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202 1 medical and health care knowledge: physical changes during puerperium
Pregnancy 10 month, the baby was finally born, but after giving birth to the baby, when will Bao Ma's body return to normal? Confinement? At that time, Bao Ma should know what knowledge she has. Next, experts from Tianjin Health Talent Network led everyone to learn the relevant knowledge:

First of all, let's learn when Bao Ma's body will return to normal. In medicine, there is a concept called? Puerperal period? , refers to the period from the delivery of the placenta to the recovery of all organs of the maternal body except the breast to the non-pregnant state, usually 6 weeks. During the puerperium, Bao Ma's body will undergo the following changes:

1. On the day after delivery, the uterus at the bottom of the uterus is flat to the umbilicus or under the umbilicus 1 horizontal finger, and the uterus descends into the pelvic cavity on the day after delivery 10, and the size before pregnancy is restored at 6 weeks after delivery.

2. Endometrial regeneration: Generally, it takes 3 weeks to repair the endometrium, and it takes about 6 weeks to repair the placenta attachment.

3. It takes 4 weeks for the postpartum cervix to completely recover its non-pregnant shape. At the same time, the external cervix will be changed from prenatal? Round? Become? A glyph? .

(Among them, some values are not so easy to remember during the exam. I will teach you some small ways to remember them here: flatten the umbilical cord at the end of one day after delivery and drop it into the pelvis on the tenth day; It takes three weeks for intimal repair and six weeks for placenta to attach. Cervical recovery takes four weeks, one round before delivery and one after delivery. )

4. Breast changes: lactation. The milk secreted 7 days after delivery is called colostrum, which is light yellow, thick, rich in protein (such as SIgA), and less in fat and lactose than mature milk, so it is easy to digest; The milk secreted at 7 ~14 days after delivery is called transitional milk; The milk secreted after postpartum 14 days is called mature milk.

At the same time, Bao Ma will have the following clinical manifestations during the puerperium:

1. Vital signs: The body temperature is slightly higher than 38℃ 24 hours after delivery, which is lactation fever and a normal reaction.

2. lochia: postpartum uterine decidua falls off, and blood and necrotic decidua tissue are discharged.

3. Postpartum uterine contraction pain: generally, it appears on postpartum1~ 2 days and disappears naturally after 2 ~ 3 days.