There was no hot caesarean water in the maternity hospital. Recovery after cesarean

Caesarean section in modern world perceived as something simple, does not require special attention - such as tooth extraction or light surgical procedures. In fact, cesarean section is nothing more than a real abdominal operation, which requires anesthesia (or other anesthesia), can give its complications, and does not go unnoticed for any organism. And recovery after a cesarean section is similar to recovery from appendicitis or any other surgery abdominal cavity... The only difference is the presence of a baby who also needs care and attention and who cannot be explained that mommy herself does not feel very well and needs help herself. And now we will talk about how to combine recovery after a cesarean section with the presence of a small child.

Possible complications after a cesarean section

Due to the fact that a cesarean section is an operation that involves cutting the tissues of the peritoneum, it can be accompanied by all sorts of complications associated with the abdominal cavity and with the woman's body as a whole.

Firstly, any operation involves a certain degree of blood loss. For comparison: if during normal, physiological childbirth, you lose about a glass of blood (200-250 ml), then during a cesarean section, the blood loss is much more - from half a liter to a liter of blood. Naturally, this gives certain complications associated with emergency blood transfusion or other medical procedures aimed at restoring normal hematopoiesis. With natural childbirth, if there were no complications, no such measures are provided - the lost glass of blood is easily restored in the body for some time.

Secondly, a possible complication of a cesarean section may be the occurrence of adhesions in the woman's intestines. If the adhesions are small, this will not cause you any particular discomfort. But if the adhesions are very pronounced, you may have problems with stool, digestion, and begin. In this case, doctors prescribe special physiotherapy procedures, and in especially severe cases, adhesions are even treated with surgical methods.

Thirdly, a caesarean section operation, if it was carried out even with the slightest imperfections in the field of hygiene, can lead to endometritis - inflammation of the uterus. The thing is that during a cesarean section, the uterine cavity is in direct contact with the surrounding air - and if even the slightest pathogenic bacteria enters the uterus, inflammation will begin. Of course, during natural childbirth, endometritis also sometimes occurs - but the frequency of such cases is incomparable with the frequency of similar cases with cesarean section.

And finally, fourthly, a cesarean section is fraught with violations of the contraction of the uterus. If during natural childbirth there are no mechanical influences on the uterus, then during cesarean section the muscle of the uterus is cut, which can disrupt the contractility of the uterus. To remedy the situation, after a cesarean section in the maternity hospital, complementary therapy, aimed at improving the contractility of the uterus.

How a woman feels after a cesarean section

The state of health of a woman after childbirth, regardless of how the child was born, is markedly different from her usual state of health. Let's take a look at the main characteristics of a woman's well-being after a cesarean section.

If you underwent a caesarean section under general anesthesia, then such manifestations as vomiting, hallucinations, nausea, etc. are quite possible. Therefore, agree in advance that during the recovery period after a cesarean section (at least during the first 2 days) someone close to you will be with you.

If the operation was carried out using, then on the first day after it, a woman often feels numbness in the lower body from the legs to the abdomen. In addition, for about 12 hours after the anesthesia, it is necessary to lie only on your back, without changing your posture. Of course, all this causes certain inconveniences and slows down the recovery after a cesarean section.

The general condition of the body after a cesarean section. As a result of the operation, the general condition of the body may deteriorate - the temperature rises, the pressure rises, the suture hurts, nausea is felt, etc. Since the postoperative period is fraught with all sorts of inflammation or penetration of infection into the wound (which is why all of the above symptoms appear), recovery after a cesarean section is always accompanied by antibacterial therapy with the use of antibiotics. As for nausea, this is normal after a cesarean section, but if it lasts more than 3 days, be sure to tell your doctor so that he finds out the causes of the nausea and takes the necessary measures.

A seam is a very vulnerable place on your body after an operation, so you need to take special care of it. Within 7 days after the cesarean section with antiseptics and do not exert any mechanical effects on it (including with a washcloth during washing). After the anesthesia wears off, the suture may become very painful. In order not to suffer from pain, doctors usually offer painkillers to young mothers, which can be injected directly into the suture area. If you are breastfeeding, do not worry - these drugs do not pass into breast milk.

Stool after caesarean section. After childbirth (including a caesarean section), you may experience urinary problems and suffer from constipation and gas. To solve the problem of urination, you will have a catheter placed for 1-2 days. The only drawback of the catheter is that it can cause inflammation of the bladder or urethra, so at the slightest discomfort it must be removed.

As for constipation and gas, which may appear due to abdominal surgery and pain in the suture area, this problem can be solved by using products that improve intestinal motility, laxatives or, in rare cases, even enemas. If the question is only about gases, you can use special drugs against gases or use a special gas tube (as for children).

Features of breathing after cesarean section. Special breathing exercises greatly facilitate recovery after cesarean section. To remove the remains of anesthesia from the body and straighten the lungs to avoid postoperative pneumonia, doctors advise women to do breathing exercises and cough.

