The first days after childbirth

Pregnancy and Childbirth are a serious burden for the body of any mother. After childbirth, significant changes occur in the body, but it must be said that the restructuring cannot happen instantly. The woman will feel some changes immediately, but quite significant changes will occur over the course of several more weeks. What needs to change?

The first days after childbirth (postpartum ward)

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In the first days after childbirth, there may be hemorrhages in the eyes - red eyes, on the face - numerous bluish dots, similar to moles, which appear during the second

period of childbirth. If a woman pushes incorrectly (holds her breath, screams, pushes “in the face”) or has peculiarities of the vascular wall, during pushing there is an increase in pressure in the vessels of the head, which can lead to rupture of blood vessels in and around the eyes . What to do with such red eyes?

Cold tea compresses on the eyes (10 minutes each), done several times a day, will have a calming effect and speed up recovery, which will occur in a maximum of 6-10 days. In about a week, the hemorrhages on the face will also disappear.

Cramping abdominal pain appears, intensifying during breastfeeding , which is associated with normal postpartum contractions of the uterus, which should contract and return to its pre-pregnancy size. Painful contractions of the uterus are more typical for repeated births and for the birth of twins. In primiparous women, there may be no such pain and uterine contractions are painless. Painful contractions may be more noticeable during breastfeeding because sucking releases the hormone oxytocin, which stimulates uterine contractions.

After childbirth, in addition to reducing the size of the uterus, the mucous membrane of the uterus - the endometrium - must be restored. Therefore, immediately after childbirth, lochia appears from the genital tract - discharge of residual blood, mucus and tissue from the uterus. In the first three days after birth, they are usually bloody and as heavy (and sometimes more heavy) as during menstruation. Increased discharge when standing up and other movements is a normal process.

Muscle pain in different parts of the body can also bother a woman in the first days after childbirth. These pains are associated with the physical stress that a woman experiences during childbirth. These pains go away on their own within a few days.

Pain in the perineum and the discomfort associated with it - and this feeling is also normal, because it is unrealistic to expect that a 3-3.5 kg child will pass through the perineum without any consequences. Even if you avoided tearing during labor and did not have an episiotomy (an incision in the perineum), the area would still be stretched and compressed. The pain will go away in a few days.

In the case of an episiotomy, the pain may increase, especially when laughing, coughing, sneezing, or defecating. Like any wound, it does not heal immediately - it usually takes 5 to 7 days. At this time, the woman is forbidden to sit so that the stitches do not come apart. At the same time, they are allowed to sit on the toilet and perform regular sexual hygiene (after each visit to the toilet, you must wash the perineum with warm water, without soap, you should take a shower 2 times a day). While you are in the maternity hospital, your midwife and your doctor will examine your stitches for inflammation or other signs of infection. Sutures are usually removed on the 5th day.

In the first time after childbirth, only colostrum is released from the breast - a thick yellowish liquid, and milk appears on the 2-3rd day. By the 3rd day, the mammary glands often acquire increased sensitivity, sometimes bursting pain is felt in the chest , and a sensation of thickening of the mammary glands may appear. If there is significant breast engorgement, it is necessary to limit the amount of fluid consumed (but not less than 1 liter per day), increase the frequency and duration of feeding the baby. To prevent cracked nipples and when they appear, you will need the ointment BEPANTHEN, DEXPANTHENOL, SOLCOSERYL.

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During the first days after birth, there may be difficulties with urination . Some women have no urge to urinate; others feel the need but cannot empty their bladder. Despite all the difficulties, it is necessary that the bladder be emptied in the first 6-8 hours after birth. This is done so that the enlarged bladder does not interfere with normal contractions of the uterus after childbirth. As a last resort, if it is not possible to empty the bladder within 4 hours after birth, the woman may be given a catheter. After childbirth, you need to urinate every 4 hours, regardless of desire. Bladder function returns to normal after 3-7 days.

The causes of bowel problems can be several factors, both physical and psychological. Establishing bowel function is rarely easy and quick; it will take several days.

