After the process of carrying the crumbs, the internal organs need to be restored. Moms experience stress, there are significant changes in the body. The fetus that developed affected the location of many organs and disrupted the usual mode of operation. The period of establishing the work of all functions is called the word "involution" and implies a reverse development - the restoration of the usual state of health.
Renewal of the body does not happen immediately, it takes a certain period of time. This period lasts from 6 to 8 weeks. The mammary glands and the hormonal system experience restructuring even longer: the length of the lactation period. It is not easy for a woman after childbirth during this period, she is not stable, many organs suffer, and the condition of the woman in labor leaves much to be desired.
Immediately, every woman feels weakened and devastated, as great changes have taken place in her. Mom feels very tired and requires proper rest. Immediately the female body is under stress, appetite is somewhat reduced or completely absent. There is a visible delay in stool and urination. If necessary, the healthcare professional may prescribe a catheter. You should not focus on appearance: a pale face, sleepy eyes and a tired, but happy look. This is how the current mother changes and looks.
Extract
The treating diagnostician needs to visit the patient daily. An obstetrician-gynecologist usually pays attention to the position of the breast and uterus, monitors the number and nature of lochia, and also evaluates pressure and pulse. If the client has no visible problems and complications, the doctors who observed the patient are discharged home 4-7 days after the baby is born.
Internal organs
Uterus
Before and after childbirth, her weight is significantly different. The uterus weighs 1 kg, after seven days - half a kilogram, and at the end of the renewal period in the woman's body, the weight is the usual 50 g. The mother herself can feel this in the process of feeding: a hormone called "oxytocin" is released. The uterus at this moment contracts, and aching and pulling pains appear in the abdomen. In order for the contraction process to happen faster, the attending physician may prescribe oxytocin injections and (for those who are against it) a special gentle massage.
Cervix
The return to the usual position is very slow. The third month, after the appearance of the crumbs, completes the end of the formation. The rounded shape that was before is not fully restored. The shape of the cone is replaced by an oblong shape slowly and gradually, without any effect on health.
Lochia
Lochia, found after delivery, is a bloody discharge from the vagina, which can be confused with menstruation. But it's not. Lochia comes out in a more abundant volume than the critical days and are distinguished by a long length, a specific, unpleasant odor is characteristic. The duration of this period is 6 weeks, after the selection will be normal. After changes occur with the body and the female body, certain rules of care should be followed: regular change of hygiene items and constant cleanliness will help to survive a difficult moment.
To improve the quality of the outflow, it is necessary to lie on your stomach, applying a heating pad with crushed ice. Lochia have a rather changing nature of these secretions:
- the first five days are bloody and profuse;
- from the sixth to the tenth day - brown and plentiful;
- from the eleventh to the fifteenth - yellow, moderate;
- from the sixteenth to the twentieth - white and meager;
- after - transparent.
Critical days
The return of menstruation begins in different ways: for those who did not begin to feed, the cycle is adjusted after a month, for those who breastfed the baby - after six months. Each experiences different sensations after individual childbirth, so the timing is approximate. After the birth of the baby, the periods will become less painful and longer than before, as well as regular. The threshold for pain and sensitivity will be lower. After such an experience, most experience positive stress, after which they become prettier and younger.
Vagina
What does the intimate area look like and what happens to it after? The volume tends to decrease, but it will not become the same size. After some time, the muscles return to normal as much as possible. The volume decreases rather gradually. Despite the fact that this zone does not return exactly to its previous size, due to the restoration of muscle tone, after some time, the lumen becomes as close as possible to what it was. Experts recommend starting sexual activity no earlier than 2 months after the birth of the baby.
Only after two years the girl is fully ready for the next pregnancy.
Bladder
At first, the patient will not feel the urge to go to the toilet due to a decrease in tone. If the contractions were long, such well-being lasts for a long time. To protect yourself from complications, it is worth emptying every two hours. Ignoring this, there is a chance of getting complications of a different nature.
The cardiovascular system
There is a rapid heartbeat, the volume of circulating blood increases. A woman who has had a caesarean section should be especially careful about this. There is a chance to earn a complication - thromboembolism (blood clots form and the lumen of the vessels closes).
External features
Breast
How the neckline will look immediately after childbirth can be seen even during pregnancy. The mammary glands are subject to the most significant visible metamorphoses. Transformations occur even during pregnancy in order to prepare the breast for milk production: the volume of the neckline increases in size by 2-3 times.
At first, colostrum will be released, which has the unique ability to protect the baby from harmful bacteria. Colostrum has a yellowish color and a thick consistency. Milk tends to be produced in the first seven days after the baby is born. Rinse your nipples with warm water before and after feeding.
The process of breastfeeding allows mother and child to establish close contact forever.
Stomach
Most of all parts are subject to visible changes in the stomach. All the burden falls on him. Few people have the courage to brag about beautiful and toned abs. What happens after childbirth with the female body, namely with the tummy, is easy to guess: everything stretches, stretch marks and a dark strip appear.
What should be done to quickly forget the unpleasant sight? A wrinkled belly, like an apple, should be lubricated with a tightening cream, wraps should be done. The effect of cosmetic procedures can be accelerated by regular exercise (at least after 90 days) and a proper diet.
To tighten everything sagging, at first it will be enough to walk everyday with a baby and a healthy menu. If in some places it sags a lot, you can purchase a bandage. It promotes tightening and protects against new stretch marks.
Hair
During gestation and feeding, all the nutrients that the mother receives go to the baby. The lack of essential vitamins and minerals adversely affects the appearance. New moms often experience:
- hair loss and brittleness;
- the appearance of gray strands;
- loss of shine of curls;
- fragility of nails;
- dryness of the epidermis;
- fatigue.
This does not mean that the mother is aging. A woman's health and appearance also require care after childbirth. To solve the problem quickly, masks, rinsing with decoctions, drinking plenty of water and food with vitamin B2, and a warming massage will help.