This exercise is very useful for recovering from a cesarean section: press firmly against the seam of your hands, a pillow or bandage the seam with a towel (to reduce pain during exercise), and then draw more air into your lungs and exhale sharply, but gently, drawing in your stomach. This exercise is especially useful for those who feel gurgling and sobbing in their lungs. By the way, this exercise can be done before the operation if you have a planned cesarean section. This way you are less likely to accumulate fluid in your lungs.

Excess fluid around the diaphragm can cause shoulder pain. To avoid this, it is also worth doing physical exercises and, if necessary, applying pain relievers.

Beginning of physical activity after a cesarean section. Once the anesthesia is gone, you can get out of bed with someone else's help. For some, this time may come a few hours after the operation, for others - only a few days later. But whenever you decide to get up, in the first minutes of your physical activity you may be accompanied by dizziness, weakness, numbness of the limbs, darkening in the eyes and other signs that portend an imminent fainting. In order not to fall as soon as you get to your feet, roll over onto your side and hang your legs out of the bed as much as possible. Then sit down slowly, sit for a while on the bed, twist your limbs to improve circulation. When you feel that the dizziness has receded, lower your feet to the floor and stand on them with the help of someone. If you succeed in standing, try to walk (naturally, with support). Gradually increase the duration of your physical activity each time - and very soon you will fully recover after a cesarean section.

The state of the uterus after a cesarean section. In the same way as in the situation with natural childbirth, the uterus returns to normal for some time after delivery. This is manifested in the involuntary contractions of the uterus - the only "but" may be that the contractions of the uterus after cesarean section give an additional load on the suture.

Swelling and sweating. After a cesarean section, as well as after a natural childbirth, there may be increased sweating and swelling of the legs. The situation in the case of a cesarean section is aggravated by the fact that physical activity after surgery is quite limited - therefore, swelling must be dealt with especially intensively. To prevent swelling from leading to varicose veins and thrombophlebitis, be sure to wear elastic stockings.

To fight sweating, wipe yourself with a damp cloth as needed (after all, you cannot wash for a week after a cesarean section).

Removal of stitches. If you do not have self-absorbable sutures, they will have to be removed - about a week after the operation. In the first days after removing the stitches, the site of the scar may itch, and there may be small discharge from the wound. With proper hygiene, this discharge will soon stop.

Eating after cesarean section

The first days after the operation are quite modest in terms of nutrition. During this period, only drinking is allowed - water with lemon juice.

A day later, if you feel normal, you can eat chicken broth, boiled meat chopped in a meat grinder, cottage cheese and natural yogurt (all low in fat), cottage cheese or meat puree or soufflé, fruit drink or compote without sugar.

If, in the process of recovering after a cesarean section, you yourself went to the toilet "in a big way" on the 4-5 days after a cesarean section - you can rejoice! You can start eating as you are used to (taking into account breastfeeding and your own well-being, of course).

Breastfeeding after a cesarean section

Breastfeeding problems after a cesarean section are very contrived. after natural childbirth and cesarean section differ only in terms of onset. If, after natural childbirth, milk comes in 3-4 days, after cesarean it can only be waited for 4-5. The reason for this delay is that during natural childbirth, the hormone responsible for lactation is released into the blood immediately after childbirth, and with a cesarean section, this phenomenon occurs later.

But the late arrival of milk after a cesarean section does not in any way affect the condition of the newborn, especially, if urgently needed, he can always be supplemented with infant formula.

Recovering from a cesarean section in everyday life

Well, the initial recovery has passed and you have returned home with your baby. How will your life change now, and what are the limitations in everyday life will be present for you some time after the cesarean section?

As for lifting weights, it is contraindicated to lift more weight than your child's weight (that is, about 3-4 kg) within 2-3 months after a cesarean section.

Even if you want to quickly put your figure in order after childbirth - and decided, first of all, to start pumping the abs - wait at least a month until the seam heals. Otherwise, the consequences can be the most unpleasant.

The resumption of sexual relations after a cesarean section occurs after at least 8 weeks - since the uterus after any type of birth is a big wound. And if an infection gets into it during intercourse, inflammation cannot be avoided!

And, finally, with regard to the postpartum bandage, it is not worth abusing it while recovering from a cesarean section. Much more useful will be a situation where the muscles will work on their own.

Recovery after a caesarean section is a rather difficult period, and your loved ones should understand this. To make life a little easier for yourself after a caesarean section, do not neglect requests for help with childcare and household chores. Remember that care and attention in your situation is necessary not only for the child, but also for you!

In this article:

There are situations when a woman cannot give birth to a child naturally. The reasons for this may be various factors, for example, the unsatisfactory state of health of the woman in labor or the fetus, anatomical features women, improper placement of the fetus in the uterine cavity and much more. In these cases, a caesarean section is used.

