Home About Services Patient Resources Contact


Postpartum obstetric care


Most women will experience symptoms of postpartum depression, commonly referred to as severe "baby blues” six weeks following delivery. Factors such as sleep deprivation, the pressure of being a mother and a lack of personal time are contributory factors leading to depression in new mothers. After delivery, hormonal levels of oestrogen and progesterone drop significantly. Rapid hormonal changes along with a drop in thyroid levels lead to fatigue, changes in blood pressure, metabolism and immune system functioning triggering postpartum depression.

What is postpartum care?

Postpartum care occurs during the first six weeks after delivery. During this time, mothers can bond with their newborns and visit Dr Benecke for a post-delivery check-up. Although this period is considered joyous, it can also be incredibly draining for new mothers, often leading to postpartum depression.

Symptoms of postpartum depression include:

  • Delusional
  • Anxious and agitated
  • Suicidal
  • Confused and disoriented
  • Mood swings
  • Erratic behaviour
  • Inability to sleep
  • Loss of appetite
  • Thoughts of harming the newborn

What does postpartum care involve?

Within twelve weeks after delivery, during a postpartum check-up, Dr Benecke will check the mother's mood, emotional well-being, sleeping habits as well as symptoms of fatigue and discuss contraception, birth spacing, caring for the newborn and feeding. During the physical exam, Dr Benecke will examine the abdomen, vagina, cervix and uterus, and after that address, any issues the new mother may experience including postpartum depression.

After delivery, it is normal for the mother to shed a superficial mucous membrane that once lined the uterus during pregnancy. Vaginal discharge composed of an artificial layer and blood occurs for weeks. It will be substantial for the first few days and gradually become watery and yellowish-white or pink-brown.

Mild contractions termed “afterpains,” similar to menstrual cramps occur in the early few days after delivery and helps compress blood vessels in the uterus to prevent excessive bleeding. Due to the release of the hormone, oxytocin, contractions will occur while breastfeeding. Dr Benecke will prescribe an over-the-counter pain reliever to reduce pain associated with contractions.

Vaginal delivery can stretch the mother’s pelvic floor muscles leading to incontinence which may cause the mother to leak drops of urine when laughing, coughing or sneezing. Incontinence usually improves within weeks but may persist for longer in some cases. Wearing sanitary pads and toning pelvic floor muscles by doing Kegels will help control the bladder.

Consuming high fibre foods such as whole grains, fruits and vegetables and drinking water will keep stools soft and promote regular bowel movement. Developing swollen veins in the lower rectum or anus is common after delivery. Soaking in a warm bath for twenty minutes three times a day will help relieve swelling near the anus.

It’s common for mothers to experience engorgement a few days after delivery, and if the dark circle of skin around the nipple is engorged, the newborn might experience difficulty latching. Frequent breastfeeding and placing cold, wet washcloths over the breasts between feedings will help minimise engorgement. Using a breast pump will relieve breast discomfort during feeding.

Specialised Services

While Dr Benecke is a gynaecologist & obstetrician offering the full range of women's health services, his niche lies in the treatment and management of the following gynaecological conditions:


Due to the complexity of the diagnosis, Dr Benecke is meticulous during each consultation and using a multidisciplinary approach he can provide highly specialised treatment and management of this condition as well as the related symptoms such as chronic pelvic pain and the complication of infertility.



Sharing similar symptoms to that of endometriosis, fibroids are growths that develop on the uterus. The size of fibroids can range, growing from the size of a pea to the size of a watermelon, distorting the uterus and causing disabling symptoms.



Polycystic ovary syndrome (PCOS) is a hormonal disorder that disrupts oestrogen production and causes an imbalance of the male hormones, androgens. PCOS causes disruption of the menstrual cycle leading to complications such as severe abnormal uterine bleeding, the development of numerous fluid-filled cysts in the ovaries and infertility.