How to measure pelvis after delivery 1 extrapelvic measurement Use pelvic outlet measurer for extrapelvic measurement. When measuring, the inspector faces the vulva of pregnant women, and mainly measures and records the following items. (1) Inter-iliac spine diameter (IS): pregnant women straighten their legs on the examination table, measure the distance between the lateral edges of the anterior superior iliac spine on both sides, and record the data. The normal value is 23 ~ 26 cm. (2) Inter-iliac crest diameter (IC): Pregnant women stretch their legs and lie on the examination bed, measure the widest distance between the outer edges of bilateral iliac crests, and record the data. Measuring the above two items can indirectly understand the transverse diameter length of pelvic entrance. The normal value is 23 ~ 26 cm. (3) External diameter of sacrum (EC): pregnant woman lies on her left side, with her right leg straight and her left leg flexed; Measured as the distance from the midpoint of the upper margin of pubic symphysis to the subspinous depression of the fifth lumbar vertebra; This radial line can indirectly estimate the anteroposterior radial length of pelvic entrance, and it is the most important radial line in extrapelvic measurement. The outer diameter of sacrum is related to the thickness of bone. The measured sacrum external diameter minus the radial diameter of 1/2 feet is equivalent to the anteroposterior diameter of the pelvic entrance. The normal value is 18 ~ 20 cm. (4) Transverse diameter of outlet (diameter between ischial tubercles): supine position, legs bent, hands clasping knees, so that hip and knee joints can fully flex; Measure the distance between the inner edges of two ischial tubercles. The normal value is 8.5 ~ 9.5 cm. (5) Sagittal diameter after exit: pregnant women take knee chest or left lateral position; The examiner puts a finger cuff on the index finger of his right hand, and after applying lubricating oil, he extends into the anus, with his finger abdomen facing the sacrum and his thumb cooperating to find the sacrococcygeal joint and mark it; Measure the distance from the mark to the midpoint of the transverse diameter of the outlet, that is, the posterior sagittal diameter. The normal value is 8 ~ 9 ㎝. (6) Angle of pubic arch: supine position, legs bent, hands clasped knees; Use the fingertips of the left and right thumb to approach each other obliquely, put them on the lower edge of the pubic symphysis, and lay them flat on the lower side of the pubic branch. Measure and record the angle between two thumbs. The normal value is 90.
2 Pelvic measurement uses a pelvic measuring instrument. The pregnant woman lies on her back on the flat bed, her legs are bent, her knees are folded with her hands, so that her thighs are close to the abdominal wall and her hips are raised for inspection. Examiners wear gloves. Intrapelvic measurement mainly measures the following items. (1) Diagonal diameter (DC): The examiner puts his hand into the vagina and touches the midpoint of the upper edge of the sacrum. The upper edge of index finger is close to the lower edge of pubic symphysis. Mark this contact point correctly with the other index finger, pull out your finger in the vagina, and measure the distance from the tip of your middle finger to this contact point, which is the diagonal diameter. It is the distance from the lower edge of pubic symphysis to the midpoint of the upper edge of sacral promontory. The normal value is 12.5 ~ 13 cm. This value minus 1.5 ~ 2 cm is the length of the anteroposterior diameter of the pelvic entrance, which is the so-called true combined diameter. (2) Interspinous process diameter (BD): The measurement method is to put an index finger and a middle finger into the vagina, touch the bilateral sciatic spines respectively, and estimate the distance between them. That is, measuring the distance between two ischial spines. The normal value is about 10cm. (3) The width of the ischial notch represents the sagittal diameter of the middle pelvis, and its width is the distance between the ischial spine and the lower part of the sacrum, that is, the width of the sacrospinous ligament. Put your finger on the vaginal ligament and move it. It is normal to accommodate 3 transverse fingers (5.5 ~ 5.6 cm), otherwise it belongs to middle finger pelvic stenosis.
3 test yourself 1, whether you lean forward when standing, and whether you have low back pain. 2. Sitting in a chair always rolls up your legs unconsciously. 3. Knees bend outward when walking, which makes it easy to trip. 4, accompanied by fatigue, insomnia, loss of appetite and other symptoms. 5. Look in the mirror to see if the sides below the waist are asymmetrical, such as whether the thigh joints are prominent, whether the feet are too inside or outside, and whether the hips on both sides are different in size. 6. Touch it by hand to see if the lower side and the lower side of the waist are too thick and hard, and whether the waist on both sides is tandem or different in height. 7. Measure the distance from the knee to the floor. When the right side is higher than the left side, it means that the right pelvis is skewed to the upper right, and vice versa.
How to sleep after delivery to restore the best sleeping position of pelvis or lie on your side, whether it is caesarean section or natural delivery. In fact, the best thing is to sleep on your side. Sleeping on your back is actually not conducive to the recovery of your body and bones. The best choice is to lie on your side.
1, it is best not to sleep on your back, because after delivery, the bone seam becomes larger, making the pelvis bigger than before. Lying on your side will prevent the fracture from cracking, and the fracture will return to normal more easily.
2. The correct posture after delivery is sleeping on the side, which can effectively help the uterus to recover. It is recommended to lie on your side and sleep on your back alternately.
3, confinement is best not to fix posture, free posture is conducive to the recovery of the body, as long as you feel comfortable.
4. After the new mother returns to the ward after the operation, she should lie on the pillow with her head sideways for 6 hours.
5, postpartum pubic symphysis separation, there is no good treatment, if there is obvious pain in the local area, sleep on the side, avoid the painful side, and the leg on the painful side should be straight.
6. Pelvic correction belt is an effective measure to quickly restore pelvis. At present, the most commonly used is the double rhombic pelvic correction belt.
How to restore the pelvis after delivery is generally exercise, that is, exercise. Insisting on exercising your body shape will become completely different. Because exercise makes the figure look very different, and the shape of the pelvis will return to a good state.
1, the specific way is to lie on your back on the edge of the bed, then put your hips on the edge of the bed, let your legs stop hanging out, and then hold the edge of the bed with both hands to prevent slipping.
2. Running for half an hour every day can not only effectively promote the recovery of pelvis, but also achieve a certain slimming effect.
3. Hold your hands on the ground, kneel down, lift one of your feet, and then stretch back to feel the feeling of stretching your hips to your ankles. Rotate your left and right feet five times.
4. Sitting cross-legged on the floor If you want to sit on the floor, the best posture is to stretch your back muscles and sit cross-legged, but kneeling is ok, but your legs are prone to numbness.
5. Standing on one leg with the center of gravity on one side is one of the causes of pelvic bone skew. Usually, we should pay attention to exercise the legs and waist and keep upright, which is beneficial to pelvic bone correction.
6, half squat, knees slightly bent, feet separated by about 60 cm, hands akimbo. Inhale and push the pelvis forward; Exhale, pull your pelvis back, and push your hips back as far as possible. Repeat 10 times.