Today, the technology of this operation minimizes the occurrence of health risks for both the woman and the child. But, like any operation, a cesarean section requires long-term postoperative treatment, which includes various antibiotics, analgesics and, as a rule, intravenous and intramuscular injection physiological solutions. All this is necessary in order to reduce the risk of infection after surgery, reduce the pain threshold and help the woman's body recover as soon as possible.

How is recovery after surgery

For most women, after a cesarean section, the postoperative period is much more challenging than the operation itself.

A woman may experience:

  • severe pain in the area of \u200b\u200bthe abdominal incision;
  • problems with emptying and urination;
  • pain in the lower abdomen associated with flatulence and uterine contraction;
  • nausea and vomiting during the first days after surgery;
  • effects effects of anesthesia, dizziness, blurred memory, hallucinations, etc.

Immediately after the operation, an ice pack is placed on the abdomen of the woman in labor and reducing drugs (oxytocin, etc.) are injected. Thus, the process of uterine contraction is accelerated in the first hours after childbirth. For the first 24 hours, the patient is prohibited from getting out of bed on her own. Since the risk of suture separation and infection when trying to get up increases.

Within 5 days, a course of antibiotics is taken without fail to prevent the development of infection. Like any wound, the incision made during the operation will bother the woman even more. for a long time... She will feel severe pain with any movement. Therefore, narcotic painkillers are prescribed, after which the pain is dulled, but at the same time the consciousness becomes clouded. As a result, a woman in labor may experience “symptoms of withdrawal from anesthesia,” that is, partial memory lapses, hallucinations, dizziness, vomiting and nausea, disorientation, and sleep disturbances.

If during the operation a tube was inserted into the throat (intubation) through which the anesthesia was delivered, then the following possible consequences:

  • swelling of the larynx;
  • temporary paralysis of the vocal cords;
  • spasms of the larynx and bronchi;
  • sore throat;
  • the occurrence of inflammatory processes.

Intubation can lead to the development of pneumonia. To prevent the onset of the disease, you need to expand and clear the lungs of the remains of anesthesia. For this, a woman should have a special daily breathing exercises... During the exercises, the incision must be supported by a pillow.

The contraction of the uterus after a cesarean section is weak in the first days, therefore, contraction drugs are prescribed, due to which the woman feels cramping pain in the lower abdomen, which is complicated by the surgical wound and accumulations of gases, which also put pressure on the seam, causing even more pain during uterine contractions. When a woman in labor cannot cope with the accumulated gases on her own, she may be given a gas outlet tube or an enema.
Immediately after the operation, the woman has a catheter inserted into her urethra. After 24 hours, it is withdrawn. It is impossible for the bladder to fill completely, as it puts a lot of pressure on the seam. Therefore, if a woman in labor has problems urinating, it can be put back.

For the first 2 to 3 days, food intake is minimized, as there may be severe vomiting and the need to empty, which cannot be allowed on these days, since there is a high risk of seam divergence at the slightest tension of the abdominal muscles. During this period, the woman's body is supported by injecting fluid with all the necessary minerals and vitamins intravenously.

The risk of infection in the abdominal cavity during surgery is very high. And although it is believed that an increase in body temperature after childbirth is a completely natural phenomenon, in this case it is necessary to carefully monitor its fluctuations. If the fever after a cesarean section lasts for more than 2-3 days, there is a possibility that the infection has nevertheless entered the body and treatment should be started urgently. Untimely treatment can be fraught with the health of the woman in labor.

Another problem that a woman faces is excessive sweating and the formation of edema after a cesarean section. This is considered a normal condition after childbirth, but it is complicated by the fact that the woman in labor is limited in movement, therefore, it is necessary to deal with edema more intensively. After all, swelling on the legs, they can lead to the formation of varicose veins and thrombophlebitis. Therefore, it is recommended to wear stockings in the postoperative period. In a consultation with a doctor, a woman will be able to learn how to prevent or reduce swelling.

The stitches are removed for about 4 - 5 days. In rare cases, 6 - 7. As a rule, after the course of taking antibiotics and removing the stitches, the woman in labor is discharged and she can safely go home with the baby, of course, only in those cases when the condition of both the woman in labor and the child is satisfactory.

Consequences of the operation

After removing the child from the uterus, the woman is stitched both on the abdominal wall and on the walls of the uterus itself. The likelihood of the formation in this case of diastasis (divergence of the edges of the seam between the rectus abdominis muscles) is very high. This will require the help of a surgeon. Often, diastasis is treated in conjunction with special exercises.

Above the seam, so-called keloid scars (red overgrowths) may form, which should only be treated by a specialist.

If after the operation the seam looks ugly and is very striking, you can use the help of a surgeon or beautician. Today, there are various techniques for correcting the seam, making it smoother and almost invisible. For example, grinding a seam, smoothing or excising it.

