Do you bring anything for postpartum 42 reexamination?
When many parturients go to the hospital for postpartum check-up, they may know in advance what the postpartum check-up items are, because it will be related to the postpartum recovery and physical health of the parturient. Generally speaking, the postpartum check-up items of parturient mainly include gynecological examination, blood pressure examination, pelvic floor examination, weight examination, routine blood and urine examination, abdominal examination and breast examination.
Postpartum examination item 1: gynecological examination
Pregnant in October, once delivered, the organs in the pelvic cavity can make the expectant mother become the biggest hero of the new mother. After experiencing such hardships, they are naturally the top priority of postpartum recovery. Therefore, the recovery of postpartum pelvic organs is closely related to the probability of gynecological diseases for new mothers in the future, so it is absolutely necessary to conduct a comprehensive gynecological examination.
Postpartum examination item 2: blood pressure examination
Changes in blood pressure will have a serious impact on the body in many ways. Long-term increase of blood pressure will easily lead to systemic vasospasm, which will reduce the effective circulating blood volume, while ischemia and the decrease of oxygen carrying capacity may endanger the organs and tissues of the whole body.
Postpartum examination item 3: pelvic floor examination
Damage to pelvic floor muscles and nerves during delivery may lead to a series of problems for women after delivery. It may cause vaginal relaxation, and then affect the quality of women's sexual life. If there is urinary incontinence after delivery, you must check and treat it in time. Pelvic floor rehabilitation exercise can effectively contract the relaxed muscles of pelvic floor, restore muscle tension and elasticity, and cure urinary incontinence and other problems. And 3 months after delivery is the best time to do pelvic floor rehabilitation.
Postpartum examination item 4: weight examination
Weight is the basic index of human health. Overweight or underweight is an abnormal performance, and once it exceeds the limit, it will bring many health risks. Weight measurement can monitor the nutritional intake and physical recovery of new mothers, and always remind new mothers to pay attention to prevent unbalanced nutritional intake and uncoordinated activity from endangering their health.
Postpartum examination item 5: routine blood and urine examination
The new mother has just given birth to a baby, and the physiological system and immune system are in a period of recovery and change, which is very easy to cause infection and give opportunities to various diseases. Through routine blood and urine examination, we can detect the operation of each system of the new mother's body and check the health at the microscopic level.
Postpartum examination item 6: Abdominal examination
There are important organs of digestive system and urogenital system in abdominal cavity, which is an important part of physical examination. Through abdominal examination, we can further understand the reduction of uterus and other organs in abdominal cavity after delivery. It is even more important for new mothers who have cesarean section to have an abdominal examination. Cesarean section will bring abnormal compression to the organs in abdominal cavity, and it is more difficult to reset than normal production. Moreover, the healing of the incision during cesarean section is also very important.
Postpartum examination item 7: breast examination
Breast distension, breast pain, etc. often bother new mothers, which may seriously infect mastitis, threaten breast health, and also affect the lactation system, resulting in milk stagnation, and the milk secreted by the breast directly affects the baby's health. Therefore, breast examination is also an important part of postpartum examination.
Postpartum check-up In addition to routine check-ups, new mothers can also consult their doctors about newborn feeding and postpartum contraception. These questions are what new moms should know, and asking doctors will get more scientific answers.
Special items of postpartum examination 1, neonatal feeding
In this physical examination, new mothers can also get guidance on newborn feeding. If you have doubts about the quality of your milk and your nutritional status, you can test the following items.
Determination of maternal milk calcium level: Ask your mother to immediately squeeze a proper amount of breast milk into a small cup, and the doctor can know the milk calcium content of your breast milk through the test paper. Mom's calcium deficiency is easy to cause backache and osteoporosis; Lactic calcium deficiency makes the baby prone to rickets. Mom, don't underestimate calcium deficiency. If the milk calcium content is too low, on the one hand, you can adjust your diet and eat more foods rich in calcium, on the other hand, your mother can take calcium tablets to improve her milk calcium content.
One-day nutritional analysis of lying-in women: Mom lists her diet in one day, and the doctor can roughly understand your nutritional status through calculation. According to your nutritional status, the doctor will give reasonable nutritional advice. So before going to the hospital for examination, mom might as well choose a typical day and make a complete record of her diet all day, so that when the doctor asks, you will be prepared.
Special items for postpartum examination 2. Postpartum contraception
This item is unique in postpartum review. Because lactation is not the same as safe period, new moms must adopt correct and effective contraceptive methods at this stage. As for what kind of contraceptive measures to take, new mothers can make full use of the opportunity of this examination to consult gynecologists, and then adopt the most suitable method for contraception. Generally speaking, condoms and IUDs are a good choice for dry breastfeeding mothers. The mother who gave birth naturally can go to the ring after 3 months, and it takes half a year for caesarean section.
