Nursing care in the first week after delivery
Under normal circumstances, caesarean section requires hospitalization for about five to seven days, so the first week is very important. Ma Bao should do the following four things.
First, get out of bed as soon as possible. Caesarean section is very different from natural delivery. The incision is about 10 cm. Some precious mothers take more than half an hour to get up for the first time. Getting out of bed can restore gastrointestinal function as soon as possible. It can also prevent intestinal adhesion and venous thrombosis of lower limbs, which is very helpful for postpartum recovery.
Secondly, Ma Bao should exhaust as soon as possible. After exhausting, the intestines and stomach will return to normal function, which also shows that Ma Bao can eat. The later she exhausts, the later she eats, the slower her physical strength and the slower her milk production, so it is very important to exhaust.
Third, try not to rely on catheters. Before caesarean section, the doctor will insert a catheter for Ma Bao, and will always rely on the catheter until she gets out of bed after delivery. However, catheter should not be used for a long time, which will cause urinary tract infection and increase the trouble of postpartum recovery.
Fourth, Mabao should change dressing and disinfect in time.
During his stay in hospital, the nurse will change the medicine and disinfect Ma Bao every day. When Ma Bao comes home, he should also pay attention to the wound, don't squeeze it, don't hold the child all the time, and stay in bed, so as not to cause secondary injury to the stomach and affect the wound healing.
Mother doesn't want to get sick by caesarean section. In addition to the above four things, the following five things are more important, especially in the first three months after delivery.
First, emotional problems.
Hormones during pregnancy and postpartum will change greatly, and with the change of roles and physical discomfort, mothers will inevitably feel lonely, helpless and painful emotionally. Therefore, taking good care of emotions is the most important step in postpartum recovery.
In order to avoid the contradiction between mother-in-law and daughter-in-law, it is best for mother-in-law to straighten her position and be competent in taking care of the baby. If she is not competent, her husband should adjust in time. It is best to hire a new moon before giving birth, and professional people do professional things, so that mothers will feel at ease, at ease and in a happy mood.
Second, don't overwork yourself.
The weight of a child will increase rapidly after birth, and it is also a huge physical labor for a mother to feed and hold the child every day, especially at night when she takes care of the child alone and gets up frequently, which will also affect postpartum recovery.
Other mothers began to do housework after finishing the second month, and they were so tired that their backs ached and their legs hurt. Many mothers' backaches fall at this time. In fact, this is not worth the loss. When it's time to rest, they should stay in bed and leave the task of taking care of the children to their families. When they recover, they will get twice the result with half the effort.
Third, the scientific use of parenting tools, now that technology is developed, care for children should also pay attention to worry and effort, such as some easy-to-use waist stools, strollers, fences to prevent babies from crawling around. It will lighten a lot of burdens for mothers.
Fourth, avoid sex.
Normal delivery and caesarean section have different time in the same room, especially for mothers who have caesarean section. The time of sharing the same room should be appropriately delayed, and it should be avoided as much as possible within three months after delivery, so as not to cause cross-infection and let the mother suffer from gynecological diseases. In addition, the resistance is low during the second month, which is easy to breed bacteria and affect postpartum recovery.
Fifth, don't catch a cold during confinement.
When doing confinement, you can properly open the window for ventilation, or you can take a shower and wash your hair, but only if you take necessary protective measures. Mother tries not to touch cold water, so as to avoid the cold gathering in the body and produce moon disease.
Moon disease mostly comes from fatigue and emotional trauma, and the mother's body suffers great pain. However, if you want to export your baby's nutrition and body, your body will suffer serious losses. Therefore, how to take care of the baby easily is the most fundamental reason to avoid moon disease.
Caesarean section requires hospitalization for five to seven days. What can I do during hospitalization this week after delivery to resume caesarean section? I believe that most expectant mothers who are preparing for caesarean section have this question. Caesarean section and traditional delivery are essentially different, so if you want to recover by caesarean section, you have to find another way.
First, we must get up as soon as possible. Getting out of bed as early as possible can enhance gastrointestinal peristalsis, exhaust quickly and prevent venous thrombosis of lower limbs, which is very helpful for later recovery.
In addition, exhaust as soon as possible, and don't rely on the catheter. Venting is eating. Self-urination will greatly reduce the risk of urinary tract infection, and finally diet. For mothers who have caesarean section, special attention should be paid to diet. Try not to make up first, pay attention to step by step.