Flashes of pain
When pains begin, it is difficult to understand what can happen in the postpartum period with the female body. There are a number of standard reasons, including: gestation for quite a long time, the development of the fetus inside. Areas where pain occurs:
- Milk glands.
- Kidneys.
- Back and waist.
- Pelvic area.
- Anus and large intestine.
Discomfort is a common symptom. But, if there are complications or exacerbations, you should immediately contact a specialist.
Nutrition at first
- raw vegetables;
- all types of cabbage;
- grapes and citrus fruits;
- legumes4
- all flour, sweet, fried and fatty;
- watermelon and melon;
- red meat and pork.
It will take 20-30 days to get used to the dietary diet, until the baby's stomach is fully adjusted. At the end, it is possible to gradually add other dishes.
Conclusion
What happens after such a natural process for a girl can only be felt by those who have experienced it. Not everyone experiences the above problems and this is normal. The body needs time to accept transformations. What happens after childbirth with the female body?
At first, mommy will not feel well, but over time she will notice how she will rejuvenate and get prettier. Nails and hair will take on a healthy look, movements will become smooth, the figure will receive rounded and attractive shapes, and the baby that has appeared will become the main reason for happiness.
One and a half to two months after childbirth for a woman is a difficult time. The body undergoes many changes in the postpartum period, some of them are irreversible, but in general everything returns to normal, the young mother recovers and begins to live her usual life again. As practice shows, after childbirth, a woman changes not only from a physiological, but also from a psychological point of view.
The postpartum period lasts approximately seven weeks and begins with the expulsion of the placenta. During all this time, very important and serious physiological processes take place in the body of a woman. These include almost all the changes that have arisen in the genitals, as well as in the nervous, cardiovascular, endocrine and many other systems in connection with pregnancy and subsequent childbirth.
Details about what happens to a woman's body after childbirth are described in this article.
Changes in the internal organs of a woman after childbirth
It should be noted that in the postpartum period, a woman develops a sense of motherhood and a complete restructuring of behavior. At this point, the body almost completely returns to the state that was characteristic before pregnancy. Changes in the body of a woman that do not go away after childbirth are the folding of the vagina, the slit-like shape of the external pharynx, the size and shape of the mammary glands, and some others.
What transformations take place in the female body? The most significant of all in the postpartum period are observed from the reproductive system, and especially the uterus. In the first hours after childbirth, the uterus begins to contract intensively. She is constantly in an increased tone, periodically there are contractions of her muscles, the so-called postpartum contractions, which contribute to a significant decrease in the size of the uterus.
The walls of the uterus at this time thicken, it acquires a spherical shape. Its contractions occur with decreasing force in the direction from the bottom of the uterus to its lower section. The inner wall of the uterus after separation of the placenta is a very large wound surface. But the process of reverse development of the uterus occurs quickly. As a result of the contractile activity of the muscles, the size of the uterus decreases.
The speed of the reverse development of this internal organ of a woman after childbirth depends on so many reasons. This can include the general condition of the woman, her age, the course of pregnancy and childbirth, breastfeeding, etc. The reverse development of the uterus in some women in the postpartum period is very slow. This applies to many women who have given birth and weakened women, women over thirty years old, after pathological childbirth, as well as with an incorrect regimen in the postpartum period. If a mother is breastfeeding her baby, her uterus will contract much faster than if she does not. By the end of the sixth week, the uterus reaches a normal size.
With a regular and normal course of the postpartum period, the reverse change of the uterus in the postpartum period occurs correctly and medications that reduce it become redundant. Also, for the proper development of the uterus, you should monitor the condition of the intestines, empty the bladder in time.
In the process of healing the inner surface of the uterus, the woman in labor will have postpartum discharge - lochia. Essentially, they represent a wound secret. In the first days after childbirth, they contain a significant admixture of blood. On the 3-4th day, they acquire the character of a bloody liquid. By the tenth day, the discharge becomes light and liquid, without admixture of blood. Their number gradually decreases, by the end of the third week they become scarce and stop completely on the 5-6th week.
And what happens after childbirth in a woman's body with other organs? As for the fallopian tubes, they quickly return to their original position, swelling disappears and the amount of blood in them decreases. As the uterus contracts, the tubes descend with it into the pelvic cavity and take their usual horizontal position.
In the postpartum period, the ovaries also undergo major changes. During this period, the regression of the corpus luteum ends and the maturation of the follicles begins. For those women who do not breastfeed, menstruation may begin as early as the 6-8th week after childbirth. Otherwise, menstruation may begin much later, after a few months, or only after the child stops breastfeeding. For some breastfeeding women, menstruation may resume shortly after the postpartum period is over. But in most cases, early menstruation does not differ in regularity in the future.
Another feature of the postpartum period is that the first menstruation after childbirth often happens without ovulation, the corpus luteum does not form. With subsequent menstruation, the ovulation process resumes, and the menstrual function is restored completely. However, one should not exclude the possibility of ovulation and, as a result, pregnancy during the first months after childbirth.
In the postpartum period, the tone of the walls of the vagina is gradually restored, its volume is reduced, swelling and filling of the vagina with blood disappear. At this moment, cracks, abrasions and tears that occurred during childbirth on the walls of the vagina, cervix and perineum also heal. Also, the tone of the pelvic floor muscles is gradually restored. If there were gaps during childbirth, then its recovery slows down. Correct suturing by doctors is important here, negligence can further lead to the prolapse of the walls of the vagina and uterus.
In the presence of soft tissue injuries of the birth canal, there may be intermittent and mild pain in the genital area and perineum at the sites of tears and abrasions.
