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The 5th1day ~ postpartum —— Excerpt from the Encyclopedia of Pregnant Women of Xiehe Expert.
202 104 12 15:25

Generally speaking, giving birth to a second child is smoother than giving birth to a child. The second-born mother has already had a childbirth experience, so she will be more relaxed psychologically.

Cesarean section of the first child can control the second child well, but the risk factor of uterine rupture is relatively high. If one child has not tried direct caesarean section, the cervix of the second child is equivalent to the state of primipara and expectant mother, and the relative risk will increase.

How to eat before cesarean section?

If cesarean section is planned, a series of tests should be done before operation to determine the health status of expectant mothers and babies. Dinner should be light the day before the operation. 12 Don't eat after midnight, so as to keep the intestines clean and reduce the infection during the operation. Do not drink water 6-8 hours before the operation, so as to avoid vomiting after anesthesia and cause aspiration.

It is not advisable to abuse advanced tonics such as Korean ginseng and American ginseng before cesarean section, because ginseng has a cardiotonic effect, which may adversely affect the smooth operation.

Have a good rest before cesarean section.

Cesarean section is a traumatic operation, which requires a lot of physical recovery after delivery, so we should pay attention to rest before delivery and ensure adequate sleep. At the same time, personal cleaning and prenatal cleaning can reduce bacterial infection rate. In addition, after cesarean section, it is not advisable to let the wound get wet and only take a bath.

Fasting should be done 4 hours before cesarean section.

Cesarean section requires epidural anesthesia, and the complications of anesthesia include vomiting and reflux. When vomiting and reflux occur during operation, it is easy for stomach contents to enter the trachea, which affects the health of mother and baby. When you feel nausea and vomiting during the operation, you should inform the medical staff to turn around and vomit to avoid aspiration.

It is best to fast for 6 hours after cesarean section.

Pay close attention to the amount of vaginal bleeding

During cesarean section, there will be more uterine bleeding. New mothers and accompanying families should pay close attention to the amount of vaginal bleeding within 24 hours after operation. If they find that the amount exceeds the normal menstrual flow, they should inform the doctor in time.

In addition, when coughing, nausea and vomiting, you should press both sides of the wound to prevent the suture from breaking.

It's best not to use analgesic pump.

It will affect intestinal peristalsis, urination and the recovery of milk quality. For the sake of children, bear it, and the pain will soon pass.

Put sandbags after the operation.

After cesarean section, the nurse will press a sandbag on the new mother's abdomen, which usually lasts for 6 hours to reduce bleeding from abdominal wounds. The nurse will check the wound for the new mother every once in a while according to the regulations, and take her blood pressure, pulse and temperature.

On the second day after delivery, the nurse will also change the auxiliary materials for the new mother's wound to check whether there is bleeding and redness.

During hospitalization, dressing should be changed twice after operation, and stitches should be removed in 5-7 days. If the new mother is obese, or suffers from diabetes, anemia and other diseases that affect wound healing, it is necessary to delay the removal of stitches. If you use absorbable catgut, you don't need to take it out.

No pillow for 6 hours after operation.

When returning to the ward after operation, you need to tilt your head to one side and lie flat for 6 hours to prevent headache and aspiration and vomiting.

Six hours after operation, you can put a pillow on the pillow, turn over and change positions.

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Taking a semi-lying posture is more beneficial than lying flat, which can reduce the vibration and traction pain of the wound. At the same time, the semi-recumbent position can also discharge the accumulated blood in the uterine cavity. The degree of semi-lying position is generally 20-30 between the body and the bed, and you can shake or pad the bedding.

Stay in bed for 24 hours after operation.

Turn over every 3-4 hours with the help of family members or nursing staff to avoid local pressure ulcers. The sandbag placed on the wound must be continuously compressed for 6 hours to reduce and prevent bleeding from the incision and deep tissue. In addition, it is necessary to keep the environment quiet and clean, and pay attention to replacing the sterilized soft paper in time.

Exercise as soon as possible after operation

From the recovery of consciousness after cesarean section, physical activity should be carried out. After 24 hours, practice turning over and sitting up, and get out of bed slowly. This can enhance gastrointestinal peristalsis, exhaust as soon as possible, and prevent intestinal adhesion and thrombosis from causing embolism in other parts.

After the anesthesia disappears, the upper and lower limb muscles can do some pulling exercises. Get out of bed as soon as possible after pulling out the catheter, and the action should be gradual. Sit on the bed for a while, then sit by the bed for a while, and then start strolling.

24 hours after operation, with the help of family members, you can hold back the pain of the incision and stand on the ground for a while or walk lightly for 3-4 times. If you really can't stand it, just sit up in bed for a while, which is also conducive to preventing visceral adhesion.

Before getting up, you can tie your abdomen with a corset (medical), which will reduce the wound pain caused by vibration when walking.

Drink white radish soup 6 hours after operation.

You can't eat for 6 hours after operation. Don't easily choose foods that are easy to ferment and produce gas, such as milk, soybeans, soybean milk and concentrated sugar water. , to prevent bloating. Drinking white radish soup 6 hours after operation can enhance gastrointestinal peristalsis, promote exhaust, reduce abdominal distension and make defecation smooth.

When to pull out the catheter?

24-48 hours after operation, the influence of narcotic drugs disappeared and the bladder resumed urination function. At this time, the catheter can be pulled out. As long as you feel like urinating, try to urinate by yourself to reduce the risk of urethral bacterial infection caused by indwelling catheter for too long. When you go to pee, you should have your family to help you.

The new mother needs to go to the observation room to rest and observe for 30 minutes to prevent postpartum hemorrhage or other emergencies. The new father can help observe the postpartum situation of the new mother at any time.

Before giving birth, the mother's uterus was only the size of a melon. After the baby is born, the uterus will shrink to the size of a coconut, and then it will take 42 days to fully recover. After the baby is born, the accompanying father should massage his mother in time, which can promote uterine contraction, reduce postpartum hemorrhage, help the baby and mother achieve "early contact and early sucking", let the baby lie on the mother's chest, stimulate the expectant mother's nipple, and also improve the success rate of breastfeeding.

Learn to take care of the baby.

Hold the baby gently, hold the baby's waist and neck, and feed some milk when you are hungry. You can feed formula milk first, but let the baby suck the mother's nipple as soon as possible to stimulate the milk.

Little ass, who takes good care of her baby, must keep dry, or she will get a rash.

Don't wear too thick clothes for the baby, or it will easily break out in a rash.

We should believe in advanced medical technology, skilled doctors and serious and responsible nursing staff, who will deal with possible problems and let expectant mothers have no worries and give birth with peace of mind.

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