Let’s take a look at the importance of having a nutrient-dense diet and how foods, herbs and spices, and supplements can aid in your postpartum recovery journey.
This article was written in collaboration with
Dr Mary CHONG and Ms Marjorelee COLEGA.
Dr Chong is Assistant Professor at the Saw Swee Hock School of Public Health, National University of Singapore and Principal Investigator at the Singapore Institute for Clinical Sciences, A*STAR. Ms Marjorelee Colega is Senior Research Officer at the Singapore Institute for Clinical Sciences, A*STAR.
After a laborious process of childbirth, knowing what to eat is necessary in your postpartum recovery process. You may be unsure if there is a need to follow a traditional Asian confinement diet and be overwhelmed with information on the do’s and don'ts. Most of these confinement practices are backed by tradition in the Chinese, Malay and Indian cultures and often have little or no solid scientific basis. Nursing mothers should make healthy choices with a balanced diet of fruit, vegetables, grains, protein foods and dairy each day as this may impact on the amount of certain nutrients given to your newborn while breastfeeding. Aside from having a nutrient-dense diet, certain herbs and spices, and supplements will also be beneficial to new mothers in postpartum healing.
Here are 8 questions and answers to support you with the journey.
During your postpartum recovery, having a balanced and healthy diet will help your body to heal and certain types of foods that are high in protein and rich in iron are encouraged as they are believed to help provide replenishment to the mother to accelerate her recovery. Most importantly, ensuring you get adequate nourishment is key to regaining strength in the pre-pregnancy state and breastfeeding your newborn baby.
A nutritious diet should include the following:
According to Traditional Chinese Medicine (TCM) practices in postpartum recovery, mothers are recommended to consume ‘Yang’ foods, which are considered warm or hot in nature (not in temperature) to restore balance and strength, compensate for blood loss, increase breast milk production, and decrease the incidence of blood clots and cold wind in the body. ‘Yin’ foods are restricted from the diet as they are considered to be cold (not in temperature), sour, and bitter in nature.
Although common ‘Yin’ foods include fresh fruits and vegetables2, they should be an integral part of your postpartum diet as they are rich in vitamins and minerals to help heal wounds and stitches from delivery and reduce scarring. These nutrients are antioxidants that help in protecting the body from harmful free radicals that cause disease. The fibre in fruits and vegetables is important for proper bowel function and increases beneficial bacteria which supports strong immunity.
If you have chosen the TCM recommendation, you may opt for vegetables and fruits that are more neutral and neither ‘heaty’ nor ‘cooling’ in nature. Examples of these vegetables include carrots, mushrooms, cauliflower3, kailan, spinach, lotus root, long beans, snow peas, french beans, broccoli, onions, pumpkin, or seaweed. Suggested fruits are grapes, apples3, papaya, guava, strawberries, kiwi, peach, blackberries, cherry, guava, mangoes, longan, red dates, black dates, Medjool dates.
Always aim to consume 2 servings of fruits and 2 servings of vegetables daily.
There are different types of herbs and spices used across various cultures that are believed to help you recover and ‘restore’ your body condition after childbirth4. Here are some traditional spices and herbs that have been known to be beneficial to include in your postpartum diet:
However, spices and herbs should be taken in moderation and always seek advice from a healthcare professional before consuming any herbal products or supplements as they may not always be safe or effective.
Most of the nutrients that are needed during pregnancy remain important during the postpartum period, particularly for those mothers who are breastfeeding. Supplementation of vitamins such as B12, D, calcium or omega-3 fatty acids may be necessary if you are likely not getting enough of these nutrients if you are vegetarian, vegan, lactose intolerant or do not have sufficient exposure to sunshine.
It is recommended that you check with your healthcare provider for recommendations on multi-vitamins.
Studies7 show that caffeine appears in breastmilk rapidly after being ingested by the breastfeeding mother. Although there is insufficient data to give evidence-based recommendations on exactly how much caffeine is safe for the lactating mother, caffeine is a stimulant that is well-known to cause babies to become irritable, fretful, and restless, with difficulty falling asleep. If your baby is not sleeping well or generally irritable, you should avoid caffeine altogether. Remember that caffeine is found not only in coffee but also in strong teas, cola and energy drinks. Even if you are not breastfeeding, it would be best to limit your caffeine intake, so that it does not interfere with your sleep.
