It takes a long time for a woman to return to her pre-pregnancy state after giving birth. This process is called? Puerperal period? It usually takes about 42 days. But the recovery of the body is not something that mothers can feel, and it needs to be done in the hospital. Postpartum review? Is that what we often hear? 42 days after delivery? . Only in this way can we know our recovery in time, and if there is anything abnormal, we can treat and correct it in time.
Whether there is a baby or not, if the baby is not examined at the full moon, it is best to take the baby with you. If the baby is examined at the age of 30, you can not go. It generally depends on whether the baby's physical development is up to standard.
What tests should I do in the 42-day postpartum review? What must be done? Check 1. Measure the weight
Importance: ★★★★★
Weight measurement is a necessary link for postpartum mothers. Postpartum weight change is not only a concern of new mothers, but also can monitor their physical recovery. Under normal circumstances, the weight 42 days after delivery will increase by about 13 kg compared with that before pregnancy. If you gain weight too fast or lose weight too fast, you should pay enough attention to it.
Suggestion: The main reason for rapid weight gain is overnutrition or lack of activity during confinement. New mothers should reduce the intake of staple food and sugar, eat more foods rich in protein and vitamins, and do proper exercise to help control their weight.
Check 2. Measure blood pressure
Importance: ★★★★★
Postpartum blood pressure may be increased due to changes in diet structure, irregular work and rest, poor mental state and other factors. If blood pressure rises for a long time, it will lead to the decrease of effective circulating blood volume, ischemia and the decrease of oxygen carrying capacity, which will endanger all organs and tissues of the whole body. Especially during pregnancy? Pregnancy induced hypertension syndrome? After giving birth to a baby, we should continue to monitor the changes in demand.
Suggestion: postpartum new mothers should pay attention to measuring blood pressure during the 42-day review, if there is one during pregnancy? Pregnancy induced hypertension syndrome? It is best for pregnant women to monitor once after delivery 1-2 weeks, and compare the blood pressure during pregnancy to see the changes. If they need medical treatment, they should seek medical treatment as soon as possible. The normal blood pressure of adults is 120/80mmHg.
Test 3. Uterine examination
Importance: ★★★★★★★
After giving birth to a child, the uterus will suddenly contract again, just like a balloon deflates, but it will not always be like this, but will pass? Postpartum contractions? Change back to its original size. The height of the fundus usually drops to the navel after delivery, and then drops by about 1-2cm every day until it enters the pelvic cavity two weeks later, and finally cannot be reached from the abdomen.
Suggestion: When reexamining 42 days after delivery, the uterine examination mainly depends on whether the size and position of the uterus return to normal and whether there is prolapse or not. If there is any abnormality during the examination, you should consult a doctor more, and then take effective measures to correct the position of the uterus to avoid poor recovery of the uterus.
Test 4. Vaginal examination
Importance: ★★★★★★★
For lying-in women, because the fetus is delivered from the vagina during delivery, the process of opening the cervix will make the vagina expand sharply, which may cause the vaginal muscles to be squeezed and torn. Although the vagina itself has a certain repair function, if it does not recover well, it may prolapse, which will bring a lot of influence to the new mother's life.
Suggestion: Vaginal examination is mainly to check the recovery of perineum and birth canal wounds and whether the vaginal wall bulges. In addition, the doctor will also observe the amount and color of vaginal discharge and whether the lochia is clean.
Check 5. Pelvic floor examination
Importance: ★★★★★★★
Pelvic dilatation and pelvic floor muscle stretching during normal delivery are easy to cause injuries. In human anatomy, pelvic floor plays the role of pulling up pelvic organs such as bladder, uterus and rectum, and maintains important physiological functions of urination, defecation and husband and wife's life.
If pelvic floor injury occurs during delivery, it will cause abdominal distension, relaxation of birth canal, frequent urination, constipation and other minor discomfort. And severe urinary incontinence, uterine prolapse, rectal prolapse, etc. , causing unspeakable pain to the new mother.
Suggestion: It is necessary for every postpartum mother to check the pelvic floor function and observe the recovery of postpartum pelvic floor, and the doctor will check it through examination? Recovery level? If the recovery is not very good, some recovery suggestions will be given, which postpartum mothers can't care about.
Test 6. Wound examination
Importance: ★★★★★★★
Whether it is the examination of caesarean section incision or the examination of lateral incision or tear during delivery, the examination of wound is one of the key items to be examined 42 days after delivery.
The mother's wound in caesarean section is in the abdomen, and the mother's cut or torn wound is in the private parts. Both kinds of wounds will be very painful, and if you don't pay attention to hygiene after delivery, you will also have infection symptoms.
Suggestion: When reexamining 42 days after delivery, you must ask a doctor to observe the wound healing. It is easy to pollute the wound because of grasping or postpartum lochia and defecation. Once infected, it will bring great physiological and psychological effects.
Test 7. Breast examination
Importance: ★★★★★★★
Is it the same for new mothers after childbirth? Breastfeeding? Most of them insist on breastfeeding their babies, but in the first month, they have a relationship with their babies. Running-in stage? , prone to all kinds? Breastfeeding problem? Such as breast enlargement, breast blockage, chapped nipple and mastitis. Even some mothers have underarms? Vice breast? It hurts.
Suggestion: Under normal circumstances, a routine breast examination will be done 42 days after delivery to see if there are any milk blockages, nodules or other conditions. As a novice mother, there will be many questions and situations about breastfeeding. At this time, you can consult your doctor more.
Check 8. Urine routine
Importance: ★★★★★★★
Urine routine can directly reflect the situation of urinary system, which is a necessary examination for every new mother 42 days after delivery. If you don't feel that you have finished giving birth, there is no need to check your urine routine.
Suggestion: Especially during pregnancy? Pregnancy induced hypertension syndrome? And then what? Feeling uncomfortable urinating? New mothers should pay more attention to routine urine examination. If the abnormality is found through examination, it means that the new mother has the possibility of hypertension, kidney disease, diabetes and urinary tract infection.
Check 9. routine blood test
Importance: ★★★★★★★
Routine blood tests, especially the monitoring of hemoglobin and platelets, are also very important at the 42-day postpartum review. Insufficient iron supplementation during pregnancy and excessive blood loss during childbirth will cause postpartum anemia in new mothers. Anemic new mothers often feel very tired and dizzy, especially when taking care of their babies, which will also lead to insufficient milk secretion and indirectly affect the healthy development of their babies.
Suggestion: check 42 days after delivery, should new mothers pay attention? Hemoglobin? Depending on whether there is anemia, new mothers should also pay attention to iron supplementation in the postpartum recovery stage, and they can eat more foods rich in iron and vitamin C appropriately, so as to have the best iron supplementation effect and prevent and alleviate anemia.
What tests must be done 42 days after delivery?
The physical examination items required by each local hospital will be different, and some hospitals simply do it? Routine examination and pelvic floor examination? And some hospitals? Full inspection? Both are needed, especially bone mineral density measurement and medical examination.
Since the doctor has a request, it must be meaningful. It is good for mother to actively cooperate with the doctor. After all, postpartum check-up is comprehensive, and you can learn more about postpartum physical recovery. If you are in good health, you can take better care of your baby and ensure a harmonious life between husband and wife in the future.
Ma Jing said: Medical major, nutritionist mother, multi-platform mother-infant original author, sharing professional and practical knowledge of maternity and child-rearing, welcome to pay attention.