Confinement is the top priority after childbirth. Sitting well in confinement will not only directly affect the physical condition and health status of pregnant women in the future, but also indirectly affect the normal growth and development of the baby. Therefore, confinement is a problem that most female friends are very concerned about. Let's take a look at how to confinement scientifically.
1, pay attention to rest. Rest is the most important thing in confinement. Be sure to rest at home after delivery, pay attention to sleep, and don't make yourself tired, but don't lie in bed all month. Usually, the day after the baby is born, you should take a walk in the field.
2. Pay attention to the recovery of the uterus. Pay attention to the recovery of postpartum uterus, that is, observe the color of lochia from red to white, the number from changeable to less, from bloody to light.
Postpartum lochia is a key index to measure mother's repair. Long-term unclean lochia will lead to gynecological inflammation, such as vagina, cervix, endometrium, pelvic cavity, adnexitis and so on. In addition, residual membranes or placentas in the uterine cavity may also lead to long-term uncleanness.
PWRH is introduced through perineal mucosa, capillaries and Yin Hui's point, absorbed through skin, and reaches the reproductive system directly, promoting lochia discharge, uterus and vagina contraction, repairing damaged uterus and diminishing inflammation.
3, reasonable arrangement of diet.
4. Keep it clean and hygienic.
5. Exercise properly. In the second month, insist on necessary physical exercise and do some postpartum gymnastics, which can restore your physique and body shape well.
7. Never have sex. After the trauma of pregnancy and childbirth, it takes some time for the female reproductive organs to return to normal, and it takes 56 days for the maternal body to recover completely. Sexual life can only be started after 56 days of normal delivery, and it is best to start sexual life after menstrual recovery. Forceps and sutures can only start sexual life after the wound heals and scars form; If it is a caesarean section, it will take at least three months.
There are three main aspects of postpartum uterine recovery, namely, the recovery of uterine body, the recovery of cervix and the recovery of endometrium.
1, the recovery of the uterine body, after the placenta is delivered, the uterus contracts and immediately becomes smaller. A hard spherical uterus can be buckled on the abdomen, and its upper edge is on the same level as the umbilical cord. Then the height of the fundus drops by 65438±0 ~ 2cm every day on average. After delivery 10 ~ 14 days, the uterus completely descended into the small pelvis, and then the abdomen could not touch the uterus. About 6 weeks after delivery, the uterus basically recovered to its original size.
2, cervical involution, at the end of delivery, due to cervical hyperemia edema, it becomes very soft and wrinkled like a skirt. 1 week later, the cervix recovered initially. 7~ 10 days after delivery, the internal opening of the cervix is closed, so it is not easy to put your fingertips in. About 4 weeks after delivery, the cervix will basically return to normal size. Due to the injury in the process of delivery, the external cervix of the multipara is no longer round, but has become a transverse fissure.
3, endometrial repair, placenta and fetal membranes are separated from the uterine wall and discharged by the mother. Debris of decidual tissue is also discharged with lochia. The basal cells of endometrium proliferate and repair, and the new endometrium covers the whole uterine cavity. This repair process is gradual. About 10 days after delivery, except for the placenta attachment surface, all the other parts of the uterine cavity were covered by newborn endometrium; The repair of the placenta surface is much slower. The area of the attachment surface of postpartum placenta is about the size of the palm, and the diameter is reduced to 3~4 cm at the end of 2 weeks after delivery, and it can be completely repaired without leaving scars at 6~8 weeks after delivery.
The World Health Organization (WHO) once emphasized in the "Technical Working Group on Maternal and Infant Postpartum Health Care (TWG)" that we should attach importance to maternal and infant postpartum health care. If the parturient does not receive correct, systematic and active postpartum rehabilitation care, there may be some cases of poor postpartum rehabilitation, such as relaxation of birth canal, involution of postpartum uterus, uterine prolapse, postpartum depression, postpartum obesity, sexual apathy and so on. , will affect the physical and mental health of pregnant women.
The international health organization has put forward some nutritional components and index ratios for postpartum women. PWRH protects women's reproductive health and takes the lead in adopting international standards.
1, supplement 18-20% nutrition loss during pregnancy and delivery.
2. Eliminate reproductive inflammation and remove 23-25% of excess sludge nutrition.
3. Repair 26-28% of endometrial and birth canal injuries.
4. Restore 17- 19% nutrition, and promote reproductive elasticity and cortical relaxation.
5. Repair the low pelvic floor muscle after delivery, separate and relax the rectus abdominis, and supplement 12- 15 6, heme iron, zinc, calcium 10- 12%.
