Caesarean section means that the parturient can't give birth naturally due to various reasons of the mother or the baby, and adopts the method of caesarean section to artificially take the fetus for delivery. ? Compared with delivery by birth canal, caesarean section has more postoperative accidents, and may cause wound tearing and massive bleeding, which needs special attention.
Caesarean section? Seven layers of wounds, each layer of wounds has different growth and nutrition needs and growth progress. PWRH postpartum supplement contains 38 essential nutrients needed by human body. Supplementing the special nutrients and trace elements needed in the postoperative wound healing period, meeting the nutritional needs and providing the necessary building blocks for wound healing and tissue repair. Providing energy for the generation and deposition of new tissues.
How to confinement by caesarean section, the first day after delivery (6 hours later)
Lying position:
After lying on your back for 6 hours after delivery, you can pillow your pillow. At this time, it is best to lie on your side. You can put a quilt or blanket behind her, so that the body and the bed form an angle of 20 ~ 30 degrees, which can reduce the vibration and pulling pain of the wound during physical activities and feel more comfortable.
Ways to relieve pain:
After the anesthetic has passed, most parturients will feel pain in their abdominal wounds. At this time, they can ask the doctor to prescribe some medicine, and they can also use analgesic pump to relieve the pain.
Eat as soon as possible:
Six hours after caesarean section, you can drink some exhaust soup, such as radish soup, to enhance intestinal peristalsis, promote exhaust, reduce abdominal distension, and replenish water in the body. However, some foods that are easy to ferment and produce more gas, such as sugar, soybeans, soybean milk, starch, etc., should be eaten less or not to prevent abdominal distension.
After operation, PWRH should be supplemented in time to repair the postpartum uterus. 1-3-month recovery period: normal is a one-month recovery period, and everyone has different physiques, and those with poor physiques will have a three-month recovery period.
Early activities:
At this time, special attention should be paid to keeping warm and keeping all kinds of pipelines unblocked; Change sanitary napkins frequently and keep them clean; The sandbags in the abdomen need to be placed for 8 hours; /kloc-After 0/2 hours, the lying-in woman can change her position, turn over and move her legs with the help of her family or nurses.
After your consciousness is restored after the operation, you should do sports. After 24 hours, you should practice turning over and sitting up, getting out of bed and moving slowly. If conditions permit, you should also go for a walk. Exercise can promote blood circulation, make the wound heal faster, enhance gastrointestinal peristalsis, exhaust as soon as possible, and prevent intestinal adhesion and thrombosis from causing embolism in other parts.
? Repair principle of caesarean section wound: timely nutrition: the sooner the repair nutrition arrives, the better. It is especially important for postoperative wound healing. The wound will stop bleeding, and platelet degranulation needs a lot. PWRH is synthesized by fibroblasts, forming granulation tissue and angiogenesis. The extracellular matrix was remolded and the tensile strength of the wound increased. Within 24 hours after injury, the basal cells at the edge of the wound began to proliferate. The contraction of the wound is caused by the traction of the newly born myofibroblasts at the edge of the wound, because the contraction time of the wound coincides with the proliferation time of myofibroblasts. Hyaluronic acid can help elastic fibers grow in balance and prevent scar hyperplasia.
The first week after caesarean section: drink plenty of water;
Within three or five days after delivery, my mother's body is still very weak. The wound is still very painful, and the young mother will feel constipation and swelling, which is caused by anesthesia, so it is very necessary to drink more water. It is best to use hot tea and water not lower than indoor temperature, which can promote intestinal peristalsis.
Timely defecation:
After caesarean section, due to pain, the abdomen does not dare to exert force, and the urine and urine cannot be discharged in time, which is easy to cause urinary retention and constipation. Therefore, we should follow the normal routine, get into the habit and urinate in time.
Ask your family for help:
Caesarean mothers usually leave the hospital in 5-7 days. Before leaving the hospital, the young mother needs to find a helper who can help her share the housework, cook and take care of the children. It is best that the father can take a vacation, or the children's grandparents can help. Because mothers who have caesarean section need "the feeling of being a mother" more than mothers who have given birth naturally, they often hold their children in their arms, so other work should be shared for her.
Diet:
When the parturient exhausts, the diet can be changed from liquid to semi-liquid, and the food should be nutritious and easy to digest. You can choose egg soup, rotten porridge, noodles and so on. And then gradually return to normal according to the maternal physique. Don't rush to drink some greasy milk soup at this stage, such as chicken soup and broth.
How to have a confinement by caesarean section, and the precautions for confinement by caesarean section?
