General Anesthesia:
• The Anesthesia drugs you received today are short acting. However, you
may feel dizzy or lightheaded the next 24 hours, so rest quietly the remainder
of today.
• Drink extra fluids to make up for pre-procedure fasting.
• For your protection and safety, have a responsible person stay with you today
and tonight.
• For the next 24 hours DO NOT: Drive a car, operate machinery/power tools,
drink alcohol, make important decisions or sign legal documents.
If you had General Anesthesia:
Most side effects of general anesthesia occur immediately after your operation
and don’t last long. Once surgery is done and anesthesia medications are
stopped, you’ll slowly wake up in the operating room or recovery room. You’ll
probably feel groggy and a bit confused.
You may also feel any of these common side effects:
• Nausea and vomiting. This common side effect usually occurs immediately
after the procedure, but some people may continue to feel sick for a day or
two.
• Dry mouth. You may feel parched when you wake up.
• Sore throat or hoarseness. The tube put in your throat to help you breathe
during surgery can leave you with a sore throat after it’s removed.
• Chills and shivering. It’s common for your body temperature to drop
somewhat during general anesthesia.
• Confusion and fuzzy thinking. When first waking from anesthesia, you may
feel confused, drowsy, and foggy.
• Muscle aches. The drugs used to relax your muscles during surgery can
cause soreness afterward.
• Itching. If narcotic (opioid) medications are used during or after your
operation, you may be itchy.
• Bladder problems. You may have difficulty passing urine for 8-10 hours after
general anesthesia.
Most people won’t experience any long-term side effects. However, older adults
are more likely to experience side effects that last more than a couple of days,
such as confusion, disorientation, or having trouble remembering things after
surgery. This disorientation can come and go, but it usually goes away
completely after about a week.
Pediatric patients can sometimes have what is described as postoperative
delirium, where they may cry excessively, appear disoriented/confused and
difficult to console. This is typically a temporary side effect of the general
anesthesia agents and may take up to 24 hours to gradually go away.
If you had a Nerve Block:
• Numbness, tingling in the blocked area may last up to 36 hours
• Protect the extremity from excessive heat/cold or bumping it against another
object due to decreased sensation and control.
• Rest and elevate the affected area to heart level or higher
• Foot / leg blocks: Do not attempt to weight bear until numbness is worn off
and sensation has returned. Weight bearing after this must be OK’d by your
surgeon.
• Shoulder blocks: Usually last 8-12 hours, but can last up to 36 hours
o Very rare side effects of shoulder blocks: A sensation of shortness of
breath/difficulty taking a deep breath, hoarseness, throat/tongue numbness.
These complications are typically temporary and subside once the anesthetic
medication wears off.
• Caudal blocks: If your child had a caudal block, they will slowly regain lower
body sensation within 4 to 6 hours. After the procedure, they should be able
to move their legs but may feel weak or numb. They should not walk without
assistance for the first 8 to 10 hours after the operation. Occasionally, the
patient may not feel heat on their stomach or legs until the caudal block has
worn off completely in about 8 to 10 hours.
Diet after Anesthesia:
• To avoid nausea/vomiting, start with liquids, toast, crackers. Avoid spicy,
greasy, gas-producing foods
• If persistent nausea/vomiting: Stop all oral intake for 2-4 hours. Then, start
ice chips, clear liquids, then advance diet as tolerated.
• Sometimes pain pills taken on an empty stomach can cause nausea, so
try taking with a small amount of food.
1. Most patients can expect to return to normal activities within 3-7 days.
Check with your provider for a specific time frame.
2. Keep your incisions clean and dry; you may wash them with soap and
water after 24 hours. Steri strips can be removed after 3-4 days.
Surgical glue will wear off usually within 2-3 weeks.
3. Some vaginal bleeding is not unusual or worrisome unless excessive (i.e.
More than 1 pad per hour for 2-3 consecutive hours).
4. Avoid lifting, pushing, or pulling more than 20 pounds for at least 3-4
days.
5. Start with bland, soft foods and drink plenty of liquids. Avoid spicy or
greasy foods for the first 24 hours.
6. Be sure to call the office to schedule a postoperative visit according to the
time frame your provider has recommended.
7. You should also call the office (989-791-9100) if:
• Vaginal bleeding is more than 1 pad per hour for 2-3 hours
• Incisions become red, swollen, or have a pus-like discharge
• Your pain is not controlled by your discharge medications.
• You are unable to pass gas within 24 hours of the procedure
• You have difficulty urinating.