But after a cesarean section, the suture on the abdomen should not bother a woman as much as the sutures on the walls of the uterus. After all, it depends on them how the subsequent pregnancy and the birth itself will proceed.

Menstruation after surgery lasts the same period of time as after natural childbirth, approximately 28 - 40 days. If there were complications, then the process of cleansing the uterus can take up to 2 - 2.5 months.

Concerning breastfeeding, then the operation does not remain without consequences. Milk appears at about the same time as after natural childbirth, about 3-4 days, but feeding is impossible due to the intake of antibiotics. Therefore, during this period, the child is fed exclusively from a bottle, after which he gets used to it and does not breastfeed.

Prevention of complications

As a prevention of complications in the postoperative period, it is necessary to carefully monitor the state of the body. And first of all, on the seams and on the color and amount of secretions. Avoid stress and weight lifting, try to lead an active lifestyle, only, of course, in moderation and without fanaticism. Do light gymnastics.

If you find that the color of the discharge has changed, their amount has increased or decreased, the divergence of the stitches, fever and severe pain in the lower abdomen - contact your doctor immediately! Your body should be examined and, if necessary, treated.

Caesarean section is not a joke, it is a real operation, the consequences of which can be very different.

Establishing breastfeeding

As already mentioned, while the woman in labor is undergoing antibiotic treatment, the baby is not applied to the breast and there is a risk that the baby will not take the mother's breast, since he is used to eating from a bottle. But there is another risk of not being able to continue breastfeeding after a caesarean section - a lack of milk or a lack of it.
To prevent this from happening, the woman in labor must pump every two hours for five minutes. The break at night should not exceed 6 hours. This will help produce a surge of breast milk.

As for the refusal of the baby from the breast, it all depends on you. If you have a sincere desire to breastfeed, then you will definitely succeed. After you are discharged from the hospital, try not to give your baby milk from a bottle. Try to apply it to your chest more often. One day, if milk is available, he will still breastfeed and you can continue breastfeeding without any problems!

If you are not sure that you will be able to establish breastfeeding, then visit various forums, read the reviews of those who have already passed the postoperative period after a cesarean section and have established breastfeeding. Perhaps this is where you will find a lot of useful information.

Figure restoration

The process of restoring the figure after a cesarean section takes quite a long time. Firstly, you can start exercising only after a doctor's examination and approval. Secondly, you need to start with minimal loads on the body, gradually increasing them. Thirdly, you need to adjust your diet, add low-calorie food with a high fiber content to it.

Remember that sports, both after a cesarean section and after a natural birth, have a significant impact on lactation. The taste of milk may change, after which the baby will be reluctant to suckle at the breast, or it may disappear completely, and then you will have to transfer the baby to artificial feeding.

The best thing is to go to the gym and find yourself a trainer who will create a weight loss and skin tightening program especially for you, taking into account the peculiarities of your position. Find out from friends or see reviews and recommendations of other women, where in your city you can sign up for individual sessions to a good coach.

Massages with anti-cellulite massages will help get rid of cellulite. The massage can be performed both independently, that is, with the hands, or with the help of a massager. If possible, it is better to use the services of a massage therapist.

Diet

There can be no question of any diet after a cesarean section! The body is already weakened after the operation, it needs to recover, and besides, the quantity and quality of milk completely depend on the food consumed by the mother.

To lose weight after pregnancy, you do not have to "sit" on a strict diet, limit yourself in everything and risk losing milk. The gained kilograms, in most cases, go away by themselves. However, this process takes a long time. But if you want to lose weight much earlier, then you just need to monitor your diet.

Exclude flour and confectionery products, fatty and fried foods from the diet. It is worth giving preference to separate nutrition. Drink one glass of water before eating. This will help satisfy your hunger slightly.

But keep in mind that the child will "suck" all the nutrients from your body, so if you have a wild desire to eat something, do not deny yourself.

Subsequent birth

Doctors say that after a cesarean section, you can have sex only after 7 to 8 weeks after the operation and only if there were no complications during the operation. Subsequent childbirth is possible only after 2 - 3 years. During this period, one should be well protected, in addition to mechanical protection, contraceptive drugs should be used.

In case of pregnancy during this period, an abortion should be performed, and, preferably, by medication. Since the abortion procedure depletes the walls of the uterus, which have not yet had time to recover after a cesarean section.
If a woman decided to leave the pregnancy, then the chances of carrying a child before the end of the term are 1:10. Pregnancy should take place under the strict supervision of a physician.

