(The woman`s organism in the first months after the delivery)
the First 6 - 8 weeks after the delivery often call the fourth trimester the fourth trimester of pregnancy of 1 , undoubtedly, wishing to emphasize with it “extension of term“ importance for the woman of the postnatal period comparable on the importance to the pregnancy. The postnatal period begins with the moment of the birth of an afterbirth and proceeds until the end of involution (the return development, i.e. restoration) all bodies and systems which underwent changes in connection with pregnancy and childbirth.we Will try to tell
about those processes which happen in a female organism after the delivery, about possible complications during the postnatal period and about how to cope with them, and it is even better - to prevent them. Let`s begin with the fact that there are to the woman during the first hours also days after normal childbirth.
In maternity hospital after the delivery: protect forces - they will be useful to you!In a rodbloka
various complications of a condition of the woman in labor (bleeding, physiological temperature increase of a body, change of arterial pressure) therefore 2 - 4 hours after the end of childbirth the woman remains under supervision of medical staff in the same place where gave birth - in the patrimonial hall During the first hours are after the delivery possible
. The procedure first after the delivery - survey of an afterbirth (we will remind, the afterbirth consists of a placenta, fetal covers and an umbilical cord). The doctor displays a placenta a maternal surface up and attentively, a segment behind a segment, examines. If in a uterus the part of a placenta (the torn-off placenta vessels testify to it) was late or there are damages of soft fabrics, carry out additional procedures and inspections.
Right after childbirth the uterus bottom (its top part) has to be dense. If it is weakened, the midwife does to massage . External massage of a uterus is made through a forward belly wall - for removal of the clots of blood and restoration of sokratitelny ability of muscles of a uterus which collected in it.
Right after childbirth should put a hot-water bottle with ice on a bottom of a stomach and to a crotch. The hot-water bottle is put in order that the uterus after the delivery was better restored in sizes, for active reduction of small blood vessels and a stop of bleeding. In order to avoid overcooling it is necessary to wrap up a hot-water bottle a diaper and to hold it no more than 20 minutes.
Depletion of a bladder . Right after childbirth it is necessary to urinate. It not always appears easily, sometimes there are problems connected with an atoniya of a bladder typical for the postnatal period or, on the contrary, with a bladder sphincter spasm. At a delay of an urination it is possible to try to cause it reflex (a sound of the flowing water). As a last resort it is necessary to put a catheter or to apply drugs. It is necessary to empty a bladder as soon as possible.Repeatedly giving birth women right after childbirth can face
an opposite problem - an urine incontience. Often it is connected with the fact that muscles of a pelvic bottom weakened a little and stretched. At an early stage of the postnatal period, naturally, it is not necessary to take about it any measures, but further it is regularly useful for 2 to do Kegel`s exercise .
In postnatal office
Sometimes the women transferred from a rodblok to chamber believe that they already absolutely “recovered“. It not absolutely so; your forces were not restored yet - keep them: at first get out of a bed accurately, quietly, do not rise sharply, otherwise the head can begin to spin. Especially to this recommendation women should listen with low pressure, that who at the time of delivery lost a lot of liquid who feels strong weakness. >
it is after the delivery better for p to Sleep and lie on a stomach. Do not draw a stomach. If you feel well, move more. Do articulate gymnastics and surely remember the full calming breath of 3 .
At first vaginal allocations , similar to plentiful periods, - the so-called lokhiya representing, as a matter of fact, a wound secret after the delivery take place ; they stop with final healing of an internal surface of a uterus. The total amount of vaginal allocations in 6 - 8 weeks makes 500 - 1500 g. They have a peculiar rotten smell which then gradually disappears. If the smell putrefactive, strong, sharp, amplifies over time, it is necessary to see a doctor surely: it is a symptom of an infection. In the first days of a lokhiya have blood character, gradually their coloring changes with red on is reddish - brown, brownish, to 4 - y to week of allocation almost stop and soon fade at all. If allocations remain brightly - red and plentiful more than 2 - 3 weeks, it is necessary to consult with the doctor.
of the House: return of an organism to “starting position“
At the late stage of the postnatal period stretching for several weeks and even months, the woman in labor organism finally comes back to a “doberemenny“ state.
