The uterus can give birth to new life with super power, but it is also fragile. The recovery of the uterus after childbirth should be paid attention to by every woman. How to judge the recovery of the postpartum uterus? What are some ways to promote recovery? anythings need to pay attention? What if the recovery is poor?

The recovery of the uterus includes:

The first is the changes in the uterine body. As the muscle fibers continue to shrink, the uterus shrinks in size, shrinking to the size of about 12 weeks of pregnancy 1 week after delivery, and the uterus falls into the pelvic cavity 10 days after delivery, and the uterus returns to its non-pregnant size at 6 weeks after delivery; In 2-3 days, the superficial cells of the decidua degenerate, necrosis, and fall off, forming part of the lochia. The glands and interstitial cells retained in the deep layer proliferate and become a new endometrium, and the endometrium except the placenta attachment 3 weeks after delivery Basic repair, repair of the endometrium of the placenta attachment part takes about 6 weeks.

 　　 The second is the lower part of the cervix. Within a few weeks after delivery, the expanded and elongated lower part of the uterus is retracted and restored to the non-pregnant isthmus.

 　　 The third is the change of the cervix. The uterine orifice can accommodate 2 fingers in 2-3 days after delivery, the uterine orifice is closed one week after delivery, and the cervical canal returns to its pre-pregnancy state in about 4 weeks. After healing, the external cervix showed a "one" cross split

How to judge the recovery of the uterus after delivery?

　　 After the placenta is expelled, the uterus will contract physiologically, with symmetry and polarity. In the abdomen, you can feel a very hard and spherical uterine body (cricket-shaped) with the highest point at the same level as the navel. After that, the height of the fundus of the uterus will drop by 1-2 cm every day. About 10-14 days after delivery, the uterus will become smaller and completely descend into the pelvic cavity. At this time, the fundus of the uterus will not be felt in the abdomen.

　　 Under normal circumstances, lochia will clear up within 4 weeks or 28 days after delivery. Some women have a longer delay, but under normal circumstances, the longest will not exceed 42 days. After 42 days, the lochia is still not clean, which indicates that the uterus is not properly contracted. Normal lochia has a bloody smell, but no peculiar smell. Lochia can reach 500ml during the whole recovery period. It will be red 3 days after delivery, light red 4-14 days, and white after 14 days. If there are changes in quantity, color, and smell at the same time, you should first be wary of the existence of uterine diseases, such as residual placenta causing weak uterine contraction and poor uterine placental attachment surface, recessive infection during pregnancy or childbirth, and low postpartum resistance. Ascending leads to endometritis or uterine myositis, or poor healing of cesarean section wounds, etc., you need to go to the hospital as soon as possible for treatment.

Does postpartum menstruation mean that the uterus has recovered?

     The time of the first menstruation after childbirth has nothing to do with the recovery of the uterus, but with breastfeeding. Postpartum menstrual relapse and ovulation time are affected by breastfeeding.

     Women who are not breastfeeding usually return to menstruation 6-10 weeks after delivery, and return to ovulation about 10 weeks after delivery. The menstrual resumption of breast-feeding women will be delayed, and some menstruation will not come during the breast-feeding period, and the average ovulation will be restored 4-6 months after delivery.

     In other words, breastfeeding women who do not return to menstruation after childbirth may also have ovulation. Couples will conceive in the same room. Breastfeeding women who hope to have family planning should also take contraceptive measures if they do not return to menstruation after childbirth.

What are the symptoms or manifestations of poor postpartum uterine recovery?

　　 If the uterus recovers poorly after childbirth, the duration of bloody lochia will be extended, from a normal duration of only 3 days to 7-10 days or even longer.

What are the reasons for the poor recovery of the uterus after delivery?

　　 The causes of poor postpartum uterine recovery include:

　　 Placenta or fetal membranes remain in the uterine cavity;

　　 with endometritis or inflammation in the pelvic cavity;

　　 Uterine hyperflexion;

　　 The fibrous tissue of the uterus is relatively increased due to multiple childbirths;

　　The bladder is over-inflated or the bladder is often inflated;

　　 with uterine fibroids; pregnancy with medical diseases such as anemia.

What kind of examinations are required for the postpartum reexamination of the uterus? What prevention can be done?

　　 Mom and baby have to go to the hospital for checkup 42 days after delivery. Mothers mainly check the recovery of breast and reproductive tract, and the recovery of abdominal incision in cesarean section. The postpartum review of the uterus includes: gynecological examination and uterine ultrasound.

In terms of preventive measures, during pregnancy, attention should be paid to strengthening the physique of pregnant women, correcting anemia, properly supplementing nutrition and controlling weight gain during pregnancy, preventing and preventing macrosomia and fetal functional growth restriction; free position during delivery, paying attention to nutrition and rest, and timely excretion Empty urine and feces to avoid excessive labor; properly handle the delivery of the placenta and fetal membranes, check the placenta and fetal membranes, the delivery should be intact, pay attention to the accessory placenta and partial placenta defects; to avoid postpartum urinary retention, expectant mothers should be within 4 hours after the placenta is delivered Urinate promptly. If you still cannot urinate on your own 6 hours after delivery and you are diagnosed with urinary retention, you should deal with it in time and catheterize if necessary.

