Why postpartum obesity?

Some slim women, after pregnancy and childbirth, gradually gain weight and lose their former charm. The reason is, on the one hand, the temporary disorder of hypothalamus-gonad function caused by pregnancy, especially the imbalance of fat metabolism. On the other hand, due to China's traditional "confinement" theory, in the first month after delivery, mothers are required to eat a lot of high-fat and high-protein foods in order to breastfeed, so that the intake of nutrients greatly exceeds the needs, while little physical activity greatly reduces energy consumption, and finally makes fat cells in the body full.

Jia Xiaofang, chief physician of the Department of Obstetrics and Gynecology of Beijing Tiantan Hospital, told the reporter, "During normal pregnancy, the increase of fetal weight, amniotic fluid, blood volume and intercellular fluid, and the increase of uterus and breast all lead to weight gain, and the physiological weight can increase by about 15kg."

"Pregnant women's intake and storage of protein will increase during pregnancy. If the diet is not properly controlled, the daily calorie intake will be too high, which is beyond the body obesity. Postpartum women's weight exceeds the normal range by 20-50%, which is medically called reproductive obesity. Fertility obesity not only brings troubles to many women who love beauty, but also has a great impact on maternal health. Postpartum obese women often have poor appetite, weakness of limbs, slow recovery of genitals, and even serious problems such as urinary incontinence, uterine contraction or prolapse. Therefore, actively preventing reproductive obesity should attract the attention of mothers and their families. "

Chief physician Jia Xiaofang reminded pregnant women to prevent reproductive obesity from the following points:

First, don't go on a diet within 42 days after delivery.

Whether during pregnancy or postpartum, scientific and reasonable eating habits are very important.

The principle of diet should be a balanced diet. To avoid high-fat, high-calorie foods, it is necessary to ensure that fetuses and pregnant women consume enough nutrition and avoid overnutrition.

First of all, the diet structure should be reasonable, and the daily intake of protein, carbohydrates and fatty foods by pregnant women should be well matched. The second is to be moderate. Increase nutrition after delivery, but don't eat chicken, duck, fish and eggs, but mix them with vegetarian food. Eat more milk, vegetables, fruits and staple foods, and eat as little sweets, fried foods, animal oil, fat meat and animal offal as possible.

Chief physician Jia Xiaofang stressed, "Don't go on a diet within 42 days after delivery. At this time, the maternal body has not recovered to the pre-pregnancy level, and it is necessary to ensure the supply of nutrition, but at the same time, don't eat too much, resulting in overnutrition. "

Second, natural delivery: start activities on the first day after delivery.

Active exercise during pregnancy and postpartum is an important measure to prevent reproductive obesity. Proper exercise can promote metabolism and avoid heat accumulation in the body.

Generally, women who give birth naturally can start activities on the first day after delivery, such as turning over, lifting their legs and lying in bed with their anus contracted. In particular, anal contraction exercise is very beneficial to the recovery of pelvic floor muscles and sarcolemma after delivery.

Moreover, the parturient who has undergone caesarean section can do some activities of turning over and walking on the ground properly before removing the stitches, and then do some activities properly after removing the stitches.

Pregnant women can do some light housework one week after delivery. Walking after meals every day can promote the regulation of metabolism, promote fat decomposition, consume excess energy in the body and prevent yourself from getting fat. One week after delivery, you can start doing some sit-ups and leg lifts in bed to exercise abdominal muscles and waist muscles, which will help the recovery of rectus abdominis with subcutaneous fiber separation and reduce the fat in the abdomen and buttocks.

Kang Tiancheng, chairman of Sherpin's China headquarters, suggested that lying-in women should stand or kneel on the bed after delivery 12 hours, and do light upper limb activities, mainly by expanding their chests, stretching their arms around their shoulders, and lying on their side with one shoulder around the ring. If it's a caesarean section, do the same thing in bed 24 hours later. The purpose is to quickly restore blood circulation, especially pulmonary circulation, prevent thrombosis and reduce the occurrence of serious puerperal diseases. Shoulder strap activities also help to enhance the strength of chest muscles, support breast tissue, and contribute to lactation.

On the 4th day after delivery, in addition to upper limb activities and walking on the ground, the parturient should also add some abdominal muscles, pelvic floor muscles and levator ani training (except for caesarean section). During pregnancy and delivery, the muscle fibers and ligaments of the abdominal muscles, pelvic floor muscles and perineum muscles of pregnant women will have decreased elasticity and fiber breakage, which will cause abdominal wall relaxation and pubic bone separation, and even severe uterine prolapse. Restoring muscle strength as soon as possible is a necessary means to improve the above situation and uterine recovery, and can also prevent constipation in pregnant women.

Kang Tiancheng said, "In the eight weeks after delivery, because the reproductive organs, especially the uterus, need to return to normal, we don't allow pregnant women to take part in the rehabilitation training of Shebin. Participating in the training of Sherbin should be carried out 2 months after delivery. Healthy women whose reproductive organs have basically returned to normal should measure their physical condition before training and then once a month to judge the training results. The training time is 35 minutes per class, 3 times a week. "

Kang Tiancheng emphasized that "some parturients are not suitable for postpartum exercise, such as postpartum hemorrhage, severe infection during puerperium, pregnancy complicated with severe hepatitis, pregnancy complicated with heart disease, acute and chronic nephritis, severe diabetes, hyperthyroidism, tuberculosis, severe psychological disorder of parturient, and head injury within 6 months."

Third, the abdominal belt should not be too tight.

Maternal women can use abdominal belt in the early postpartum period. Because the abdomen of puerperal women is slack, whenever there is a large amount of activity, the pulling of free organs in the body will make people feel very uncomfortable, but remember that the abdominal belt should not be too tight.

Fourth, avoid taking diet pills.

Chief physician Jia Xiaofang reminded the parturient, "Never take diet pills or drink tea. Diet pills mainly achieve the purpose of losing weight by absorbing less nutrition and increasing excretion. At the same time, diet pills affect the normal metabolism of the human body, especially taking diet pills during lactation. Most drugs will be excreted from the milk, which is equivalent to giving the baby diet pills. The detoxification function of the baby's liver is poor, and a large number of diet pills will easily reduce the baby's liver function and easily cause abnormal liver function. "

5. Self-confidence is the most important.

Jia Xiaofang, the chief physician, said, "The postpartum mood of the parturient is also very important. Don't always worry, be cheerful. Postpartum is a period when all organs of the body are changing from the old balance to the new balance. It takes about 42 days to return to the pre-pregnancy level and healthy and normal non-pregnancy state. At this time, the mother must have confidence, which will help the recovery of the body. "

It is not credible that breastfeeding can lose weight.

The reporter asked Chief Physician Jia Xiaofang, "It is reported that breastfeeding helps women lose weight. Does breastfeeding really have such an effect? "

Chief physician Jia Xiaofang replied, "Breast milk is a natural and comprehensive nutrient for babies. Breastfeeding can not only meet the needs of the baby's growth and development, but also help the recovery of pregnant women. So we strongly advocate breastfeeding. At the same time, breastfeeding is one of the effective ways to promote uterine contraction. But mother will not lose weight because of this. When the mother is breastfeeding, because the child needs a lot of nutrition, the mother eats a lot. "