For the first week of the postnatal period the mass of a uterus decreases twice and reaches about 500 g. By the end of the second week it weighs about 350 g, by the end of the third - 250 g. By 6 - 8 week after the delivery the return development of a uterus stops. The uterus of the giving birth woman has weight about 75 g. Right after childbirth the bottom of a uterus settles down about 4 cm below than a navel, next day with restoration of a tone of muscles of a pelvic diaphragm the bottom of a uterus rises to navel level. On 4 - y day after the delivery the bottom of a uterus settles down usually on a half of distance between a navel and pubic area. On 8 - 9 - y put a uterus bottom still it is possible to palpate at the level of a pubis or is 2 cm higher than it. On average for every day the bottom of a uterus falls by 2 cm
Through two - three days after the delivery a uterus can be felt heavy and intense - it is normal. After the afterbirth birth the uterus continues to be reduced, and women quite often test postnatal fights . There is a process of involution of a uterus depending on the general condition of an organism of the woman, on her age, the number of childbirth, duration of the last childbirth. Being reduced, the uterus blocks open blood vessels in the place of an attachment of a placenta, preventing blood loss, and dumps the additional covers formed during pregnancy.Intensity of postnatal fights at different women is various
. Quite often reductions are felt stronger if it is not first labor. Usually pains proceed several days and gradually die away. At emergence of such pains it is possible to advise the woman to be bent forward and to stroke palms a stomach bottom, slightly massing it roundabouts; to pound a waist.
Besides, strong and painful reductions can arise in the first days after the delivery during feeding of the child a breast: oxytocin strengthening a lactation hormone causes reduction of a uterus, increases her excitability. For someone postnatal fights remain almost unnoticed and even pleasant, and to someone happens very difficult to nurse the child. At unpleasant feelings in a uterus during feeding of the newborn as a breast it is necessary to choose a convenient pose for feeding: it is good to feed lying on one side, semi-sitting, having put pillows under a waist and elbows.
the First week after the delivery the stomach can ache a bit, as after a hard physical activity. These are not uterine reductions - the muscles which were actively participating in labor, for example muscles of an abdominal tension hurt. In this case the warming massage and deep relaxation will help.
the Breast began “to prepare“ for milk secretion even during pregnancy. During the postnatal period this preparation completely comes to the end. However, at first after the delivery from a breast only colostrum - the dense yellowish liquid extremely useful to the baby is emitted. Milk, as a rule, appears for 2 - 3 day. Milk secretion - result of the most difficult reflex and hormonal processes happening in the woman`s organism. In the period of the beginning of a lactation mammary glands often at, find hypersensibility. Sometimes in a breast the holding apart pain is felt. For reduction of unpleasant feelings it is recommended to wear a bra. At considerable “nagrubaniye“ of a breast the doctor can recommend to limit amount of the consumed liquid or to appoint laxative.
Possible complications and as to fight against them
the Rupture of soft tissues of crotch and an epiziotomiya (a crotch section)
If in the course of childbirth the rupture of soft tissues of crotch occurs or the epiziotomiya is made, on places of gaps and cuts seams are imposed. Seams need to be contained dry and pure, most likely, they should be processed also after the Extract from maternity hospital: taking a shower, to watch that water did not get into a vagina; it is possible to wash genitalia and a crotch broth of a camomile, a calendula, eucalyptus. The first three months after the delivery you should get out of a bed accurately, previously having turned sideways, passing a sitting position (it will reduce pressure upon crotch muscles) and to feed the child lying on one side or semi-sitting; it will be impossible to lift weights.When healing seams small pains are possible
, but if seams become rather painful or are infected (pus and an unpleasant smell will appear), see a doctor. For a softening of the hems which remained on the place of seams it is possible to do a light massage of a crotch with use of oil herb infusion; well sedentary grass bathtubs help; it is useful to carry out Kegel`s exercise.