Postpartum mothers should pay attention to rest, nutrition and personal hygiene, avoid prolonged supine position, and should get out of bed early, avoid bathing, and clean the vulva; if diagnosed with retroversion of the uterus, bend in the chest and knees twice a day , Every 15-20 minutes to be corrected; if the bleeding volume or long-term bleeding does not stop, B-ultrasound should be performed. If there is residue in the uterine cavity, the uterine cavity should be cleared; if infection occurs, the uterine cavity content should be done At the same time as the bacteria were cultivated, high-dose broad-spectrum antibiotic treatment was started.

What are the ways to promote the recovery of the uterus after delivery?

　　 The following points should be done to promote uterine recovery after delivery:

One is to urinate in time, usually within 4 hours after delivery. During delivery, bladder compression, mucosal congestion, decreased muscle tone, perineal wound pain, unaccustomed to bedridden posture, etc., are prone to urinary retention, which makes the bladder Swelling, hindering uterine contraction and causing postpartum hemorrhage or cystitis.

　　 The second is to get out of bed as soon as possible after delivery (4-6h after normal delivery, 12-24h after cesarean section), which is conducive to the recovery of physiological functions and physical strength, and helps the uterus to recover and to discharge lochia.

　　 The third is nipple stimulation to help the uterus contract. Let the baby take breast milk as soon as possible after delivery. As long as the baby sucks, the uterus will contract. The baby's frequent sucking and frequent reflex stimulation will accelerate the recovery of the uterus. Mothers who are not breastfeeding can massage their breasts or apply heat to stimulate the nipples.

　　The fourth is uterine massage. After giving birth, when physical strength is restored to a certain extent (usually the next day), uterine massage should be performed. Put your hands around the belly button and do a clockwise circular massage to help and promote uterine contractions.

　　 Fifth is postpartum foot bath with traditional Chinese medicine to promote uterine contraction. The local stimulation of traditional Chinese medicine acts on the corresponding reflex area of the foot, which helps to avoid discomfort such as abdominal distension, abdominal pain, and difficulty in defecation after cesarean section, shorten the fasting time, facilitate wound healing, promote uterine contraction and maternal lactation.

　　 Sixth is a postpartum pelvic floor repair instrument to promote uterine recovery. Conditional parturients can use the postpartum pelvic floor repair device to promote the recovery of the uterus. This treatment method is relatively more effective than simple massage or exercise. It uses the principle of ems electrical stimulation and uses clinically approved procedures to pass through the vagina. Electrode rods apply gentle electrical stimulation to the pelvic floor muscles to prevent local hypotonia of the pelvic floor muscles, help the patient to exercise the pelvic floor muscles, and enhance the patient's autonomous muscle control, thereby driving the movement of the uterus and promoting the discharge of intrauterine congestion , And then achieve the purpose of recovery of the uterus.

What is the relationship between breastfeeding and the recovery of the postpartum uterus?

　　 Let the baby eat breast milk as soon as possible after childbirth. Stimulating the nipple can promote the secretion of "oxytocin" from the mother's brain and pituitary, thereby promoting uterine contraction. Frequent production of this reflex stimulation will speed up the recovery of the uterus. On the other hand, studies have found that the "oxytocin" secreted by the human brain's pituitary gland, which promotes uterine contraction, can also promote the secretion of breast ducts, which is beneficial to breastfeeding.

How to do postpartum uterine repair exercises to achieve results?

　　 Postpartum recovery gymnastics can help the parturient to restore the arrangement of pelvic ligaments, and restore the function of the abdomen and pelvic muscles, so that the parturient can regain shape and build confidence.

　　 Section 1: Breathing exercise. Lie down on the pillow, place your hands on your abdomen, contract your abdominal muscles as much as possible when you inhale, and relax as much as possible when you exhale.

　　 Section 2: Levator anus exercise. Contract the anal sphincter when inhaling, and relax as much as possible when exhaling.

　　 Section 3: hip movement. The muscles of the hip and pelvic floor contract when you breathe in, and relax when you breathe out.

　　 Section 4: Head up movement. Lift your chin up as much as possible when you inhale, and move your chin closer to your chest as you exhale.

　　 Section 5: Sit-ups. Bend your legs and stretch your hands flat. When you inhale, lift your head and upper body away from the bed as much as possible, and lean toward your legs as much as possible. When you exhale, lie down slowly.

　　 Section 6: Leg movement. When you breathe in, the sole of your foot is flat against the bed and your leg is bent, and your heel is as close to your hip as possible. When you breathe out, slowly straighten your leg. Then change legs and move the same as before.

　　 What needs to be reminded is that if there is a cesarean section among the parturients, when practicing sit-ups, you need to pay attention to the healing of the abdominal wound, and do your best. Exercises should not involve the wound. Parturient women (one day after the normal birth, three days after the caesarean section) can perform post-partum gymnastics exercises in bed, 2 times a day, 8 8 beats per session.