Last summer, the Daily Mail reported that Princess Kate made her first appearance with her son after giving birth. Her hair is perfect and her face is rosy. She wore a high-waisted dress to highlight her slightly bulging belly, so that the outside world could not see that the little prince weighing about 3800 grams had been "unloaded"! Kate didn't deliberately hide the move of "mom's belly", which made the global mom organization hooked up. Frigard, founder of Momnet, a British parenting website, said that Kate broke the myth that "all mothers should return to their perfect bodies after giving birth". 2 indicators +4 principles, bid farewell to postpartum belly! Holding the newborn baby out of the hospital, but still being suspected that the baby in the belly has not been born! Or you obviously just gave birth to a second child, and the boss pointed to your stomach and asked, "Mommy, is there a sister in it?" Although the postpartum belly has disappeared a little, it is still bulging! Why is there an obvious mother's belly after childbirth? How does mommy's uterus change from prenatal to postpartum? What should we pay attention to in postpartum daily uterine care? Please follow a professional obstetrician to take care of your uterus! Unload! However, I mistakenly think that in the case of full-term delivery, mommy will gain weight on average 10 ~ 15 kg. After delivery, the weight of baby, placenta and amniotic fluid should be deducted, and the amount of blood loss and physical exertion during production should be reduced by nearly 5 kg. So the rest will become the so-called "postpartum belly" or "mother's belly". The obvious cause of postpartum belly, in addition to the residual weight on the body, also includes the uterus raised by the baby. Cai Qingzhang, director of obstetrics at Kaohsiung Chang Gung Maternity Department, said that it usually takes about 4-6 weeks for the uterus to return to the prenatal state. It is precisely because the uterus has not returned to the original position of the pelvic cavity. At this time, when mommy touches her stomach, she will touch a big piece of something a little hard and round, dangling in her stomach. Director Cai Qingzhang pointed out that excluding the problem of abdominal tumor, this should be the uterus. Does postpartum abdomen naturally subside or become fat? Basically, the postpartum mother's abdomen has its recovery mechanism, which will gradually fade over time, but Director Cai Qingzhang reminded that if she suffers from placental or uterine diseases, the recovery will not be so good; Or if you don't have a proper diet or moderate exercise, you may still get fat. From prenatal to postpartum, uterus 3 changes The uterus is a unique body organ of women, located in the center of the pelvic cavity, behind the bladder and in front of the rectum. The uterus composed of smooth muscle includes uterine cavity and cervix. The uterus is shaped like a light bulb, the uterine cavity is the glass part of the light bulb, and the cervix is the metal wire of the light bulb. The uterus is the place where the next generation is born and where the baby begins to grow and develop. Since pregnancy, mommy's body has undergone a series of changes in order to adapt to the growth and development of the fetus, the most significant of which is the uterus. Next, the changes of uterus from prenatal to postpartum are introduced in detail from three aspects: weight, capacity and position. 1 weight When not pregnant, the normal uterine weight is generally 50 ~ 70g. With the development of pregnancy, the weight of the uterus becomes heavier. When the fetus is full-term, the uterus will even weigh about 1000 grams. Until about a week after delivery, the uterus weighs 500 grams; After two weeks, the uterus is about 300 grams; After about 4 to 6 weeks, the weight of the uterus will return to 50 to 70 grams before pregnancy. 2 Capacity In order to give the fetus enough space to grow, the uterus will increase, and the muscle cells of the uterus will become hypertrophy, and its capacity will be much larger than before pregnancy. Before pregnancy, the uterus is actually very small, and its full-term capacity is only about10 c.c. Everyone's state is different, and it may increase to 5 liters or even 20 liters, which means it can be increased by 500 ~ 1000 times. 3 position in appearance, the height of the whole uterus will also change with pregnancy. In the first three months of pregnancy, because the uterus is still in the pelvic cavity, it is difficult for mommy to detect the change of the position of the uterus. About 3 months pregnant, the bottom of the uterus is located at the pubic symphysis. In the fifth month of pregnancy, the height of the bottom of the uterus is about the navel position. At this time, mommy's uterus is enlarged and her abdomen is squeezed outward, so there will be obvious bulging in appearance. Before labor, at 9 months, the uterus approached the lower two fingers of xiphoid process. The postpartum uterus returns to its original state through contraction. From the beginning of delivery, the uterus will continue to contract, so that the fetus can give birth. After the baby is born, the uterus will continue to contract by itself. Because of compression, the blood vessels in the myometrium will undergo ischemic changes, the smooth muscle cells and connective tissue in the myometrium will contract, and the volume of the uterus will gradually shrink. After 4 ~ 6 weeks, it gradually recovered to its original size. Is it faster to lose weight by wearing a bra? In order to restore the slim figure before delivery, some mothers will use corsets after delivery. Unexpectedly, if it is tied too tightly and the blood circulation is not smooth, it may cause uterine and bladder prolapse and increase the risk of urinary incontinence and uterine prolapse in the future. Director Cai Qingzhang said that the main function of girdling abdomen is to fix the position of uterus and reduce wound involvement; And the tight bundle, fat will not disappear faster! 