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Include more fiber in your daily diet: fermented milk products, beets, high-fiber fruits, dried fruits. This will soften the stool, but make sure that there are no allergens among the vegetables and fruits: remember that until milk comes in and lactation is established, you should not drink a lot of liquid. Try to move more if your condition allows. And don't worry about your stitches coming apart - they won't. Since before giving birth a woman often undergoes a cleansing enema, in the first 2-3 days, as a rule, there is no stool.

Immediately after giving birth, you cannot get out of bed on your own for 6 hours (only in the presence and with the help of a midwife), as you may feel dizzy .

After childbirth, the abdomen looks overstretched and somewhat saggy and does not immediately return to its original shape, since the muscles and skin need time to contract. In order to quickly return to your former shape, you can use breathing exercises (traditional gymnastics can only be performed 6-8 weeks after birth). Breathing exercises involve breathing with the stomach: as you inhale, inflate your stomach, while tightening the muscles of the perineum, and as you exhale, deflate it. Repeat 10-20 times, 4-5 times a day.

After a caesarean section: on the first day after the operation, you are only allowed to drink water up to 2-3 liters per day. But already on the second day, the mother is transferred to the postpartum ward, where she immediately begins to lead an active lifestyle - she gets up and walks, feeds her baby, unsweetened bread and broth without meat are allowed. From the third day, after a cleansing enema, it is allowed to take boiled food (porridge, boiled meat, sour-milk products, cottage cheese, tea without sugar), but butter cookies, buns, fresh fruits and vegetables are prohibited.

First week after birth

Vaginal discharge continues : within 1-2 weeks after delivery, the discharge gradually becomes watery pink, then brown and finally yellowish-white. During this period, you should use sanitary pads (not tampons: they can provoke inflammatory diseases of the uterus and appendages). The discharge may stop after two weeks, or may continue until the 6th-8th. If after the first week you notice the appearance of heavy bloody discharge, or discharge with an unpleasant odor, or an increase in temperature, you should consult a doctor. In this case, hospitalization and possibly uterine curettage may be necessary. You should also see a doctor if brownish or yellowish lochia continues to be discharged for more than 6 weeks, as it may be the result of an infection, especially if accompanied by fever or pain, or tenderness in the abdominal area.

The suture area after an episiotomy should be kept dry and clean. You can wash the external genitalia and perineum with a decoction of chamomile, calendula, and eucalyptus. For the first 2 months after birth, get out of bed carefully, first turning on your side, avoiding a sitting position (this will reduce pressure on the perineal muscles), and feed the baby lying on your side or half-sitting; You can't lift weights.

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The birth of a child is a very significant event for a woman, not only physically, but also psychologically. Firstly, childbirth itself exhausts the mother, and secondly, the production of hormones changes during and after childbirth. Therefore, it is natural that at this time a period of mental instability begins .

The most typical feeling in the first days after childbirth is elation, but in the days and sometimes weeks that follow, some women become sad, despondent, withdrawn and apathetic. It is worth noting that these are common emotions for the postpartum period associated with the normalization of hormonal levels. In this situation, close people (spouse, parents) should come to your aid and help you cope with negative emotions.

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For 7 days after a cesarean section (before removing the sutures), the nurse daily treats the postoperative suture with antiseptic solutions (for example, iodine, potassium permanganate) and changes the bandage. The skin scar forms approximately 5-7 days after surgery; Already a week after a caesarean section, you can shower completely calmly. Just don’t rub the seam with a washcloth - this can be done in another week. Discharged from the maternity hospital in the absence of any complications on the 5-7th day after surgical delivery. Since pain in the scar area can persist for up to several weeks, it may be difficult for a woman to bend over, so it is easier to sit down by bending her legs at the knee and hip joints.

Remember that the body's recovery after childbirth usually takes about 6-8 weeks. However, the female body is individual. Therefore, each woman may experience the physical and emotional changes described above differently. Report any unusual or severe symptoms to your nurse or doctor.

Prepared by:
Ass. department. obstetrics and gynecology Pavlyukova S.A.
Head postpartum department Dvornik E.V.