Generally speaking, postpartum examination is generally completed between 42 and 56 days after delivery.
However, why do you need a postpartum check-up? Why do you want to have a postpartum check-up at this time?
First, the health check-up of the parturient can make it easier for doctors to know the recovery of the parturient. It is necessary for the parturient to take some time out for examination to know the recovery of the whole body and pelvic organs, find abnormalities in time and prevent sequelae.
Second, the puerperal examination mainly refers to the puerperal examination. The puerperal period is the recovery period of various systems of the parturient, and some potential diseases can change dramatically during the puerperal period (such as depression or infection), and at the same time, diseases (such as heatstroke) can also be caused by the customary treatment of the puerperal and their families.
Therefore, parturients should pay attention to postpartum examination and be responsible for their own health.
Do you need to take care of the children for postpartum check-up? It is necessary to take the children for examination. So, at this stage, what are the items that the baby checks? There are mainly routine examination and nervous system examination:
Examination of nervous system
1, motor development ability
Vertical head. Help the baby sit, hold his arm, make him sit up straight, and see if he can fix the shaking head vertically by the strength of his neck.
Get down and look up. Let the baby lie prone and see if he can rely on the strength of his shoulders and neck to raise his head.
2, nerve reflex examination
The disappearance of the birth reflex. For example, moro reflex, rooting reflex, grip reflex, these reflexes should subside within 3 months after the baby is born. The regression of these reflexes is a manifestation of brain development. If the brain does not continue to develop, these reflexes will always exist. Therefore, the disappearance of birth reflex is an index to detect brain development.
The establishment of behavioral reflex. See if the baby can concentrate, whether he can look at people, and whether he can follow the favorite objects.
Routine inspection:
1, measure the body length (it should be increased by 4 ~ 6 cm)
2. Weight (it should be increased by about1000g)
3, head circumference (should be increased by 2 ~ 3 cm)
4, cardiopulmonary examination (listen to the heartbeat, lung breathing is normal)
Most doctors will ask the parturient to go to the hospital for examination 42 days after delivery, but can postpartum examination be omitted? It is recommended to check it.
Many mothers may attach great importance to prenatal examination, but they are indifferent to the 42-day postpartum examination. In fact, this is not correct. Don't think that everything will be fine as long as the baby is born smoothly. In fact, the 42-day postpartum check-up is also very important. It can detect many diseases of the pregnant women in time, avoid the influence of the sick women on the baby's health, and help the pregnant women to take appropriate contraceptive measures in time, which is more important for those who have serious complications during pregnancy.
In addition, the puerperium is an important period for the new mother's whole body organs to gradually recover from pregnancy to pre-pregnancy state, and it is also an important period for psychological transformation. After rest and nursed back to health during the puerperal period, the average mother will feel good. However, how the organs in the body recover still needs to go to the hospital for a comprehensive examination, which is especially important for mothers with pregnancy syndrome. Postpartum examination can also find many diseases of the parturient in time, avoid the harm to the baby's health caused by maternal illness in time, and also get postpartum nutrition and contraceptive guidance.
Can leakage of urine recover 42 days after delivery?
The reason for postpartum urinary leakage is that the supporting force of pelvic floor muscles is weakened. What is pelvic floor muscle? Pelvic floor muscle is a muscle group that closes the pelvic floor. It is like a net, supporting the bladder, urethra, vagina, uterus and rectum, so that they can play a role in their respective positions.
When the pelvic floor muscles are pulled in different degrees or the nerves that control the muscles are damaged, it may lead to the weakening of the pelvic floor muscles' functions of supporting, controlling, contracting and relaxing pelvic organs, and then lead to urinary incontinence. Once coughing, sneezing or laughing increases abdominal pressure, urine leakage will occur.
Among married and fertile women, the proportion of pelvic floor muscle dysfunction is as high as 30%-40%. Therefore, it is suggested that women should have an evaluation and test of pelvic floor muscle 42 days after delivery, and if pelvic floor function is damaged, they should be treated as soon as possible during the golden restoration period from 42 days after delivery to 1 year.
Electrical stimulation, biofeedback or Kaigl rehabilitation training can be used to repair pelvic floor muscle dysfunction. The first two need to go to the hospital to seek the help of professional doctors, especially those with serious pelvic floor muscle disorder. If it is not too serious, you can choose the later Kaigl training, which is pelvic floor rehabilitation training that can be carried out at home.