2 indicators, observe the recovery of the uterus. Is the postpartum uterus recovering well? It can be observed from the following two indicators. (1) Uterus position: Basically, the uterus should be able to return to the prenatal state 4-6 weeks after delivery, so mommy should not touch the uterus. (2) Persistent lochia: Generally speaking, persistent lochia will gradually end about 3-4 weeks after the placenta is delivered. If uterine contraction is poor, or even if there is placenta residue, it may cause persistent bleeding. At this time, Director Cai Qingzhang will advise Mommy to see a doctor and further check the uterus through ultrasonic examination. What is lochia? The postpartum uterus passes through * * *, and the blood similar to menstrual period flows out, which is similar to the menstrual flow, sometimes a little more. This is endometrial debris, epithelial cells, red blood cells, white blood cells, and some placental tissues. It falls off slowly within a few days after delivery. This is lochia. 4 principles, promote uterine conditioning and repair After a long 40-week pregnancy, Mommy's uterus has not only undergone tremendous changes in weight, capacity and position. After the baby is born, the uterus will gradually return to its original state. At this time, how should mommy properly care for the uterus? As mentioned above, uterine recovery is closely related to uterine contraction. In addition to postpartum doctors will prescribe oral uterine contraction drugs to increase uterine contraction and reduce the chance of postpartum hemorrhage, how to help uterine contraction in daily life? 1 Breastfeeding is the most natural and effective way to help the uterus contract faster. Director Cai Qingzhang pointed out that especially when breastfeeding or milking, oxytocin is sucked out from the posterior pituitary gland to help mommy's uterus contract, thus promoting uterine recovery. In addition, breastfeeding can also consume a certain amount of calories, which is also very helpful for postpartum physical recovery. This is because breastfeeding itself consumes some body fat, and breastfeeding requires a lot of energy. Therefore, lactating mothers are more likely to recover their bodies and achieve the effect of slimming. 2 Balanced diet after blood loss and physical exertion During pregnancy and delivery, postpartum dietary intake is very important, especially the uterine tissue needs to be rich in high-quality protein ingredients, such as fish, meat, milk, eggs and beans, so as to facilitate the smooth repair of the tissue and help protein absorb vitamins and minerals, such as fresh vegetables and fruits. Although it is important to supplement nutrition, if you consume too many calories, it will easily worsen the problem of postpartum obesity, which is not conducive to the elimination of postpartum belly. Therefore, Director Cai Qingzhang reminded us to avoid eating foods that are too * * * or too difficult to digest, such as sour, spicy, coffee and strong tea. 3 After moderate exercise, moderate relaxation exercise can eliminate the excess weight accumulated during pregnancy. Director Cai Qingzhang pointed out that if mommy's physical strength permits, it is suggested that she can get out of bed early, which can promote the excretion function of bladder and gastrointestinal tract, and also contribute to the recovery of physical function and physical strength and muscle tension. However, because mommy's postpartum uterus or pelvic muscles don't recover well, if she does strenuous exercise at this time, the uterus may leak urine. Therefore, Director Cai Qingzhang suggested walking or simply stretching. 4 *** Uterus In order to help the uterus contract, let the uterus recover and discharge lochia, and also to prevent postpartum hemorrhage caused by poor uterine contraction, Mommy can * * * the uterus by herself. After emptying the bladder, lie flat and touch the abdomen with your hand to find out the position of the uterine bottom. Then use the palm of your hand to exert force on the bottom of the uterus and circle until the uterus hardens. The uterus hardens, indicating that the uterus contracts well and can rest. Mothers who give birth naturally can start after delivery, and the uterus will be * * * several times a day about 2 ~ 3 weeks after delivery until the uterus can't be touched. There is also a caesarean section mommy, and there is no need for a uterus; But if the contractions are not good, you need a doctor to do it. If you don't do it, you can protect the uterus through breastfeeding, balanced nutrition, moderate exercise and uterine care. What are the taboos after delivery, so as not to affect the recovery of the uterus? Do not take alcohol, ginseng or biochemical soup for less than a week after delivery. Try not to mix alcohol or ginseng into mommy's food within one week after delivery, so as to avoid impurities contained in it, accelerate blood circulation, which may affect the healing of vascular wounds, inhibit uterine contraction and recovery, and prevent lochia from being discharged smoothly. In addition, if you want to take Shenghua Decoction, it is recommended to take it one week after delivery under the guidance of traditional Chinese medicine, but it should be avoided to take it at the same time with oral uterine contractions prescribed by obstetricians, so as not to affect uterine contraction, delay the recovery time of uterus and increase lochia. Director Cai Qingzhang reminded that after taking Shenghua Decoction, it is still necessary to pay attention to whether the lochia amount is normal. If there is excessive bleeding, it is recommended to reduce the frequency of taking or avoid taking it. Cai Qingzhang Education: Kaohsiung Medical University Experience: Obstetrician of Kaohsiung Chang Gung Gynecology and Obstetrics, Resident and Chief Physician of Kaohsiung Chang Gung Gynecology and Obstetrics Current position: Director of Kaohsiung Chang Gung Gynecology and Obstetrics * For more details, please refer to: Baby and Mother, 20 14 March. Mababy/ subscribe to the healthy Aloha audio-visual channel, read health knowledge more easily, and pay attention to your health every day! Line @ ID: @:/supply/article/13901/You should know how to bid farewell to postpartum abdomen during uterine recovery Key words: Daily Mail, Cai Qingzhang, director of obstetrics department of Kaohsiung Chang Gung Maternity Department, recovery of abdomen, uterus, baby and mother.