How to remedy cold back after confinement

Because you lose blood when giving birth, and the exertion and sweating will make your body weak, these are generally symptoms of qi and blood deficiency, so if you want to remedy the situation you should regulate your qi and blood. You can use diet therapy or Chinese medicine. As long as you replenish your qi and blood, there will generally be no problem.

Causes of the puerperium

1. Uterine contraction pain

The pain caused by uterine contraction after delivery is called uterine contraction pain. The uterine contraction pain is more obvious in multiparas than in primiparas, and in breastfeeding women than in non-breastfeeding women. Sucking the nipple can radiatively induce the neurohypophysis to release oxytocin. The pain of uterine contractions is generally bearable. It usually occurs 1 to 2 days after delivery and disappears naturally after 2 to 3 days. No special medication is required, but pregnant women may be given analgesics as appropriate.

2. Lochia

After delivery, as the decidual tissue falls off, there will be varying amounts of vaginal secretions, which are called lochia. Under the microscope, it mainly consists of red blood cells, necrotic decidual tissue, epithelial cells and bacteria. Generally, lochia lasts for 4 weeks or even until 56 days after delivery, and the total amount can reach 500ml. If there is placenta or fetal membrane residue or infection, the lochia may last longer and have a foul odor.

Lochia can be divided into the following three categories.

(1) Bloody lochia: During the first three days after delivery, the lochia contains a lot of blood, making it red. It is mainly composed of a large number of small blood clots, a small amount of fetal membranes, and necrotic decidua.

(2) Serous lochia: Three days after delivery, the color of the lochia quickly turns lighter and becomes light red, mainly containing a small amount of bloody necrotic decidua, uterine exudate, and bacteria.

(3) White lochia: About 10 days after delivery, due to the increase of white blood cells and the decrease of fluid components, the lochia appears white or yellow, mainly composed of necrotic and degenerated decidua, epidermal cells, a large number of white blood cells and bacteria.

3. Bed sweat

Early postpartum period. The skin has a strong excretion function, and the water retained during pregnancy is discharged through the skin as a large amount of sweat, which is obvious during sleep and is commonly known as "bed sweat". It improves within one week after delivery and is not pathological. At this time, you should pay attention to the cleanliness of clothes and the freshness of indoor air, but do not let cold air blow directly on the mother to avoid upper respiratory tract infection.

4. Body temperature

Body temperature should be below 38℃.

5. Pulse

The heart rate after delivery is lower than the pre-pregnancy level, and can be as slow as 40 to 50 beats per minute, and returns to the pre-pregnancy level 2-6 weeks after delivery.

6. Blood Pressure

During the postpartum period, blood pressure is stable with little fluctuation, which is comparable to blood pressure before pregnancy.

7. Breathe

Fluctuates between 14 and 16 times per minute.

8. Uterine involution

The process by which the uterus gradually returns to a non-pregnant state after the placenta is delivered is called uterine involution. After the placenta is delivered, the uterus contracts into a round shape, and the fundus of the uterus immediately drops to one horizontal finger below the navel. It rises slightly to the level of the navel one day after delivery, and then drops 1 to 2 cm every day. Ten days after delivery, it drops into the pelvic cavity, and the fundus of the uterus cannot be felt during abdominal examination. Until six weeks after delivery, the uterus returns to its normal non-pregnant size. During postpartum breastfeeding, sucking the nipple reflexively causes an increase in the secretion of oxytocin, so the uterus descends faster than in those who do not breastfeed.

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Symptoms of the postpartum period

Diagnosis: Mainly involves monitoring the mother's body temperature, respiration, pulse, and blood pressure, especially body temperature.

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Postpartum examination

1. Treatment within 2 hours after delivery

(1) The puerperium is a period when serious complications are prone to occur, such as postpartum hemorrhage, postpartum eclampsia, amniotic fluid embolism and postpartum heart failure. It must be closely observed. Some people also call this period the fourth stage of labor.

(2) The baby should still be observed in the delivery room within 2 hours after delivery, with emphasis on blood pressure, heart rate, body temperature, respiration, etc., so that any abnormalities can be detected and dealt with promptly. Blood pressure and pulse should be measured immediately after delivery, and heart rate, blood pressure, and respiration should be measured every half hour, and again before leaving the delivery room. If everything is normal two hours after delivery, the mother and the newborn will be sent back to the ward.

2. 1 week after delivery

The main thing is to monitor blood pressure, heart rate, body temperature, and respiration, especially body temperature. If there is any abnormality, we must actively find the cause. If there are medical complications, we should pay more attention to the observation and treatment of the corresponding diseases, and pay attention to preventing postpartum hemorrhage.

3. Urinary and fecal

(1) Urination: Postpartum women should be encouraged to urinate on their own as soon as possible. The main reason is that the bladder's sensitivity is reduced due to pain caused by anesthesia or vulvar injury. Watch your bladder to prevent overdistension.

1) For women who cannot urinate after delivery, the following methods can be used: ① Use warm water to rinse the perineum, massage the bladder, apply hot compresses to the lower abdomen, etc. to induce urination; ② Use drugs to stimulate the bladder muscles to promote urination. Neostigmine 1 mg is commonly used, injected intramuscularly.

2) Catheterization: If the mother still fails to urinate after the above conservative treatment, it is very likely that she has lost the ability to urinate. Catheterization should be performed under strict aseptic operation to empty the bladder and restore bladder control and sensation.

If the urine cannot be emptied after 4 hours after the catheter is removed, the catheter must be inserted again and the urine volume must be recorded. If the urine volume is greater than 200 ml, it means that the bladder function has not recovered. The urinary catheter should be left in place until the second day. At the same time, antibiotics should be used to prevent infection. The specific treatment depends on the medical unit and the patient's condition. Generally, the medication is only needed for 3 days. If the flow is less than 200ml, the catheter can be removed.

(2) Defecation: Postpartum women have less activity, and their gastric acid secretion decreases, the tension of the gastrointestinal smooth muscles decreases, and their intestinal peristalsis is weak. In addition, the tension of the abdominal muscles and pelvic floor muscles is low in the early postpartum period, and the large intestine's absorption of water increases, so constipation often occurs. Most postpartum women suffer from functional constipation.