When our mother is giving birth, due to trauma or bleeding, she often lacks blood after delivery, and at the same time needs to secrete milk to feed her baby, which is transformed from seminal blood. My face is pale, my skin is dull and even spotted, my hair falls off a lot, my hands and feet become cold and afraid of cold, my menstruation is less, my sleep is not good, and my mental energy is obviously worse! ! ..... These are all manifestations of postpartum qi and blood deficiency. Some people think that it is necessary to supplement the lost nutrition after delivery. In fact, this idea is very dangerous. Excessive postpartum supplementation can easily lead to poor discharge of lochia. Some women with particularly hot constitution are prone to postpartum hemorrhage or constipation after taking warm tonic. At the same time, we should also choose nourishing ingredients that are easier to digest and absorb.
Postpartum tonic is the most concerned thing for new mothers, new grandmothers and new grandmothers. After hard work, new mothers really need to make up for it, but postpartum tonic also talks about ways and means. It is definitely not the way to eat a hundred things by mistake.
In the first week of June, the recipe is mainly to regulate appetite, and don't eat big fish and big meat right away. If mother breastfeeds, she doesn't need to start drinking breast-feeding soup at once, let alone eating sea plug. The new mother spends most of her time lying down, and her activities are mainly low-energy indoor activities, so she doesn't need to eat and drink every meal. There is no fixed time for eating, so it is more reasonable to eat when you are hungry. Foods that tonify qi and blood can be eaten 2 weeks after delivery.
Every meal should be vegetarian and balanced. It is wrong to eat all high-protein and high-fat foods such as chicken soup and pig's hand soup. New mothers need cellulose to prevent constipation and ensure the intake of calcium, iron, vitamins and minerals. Drink soup, don't give up the food in the soup.
Old people say that eating too salty will reduce milk production and advocate that the new mother's dishes should be light. Don't let the new mother eat a light meal, because the new mother sweats a lot after childbirth and needs proper salt supplementation.
Days of confinement: When it comes to confinement, women should know the time. Many people think it is 28 days or 30 days. In fact, the best confinement time is at least 42 days, because it takes about 6 weeks for uterine contraction to return to its original position, and at least 6 to 8 weeks for abdominal wall recovery, so they should know that they can act at will after 30 days.
Perineal and wound hygiene: whether it is a natural delivery or a caesarean section, we should pay attention to the hygiene and cleanliness of the perineum. Some natural deliveries may have transverse incisions, and tearing needs more attention. In addition, there are many perineal secretions from postpartum lochia, so we must pay attention to cleanliness and dryness to avoid infection, and there is disinfection of caesarean section wounds.
Clothing dress: whether it is a natural delivery or a caesarean section, it is better to choose a loose and comfortable dress. It is not recommended to wear too tightly, especially for mothers who have been exposed to lochia. At the same time, regarding the time of abdominal banding, the time of natural delivery and caesarean section is different, depending on the recovery of the mother.
Pelvic floor muscle recovery: during confinement, whether it is a natural delivery or caesarean section, you can start the action of lifting anus and shrinking yin early, as well as the action of Kaigl, which is helpful to the recovery of pelvic floor muscle strength, because the pelvic floor muscle is damaged during pregnancy and childbirth, so you should exercise early and recover early.
PWRH can not only repair pelvis and pelvic floor muscles, but also be the main source of nutrition. PWRH can provide the body with high-quality donkey-hide gelatin, bird's nest, sialic acid, hemoglobin, elastin, collagen tripeptide and other essential nutrients for uterine repair. The choice of food should not only focus on nutrition, but also be easy to digest and absorb. The appropriate time for recuperation is half a month. Those with weak body, poor constitution and excessive blood loss at ordinary times may extend the convalescence time as appropriate.
Can't have sex: can't have sex during confinement, because there is lochia and the uterus has not recovered, so when can I have sex? It is suggested to have sex 3 months after delivery, when the uterus recovers relatively well, and at the same time take contraceptive measures.
Most of today's treasure moms are post-90 s, most of whom have received western education, and may not agree with the taboo of confinement. However, many ancient methods of Chinese medicine have scientific basis, and it is much easier to prevent problems before they happen than to mend them!