In order to produce adequate breast milk for the baby, it is important to have sufficient fluids by keeping well-hydrated during the confinement period. Women who are breastfeeding but not sufficiently hydrated will have decreased milk supply. Lactating women are encouraged to drink about 12 glasses of water per day. Plain water is the best, although you can vary your options by occasionally taking juices or traditional brewed drinks such as red date tea. However, do note that some of these drinks contain high amounts of sugar so they are best limited to one glass per day. You should also aim for at least 2 glasses of milk a day to provide you and your baby with adequate calcium, vitamin D and protein if you are able to.
To alleviate water retention, limit your salt intake by using less table salt, seasoning and sauces, and consume less processed foods such as fast foods, biscuits and savoury snacks.
If you are keen to take traditional herbal preparations, consult a registered TCM physician before consuming any, to ensure that they are safe during breastfeeding.
Although there is an assumption that all alcohol evaporates when heat is applied during cooking, some alcohol may still be left behind8 depending on the cooking method and cooking time. Studies show that alcohol levels remained high in breastmilk for a few hours after a lactating mother takes alcohol-based foods or drinks9. It is recommended that you only breastfeed or collect/store breastmilk for feeding at least 3 hours after ingesting foods prepared with rice wine or other types of alcohol.
Consuming tonic wine during confinement is believed in TCM practice to help expel the cold from the body and promote circulation10 because the Chinese believe that it is ‘poh’ (nourishing) and will strengthen and warm the body after the stress of childbirth, However, new mothers should not regard alcohol as essential to recovery. In fact, nursing mothers should avoid alcohol altogether, because it will be passed on to their baby through breast milk11.
Occasional light drinking while breastfeeding has not been shown to have any adverse effects on babies. On average, it takes about 2-3 hours for the alcohol from a glass of wine or beer to leave your system. If you do wish to drink alcohol, you may consider expressing your breastmilk beforehand and store it for your baby’s next feed, or wait for a few hours after drinking to breastfeed.
Confinement Practices and Myths
From the perspective of TCM, chicken feet and pork trotters are good sources of collagen and can help improve blood flow and boost breastmilk supply after childbirth. However, these foods contain high amounts of fats and cholesterol. Similarly, collagen-based soups, which are usually made of double-boiled pork bones, chicken feet, cartilages and pork skin are high in fat, cholesterol and sodium. Excessive intake of these foods increases your cholesterol levels and may impact your risk of heart disease and other metabolic diseases.
The good news is that collagen can also be naturally found in animal flesh like meat and fish that contain connective tissues. Eating high-protein foods like fish, poultry, eggs, legumes, soy, and foods containing zinc and vitamin C such as wholegrains, fruits and vegetables can encourage collagen production in our own bodies12.
The diet of breastfeeding mothers has a major impact on milk production and quality. New mothers must adjust their caloric and fluid intake to make breastfeeding possible. If you eat a balanced diet based on ‘My Healthy Plate’ together with 500 kilocalories
added to your diet, you will be able to meet your basic nutritional needs during breastfeeding, which supports your baby’s growth and development, while protecting your own nutrient stores13.
If you gained weight during pregnancy, the extra calories from these stores will naturally be utilised to produce the breastmilk your baby needs from birth to 6 months. If you lost the weight gained during pregnancy, you will need to eat an extra 400-500 calories per day. Once your infant is introduced to weaning foods from 6 months old, you will produce less milk and you can reduce your calorie intake accordingly.
Visit Parent Hub, for more useful tips and guides for a healthy pregnancy.
The article has been endorsed by the following representatives, listed in alphabetical order by institutions: A/Prof Daisy Chan (Chairperson, Chapter of Neonatologists, College of Paediatrics and Child Health Singapore), A/Prof Tan Lay Kok (Obstetrics & Gynaecology, KK Women's and Children's Hospital), Dr Moira Chia Suyin (Consultant, Department of Paediatrics, KK Women’s and Children’s Hospital), Ms Adeline Kooh Seok Koon (Asst Director, Nursing (Maternity), Mount Alvernia Hospital), Dr Angelia Chua (Family Physician Consultant, National Healthcare Group Polyclinics), Prof Lee Yung Seng (Group Director, Paediatrics, National University Hospital), Ms Susan Kok (Senior Asst Director, Nursing, Gleneagles Hospital, Parkway Pantai Group), Ms Helen Cruz Espina (Senior Lactation Consultant, Raffles Hospital Pte Ltd), A/Prof Yong Tze Tein (Head & Senior Consultant, O&G, Singapore General Hospital), Ms Fonnie Lo (Asst Director, ParentCraft Centre (Clinical) and Lactation Consultant, Thomson Medical Pte. Ltd).
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This article was last reviewed on
29 Nov 2023
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