• Your temperature is above 100.4 degrees Fahrenheit
CONTACT THE OFFICE IMMEDIATELY IF YOU DEVELOP A FEVER OVER
100.5∞ OR IF EXCESSIVE BLEEDING OCCURS. Spotting and discharge are
common after a major surgical procedure.
We encourage all patients undergoing surgical procedures to remain in close contact
with their physician and office nurse. If you have any questions, we ask that you call the
office at (989-791-9100) day or night. Normal office hours are 9:00 a.m. to 5:00 p.m.
Monday – Thursday
Please ask if you have any medication questions. Call your family doctor for
instructions about any medications not listed.
Call your doctor if you have any of the following:
- Your pain is not controlled or suddenly increases
- You have a temperature of greater than 101 degrees Fahrenheit
- You have increased redness or drainage around your wound or incision
- Your incision begins to open
- You have sudden shortness of breath, chest pain, difficulty breathing, sweating, or
- confusion
- You have increased swelling or pain in your legs or calves
If you have turned down our offer to make your follow-up appointment(s), it is important
for you to make these appointments as soon as possible. We will be calling you within
the next few days to make sure you have an appointment, and help as needed.
Discharge Instructions Following Anesthesia / Ambulatory Surgery
If you had either Sedation or General Anesthesia:
• The Anesthesia drugs you received today are short acting. However, you
may feel dizzy or lightheaded the next 24 hours, so rest quietly the remainder
of today.
• Drink extra fluids to make up for pre-procedure fasting.
• For your protection and safety, have a responsible person stay with you today
and tonight.
• For the next 24 hours DO NOT: Drive a car, operate machinery/power tools,
drink alcohol, make important decisions or sign legal documents.
If you had General Anesthesia:
Most side effects of general anesthesia occur immediately after your operation
and don’t last long. Once surgery is done and anesthesia medications are
stopped, you’ll slowly wake up in the operating room or recovery room. You’ll
probably feel groggy and a bit confused.
You may also feel any of these common side effects:
• Nausea and vomiting. This common side effect usually occurs immediately
after the procedure, but some people may continue to feel sick for a day or
two.
• Dry mouth. You may feel parched when you wake up.
• Sore throat or hoarseness. The tube put in your throat to help you breathe
during surgery can leave you with a sore throat after it’s removed.
• Chills and shivering. It’s common for your body temperature to drop
somewhat during general anesthesia.
• Confusion and fuzzy thinking. When first waking from anesthesia, you may
feel confused, drowsy, and foggy.
• Muscle aches. The drugs used to relax your muscles during surgery can
cause soreness afterward.
• Itching. If narcotic (opioid) medications are used during or after your
operation, you may be itchy.
• Bladder problems. You may have difficulty passing urine for 8-10 hours after
general anesthesia.
Most people won’t experience any long-term side effects. However, older adults
are more likely to experience side effects that last more than a couple of days,
such as confusion, disorientation, or having trouble remembering things after
surgery. This disorientation can come and go, but it usually goes away
completely after about a week.
Pediatric patients can sometimes have what is described as postoperative
delirium, where they may cry excessively, appear disoriented/confused and
difficult to console. This is typically a temporary side effect of the general
anesthesia agents and may take up to 24 hours to gradually go away.
If you had a Nerve Block:
• Numbness, tingling in the blocked area may last up to 36 hours
• Protect the extremity from excessive heat/cold or bumping it against another
object due to decreased sensation and control.
• Rest and elevate the affected area to heart level or higher
• Foot / leg blocks: Do not attempt to weight bear until numbness is worn off
and sensation has returned. Weight bearing after this must be OK’d by your
surgeon.
• Shoulder blocks: Usually last 8-12 hours, but can last up to 36 hours
o Very rare side effects of shoulder blocks: A sensation of shortness of
breath/difficulty taking a deep breath, hoarseness, throat/tongue numbness.
These complications are typically temporary and subside once the anesthetic
medication wears off.
• Caudal blocks: If your child had a caudal block, they will slowly regain lower
body sensation within 4 to 6 hours. After the procedure, they should be able
to move their legs but may feel weak or numb. They should not walk without
assistance for the first 8 to 10 hours after the operation. Occasionally, the
patient may not feel heat on their stomach or legs until the caudal block has
worn off completely in about 8 to 10 hours.
Diet after Anesthesia:
• To avoid nausea/vomiting, start with liquids, toast, crackers. Avoid spicy,
greasy, gas-producing foods
• If persistent nausea/vomiting: Stop all oral intake for 2-4 hours. Then, start
ice chips, clear liquids, then advance diet as tolerated.
• Sometimes pain pills taken on an empty stomach can cause nausea, so
try taking with a small amount of food.
