GeneralPostpartum period includes the time from the birth of the placenta until the regression of changes in the body during pregnancy. This period of 6 weeks. In most cases, it is going well, but sometimes there are dangerous complications requiring emergency treatment.
Changes in women after childbirthImmediately after birth the placenta uterus begins to contract and after a few minutes takes a rounded shape. The wall of the uterus becomes thick and gaping vessels of placental site are compressed. After only 2 weeks of its dimensions correspond to non-pregnant uterus. Within a few days after birth the surface layer of the uterine lining are exfoliated and released in the form of bleeding. Epithelialization of the uterus end to the 2-3rd week after giving birth.
Cervix returns to its normal state by the end of the first week. But the vaginal wall for another 3 to 4 weeks after giving birth are swollen.
Changes in hormonal status that occur after childbirth, stimulate the onset of lactation. In the first three days of the mammary gland colostrum isolated which differs from higher milk protein and immunoglobulin. Its a bit, but it is 10 times more nutritious than milk. Therefore, even a small amount of colostrum enough to feed a baby. To further have enough milk, the most basic - regularly put the baby to the breast and it does not finish feeding. Typically, the milk comes to an end 3, beginning 4 days after birth. Mammary glands to harden for several hours, increasing in volume, become painful, the temperature rises. These manifestations are gradually disappearing in the right mode of feeding.
Postpartum careIn the delivery room immediately after birth to all childbirth produce inspection of the cervix and the soft tissues of the birth canal with the help of mirrors. Upon detection of tissue trauma of the birth canal they need to sew.
In the first 24 hours after childbirth and the puerperium must be in the delivery room under the constant supervision of a doctor and a midwife. This is due to the fact that most complications associated with abnormal uterine contractions after birth, as well as placental abnormalities, manifested in the form of bleeding is in the first few hours after birth. One of the major challenges of doing an adequate post-natal period is to prevent chronic inflammatory diseases of the mother and newborn. In the postpartum unit for women in childbirth should daily watch a doctor and a midwife. In this case, the general condition of the patient is measured by pulse rate, blood pressure, body temperature (twice a day), observe the state of the vulva, uterus, mammary glands, the nature of secretions and physiological functions.
In the normal course of postpartum patient can be discharged from the hospital after the child's vaccination with BCG for 3-4 day under the supervision of a physician prenatal.
Rules of hygiene after childbirthNeed to take a shower every day, and 2-3 times a day to do washing away. It is better to choose underwear and bed linen of cotton fabric. Underwear should be changed every day, and gaskets are not less frequently than every 4 hours. Remember that in the postpartum period is contraindicated reception baths and swimming in natural bodies of water. Be sure to ask your doctor about ways to care and treatment of perineal needed in your particular case.
Possible problemsYou may bother bleeding from the vagina. As we said, this is normal. The first 2 - 3 days allocating enough abundant as in the first days of menstruation. Then they become smaller they become reddish brown. Commonplace for the postpartum period are cramping or pulling pain in the abdomen. Uterine contractions are always accompanied by some pain. The pain may increase when breastfeeding. Usually the pain to go 4-7 the day after giving birth.
Perform post-natal exercise - they help to reduce the pain. If you find it hard to carry this pain, application of anesthetic drugs. Perineal pain especially strongly concerned about women who are in labor occurred perineal tears. In healing requires usually 7-10 days. In severe pain ask your doctor to prescribe you pain relief.
In the first days after birth, especially prolonged or accompanied by surgical intervention, in postpartum women often experience a delay urination. In this case, urine discharged catheter.
The first chair in mothers is usually 2-3 days after birth. Exercising helps to normalize bowel function. If the chair is not on day 4, you can use laxative candle.
After the first feeding women may develop cracks nipples. To avoid this, it is necessary in the first 2-3 days after birth put the baby to the breast for no longer than 5-7 minutes. You can use a special cream to prevent cracked nipples. Before each feeding should wash their hands with soap and water. It should also wash the breasts warm water and soap and children before and after each feeding from the nipple and ending armpit and sterile dry diaper. After feeding the remains to express her milk to completely empty the breast to avoid stagnation. This contributes to improving lactation is the prevention of infection of the mammary glands.
Immediately contact your doctor if:
- You have any heavy bleeding from the vagina with clots, bright red color, you have to change a few pads for an hour (the symptoms of uterine bleeding)
- Appeared sharply painful lumpy breasts, combined with a high temperature (such symptoms may be an indication of mastitis)
- An unpleasant smell from the vagina combined with fever, chills (such signs may indicate inflammation of the uterus)
- Opening a seam after a C-section with malodorous secretions or blood;
- Increase in pain at the incision of the perineum, the appearance of discharge with an unpleasant odor (signs of infection or discrepancies joint);
- Redness, painful areas on the feet, swollen, hot to the touch (symptoms began thrombophlebitis).