Analysis of the national annual report data on maternal and child health showed that 35% of Chinese pregnant women underwent cesarean section.
With the development of the economy and the continuous progress of society, the rate of maternal maternal age ≥35 for the first pregnancy is also increasing.
And seniority is a major factor in increasing the risk of cesarean section.
When complying with the medical indications of cesarean section, performing cesarean section can effectively prevent maternal death and perinatal death and related diseases.
However, cesarean section interferes with the normal delivery process of pregnant women and has a certain impact on the physical and mental health of pregnant women. Therefore, it is very important to standardize the clinical indications of cesarean section and strengthen postoperative care.
There has always been a custom of "confinement" among the people in my country. So, how should mothers "confinement" after cesarean section?
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Exercise
Early activity after surgery can effectively prevent thrombotic phlebitis, intestinal adhesion , and promote uterine rehabilitation and intestinal peristalsis, so as to excrete gas in the intestine as soon as possible and relieve abdominal distension.
Therefore, after the operation, you should exercise more in bed or get out of bed as long as your physical strength allows.
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2 stool
After the operation, the mother dared not exert force in her abdomen during the toilet, which could easily lead to urination and defecation retention, causing urinary tract infection and constipation.
Therefore, after removing catheter after surgery, women should also urinate and defecate in time according to their usual habits.
If you cannot defecate normally for a long time after delivery, you must consult a doctor and take some medicine to relieve it if necessary.
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diet
Within 6 hours after cesarean section, because the effect of anesthetics has not been eliminated, in order to reduce vomiting and choking, you need to temporarily fast. If you are really thirsty, you can also drink a small amount of warm water;
6 hours after surgery, you can eat radish soup , rice soup, etc., and if you vomit and bloating after eating, you need to get out of bed and exercise;
The diet in the first week after delivery is to promote The wound heals and removes lochia, so the diet should be nutritious and has enough calories. Eating pork liver is beneficial to replenish blood and excrete lochia. Medicinal diet prepared with Chinese medicinal materials such as red dates and wolfberry can replenish qi and blood. Eating avocado oil can improve constipation and promote smooth muscle contraction;
The diet in the second week of postpartum focuses on preventing and treating back pain and replenishing qi and blood. Hawthorn tea, papaya fish and loach soup, longan and red date porridge, fried waist, etc. can be used. These diets can promote metabolism and reduce back pain;
The diet in the third to fourth weeks of postpartum should be mainly high-protein foods, which can not only eliminate physical fatigue, but also promote milk secretion. After giving birth, avoid eating raw, cold, and difficult-to-digest foods to avoid causing indigestion.
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wound
cesarean section is mostly subcutaneous suture, and stitch removal does not need to be removed after the operation; if it is an ordinary suture , stitch removal will be removed in 5 to 7 days. Women who have subcutaneous sutures for
should disinfect the wound and replace the dressing 24 hours after the operation. The epidermis will basically grow after 48 hours. If there are no special circumstances, the dressing can be removed on the third day after the operation. The care for wounds after
is mainly to protect against water, keep clean, and avoid abdominal traction.
For example, shower should be the main one for bathing, and you should not use a shower to rinse the wound. It is best to use an external waterproof bandaid to cover the wound; if you cough or sneeze, you can cover the wound with your hands to relieve pain;
In summer, the indoor temperature is controlled at 28℃ to avoid sweat from soaking the wound.
should pay attention to the wound for redness, swelling, blood seepage, pain, etc. within one month after delivery. If there is any abnormality, contact medical staff in time to avoid wound infection, endometriosis, etc., which will affect postoperative recovery.
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lochia
If the lochia is still large and dark red for more than 4 weeks, you need to go to the hospital for examination in time to understand the recovery of uterine , or check whether there is any combined infection.
Lactation
, due to the pain in the mother's wound, the family is advised to assist.
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Emotional
The mother is affected by factors such as cesarean section operation, role change, poor self-protection ability, lack of breastfeeding knowledge, worry about postpartum recovery and newborn health, and is very likely to have negative emotions such as depression, anxiety, and irritability. Negative emotions will not only reduce the level of the mother's mental health, but will also affect milk secretion and gastrointestinal function recovery.
Therefore, it is recommended that the mother do a good job in psychological adjustment , and the family members should also actively help the mother share the burden.
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Author｜Wu Jinlian
Source｜Family Medicine《September 2022 Issue 17
Editing｜Zhang Wanbo
Proofreading｜Zheng Ke
Second review｜Zhang Yue
Final review｜Liu Huiying Zhang Ruxian
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