Doctor's story about difficulties after surgery

The doctor talks about the serious consequences of cesarean

According to statistics, today every fifth woman preparing for motherhood gives birth by caesarean section. At the same time, there is a persistent growth in operative delivery both in Russia and abroad. Caesarean section is an abdominal operation under anesthesia. With this method of delivery, the baby completely bypasses the birth canal and is removed from the mother's body through an incision in the lower abdomen. Like any other surgical intervention, a cesarean section entails a long and painful rehabilitation.

Restoring the body after a cesarean section

The first day of a woman in labor is under the constant supervision of a medical staff in an intensive care unit (ICU). To prevent complications, a number of measures are taken:

  • taking the main indicators of the mother's condition (measuring temperature, blood pressure, pulse),
  • correction of blood loss using medication and other methods (medicines that increase the tone of the uterus, blood transfusions, blood substitutes),
  • prescribing broad-spectrum antibiotics,
  • pain relief with drugs combined with breastfeeding,
  • control of urinary catheter,
  • restoration of the intestinal motility of the woman in labor,
  • care of the postoperative suture (treatment with antiseptic solutions, change of dressings),
  • general monitoring of the condition, well-being of the mother and helping her.

On the second day, in the absence of problems and complications, the mother and child are transferred to the postpartum department. Now the activity of the newly-minted mother is increasing, all caring for the baby falls on her shoulders.

Consider the limitations and difficulties faced by women who have given birth by caesarean section.

When can I get up, start walking and sitting

You can try to get out of bed 6-8 hours after childbirth. The first ascent must be carried out under the supervision of medical staff or relatives. Getting up early is the prevention of bowel problems.

It is necessary to climb very carefully, without haste, so as not to provoke dizziness. At first, it is better to sit a little with your legs dangling from the bed. Then try to stand up for a while, resting one hand on the bed. It is better to hold the seams with the other hand, this will reduce pain.

With each subsequent rise, you need to increase the time you stay on your feet and try to take steps. In the absence of complications on the second day, women in labor should move independently in order to provide care for their children. A good helper for mom will be postoperative bandage... It must be purchased in advance at the pharmacy and brought with you to the hospital. The main thing is not to abuse the wearing of the bandage, to use it no longer than three hours in a row and only in a standing position and while walking.

The best way to recuperate a mother after a caesarean section is to get adequate sleep. Therefore, you need to rest as much as possible while lying in bed. The first two days are accompanied by severe pain in the area of \u200b\u200bthe incision, therefore it is better to refuse prolonged sitting, for example, at a meal. It is possible to sit fully after the operation only 3-4 days after delivery.

What weight is permissible to lift

IN this issue much depends on how the birth went, how the mother feels. Doctors recommend that women lift no more than two kilograms in the first months after surgery. But the harsh realities are such that a young mother has to take care of the baby for almost days, so such restrictions are simply impossible. If the mother's condition allows her to carry the baby in her arms painlessly and without difficulty, then let the baby be the only burden for the mother for the next couple of months.

In this case, the permissible weight for lifting after a caesarean section is 3-5 kg \u200b\u200bfor 2-3 months.

Tolerable severity after cesarean - baby's weight

When you can lie on your stomach and on your side

The opinions of doctors differ on this issue. Some believe that lying on your stomach helps the uterus to contract faster, and this is true. That's just for women in labor with a painful seam on the abdomen, this can be extremely problematic. Therefore, it is advised to try lying on your stomach no earlier than 2 days after childbirth. This should be done very carefully. In case of the slightest painful sensations, it is better to stop these attempts for a while, but not to quit.

Almost immediately after the operation, you can and should lie on your side and turn from one to the other. This will help restore intestinal motility and reduce the risk of adhesions.

After childbirth, it will be advisable to perform simple training in the absence of general contraindications:

  • perform head rotations,
  • gently bend and unbend your legs,
  • make circular movements with your hands,
  • rotate feet and hands,
  • strain and relax the buttocks to strengthen them,
  • use the Kegel method (from 3 days after delivery).

Table: List of exercises allowed in the early postoperative period


exercises
Initial position (I.P.) Exercise progress Note
1. Lying on your back, hands at your seams
  1. Raise our hands up
  2. We spread our arms to the sides - inhale,
  3. I.P. - exhale
Breathe deeply
2. Lying on your back, hands at your seams
  1. We bend our arms at the elbows - inhale,
  2. We unbend our arms - exhale
Breathing is even
3. Lying on your back, hands at your seams
  1. We bend the hands and feet - inhale,
  2. Unbend the hands and feet - exhale
  • Breathing is even,
  • Moderately fast pace
4. Lying on your back, hands at your seams
  1. We bend our legs at the knees - inhale,
  2. Bend the legs - exhale
Breathing is even
5. Lying on your back, hands behind your head
  1. Raise your head - inhale
  2. I.P. - exhale
  • When lifting the head, the elbows are spread apart,
  • Do not bend your knees
  • Fix the feet

When you can take a shower and a bath

If you perform such simple gymnastics from the first day, you can avoid many complications and health problems. The uterus will sooner contract and the intestines will begin to work, the former shapes and sizes will return faster.

