There are a lot of precautions: First of all, pregnant women should drink chicken soup and old hen nutrition, but be careful not to eat spices and soy sauce during confinement, which will leave stains. If you don't brush, your gums will shrink and you can't go out to see the wind. Anyway, I found a lot of taboo things for you. I hope 10 pregnancy is useful. This process is a great change for the mother, the baby and the family. For thousands of years, China people have had the traditional habit of "confinement" for lying-in women. From a scientific point of view, some of these customs are reasonable, but some customs are unreasonable and even contrary to science. Rural doctors and general practitioners engaged in primary health care should be active advocates of scientific confinement. 1 Do women have to stay indoors 1 month? Because the parturient consumes a lot of physical strength and energy during delivery, she should get enough rest and sleep after delivery. Especially those who have had cesarean section, lateral perineal incision or other complications need careful nursing. The traditional habit of China people is not to go out after delivery 1 month, and the doors and windows at home are closed. Some women lie in bed after their babies are born, and even eat and excrete in bed, thinking that this can make their bodies recover quickly. In fact, this is neither scientific nor civilized, which will make the parturient lose appetite, slow the recovery of the uterus, and is not conducive to the discharge of lochia. Generally speaking, after delivery, as long as the physical fatigue has disappeared, the mother can sit up to eat, get into the water, get out of bed to change the baby's diaper, or walk indoors, on the principle of not feeling tired. After delivery 10 days or so, you can do some slight housework or go out for fresh air. Proper exercise helps the uterus to recover as scheduled, which is conducive to the discharge of lochia, and it is also an important aspect to prevent postpartum constipation. Of course, pregnant women should avoid heavy physical labor, squatting for a long time and lifting heavy objects, so as to avoid vaginal prolapse caused by the increase of abdominal pressure. Can women brush their teeth and take a bath? Some pregnant women abide by some traditional customs, and do not brush their teeth, comb their hair or take a bath during confinement, for fear of damaging their health. Actually, it's not good for your health. As we all know, not brushing your teeth is most likely to cause periodontitis, gingivitis and multiple dental caries; If you don't take a bath, there will be a lot of sweat on your skin, spilled milk and lochia in your lower body, which will make your skin dirty. If it is not cleaned up in time, these liquids will mix together. First, the unpleasant smell will make the parturient feel uncomfortable all over the body, and her mental state is not good, which is not conducive to physical recovery. Second, it will accumulate a large number of germs and make them take advantage of it, causing folliculitis, endometritis, mastitis and so on. , even sepsis. Maternal women can brush their teeth, comb their hair and wash their hair normally. If there are no incisions and wounds in perineum and abdomen, you can take a bath the next day after delivery, but you can't take a basin bath to avoid retrograde infection. Of course, pay attention to the room temperature and water temperature when taking a bath to avoid catching cold. If the perineal wound is large or severely torn, or there is a knife edge in the abdomen, you can take a bath first, and then take a bath after the wound heals. How many clothes should a woman wear? In some places, the old custom is that pregnant women should wear thick quilts and long trousers after giving birth. Even in hot summer, pregnant women are allowed to wear thick cotton or wool trousers and socks, wear scarves on their heads and close doors and windows at home. This is really unreasonable. Clinically, we have seen many cases of puerperal heatstroke caused by high temperature, high humidity and poor ventilation. Severe puerperal heatstroke may even lead to the tragedy of maternal death. Women usually sweat a lot after giving birth, so clothes should be loose and the texture should absorb sweat. Moreover, the thickness of clothes should be moderate. When the weather is hot, you don't have to wear long clothes and trousers. You should change clothes and trousers frequently, especially underwear, preferably every day. 4 What should the parturient eat? A reasonable maternal diet should be a balance of various nutrients, which should prevent both undernutrition and overnutrition. Diet should be rich in protein and iron, such as chicken, fish, lean meat, eggs, beans, milk and so on. Some pregnant women are influenced by old customs and eat more than a dozen eggs every day. This is a kind of overnutrition. Excessive intake of protein will increase the burden of liver and kidney, and also cause constipation and obesity, which is really not worth the candle. In addition, the types of staple foods should be diversified, including coarse grains, flour and rice. Eat more vegetables and fruits. Many parturients mainly eat protein and staple food, so it is unreasonable to think that vegetables and fruits will "hurt the stomach". Vegetables and fruits can not only provide rich vitamins and minerals, but also provide enough cellulose to prevent postpartum constipation. China people advocate drinking more soup during confinement, which is reasonable: because water is the main component of milk, soup diet is easy to absorb, and after eating hot soup, hot sweat will warm the breasts, which is beneficial to the secretion of milk. Breast-feeding women should also ensure the intake of iron and calcium. Maternal women should have a hemoglobin check. When hemoglobin is lower than 1 10g/L, they can take 0.4g of ferrous fumarate or 0.3g of ferrous sulfate and C300 C300 mg of vitamin three times a day. The