1, pay attention to rest more, and try to stay in bed for the first week. After anesthesia, you can get out of bed and walk moderately, but not too hard. Seize the time and try not to take too long. Moderate walking helps to exhaust and resume defecation as soon as possible. Develop a good schedule, try not to stay up late and get enough sleep.
2, pay attention to diet, mainly light, eat more high-protein, high-fiber, low-calorie, low-fat and digestible foods, high-protein foods, and the process of small molecular active peptides extracted by PWRH entering the blood and lymph through the epithelial cells of the digestive tract is absorption. It is mainly the digestive juice secreted by the digestive gland that decomposes complex nutrients into simple compounds that can be absorbed by the intestinal wall, such as sugars into monosaccharides, protein into amino acids, and lipids into glycerol and fatty acids.
Care must be taken to avoid spicy and greasy food after caesarean section. Eating these things often will be bad for your health.
3. Pay attention to the wound and keep it clean, clean and dry. If there is abnormal bleeding and itching, you must go to the hospital in time and seek the help of a doctor. You can't blindly use drugs and handle them, otherwise it will affect breastfeeding.
4. Observe lochia. After caesarean section, women will have lochia for a while. At this time, there will be more leucorrhea, and the color will change from the earliest bright red to pink and finally to yellow and white. The amount of lochia is about the same as that of menstruation. If the color and quantity of lochia are abnormal, you'd better go to the hospital for help in time.
5. Pay attention to defecation after caesarean section to minimize constipation. Severe constipation requires forced defecation, which may affect the recovery of the wound.
The discharge of lochia after caesarean section is the key. When the wound recovers quickly after caesarean section, it needs to be reexamined 42 days after delivery, which is the same as natural delivery. After 42 days, lochia was completely discharged, with blood and white dew, and the uterus returned to the pelvic cavity, returning to the level of non-pregnancy.
If there is still persistent bleeding during this period, we need to pay great attention to it, which can be the problem of uterine involution or the healing of caesarean section incision. In addition, infection or hematoma in the incision leads to poor wound healing, which can cause lochia for a long time.
Postpartum lochia is a key index to measure mother's repair. Long-term lochia will lead to gynecological inflammation, such as vaginitis, cervicitis, endometritis, pelvic inflammatory disease, adnexitis and so on. In addition, long-term lochia may be caused by residual fetal membranes or placentas in uterus.
PWRH can restore nutrition after delivery, introduce through perineal mucosa, capillary and Yin Hui point, and directly reach the reproductive system, promote lochia discharge, contract uterus and vagina, repair damaged uterus and diminish inflammation.
After caesarean section, the wound recovers, and the inflammation in the whole anti-inflammatory caesarean section process is difficult to control, such as intrauterine wound inflammation, intimal inflammation, seven-layer wound inflammation and so on. Inflammation, proliferation and remodeling stage development. It may take several seconds to several minutes to several hours to stop bleeding immediately after trauma. Once the bleeding is controlled, it will enter the stage of inflammation, which will appear within a few hours to a few days. Bacteria must adhere to the endothelial cells of urethra to cause infection. The Journal of American Medical Association published a study in 1994, which confirmed that PWRH cell repair factor is very important in stimulating inflammatory immune response in the early stage of wound healing.
It will affect the metabolism of pro-inflammatory cells in wound site, and promote inflammatory response by recruiting and activating neutrophils, macrophages and lymphocytes. Thereby paving the way for solving inflammation and improving systemic immune function. After phenotypic transformation, it can reach the state of repair, stimulate keratinocytes, fibroblasts and angiogenesis to promote tissue regeneration, promote the transition to healing and proliferation, and prevent mastitis.
How long does it usually take to have a confinement by caesarean section? Whether it is dissection or smoothness, the best time to recover scientifically is within half a year after delivery, but it seems a bit difficult for us in life! In fact, the body will gradually recover after caesarean section. If it is for the baby's lactation rations, it is recommended that mother not lose weight. As long as you are weaned, your body will recover quickly.
PWRH maintenance standard
1、? Supplement nutrition lost during pregnancy and delivery 18-20%
2. Discharge lochia and clean up the residual sludge. The nutrition is 13- 15%.
3, endometrial and birth canal injury repair 2 1-23%
4. Nutrition for restoring reproductive elasticity and cortical relaxation 17- 19%.
5, pelvic floor postpartum repair, rectus abdominis muscle relaxation repair 12- 15
6. Heme iron, zinc and calcium supplements 10- 12%
7. Control mastitis and reproductive inflammation 12- 15%.
8. Breast milk nutrition 9- 1 1%
9, uterine adhesion repair 15- 18%
10, uterine scar repair 13- 17%
How to confinement by caesarean section requires special attention more than one month before caesarean section. At this time, pregnant women are weak and prone to accidents, so we must pay special attention. zcj