It is absolutely impossible to wet the seam before healing. You can limit yourself to rubbing and washing. You will not be able to take a shower earlier than a week after giving birth. You cannot rub your stomach with a washcloth for two weeks.

You will have to forget about a hot bath for at least 6-10 weeks, until the lochia ends ( bloody issues from the uterus after childbirth).

Failure to comply with the restrictions in water procedures is fraught with:

  • deacidification of the scar tissue on the abdomen,
  • slowing down the healing process of stitches,
  • suppuration,
  • increased blood circulation and, as a result, intense bloody discharge,
  • inflammation of the uterus due to the penetration of bacteria and microbes from tap water.
  • wash the bath thoroughly with safe, proven products,
  • observe the temperature regime (no higher than 40-42 degrees),
  • use high-quality natural soap,
  • exclude aromatic oils, foam and salt,
  • periodically take a bath with herbal decoctions (chamomile),
  • start with 5 minutes and each time increase the time spent in hot water.

How to breastfeed

For a child on the first day of life, it is imperative to get colostrum in order to start the digestive system and adapt to life outside the mother. Nurses should guide women in feeding positions that are comfortable for them and their babies. In the early days, feeding is possible only in a lying position on its side.

  • lie on your side
  • place a pillow under your knees to avoid sliding down the bed,
  • with a second pillow, protect your belly from the baby's push,
  • hold the baby's head,
  • make sure that the baby's head and body are in the same plane.

In the future, you can feed while sitting. Use a pillow to lift your baby up to chest level and protect your seam.

The cradle feeding position is very comfortable after a cesarean section

It is imperative to avoid poses that put pressure on the painful abdomen. Poses "In the cradle" and "From under the arm" are very convenient for use.

Feeding position "From under the arm" will help not to strain the mother's stomach

When can you get pregnant again

Any childbirth is a huge stress for a woman's body. Therefore, before subjecting it to such tests again, it is necessary to wait at least 2-3 years. Everything is individual. And only an experienced obstetrician-gynecologist, after a full examination of the mother's health, can “give the go-ahead” for repeated pregnancy and childbirth.

You can get pregnant after a cesarean section as quickly as after a natural birth, so you need to think about the method of contraception before resuming sexual activity.

Read more about pregnancy after cesarean in the article -.

Every woman will be able to choose a suitable method of coception

  • intrauterine device (IUD) - allowed from 7 weeks after surgery in the absence of contraindications,
  • barrier contraceptives (condoms, caps, diaphragms) - are acceptable after the cessation of lochia,
  • spermicides (in the form of suppositories, tablets, creams) - chemical agents that destroy sperm,
  • injectable contraceptives (combined and containing only progestogens) - recommended from the moment the menstrual cycle resumes,
  • voluntary surgical sterilization.

Be responsible for contraception after a caesarean section. After all, pregnancy that occurs before two years after the operation is very dangerous for the health and life of a woman.

Recovery after cesarean section with spinal anesthesia

The caesarean section is always performed under general or local anesthesia.

For pain relief, epidural or spinal anesthesia, in which the woman in labor is conscious, is increasingly being chosen. This allows the mother to see the birth of the baby with her own eyes, hear his first cry and almost immediately try to attach it to the breast.

With a caesarean section under spinal anesthesia, a woman in labor can immediately see her baby and even hold him

The benefits of spinal anesthesia are:

  • efficiency (100% pain relief),
  • no risk to the child (with a correctly calculated and administered dose),
  • non-toxic effect on the mother's body,
  • ease of implementation,
  • minimal complications after surgery.

But individual reactions to drugs are always possible. So, many women who have gone through childbirth with spinal anesthesia note the following symptoms:

  • severe dizziness and headaches,
  • drop in blood pressure,
  • loss of feelings in the legs,
  • yeast attacks,
  • sore back pain, in the area of \u200b\u200bthe injection,
  • shortness of breath and shortness of breath
  • vomiting
  • numbness.

If a woman after spinal anesthesia observes such symptoms in herself, doctors recommend to do with bed rest on the first day, without getting out of bed.

Recovery will be faster and more successful if a young mother, even while lying in bed, will do:

  • turns from side to side,
  • simple exercises for arms and legs,
  • breathing exercises.

Restoration of the monthly cycle after cesarean section

For 6-10 weeks after the birth of the child, a young mother has lochia, they have nothing to do with menstruation.

In the matter of restoring the menstrual cycle, childbirth by caesarean section is no different from natural. The arrival of menstruation is influenced by completely different factors:

  • age, health and lifestyle of a woman,
  • the course of pregnancy, its features and problems,
  • breast-feeding.

Lactation can be called the driving force behind the recovery of menstruation. It is the duration of breastfeeding and its frequency that determines how soon the cycle will resume.