daily calcium intake of lactating women should reach 2000mg, but according to the eating habits of most people in China, the daily calcium intake of pregnant women is only about 500mg, which is far from enough. Calcium deficiency in lactating mothers can lead to rickets in infants. Calcium supplementation should first be increased from diet. Milk and dairy products contain more calcium. If conditions permit, pregnant women should eat more milk and dairy products or take calcium tablets to meet calcium needs. In remote rural areas and other economically backward places, even if there are no conditions to obtain dairy products or oral calcium agents, you can increase the calcium obtained from food in a cheaper way. For example: ① soak bones or egg shells in vinegar for several hours, and then put the juice into soup or other food; Add a little vinegar or tomatoes when making soup with bones; ③ Grind the eggshell into powder and mix it into food. At the same time, we should pay attention to proper outdoor activities, get more sunshine, or supplement appropriate amount of vitamin D to promote the absorption of calcium. 5 what should I do if the maternal milk is insufficient? In breastfeeding, a common misunderstanding is to wait until "milk comes" before breastfeeding. You should know that breasts are not only containers for storing milk, but also places for making milk. Full breasts do not mean "no milk" or insufficient milk. With the baby's strong sucking, milk will be produced continuously. The scientific breastfeeding method is to start early, that is, let the baby breastfeed within 30 minutes after birth. If milk replacer is added too early, there will be little or no milk without the stimulation of baby sucking. Frequent sucking and correct sucking methods are more important than any prescription or food for breastfeeding. When the milk is insufficient, don't rush to add milk substitutes. First analyze whether milk is really insufficient. Generally speaking, unless the breast is born with dysplasia, the lack of milk is caused by the following factors: ① The breast-feeding method is wrong, such as adding milk substitute, which leads to less sucking times, wrong feeding posture, wrong connection way of the baby, or the baby can't suck well because of nipple depression or chapped nipple, so the milk in the breast can't be emptied, and the milk is getting less and less. 2 malnutrition, poor general health, 3 excessive fatigue, lack of sleep and irregular life; 4 I feel uncomfortable and unhappy. Medical staff engaged in primary health services must encourage lactating mothers to establish confidence in breastfeeding and give guidance on scientific breastfeeding methods. Breastfeeding mothers should have enough sleep and rest every day, and have appropriate outdoor activities to avoid excessive fatigue. Eat at least 2000mL of liquid every day, eat more nutritious and easily digested foods, and drink more soup (fish soup and broth are good), especially milk, soybean milk, fruits, fresh vegetables, etc., to provide raw materials for milk secretion. If the nipple is sunken or cracked, it should be corrected and treated. During this period, breast milk will be emptied by breast pump or squeezed by hand regularly. If necessary, take traditional Chinese medicine for prolactin or acupuncture for prolactin. What other aspects of health education should general practitioners do in promoting scientific confinement? In addition to the above-mentioned issues about rest, hygiene, diet, breastfeeding, etc. General practitioners should also do a good job in postpartum health education in the following aspects: inform the parturient of the possible situations after delivery, such as bleeding, fever, uterine contraction pain, neonatal jaundice, etc. And let them know under what circumstances they should see a doctor. Questions about sex life and contraception. Postpartum exercise. Postpartum exercise includes many contents such as postpartum exercise. This paper introduces a kind of postpartum health care to help perineal muscles recover elasticity, which is called anal contraction exercise. Methods The anus and perineum muscles were contracted consciously, 1 time /d, 30 times each time for 30 days. Neonatal immunity and vaccination. ビび? The growth and development of the problem. 7 How do foreigners "sit on the moon"? Probably only China people in the world have the tradition of "confinement". Should we think about why foreigners are not "confined" or "sick"? I have been to Britain and the United States, and I have asked many people, but none of them have the concept of "confinement". In Japan, after giving birth to children, nurses will help them take a bath and then leave the hospital; In Britain and America, there is no difference between postpartum diet and peacetime diet, while Europeans and Americans don't have the habit of drinking hot water, so women also drink cold water. For women with perineal wounds, doctors will ask them to use ice packs to compress the affected area within 12 hours after delivery. This method can not only compress and stop bleeding, but also relieve pain. China people think that milk comes from soup, while Americans think that drinking more water is enough. They have a popular saying that every time a baby is fed milk, the mother must drink a glass of water, because water is the main raw material for making milk. Of course, they also think that mothers should eat more foods rich in protein. However, no vegetables and fruits are taboo for pregnant women. I often see my mother walking outside with a stroller or sitting in a chair in the yard in the sunshine around 1 week after delivery. Of course, while advocating scientific confinement, general practitioners should also consider the living habits of China people and other factors. How foreigners "confinement" is just a reference. However, I believe that reflecting on this issue from a scientific perspective will at least touch us.
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