-Nursing points of lateral incision wound during natural delivery-
Relatively speaking, the wounds of natural mothers recover faster, and the pain will disappear in general 1-2 weeks.
1, keep the perineum clean and dry. If lochia is not clean, you should always wash your vulva with flowing water at least twice a day, and once after defecation. Be sure to use a clean towel, change sanitary napkins and underwear frequently to avoid infection.
2, action should pay attention to, to avoid the wound dehiscence.
1) In the first few days after delivery, the new mother should take the right lateral position to promote the hemorrhage in the wound. After 4-5 days, when the wound grows firm and lochia is difficult to flow out, she can take the left and right rotation position.
2) When the new mother who gave birth to a lateral incision sits, her body center of gravity leans to the right, which can not only relieve the pain caused by the compression of the wound, but also prevent the epidermis from being staggered, and avoid the wound from cracking due to falling or excessive abduction of the thigh.
3) Keep the stool unobstructed, and walk as much as possible to prevent constipation. When defecating, you can first converge the perineum and buttocks, and then slowly sit on the toilet. In case of constipation, don't use too much force. You can temporarily use Kaisailu to prevent the wound from breaking.
3, usually do more anal contraction exercise.
Lying and sitting, you can do this exercise anytime and anywhere, which will help promote the contraction of the extensor muscles and restore the tightness of the vagina as soon as possible.
4. Always check the wound.
If the wound is found to be red, swollen, cracked, bleeding and purulent, it is best to see a doctor at once. If you find a small pustule at the wound, it may be that there is an obstacle to the absorption of suture, so you should consult a doctor in time to solve the problem. After delivery, new mothers will sweat a lot, have lochia and vaginal wounds. During this recovery period, new mothers should pay attention to physical hygiene and health care, and must not stick to traditional views.
5. How long will lochia be clean after delivery?
After natural delivery, under normal circumstances, it is completely discharged in 4 ~ 6 weeks after delivery. In the first few days after delivery, the amount of lochia is relatively large and the color is bright red, so it is called red lochia, also known as bloody lochia, which generally lasts for 3 ~ 7 days. After 3 ~ 5 days, the blood volume decreases, and lochia turns pale red, which is called plasma lochia. After delivery, lochia turns white or pale yellow on10 ~14 days, which is called white lochia. Normal lochia has blood smell, but it is not smelly. If it has foul smell or fishy smell, it means that the uterus may be infected.
For the parturient whose lochia is still not clean after 6 weeks of natural delivery, this may be related to the maternal's physical fitness, breastfeeding, postpartum diet, rest and nutrition supply.
-Key points of cesarean section wound care-
Due to the wide range of wounds in cesarean section, the stitches can be removed or the skin clips can be removed in 5 ~ 7 days after the operation, but it takes about five or six weeks to fully recover.
1, Caesarean section wounds should be changed frequently to keep the wound and its surroundings clean and dry, protect the scab of the knife edge after operation, and it is best to lie on your side and bend slightly at rest to reduce the tension of abdominal wall. Under the guidance of a doctor, some external drugs can be applied. Keep the scar clean at any time, wipe off sweat in time, do not use hot water to scald, and avoid strenuous exercise, excessive stretching or lateral flexion after stitches are removed.
2. Pay attention to these details at ordinary times
1) encourage new mothers to take more walks after surgery, which can help new mothers restore gastrointestinal function as soon as possible.
2) Be sure to check the abdominal incision every day and disinfect the wound.
3) Wear large underwear to prevent touching the wound, pay attention to hygiene, brush your teeth, wash your hair and comb your hair as usual, and change clothes and sanitary products in time. When taking a shower, it is best to cover the wound with waterproof tape.
4) Try to protect the wound. When coughing or laughing, hold the wound with your hand or hold your stomach with a pillow, and the pain will be relieved. If there are signs of infection, including fever, redness or swelling of the wound, exudation from the wound, deterioration or sudden pain, or general fever (even if your wound looks fine), you should see a doctor in time.
5) Pay attention to lochia. Although it may last for nearly 6 weeks, it should gradually change from bright red to pink, and then yellow and white. If menstrual bleeding lasts for more than 4 days after delivery, or increases after reduction, you should go to the hospital.
Home has a baby net to remind: when leaving the hospital, the doctor will stick a dressing bag on the new mother's wound. This dressing bag can only be stuck for 3 days at most, and it must be torn off at that time. In addition, most of the wounds are stitched with catgut thread now. In case the thread ends are exposed, the mother should not use scissors to cut them or try to draw them. When it is checked 42 days after delivery, let the doctor solve it.
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