In women who are breastfeeding, menstruation occurs 6-12 months after childbirth.

If the feeding is artificial, then the restoration of the cycle can be expected in 2-3 months.

Recovery of the menstrual cycle after childbirth is different for all women.

It is imperative to consult a gynecologist if menstruation is not more than a year after the birth of a child, in order to exclude inflammation and other problems.

Figure restoration after cesarean section

Every young woman dreams of finding a beautiful figure soon after the birth of a child. It will be easier to return to its former forms after childbirth if you follow a number of recommendations:

  • getting up early after surgery,
  • physical activity during the day,
  • full sleep (possible only with the help of relatives),
  • proper nutrition,
  • playing sports (within the permitted time frame).

Power features

In the maternity hospital, the nursing staff is responsible for the food of the woman in labor, so it will not be so difficult to follow the diet. It is very important to stick to a healthy diet at home. This will be useful not only for the figure of a young mother, but also for the health of her baby if the baby is breastfed.

To get back to normal after the operation and provide the baby with milk, mom should:

  • eat balanced
  • use only high-quality natural products,
  • exclude carbonated drinks and fast food,
  • drink enough water.

Any diet aimed at losing weight is contraindicated in lactating women.

Table: approximate daily set of products for a nursing mother

Product name amount unit of measurement Note
Milk200 ml
  • Without additives,
  • In the absence of allergies,
  • Any fat content
Kefir (fermented baked milk, yogurt)300 ml
  • Without additives,
  • In the absence of allergies
Curd (yoghurt)80 r
  • With the addition of dried fruits, nuts
  • In the absence of allergies
Cheese10–20 r
  • Any mild varieties
  • In the absence of allergies
Butter20 r
  • Creamy,
  • Vegetable
Groats (including pasta)60 r
  • Buckwheat,
  • Rice,
  • Barley
  • Pearl barley,
  • Corn,
  • Wheat,
  • Manna, etc.
Meat (chicken, turkey,
pork, beef, etc.,)
150–200 r
  • Boiled,
  • Stew,
  • Baked,
  • For a couple
Potatoes150–200 r
  • Boiled,
  • In uniform,
  • Baked,
  • As part of the soup
Vegetables and greens500 r
  • Preferably fresh,
  • Frozen,
  • It is recommended to alternate,
  • In winter, replace with canned and frozen
Fruits and berries300 r
  • Fresh in season
  • In winter, replace with frozen and canned
Juices, compotes, jelly200 ml
  • Natural,
  • Sugar-free preferred

Table: Dr. Horvath's diet

A woman who has chosen artificial feeding can be offered the diet of Dr. Horvath for weight loss. The advantage of this diet is the gradual reduction of extra pounds, which means a lasting effect.

Diet dayFirst breakfastLunchDinnerAfternoon snackDinner
1
  • 1 Egg (boiled or soft-boiled),
  • drink (without sugar or with sweetener),
  • 1 biscuit
1 small apple
  • 150 g lean meat
  • 100 g of boiled sweet potato (with salt, but no oil),
  • 200 g vegetable salad,
  • sugar-free drink,
  • sugar-free drink,
  • 100 g of fruit
  • 120 g lean meat
  • 1 egg,
  • 100 g of vegetables
  • 10 g butter
  • A glass of juice
2
  • Sweetened tea,
  • 1 biscuit
  • 150 g vegetable stew
  • 150 g of fruit,
Coffee with milk (100 ml) with sweetener
  • 150 g fish fillet, steamed or baked,
  • 150 g spinach greens
3
  • 30 g lean ham,
  • 20 g croutons,
  • Sweetened drink
Small citrus
  • 350 g vegetable stew with meat,
A glass of tomato juice
  • 100 g boiled potatoes
  • 50 g cottage cheese
4
  • 50 g cheese
  • 30 g black bread
  • Sweetened drink
Small citrus
  • 150 g of boiled poultry meat,
  • 100 g potatoes (boiled, baked),
  • 150 g cucumber salad
Large apple
  • 2 egg omelet,
  • 30 g ham
  • 150 g tomato salad,
  • A glass of juice
5
  • 100 g of cottage cheese or yogurt,
  • 30g bread
  • Sweetened drink
100 g berries or fruits
  • 150 g of boiled meat,
  • 100 g potato salad
  • Compote
A glass of kefir
  • 200 g vegetable salad
  • Juice or mineral water
6
  • Large apple,
  • Sugar Free Drink
Salad of 2 carrots with vegetable oil
  • 100 g of boiled lean meat,
  • 150 g cabbage salad
50 g radish
  • 100 stewed mushrooms,
  • 1 egg,
  • medium fresh cucumber
7
  • 50 g of cottage cheese or yogurt,
  • 20 g croutons,
  • Sweetened drink
A glass of milk or kefir
  • 150 g fried meat
  • 100 g sweet potato
  • 100 g fresh vegetables
  • Coffee with milk,
  • 200 g stewed vegetables
  • A glass of kefir,
  • A couple of cookies

Physical activity in the first two months

The first time after giving birth is the best physical activity, along with caring for the baby, is walking. It doesn't matter where exactly to walk - at home in the apartment or in the park with a stroller. The main thing is to do it systematically and with pleasure. Do not be afraid that the seams will part. A postpartum bandage will help prevent this by reducing the load on the painful suture.

