Confinement is a particularly distinctive statement of the Chinese.Mainly refers to the body and mind after the maternal childbirth, which is a monthly child, which is often confinement.In medical perspective, confinement refers to the mattresses, that is, the placenta delivery until the maternal organs are recovered to the normal state of no pregnancy, which is usually 6 weeks.In the first month of postpartum, it can be called a multi -event autumn, and we often encounter various problems.How much is the right dew?How long is it appropriate?What should I do if I feed my nipple pain?Dashan special supplement, all kinds of soup tonic soup as much as possible?Can I take a bath, wash my hair, and brush my teeth during confinement?Maybe you are also troubled by these issues. Today, I have a healthy cloud classroom, please go to the deputy chief physician of the obstetrics and gynecology department of the Beijing Aerospace General Hospital Rong Yanxia to tell you how to take the confinement scientifically ~
1. What is postpartum lochia
Postpartum lochia refers to the postpartum as the endometrium falls off. It contains tissue such as blood, necrotic moltage. It is discharged through the vagina and has a bloody smell, but there is no odor.Postpartum lochia generally lasts 4-6 weeks, with a total amount of about 250ml-500ml.
During different periods of postpartum, the nature of lochia will be different.It mainly includes bloody dew, slurry dew, and white dew.Bloody lochia usually appears a few days before the postpartum. The dew contains a lot of blood, so the lochia color is bright red, or there is a dark red blood clot, which has a slightly bloody smell and lasted about 3-4 days.Subsequently, the bleeding gradually decreased, and the slurry gradually increased, and it turned into a slurry dew. The color was generally light red. We can see a lot of necrotic decontamination tissue, uterine cavity exudate, cervical mucus, and a small amount of red blood cells under the fiber mirror.And white blood cells and bacteria.The slurry dew is generally about 10 days, and then the slurry begins to decrease gradually. The increase in white blood cells becomes white lochia.Because it contains a large amount of white blood cells, necrotic decarcas, epidermal cells, and bacteria, the white lochia is white and sticky. The white lochia usually lasts about 3 weeks, and some maternals sometimes have no.
2. The show is different
Each maternal dew is different. Normal mothers are generally 2-4 weeks, and it takes about 6 weeks to fully recover.The maternal dissected mothers last longer than the maternal dew for birth. This is mainly because of the more blood loss in the operation, and the uterus has more wound bleeding, so the postpartum exposure durates for a long time.However, whether it is cesarean or cesarean, if the dew was still endless after giving birth, it may be a pathological factor.There are infections, etc., and the lochia will increase, and there will be odor. These all need our attention and deal with it in time.
3. Precautions for dew
In order to ensure the smooth excretion of postpartum dew, we should pay attention to some matters during confinement.First of all, rest as much as possible to avoid severe exercise, ensure sleep, and not cause yourself to be overworked.Second, to keep the vulva cleaning, there are more bleeding at the beginning of the postpartum. We can use some thick and long sanitary napkins to change the sanitary napkin and change the underwear.You can use small sanitary napkins or pads.In addition, the mother should also pay attention to that because the vaginal and uterus of postpartum is still being repaired, the wound is healing. Using cotton strips will increase the possibility of infection. Therefore, we recommend that within 6 weeks after delivery, do not use sanitary cotton strips.Sexual life should be prohibited and the chances of reproductive tract infections should be avoided.In addition, we must insist on breastfeeding, because the baby’s sucking is stimulating to promote the secretion of prolactin, and it can also promote the production of centers, which is conducive to promoting the recovery of the uterus.
In addition, we have to score clearly what is dew bleeding and what is menstrual recovery.Generally, maternals who do not breastfeed are usually recovered at 5-10 weeks after birth, and ovulation is restored 10 weeks after delivery.Mother-in-law is delayed. On average, ovulation is restored on average 4-6 months after giving birth, and some can not come to the tide during breastfeeding.In other words, people with a late menstrual tide may have ovulation before the first tide, so there is a possibility of conception before the reciprocating tide, so we should also take contraceptive measures.
3. Find the problem and seek medical treatment in time
If we encounter the following problems, we recommend mothers to go to the hospital in time.
1. Excessive bleeding
Everyone must have doubts, how much bleeding is too large?We said that if it is wet with a sanitary napkin or a large amount of blood clots within one hour. These situations are regarded as too much bleeding and we should seek medical treatment immediately.The large amount of bleeding may be caused by the placental membrane remaining in the uterine cavity. When necessary, the clear palace surgery needs to be performed under the guidance of the B -ultrasound to avoid postpartum bleeding in the later stage.
2. After 4 days of childbirth, the lochia is still bright red
As mentioned earlier, in different periods of postpartum, the nature of lochia will be different.Blood dew, usually about 3-4 days after childbirth.Subsequently, bleeding will gradually decrease, and the slurry will gradually increase to transform into slurry dew.If you have given birth for 4 days, the dew is bright red, or the color becomes lighter, and it becomes bright red. It cannot be relieved after rest. This may be the poor uterus.Shining uterine, or oral motherwort to promote the recovery of the uterus.
3. The dew has odor, fever, cold war, abdominal pain
Normal postpartum lochia has no odor. If the lochia appears odor, or the mother has fever, chills, or abdominal pain, we must pay attention to whether there are puerperia infections. At this time, we must go to the doctor in time to give anti -infection treatment.