Signs of the postpartum period: stretch marks and breast changes
The abdominal wall of a woman who has undergone changes after childbirth will gradually strengthen due to the contraction of the muscles and the most stretched tissues around the navel. Then stretch marks on the skin, because of which many women in labor are very worried, will become whitish. During this period, it is useful to wear a bandage. If it is missing, you can replace it with a towel. The latter should be placed under the back so that its lower edge touches the coccyx. After that, you need to grab the ends of the towel, pull them up and at the moment of exhalation and secure with a few safety pins.
See how stretch marks look like in a woman after childbirth in these photos:
With regard to strengthening the abdominal press, in the postpartum period it is extremely useful to do special physical exercises that can be done even in the maternity hospital. These exercises also contribute to proper and deep breathing and improve blood circulation. As a result, a woman will feel more alert, her body will quickly and better begin to cope with the changes that occurred during pregnancy and childbirth.
During pregnancy, changes occur in the mammary glands that prepare them for the secretion of milk. In the postpartum period, the main function of the mammary glands reaches its full bloom. In the first days after childbirth, only colostrum can be squeezed out of the nipples. Colostrum is a thick yellowish liquid that is very rich in protein and minerals, and colostrum contains far fewer carbohydrates than milk. It also contains vitamins, antibodies and enzymes.
Another important sign of the postpartum period is the release of milk from the breast. This usually happens around 2-3 days after birth. At this time, the mammary glands become rough and sensitive, they may experience arching pains, which often radiate to the axillary region.
In addition to milk, a substance is also formed in the mammary glands, which enhances the contractility of the uterus and contributes to its reduction in the postpartum period. Uterine contractions can also be observed due to irritation of the nipples during breastfeeding. These reflex contractions are sometimes felt as contractions. Often they are very painful, but, as a rule, occur only in multiparous and multiparous.
Many are afraid to breastfeed their baby for fear that it will lose shape. Alas, it's too late. It is necessary to come to terms with the fact that the breast after childbirth will no longer be as elastic as it was before. Most likely, it will become smaller than it was before pregnancy, and its shape will no longer be the same. Already at the very beginning of pregnancy, the nipples increase and darken. After childbirth, they return to their previous size, but the dark color will remain forever.
General condition of a woman after childbirth
As for the general condition of a woman after childbirth, during their normal course, a feeling of fatigue and drowsiness may appear.
Body temperature in the postpartum period should remain normal. Sometimes a single slight increase in body temperature is possible, which occurs in connection with the transferred nervous and physical stress. Sometimes an increase in temperature in the postpartum period is associated with the penetration of microorganisms into the uterus.
In the postpartum period, the usual characteristics of the cerebral cortex and spinal cord, as well as subcortical centers, are restored. The function of the endocrine glands acquires the same character that it had before pregnancy. Hormones produced by the placenta begin to be excreted from the body.
In the first weeks after childbirth, a woman's metabolism increases in the body, and then it returns to normal. And already on the 3-4th week of the postpartum period, the basic metabolism reaches its usual level.
Gradually, the diaphragm begins to fall, and the heart will take its usual position. The placental circulation is turned off, and as a result, the volume of blood passing through the vessels of the uterus is reduced. In connection with these postpartum changes, the work of the heart is facilitated, the diaphragm drops, lung capacity increases - and breathing in the postpartum period becomes normal.
Also, those changes in the composition of the blood and hematopoiesis that arose in connection with pregnancy disappear. True, in the first days after childbirth, there may be a slight increase in the number of leukocytes. But gradually the composition of the blood becomes normal.
Some women experience urinary retention on the first day after childbirth. They may not feel the urge to urinate or experience some difficulty. All these changes in the body of a woman in the postpartum period are associated with a decrease in muscle tone, the occurrence of small hemorrhages in the neck of the bladder and its swelling as a result of compression between the walls of the pelvis and the head of the fetus. Relaxation of the abdominal wall also plays an important role in urinary retention. She cannot resist an overflowing bladder. The ingress of urine on the area of ruptures and cracks causes an unpleasant burning sensation.
Subsequently, the bladder of a woman who has given birth can become very lazy. This is another phenomenon that falls into the category of a relaxed vagina. In the postpartum period, in some women, the bladder can no longer withstand heavy loads. They will no longer be able to sleep through the night, so as not to get up to go to the toilet. But these troubles should be looked at as an opportunity to once again look at your sleeping baby.
The digestive organs in the postpartum period function with minor interruptions. Breastfeeding mothers usually have an increased appetite. Often after childbirth, constipation is noted. They occur due to intestinal atony. A decrease in intestinal tone is usually associated with relaxation of the abdominal wall, restriction of movement during bed rest and poor nutrition.
Another unpleasant thing that can show up in the postpartum period is hemorrhoids. It usually occurs with strong attempts and with a large fetus. In this case, the hemorrhoidal veins expand, forming hemorrhoids. In the future, the expansion of these veins disappears, and hemorrhoids do not bother much. Only when infringed, they increase, become swollen, painful and tense. In these cases, you should consult your doctor. Perhaps he will advise the use of special ointments or creams, make cortisone injections. Medicated hemorrhoidal pads are now being sold to help keep the area clean and will help shrink the nodules. It is also helpful to take soothing baths.
What does a woman's body look like after childbirth: how does the figure and hair change (with photo)
The truth of the postpartum period is simple: pregnancy and the birth of a child completely change the body of a woman, after childbirth, even daily exercises to strengthen the abdominal muscles and the loss of all the kilograms gained during pregnancy will still not help the mother become the same as before. This does not mean that she will not look as good as before pregnancy. In fact, it may even look much better, it just won't be the same as before.
Another nuisance of the postpartum period is hair loss. Do not worry about this, in a few weeks everything will pass. Many women experience a sudden change in the structure of their hair during breastfeeding, they become curly. Just as suddenly, after a while, they straighten up.
Some people experience an increase in foot size: excess weight during pregnancy causes an increase in the length of the foot by half a size. Do not worry in advance, this does not necessarily happen during pregnancy.