Get out of bed properly after cesarean section to increase gastrointestinal peristalsis, promote the recovery of gastrointestinal function, prevent intestinal adhesion and reduce the occurrence of venous thrombosis of lower limbs. After 6 hours, you can eat a liquid diet, a semi-liquid diet after exhausting, and a normal diet after defecation. Pay attention to balanced nutrition, ensure enough calories, eat more fresh vegetables, eggs, milk, bean products, drink soup properly to ensure adequate milk, and supplement iron and vitamins appropriately. It is recommended to supplement iron for 3 months. Remove the catheter as soon as possible, and the catheter should be removed as appropriate the next day after cesarean section to reduce urinary tract infection. Oxytocin should be used routinely after operation to promote uterine involution. At the same time, attention should be paid to prevent thrombosis, blood is in hypercoagulable state during pregnancy and delivery, and the risk of deep vein thrombosis increases due to pain and fear of activities after cesarean section, so corresponding measures are suggested. First, patients should be encouraged to get out of bed properly, and then individualized treatment should be given according to whether the parturient has high risk factors of thrombosis, such as wearing elastic socks and using intermittent inflatable devices. Drink plenty of water, exercise properly, use low molecular weight heparin to prevent thrombosis, and finally pay attention to indoor ventilation and good hygiene habits.
I. Precautions for confinement by caesarean section: 1. It's time to work in the fields.
2, dietary considerations:
(1) First meal after operation (usually 6 hours after operation): Take some vented food (such as radish soup). ) and take intestinal exhaust as a sign that you can start eating.
(2) The first day after delivery: Generally, liquid foods such as egg soup and rice soup are the main foods, and flatulence foods such as milk, soybean milk and a large amount of sucrose are not allowed, which are given in 6-8 times.
(3) The day after delivery: If you feel healthy, you can eat some soft and semi-liquid foods, such as porridge, noodle soup and wonton.
(4) The third day after delivery: After two days of adjustment, Ma Bao still dare not be careless. If she eats tonic food at this time, it is easy to increase her milk. At this time, high-quality protein, various vitamins and trace elements should be supplemented.
Generally speaking, the principle of postpartum diet in the first week of caesarean section is to promote wound healing, so in diet, we should pay attention to rich nutrition, soft taste, easy digestion, less food and more meals. Recipe recommendation: radish soup, Chen Pizhou, millet brown sugar porridge, hawthorn porridge, sesame oil pork liver, yam and barley porridge, sweet glutinous rice porridge, red bean soup, tomato and egg soup.
Second, the key points for attention in the recovery process of caesarean section: 1, pay attention to wound care.
Generally speaking, postoperative wounds sometimes itch. My daughter-in-law is also a caesarean section, and she wants to use a binding belt during her postoperative recovery. But the wound is particularly itchy. It's no use causing it. Ma Bao should be careful not to rub the wound during caesarean section, especially when feeding and dressing the baby. At this time, it is suggested that Ma Bao wear a long breast-feeding vest, which is not only convenient for breast-feeding, but also can protect the abdomen, and the fabric is softer than other coats, so there is no need to worry about rubbing the wound.
2, cooperate with the nurse to do abdominal compression.
When I was accompanying my daughter-in-law for post-operative review, I heard my mother say that abdominal pressure really hurts. But even if it is unbearable, try to cooperate with the doctor, and the action of pressing the abdomen is conducive to recovery.
3. Pay attention to getting up.
Most mothers after caesarean section like to stay in bed, because a little movement will involve the wound, which really hurts and they don't want to move. But if the doctor agrees to get out of bed, try to stick to it.
The recovery of caesarean section is mostly closely related to confinement. Especially the care of wounds. After 42 days, the rest of the body will recover, which is a slow recuperation process. Finally, I still want to remind you that physical recovery needs a process, so don't worry. So as not to leave health hazards.
If you want to have a caesarean section, first of all, don't walk around underground within 24 hours after caesarean section, and be sure to stay in bed to avoid incision infection. After 24 hours, you should exercise properly underground to avoid adhesion, and you must exhaust before you can eat normally, otherwise it will easily lead to bloating and affect postpartum recovery. Caesarean section should also pay attention to the diversification of diet. You can eat more high-calorie, high-protein and digestible foods. Don't eat spicy food that stimulates the cold. Wear loose and comfortable clothes. Don't wear tight clothes to avoid strangling the knife edge and affecting the recovery of the knife edge. Caesarean section is more harmful to maternal health than natural delivery, and the recovery speed after delivery is not as good as natural delivery. Therefore, during confinement, we should pay more attention, be sure to rest more and not be too tired, get enough sleep, be nutritious, and keep a good mood. You should check again 42 days after delivery.
After the baby is born, it is best to insist on breastfeeding and give the baby breast milk. After weaning, add milk powder. I chose Aide Platinum milk powder close to breast milk for my baby, and the milk powder that I have been drinking in Malaysia Free Trade Zone is issued by customs supervision. The baby has been drinking well.