Hemorrhoids - knotty expansion of veins of the lower department of a gut in back pass - can become one of complications of pregnancy and childbirth, it is connected with the increasing pressure upon a pelvic bottom and increase in inflow of blood to bodies of a small pelvis.to
At hemorrhoids are well helped by heat sedentary baths with use of grass infusions (they can be accepted only after the termination of allocations), it is also possible to do phytocompresses or to put phytoice. Besides implementation of recommendations of the doctor, it is necessary to pay attention to food, it is important to avoid locks. Include the products rich with cellulose possessing easy poslablyayushchy action in the diet: sea cabbage, beet, baked apples, a cauliflower, the couched cereals.
Upon termination of a course of treatment for strengthening of muscles of a pelvic bottom can be used Kegel`s exercises and “Kitty“ of 4 , however it is necessary to avoid excessive physical activities (this recommendation, by the way, belongs not only to gymnastic activity).
Exhaustion. Depression. Depression.the woman feels by
Right after the child`s birth pleasure and happiness, it is natural. Natural, however, also change of this mood on opposite is same. Is after the delivery written and told about a psychological state of the woman much: all have a very famous term “postnatal depression“, “maternal melancholy“ and “post-natal grief“ are less known. But as if this state was called, its symptoms are approximately identical: feeling of depression and alarm; sharp change of moods; tendency to unexpected and unmotivated tears and so inexplicable laughter. It is not necessary neither be frightened, nor to draw hasty conclusions - all this the emotions, usual for the postnatal period, connected with normalization of a hormonal background. Consider also the fact that now your way of life changed - you became a mother, from now on it is necessary to give to the child almost all the time. And here still night feedings of the newborn, watch at a bed, heart-rending crying of the unruly baby. There is also “unexpected“ a nervous breakdown .
What to do in such situation?
- have More a rest : walk, you sleep. Try to sleep during a day dream of the kid, all chores all of you equally will not remake. Do not try to remain the ideal hostess in any circumstances, do not refuse from any help. You remember: your health, good health and joyful mood - now not only your personal record, all this is vital also to your child.
- Enter into the diet the herbal teas and other drinks promoting restoration of forces . The calming and all-strengthening drinks (tea, milk with honey, berry fruit drinks, etc.) collecting from herbs (collecting No. 1,2, 3) is useful at irritability, nervous excitement, sleeplessness, improves work warmly - vascular system. For preparation of herbal tea 1 tablespoon of collecting is filled in with a glass of boiled water, insisted on a water bath or in a small thermos, filtered and drunk during the day. Tea should be drunk within 10 - 14 days, then to do a break.
- Take care of good nutrition . To someone quickly to be restored after the delivery separate food will help, however, not necessarily at once after an extract from maternity hospital to be fond of any exotic. Anyway food of the woman during the postnatal period surely has to be thought over and balanced. Pay special attention to a combination of products, eat more fruit and vegetables, drink more juice. It is better for Kashi to cook on water. Surely you watch that used by you in I write products had no unpleasant consequences for the child of 5 . Be engaged in
- in water procedures and an aromatherapy . The invaluable help in fight against a stress and a depression can be rendered: a contrast shower, a bathtub with herb infusion, an aromatherapy. Well weaken, calm and essential oils from a lavender, rosemary, a camomile, a fir, a sandal-wood tree, etc.
All listed recommendations well help to be restored at overfatigue, irritability, a slight depression. However serious problems with a dream, appetite, constant tension and nervousness, feeling of discomfort, feeling of alarm can be a symptom of more serious depression . In the presence of these symptoms surely consult with the psychologist, the emotional condition of mother is instantly transferred to the child.
So, we described a condition of the woman after the delivery, we hope, you will manage to pass so successfully through “the fourth trimester“, as well as through the first three!
of 1 About three trimesters actually pregnancies see in Sara Rosenthal`s articles, No. No. 4 - the 6th our magazine.
of 2 is more detailed about this exercise see article E. Pechnikova “Belly dance, or gymnastics during pregnancy“ in this issue of the magazine.
of 3 See article E. Pechnikova “Easy breath“ in this issue of the magazine.
of 4 See article E. Pechnikova “Belly dance, or gymnastics during pregnancy“ in this issue of the magazine.
of 5 Food of the nursing mother, and also a diet of the woman seeking to grow thin after the delivery, - subjects of separate articles which edition plans to publish in the next issues of the magazine in this article is only about a food role in overcoming of a stress.