Another problem with the figure of a woman after childbirth is the presence of folds on the abdomen. In women with good skin, these folds will not stand out much. But if the skin is very thin and light, then the folds will be more noticeable.
And, despite all these external changes, most men are still sure that a woman after childbirth looks like a goddess! The reason for this is the joy of motherhood, which radiates from her whole body.
It is not so difficult to reduce all of the above physiological changes in the postpartum period if you follow the correct regimen, which contributes to the restoration of the genital organs, the healing of wound surfaces and the normal functioning of all organs and systems. Of particular importance is the strict observance of the rules of personal hygiene. From the third day after giving birth, you can already take a shower. Much attention should be paid to keeping the genitals clean. Also, do not forget about the care of the mammary glands. To prevent excessive breast engorgement, it is recommended to wear a bra from the first days of the postpartum period.
In the normal course of the postpartum period and the absence of perineal tears, it is allowed to sit and walk on the second day. If there were ruptures of the perineum, then you can roll over on your side and not restrict movement while lying in bed.
All physiological changes that occur in the female body in the postpartum period will definitely pass, and the woman can return to her normal state, in which she was before pregnancy. Only a few modifications remain that cannot be eliminated. But the very feeling that the former pregnant woman has finally become a mother, that she now has a child, cannot be compared with these physiological changes.
Gymnastic exercises will help increase the tone of the body, improve blood circulation, respiration, metabolism, bowel and bladder function. In addition, gymnastic exercises will help speed up the healing process, strengthen the abdominal muscles and pelvic floor.
See how women look after childbirth, in quiet photos:
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The first 2-4 hours after normal delivery, the woman in labor is in the delivery room. The obstetrician closely monitors the general condition of the woman, her pulse, blood pressure, constantly monitors the condition of the uterus: determines its consistency, the height of the bottom, monitors the degree of blood loss. In the early postpartum period, it examines the soft birth canal and cervix using mirrors. All discovered gaps are sutured. After 2-4 hours, the woman in labor is transported on a gurney to the physiological postpartum department. The processes that occur in the body after uncomplicated childbirth are physiological, so it should be considered a healthy woman. Where possible, preference should be given to cohabitation of mother and child. This significantly reduces the risk of infection of the child with nosocomial infection. The uterus undergoes the greatest changes in the postpartum period. Having fulfilled its main function - having carried the child, the uterus eventually returns to its previous size. Immediately after childbirth, the inner surface of the uterus is more like an open wound with a copious secretion. Healing occurs gradually, and the nature of the discharge (lochia) also changes accordingly. During the first 5 days after birth, lochia is abundant bloody; from the 6th to the 10th day - abundant brown; from the 11th to the 15th day - moderate yellowish; from the 16th to the 20th day - scanty whitish. From the 3rd week, the lochia become mucous. Under the influence of the lactogenic hormone, milk secretion begins on the 3rd-4th day after childbirth (for some, milk may appear only on the 5th-6th day). The act of sucking has a stimulating effect on secretion. Therefore, early (immediately after birth) attachment of the baby to the breast is necessary. In the first day of the postpartum period, the mammary glands secrete colostrum (thick yellowish liquid). Colostrum is extremely beneficial for a newborn, so it is important to breastfeed at this time. After childbirth, the mother usually feels tired and needs to rest. Body temperature should be normal, a single increase in temperature can be observed on the 3rd-4th day as a result of engorgement of the mammary glands. Appetite is often absent or reduced. Often there is a delay in stool. The doctor should visit the young mother daily, measure pressure and pulse. It also determines the nature and number of lochia, the height of the uterus, the condition of the mammary glands. In order to prevent infection, all hygiene rules must be observed. Usually, a healthy woman is lifted a few hours after delivery and asked to empty her bladder. In case of urinary retention, urine is removed with a catheter. The first days to improve the outflow of lochia, it is better to lie on your stomach. On the 3rd day after childbirth, in the absence of a stool, a laxative is prescribed or an enema is given. Nutrition should be complete, with a sufficient content of vitamins and fiber. The mammary glands are washed with warm water (it is better not to use soap often, as this dries the skin very much). A woman in labor is discharged on the 4-7th day after uncomplicated childbirth (depending on the tactics of the maternity hospital). Washing in the shower is allowed from the first day, a bath - not earlier than the end of the 3rd week. Sexual life is allowed no earlier than the 6th week after childbirth. Often, a woman, at her own request or at the insistent request of her husband, resumes sexual activity earlier - which often leads to infection and quite serious consequences.
Cracked nipples
A newborn does not always and not immediately grasp the breast correctly: often only the nipple is drawn into the mouth, without the areola around, it bites strongly with the gums - this is how microcracks form on the chest. Breast milk contains healing components: squeeze out a drop of milk, lubricate the nipple. Wash your chest with water as little as possible so that the lubricant does not disappear. Medicines help: Solcoseryl ointment, Bepanten, Purelan, Aekol, Garmostan, Rotersept, Lanolin, Chicco Mamma Donna nipple cream, sea buckthorn oil, regular baby cream with vitamins A, D, chamomile, sea buckthorn, Karavaev's balm (not only heals the wound , but also anesthetizes it). The latter, unlike many other means, can not be washed off before feeding, since it contains only natural ingredients. Zelenka treatment in maternity hospitals is mainly intended for disinfection of the breast - with frequent use, it dries the skin. After applying the cream, it is necessary to ventilate the chest, gradually increasing the time of contact with air, so that the skin gradually becomes coarser and not so sensitive. Put a special absorbent pad or cotton inside the bra. Remember that you should not apply ointments immediately before feeding: the breast will slip out of the baby's mouth. With strong cracks, pumping is recommended - with continuous feeding, the breast does not heal for a long time. Try Medela's 100% lanolin Purelan nipple protectors.Bleeding
Unfortunately, only 14% of births proceed without complications. The most common symptom of the pathological postpartum period is bleeding. Causes:- Delay in the uterine cavity of parts of the child's place.
