On what it is necessary to pay attention during the postnatal period

The postnatal period begins with the moment of a birth of a placenta and continue approximately 4 — weeks. At this time in an organism of the woman in childbirth almost all измененя in systems and the bodies, arisen at pregnancy and sorts, are exposed o6pai ному to development. Sharp transition to a usual condition — considerable load therefore the woman in childbirth requires special attention and care. At this time arguments often arise or already available infringements of blood circulation of a metabolism are aggravated. So, for example, there can be a relapse old туберкулезнея process. Roughness of the mood is characteristic, some women test дипрессию, all see in black light, fear forthcoming efforts and cares, about пасаются not to cope with them. This temporary phenomenon, only in an unusual case is a question of a true psychosis then the help of the psychiatrist is required.
Right after sorts uterus reduction begins. In the end of pregnancy it weighs approximately 1000 — 1500 г and has volume 3 — 4 l. Later 8 — 10 days has eaten sorts it already in size with a fist of the person. Signs of normal reduction of a uterus — postnatal fights and allocation (лохии). The internal surface натки represents extensive раневую a surface. From it the blood mixed with parts of a fabric and раневым by a secret is allocated. At first after sorts лохии are plentiful, кровянистые. Later 5 days they become brownish, their quantity decreases. By the end of 10th or 11th day they become zheltova-shmi. Later 3 — 6 weeks of allocation disappear. If through 4 — 5 weeks лохии still кровянисты also are plentiful, similar менструациям or is even more plentiful, it is necessary to see a doctor. In time to define infringements of process of reduction натки and to take necessary measures, the doctor and if childbirth was accepted in house conditions the midwife should measure uterus size daily.
For a long time became clear, that the muscles are restored by regular daily exercises, instead of the tightening of a stomach accepted earlier by elastic belts. Though in some cases, for example at weakness of a belly wall, and it can benefit, but only in addition to daily gymnastics. To make active muscles and blood circulation, doctors advise to women in childbirth to refuse a strict confinement to bed which often recommended before. Now the woman in childbirth gets up for the first time already after the greatest 12 ч after sorts. Early refusal of a strict confinement to bed is considered simultaneously good preventive maintenance from a possible thrombosis and эмболии. So formation of clots in vessels which a blood current go to lungs is called and can cork arteries, breaking their passableness. These extremely diseases dangerous to a life can arise as complication after sorts.
During the postnatal period it is necessary to observe in the strict image rules асептики and antiseptics as allocation contain pathogenic bacteria, and раневая a surface of a uterus, a graze and ruptures of soft fabrics of patrimonial ways and a crack of nipples can be places of penetration of activators of an infection. The midwife should give to the woman in childbirth necessary recommendations about features of observance of rules of hygiene during this uneasy period. In the first 5 — 6 days after sorts are necessary to make a daily careful toilet of external genitals a disinfectant solution (necessarily in the end of the general toilet of a body). It is necessary to empty intestines daily. Bleach мочеиспускание it is complicated and it is painful, it is necessary to address to the doctor. To eat in the first 7 yens after sorts follows not plentifully, to avoid heavy dishes for digestion and products, which пучат a stomach. Feeding mothers should increase liquid consumption: to drink it on 3/4 or 1 l more than usually. The requirement for vitamins and кальции becomes more, it is recommended in addition: to accept them in the form of tablets.
During the postnatal period seams in the field of the external sexual heal also; bodies and a vagina. Usually later 5 days after sorts remove seams.
Until is allocation (лохии), it is impossible to renew a sexual life: Usually it lasts 4 — 6 weeks. During same time it is impossible to take a bath, the shower is authorised only. In no event the woman in childbirth should not right after returnings home from maternity hospital be accepted to work, same concerns and habitual house efforts. It is impossible to lift and transfer weights, often to walk upstairs. The best, having returned from maternity hospital, in the first 2 weeks to be engaged only in the child.