- Atony and hypotension of the uterus.
- Injury of the soft tissues of the birth canal.
- Violation of the coagulation system (coagulopathy).
- Emptying the bladder with a catheter.
- External massage of the uterus.
- Medications that reduce the uterus.
Retention of the child's place or its parts in the uterine cavity
Within 30-40 minutes after the birth of the child, the afterbirth should be born. There are several reasons for the delay in the uterus of the child's place or its parts. More often this happens when the uterus is overstretched (polyhydramnios, multiple pregnancies, large fetuses). The cause can also be previous inflammatory diseases and abortions, fibroids and tumors of the uterus. Sometimes this happens with irrational management of the afterbirth period. It is impossible to palpate, massage the uterus, pull the umbilical cord, unreasonably use large doses of oxytocin, because this disrupts the course of afterbirth contractions, causes partial placental abruption and retention of the placenta or its parts in the uterus. The main symptom of a delay in a child's place or parts of it is bleeding from the genital tract. The diagnosis of retained placenta is made on the basis of external methods for determining the separation of the placenta, and the retention of parts of the placenta in the uterine cavity is based on examination of the placenta and membranes after the birth of the placenta. If irregularities, roughness and depressions are found on the smooth, shiny maternal surface of the placenta, then this is a sign of an afterbirth defect. Methods of treatment for delaying a child's place are divided into conservative and operational. Conservative methods: the introduction of intramuscular or intravenous oxytocin to enhance subsequent contractions, which contribute to the separation of the placenta and stop bleeding. In cases of separation of the placenta, but its retention in the uterus, methods are used to isolate the separated placenta from the uterus - Abuladze, Genter, Krede-Lazarevich. If conservative methods do not give an effect, and the blood loss exceeds the physiological one, proceed to the operation of manual separation and removal of the placenta. With a delay in the uterus of parts of the child's place, only surgical treatment is always used - manual examination of the walls of the uterine cavity, separation and isolation of parts of the placenta, blood clots that prevent uterine contraction. After a manual examination of the walls of the uterine cavity and the assurance of its complete emptying, oxytocin is administered intravenously, an ice pack is placed on the lower abdomen, and the state of the uterus is periodically monitored by palpation through the anterior abdominal wall. In order to prevent postpartum infection in all cases of surgical intervention in the afterbirth period, antibiotics are prescribed. With pathological blood loss (500 ml or more), blood loss is compensated.Cervical ruptures
Cervical ruptures occur in 6% of those who gave birth, and in the first birth 4 times more often than in repeated births. The causes of gaps are different, in most cases there is a combination of several reasons:- fast and rapid childbirth;
- prolonged labor with premature rupture of amniotic fluid;
- operative childbirth - forceps, vacuum extraction of the fetus, extraction of the fetus by the pelvic end, manual separation and removal of the placenta;
- inflammatory diseases and abortions;
- in elderly primiparas (first birth after 30 years), the ability of the uterus to stretch decreases;
- improper provision of obstetric benefits.
perineal tears
Perineal ruptures are one of the most common complications of childbirth, occurring in 35% of those who gave birth, and in primiparas 2-3 times more often than in multiparous ones. The causes of ruptures are similar to those of cervical ruptures. Trauma to the perineum is preceded by signs indicating the threat of its rupture - a significant protrusion of the perineum, its cyanosis due to venous stasis, and then - swelling and luster of tissues and, in violation of arterial blood flow, pallor of the skin. Cracks may first appear on the skin of the perineum, and then a rupture occurs. If there are signs of a threat of perineal rupture, in order to avoid injury, either its median incision is performed - perineotomy, or its lateral incision - episiotomy (median or lateral). When the perineum is torn, sutures are applied. Usually, small tears are sewn up under local anesthesia, with extensive ones, general anesthesia is used. As a rule, I use catgut and silk threads. In the postoperative period, the surface of the sutures must be kept clean. The suture area is wiped with sterile swabs and treated with a solution of potassium permanganate or tincture of iodine. The perineal toilet is carried out after each act of urination or defecation. On the 5th day after the operation, the puerperal is given a saline laxative to drink, and on the 6th day after the stool, silk sutures are removed from the skin of the perineum. The recovery period takes from 1 to 4 weeks. At this time, it is recommended to limit weight lifting, long sitting, sudden movements. At home, medicines are used: levomecithin ointment Levomikol, Ezrakain, Ledocaine, Solcoseryl, Vitaon, Rescuer balm.Haemorrhoids
Such an unpleasant thing is often acquired during childbirth. During childbirth, the body experiences severe stress: the veins of the rectum, overflowing with blood, increase sharply in volume, the walls thicken, forming the so-called hemorrhoidal "knot" ("bump"). Itching appears, going to the toilet is difficult. Physical difficulties grow together with psychological ones, which acts depressingly on a woman weakened after childbirth. To deal with this problem should be on fresh tracks. With the rapid development of the disease, hemorrhoids can become chronic in 5-10 days. It is necessary to observe the correct diet in order to avoid constipation: consume as many juices and vegetables as possible. Special gymnastics (Kegel exercises) also helps to dissolve excess formations: draw the rectum inward for 2-3 seconds, repeating 20 to 50 times daily. Apply ice to the affected area. Medicines will also help: vitamin E in oil, suppositories with anestezin, belladonna, proctoglivenol, glycerin, Esculis homeopathic ointment (one swab twice a day), Fleming's ointments, Proctosedil, Ultraprokt. Glycerin suppositories can help with constipation. If relief does not occur, consult a proctologist. He will tell you how to get rid of discomfort, return to its former shape.Maria Sokolova
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Pregnancy and childbirth seriously affect the life of every woman without exception. Someone immediately feels and sees something new, someone later, but these changes do not bypass anyone. All spheres of life are subject to change. Namely: the lifestyle of the woman who gave birth, appearance, daily routine or schedule, the general rhythm of life, and, of course, health. No wonder, because a little man appears in the house, which for a long time becomes the center of attention of the whole family. Especially if he is the firstborn of young parents.
Changes in the life of a woman after childbirth - what awaits you?
Changes in lifestyle are about reassessment of values. What used to be important fades into the background, while completely new things and activities related to the child, with maternal responsibilities, in general, appear in the first place. Appearance changes even during pregnancy. The weight increases by an average of 10-12 kg, for some, even by 20. This cannot but have an impact. After childbirth, weight can behave differently for different women. For some, the weight rises again, others lose weight due to breastfeeding, while immediately after childbirth, absolutely everyone loses about 10 kg in the maternity hospital, which go away along with the discharge of water, the birth of a child and the placenta, plus blood loss here. Many women break their nails and break too much.
The baby also makes its own adjustments to the daily schedule of the newly-made mother. If earlier there was an opportunity to sleep sweetly until late in the morning, or lie down to take a nap at lunchtime, now you will have a little home boss who will dictate his own rules for everything. How much you sleep, when you eat or take a shower, now for a long time will depend only on him.
What effect does childbirth have on a woman's body?
Very important changes will occur in women's health. Childbirth is a great stress for the body, despite the fact that preparations for it went on for all nine months: the uterus experienced training contractions, and the pelvic cartilage and articular ligaments became loose and softened under the influence of relaxin. Everything is complicated by the fact that a woman, exhausted by childbirth, has to take care of a newborn 24 hours a day. The first few weeks are especially difficult.
The main health problems after childbirth that a woman may face:
1. Postpartum discharge
. Usually women are worried if these discharges do not stop within the next month. But they can normally last 40 days. If this process is delayed for a longer period, then this is a reason to contact your gynecologist. Otherwise, the recovery of the body will not occur at the pace at which we would like. During this period, frequent washing with warm water and soap is recommended. In case of cracks and sutures in the vagina and perineum, it is necessary to apply a wound healing ointment, usually Levomekol. It is strictly forbidden to use tampons and douches, due to the high risk of infection.
Reviews from the forums:
Katerina:
I had very little postpartum discharge. Just a couple of weeks. But I know that all this lasted for more than a month for my friends. Everyone's body seems to be different.Irina:
I suffered with seams for a long time, very much. Even in the maternity hospital, such edema went at the site of the sutures. Went every day for washing until discharge. She's already at home. Three weeks did not sit down at all. Then I started slowly, when the pain stopped a lot. Now everything is fine, the seam is almost imperceptible, but as I remember all this kotovasia, it twitches.
2. Unstable hormonal background. It usually improves after the end of breastfeeding. It is believed that active hair loss after pregnancy and rashes on the skin of the face occur due to hormonal imbalances. If after the end of feeding the problems do not go away, and you understand that the body will not come to its senses in any way, then it is worth visiting a doctor to pass the necessary tests and understand what is missing and what is in excess, understand the cause of hormonal disorders and receive qualified treatment, to improve the production of hormones. Usually it’s enough just to rest more, eat healthy foods, walk in the fresh air, that is, correctly adjust the daily routine and nutrition. It is important to know that the use of oral hormonal contraceptives should be started only after 3-6 months after the installation of a regular cycle.
Reviews from the forums:
Kira:
I had only one problem after childbirth. Hair began to fall out terribly. I did a bunch of different masks, it seemed to help, but after stopping everything resumed. Everything returned to normal only after the end of feeding.Natalia:
Oh, I became so nutty after giving birth, my skin is terrible, my hair falls out, I yelled at my husband. Thank you advised to be examined for hormones. After the treatment everything was great. I can't imagine what it would have been like if things had continued like this. Many couples get divorced after having a baby. And it turns out it's just hormones.
3. Irregular cycle. Periods may not occur even for more than a year with ideal breastfeeding, because the hormone prolactin blocks the production of progesterone and estrogen, which contribute to the maturation of the egg and, therefore, the resumption of menstruation. After the cessation or reduction of lactation, these hormones begin to be actively produced and start this process. But don't wait for a perfect cycle until you stop feeding completely. Normally, periods resume before this event or 1-2 months after and become regular within six months after the end of lactation. If this did not happen, then it would be very useful to visit a gynecologist-endocrinologist in order to check the hormonal levels.
Reviews from the forums:
Evgenia:
My periods returned when the baby was 3 months old, although we were purely breastfeeding. Maybe, however, the fact that the first month I only decant, did not feed my son, had an effect. After all, he was born prematurely, he spent a month in the hospital for growing.
4. Cracked nipples. With this problem, the feeding process turns into a real torture. The reason for this is the baby's improper grip on the nipple. The problem will be solved if you make sure that the nipple, along with the areola, is completely captured by the baby's mouth. For the purpose of prevention and treatment, you need to use various creams and gels (Panthenol, Bepanten, etc.) or silicone pads.
Reviews from the forums:
Renata:
Bepanten helped me a lot. I smeared the nipples without waiting for cracks. I washed it off before feeding, although it says “do not rinse”, but I was afraid of something. Apparently, thanks to him, I did not know what cracks are. But my sister suffered a lot. I had to buy pads, it was easier for her.
5. Stretched vaginal muscles. This is a necessary consequence of all natural childbirth. Many women worry about whether the vaginal muscles will return to their pre-pregnancy state. Although it was worth thinking about even before childbirth, and performing special exercises that increase the elasticity and elasticity of the walls of the vagina, respectively, increasing their extensibility without consequences during childbirth. Ideally, the vagina returns to its original appearance 6-8 weeks after delivery. Depending on the degree of difficulty of childbirth, this period may be delayed, in some cases even surgery may be required. Kegel exercises will help speed up the return of the walls of the vagina to the prenatal period. The result of these exercises your spouse will not leave unnoticed.
Reviews from the forums:
Veronica:
I was very afraid that there would be problems in sex after childbirth, precisely because the vagina would remain stretched. But I was wrong, nothing like that happened to us. True, I looked for some special exercises on the Internet and performed them a couple of times a day while my daughter was sleeping, maybe they helped, or maybe everything returned to normal by itself ....
6. Hemorrhoids. A very frequent companion of the postpartum period, this trouble appears due to strong attempts, and can poison life for a long time. For treatment, it is important to establish a regular stool, eat foods that have a slight laxative effect, while going to the toilet, the main thing is not to push, it is worth using glycerin and sea buckthorn suppositories for the first time. The first will help to empty without problems, and the second will heal bleeding cracks in the anus.
Pregnancy and the appearance of a baby leads to the launch of processes. The body of a woman undergoes changes after childbirth, so it will take a long time to recover. All organs gradually return to their original state. A woman in labor can help herself return to her previous shape faster.
Rejuvenation of a woman after childbirth is a change for the better. The activation process begins, which brings the body into order. Most of all, what is happening affects the reproductive system.
What happens to a woman's body after childbirth:
- hair fall out;
- nails become brittle;
- weight gain;
- the uterus is shrinking;
- the work of the ovaries changes;
- the volume of circulating blood decreases;
- constipation;
- weak urination.
The female body after childbirth reacts sharply to changes. The uterus contracts and returns to normal size. The production of oxytocin, which occurs due to breastfeeding, helps in this. The female reproductive system is represented by an open wound. Lochia are released, which eventually decrease and become a mucous consistency. The cervix becomes cylindrical.
In the first weeks, the body is updated after childbirth, the blood volume decreases, the concentration of thrombophlebitis responsible for clotting increases. This is a reaction to postpartum hemorrhage.
What changes in a woman's body after childbirth:
- the pulse becomes rare;
- plasma volume decreases;
- milk is produced
The impact of childbirth on a woman occurs in different ways, since the process depends on age, diseases. If, before delivery, the mother has an accelerated pulse, after the appearance of the baby, it is restored and becomes more rare. The heart is working properly. The uterus shrinks, when feeding there is a feeling of contractions. The chest undergoes changes. First, colostrum is produced, on the third to fourth day milk appears.
Women report pain in the abdomen, which disappears after a few days. In some cases, they resort to cleaning. Full recovery of the body occurs at 6-8 weeks after birth. After two months, they begin physical activity to tighten the stomach. It is allowed to perform Kegel exercises to strengthen intimate muscles as early as 4-5 days. Gymnastics will help with hemorrhoids, which often occurs due to constipation.
What are the benefits of childbirth for a woman:
- prevention of gynecological diseases;
- rejection of bad habits;
- appearance changes. mom is getting younger
- establishing contact with her husband;
- the opportunity to relax;
- invaluable experience.
Is it true that the body rejuvenates after childbirth? From medical practice, this is impossible. The appearance of a baby at the age of 35–40 and breastfeeding, in a psychological sense, will help you feel like a young mother.
Some women in labor talk about the dangers of childbirth for the female body. In the process of bearing a child, chronic diseases become aggravated, new problems arise. Sometimes pregnancy comes with complications. A huge load on the organs leads to psychological disorders and a long recovery of the body, therefore, it is believed that a woman is aging.
Is it good for a woman to give birth? Yes, it makes you feel young and beautiful. Many mothers who have been trying to fight weight for a long time note the restoration of hormonal levels. After the appearance of the baby, getting rid of extra pounds is easier and faster.
When does the body begin to lose weight after childbirth? In the process of the appearance of a newborn, a woman loses up to 10 kg. The weight stays on as long as mom can't exercise. Proper nutrition, a mobile lifestyle will allow you to see the result in six months. You can not choose a diet while the baby is breastfeeding. During lactation, the child receives the necessary substances with mother's milk for full development.
Changes in the body
The recovery time for changes in a woman's body is different. This is influenced by age, what births were in a row, how they went, whether they were natural, whether a caesarean section was performed. Each organ will return to its previous position, will work properly with timely assistance and a healthy lifestyle.
Uterus. He is severely injured. Recovery with natural delivery occurs after two months. The periods are divided into early - 2 hours after the appearance of the baby, and late - up to eight weeks. At first, lochia comes out, by the 12th day the endometrial tissue is restored. The organ comes into tone in a month. After a caesarean section, the process is slower, as the integrity of the uterus is violated. The help of a gynecologist will be needed for atony and hypotension.
Cervix. The work of the body will return to normal later. By the second week, the internal pharynx will close, after a month the external one is formed. The original appearance changes as the fibers of the fabric remain stretched. The first hours the diameter of the lumen will be 12 cm, on the second day - 4 cm, by the end of the second week the ring closes to the size of a fingertip.
Vagina. The genital organ, which is significantly injured in the process of delivery. With the passage of the fetus, stretching occurs, loss of tone and elasticity. After 8 weeks everything is back to normal. The size of the vagina does not change, but the shape changes for a certain period. Edema subsides in the first four days. The resulting cracks and abrasions resolve within a crescent. The relief of the walls is smoothed out, there is a feeling of an increase in the organ.
Cycle. In the absence of lactation, ovulation occurs at week 10. The first menstruation is at 7-12. With a caesarean section, the terms are the same and depend on the method of feeding the baby. The first discharge appears immediately after childbirth, as the mucous membrane and vessels of the uterus are damaged. Within three days, the discharge is bloody with particles of the endometrium. Then a sanious liquid of pink-yellow color comes out. By day 10, there is practically no admixture of blood.
The cardiovascular system. All changes disappear after three weeks. The decrease in cardiac output occurs 3-4 hours after delivery. The pulse is restored in an hour. Indicators return to normal after 14 days. The heart takes its place when the diaphragm is lowered. Functional systolic murmur resolves gradually. The blood pressure first decreases, then reaches normal levels.
Urogenital system. Due to the decrease in the muscles of the pelvic floor, the woman does not feel the urge to urinate. It is required to empty the bladder on its own every two hours, so as not to interfere with the discharge of lochia and not cause an inflammatory process.
Milk glands. The female breast secretes colostrum, then milk. This allows the newborn to be nourished and protected from harmful bacteria.
Figure. After childbirth, women are dissatisfied with the changes that occur with the body. With weight gain, a big belly becomes a problem. It will not be possible to quickly bring it to its previous state.
The muscles are stretched and diverge from the midline. Classes are allowed to be carried out 2 months after delivery. Until this time, you can not perform active exercises, use serious physical activity for weight loss. Muscle contraction will help breathing exercises.
Leather. The main problem is the skin. It sags on the stomach, stretch marks appear. On the face there are changes in the epidermis, peeling, acne and rashes.
Hair. Shedding begins after childbirth, as estrogen levels decrease during lactation. Chronic lack of sleep, poor blood circulation, the use of anesthesia during caesarean section affects the hair.
Hormones. With physiological changes, a dishormonal disorder occurs. Increased body weight, there is chronic fatigue, irritability. Libido decreases, menstruation becomes profuse and painful, age spots appear.
Ovaries. In the postpartum period, the corpus luteum regresses, the follicles mature, and the menstrual cycle is restored.
Complications
Childbirth affects the health of a woman not only positively, the process often ends with breaks, you have to make an incision. Recovery comes with pain. In parturient women, inflammatory diseases are noted, provoked by infections of the genitourinary organs. Among the reasons are low immunity, negligence to the rules of intimate hygiene.
What happens to the female body is affected by anemia, poor clotting, interference in the birth process, large blood loss, a long anhydrous period, and the remains of the placenta in the uterus. Common complications include endometritis, abnormal bleeding, mastitis, and inflammation of the urethra. Sepsis, pyelonephritis, thrombophlebitis, peritonitis are noted.
Despite the benefits of childbirth, complications occur after caesarean section, which are divided into three groups. They are noted on the seams, internal organs and when anesthesia is used. Cervical ruptures occur due to the fact that a woman is pushing when the organ has not yet fully opened. Problems with the vagina are observed with premature attempts and prolonged stagnation of the head of the newborn in one place. The obstetrician ascertains bleeding, therefore, it is required to carry out suturing with absorbable material.
The area near the scar is inflamed. When connecting the cavity of the rectum and the bladder, a fistula is formed, which is subsequently excised. Tears occur when the fetal head presses on the muscles. First degree: the skin of the perineum and the vaginal mucosa are damaged. In the second degree, muscle damage is added, in the third - the sphincter.
If there is a threat of rupture, an episiotomy will help to avoid injury. Subsequently, the woman in labor notes pain in the suture area during intercourse. This lasts for half a year. There are bleeding and seals, hematomas. With improper care, a purulent and inflammatory process develops. When an infection enters, the sutures diverge. This happens when the restriction of physical activity is not observed.
Recovery of the body
Gynecologists believe that childbirth is beneficial for the female body. With the right approach to the process of the appearance of the baby, recovery occurs quickly. Every mother should go through it step by step.
The first recovery stage falls on four hours immediately after the birth of the fetus. The second one starts from the next hour until the full restoration of the functions of each organ. The uterus becomes 12 cm in cross-section, the mucosa returns to normal, the weight decreases to 60 g. The swelling of the external genital organs decreases. Women are allowed to exercise. This affects regular bowel movements, weight loss. Internal organs: intestines, stomach, bladder - return to their original position.
The body is updated, the cycle is being adjusted, the hormonal background, the body returns to normal after childbirth, the muscles of the chest, abdomen and back are restored. The ovaries begin to work, the egg matures. Childbirth rejuvenates the body of a woman, helps in the emotional and psychological sphere.
It is believed that childbirth ages a woman, but mothers note an improvement in the general condition of the body, a surge of strength is felt. The total recovery time is about two months. This period is extended if the delivery was by caesarean section. Only after 3 months the woman feels well. Her mood rises, the discharge disappears, the figure returns to normal. Physical exercise is allowed no earlier than six months later.
How much is the body cleansed after childbirth? On average, this will take about two months. Depending on the type of delivery, a period is noted ranging from a month to six months. The age of the woman in labor affects how many children were born.
The body is weakened after childbirth, so in the process of recovery, a woman should follow simple rules in order to quickly return to her previous form. The first 10 days are washed in the morning and in the evening, as well as after each visit to the toilet. It is important to do this from the perineum to the anus so as not to introduce an infection. Clean hands wash the pubic area, hollow lips, inner surface, anus.
Do not use a washcloth so that additional cracks do not appear. If there are hemorrhoids, do not use toilet paper. For washing, you will need soap or gel for intimate hygiene. Choose cotton underwear. Natural fabrics breathe and do not irritate the skin, do not create additional discomfort, and promote the healing of sutures.
Physical activity will help restore the body. Gymnastics is performed no earlier than a month after childbirth. You can strengthen muscles by dancing, long walks, swimming. Accelerates the recovery process proper nutrition. A woman adheres to a diet in which there are no fatty and fried foods, smoked meats. Eat boiled meat and fish, dairy products. With their help, metabolism is restored, which will lead to weight loss.
In the daytime, mom should not do household chores. It is better to rest with the newborn. You can carry out cosmetic procedures, do yoga. Procedures will restore the beauty of the skin, make it elastic. It is recommended to use masks for hair and nails. At this time, you can get carried away reading or knitting.
Each woman's body behaves differently after the appearance of a newborn. Recovery of the body after childbirth is a long and laborious process. Don't be in a hurry. Following the advice of a gynecologist, adhering to the diet, water regime, you can quickly restore weight, make the figure attractive, and achieve results.