Postpartum bandage will be a good helper for a woman after a cesarean section

It is better to shift some of the housework to relatives, for example, washing floors, hand washing something large. Avoid heavy lifting (except for a child) and stress on the scar.

Sports from the third month

After a cesarean section, you need to take care of your belly. You can swing the press no earlier than six weeks after giving birth and with the permission of your doctor. He will examine your seam and recommend loads.

To restore the abdominal press, you should start with the simplest exercises.

Table: a set of exercises from the third month after cesarean section


exercises
Initial position (I.P.) Exercise progress Note
1
  • Lying on the floor
  • Legs are bent at the knees
  • Feet on the floor
  • The knees are apart
  • Hands lie on your stomach, palms down
  1. Breathe in through your nose
  2. On exhalation, tear your head and shoulders off the floor,
  3. Squeeze your sides with your palms,
  4. Hold on for a few seconds
  5. Accept I.P. and relax
Repeat 5 times
2
  • Lying on the floor
  • Hands on stomach, palms down
  1. Slow breath
  2. Exhale sharply
  3. Draw in your stomach as much as possible
  4. linger for 5 seconds,
  5. To relax
Repeat 5-10 times depending on how you feel
3
  • Lying on the floor
  • Back pressed to the floor
  • Hands spread apart
Foot movements that simulate cycling
  • The movements are smooth,
  • breathing evenly
4
  • Lying on the floor
  • Hands behind the head
  1. Breathe in through your nose
  2. As you exhale, raise your head, shoulders and body,
  3. Accept I.P.
  • Start with 5 repetitions,
  • Increase with every workout

For young mothers with a scar on the uterus, Pilates and water aerobics classes will be useful, where the load on the abdomen and abdominal muscles is minimized.

Pilates will have a beneficial effect on a woman's recovery after a cesarean section

Six months after giving birth, you can start more active workouts aimed at reducing the abdomen.

Video: an easy way to remove the belly after a cesarean section

Care after cesarean section

As a result of the operation, a woman has a scar on her stomach for a long time, which must be carefully looked after in order to avoid tissue suppuration. Shower every day for a week after surgery, but do not scrub the seam with a washcloth. Then treat it as your doctor indicated in the statement.

Ointments (Contractubex, Solcoseryl) will help to remove an ugly scar.

Video: postoperative suture hygiene

It is quite possible to recover from a cesarean section in a short time if this issue is taken seriously. First of all, one should listen to the advice of the attending physicians, observe the restrictions of the postoperative period, load the body gradually, without overworking it. Physical activity in combination with a healthy diet will quickly return a woman's health and figure to its previous state.

Each woman, preparing to soon become a mother, with special trepidation awaits the birth of a little man - her baby. And each has its own dreams, desires, worries and fears about the upcoming birth. When will that day come? How will everything happen - quickly and painlessly or for a long time and painful? Should you be afraid of possible complications? A woman asks herself a million different questions, because she understands: having a child is the most important thing that will happen in her life!

Of course, we all hope only for the best. However, unfortunately, no one is safe from possible surgical intervention in the childbirth process. In most cases, when it comes to surgery, a woman has a panic. After all, such a procedure implies complications, and any expectant mother will be afraid of this. And first of all, these concerns concern the health of her unborn baby. This fear is especially justified when a woman is initially completely and completely tuned in to natural childbirth.

As a rule, the decision to perform a caesarean section is made by the attending physician in the presence of direct medical indications. And here the most important thing for a woman is the correct attitude towards a favorable outcome of the situation. It is very important to understand that a caesarean section is not a sentence! This is just an alternative to the natural course of the generic process.

All efforts of doctors during the upcoming operation will be aimed at ensuring the safety of the child and his mother. The correct, competent approach to the choice of a maternity hospital and the candidacy of a doctor, trust in the medical staff leading the birth - all this will undoubtedly add confidence to the mother in the favorable outcome of the artificial birth! After all, a happy mother and a healthy baby on her chest are, without a doubt, precisely the goal that everyone involved in childbirth strives for.

Women who have had a caesarean section need to pay attention to several important points. From how seriously the young mother takes them, ultimately depends on her early recovery after a cesarean section, return to her usual lifestyle and, of course, further full-fledged communication with a small, but most important member of the family!

  • Breast milk secretion.

The recovery process after a cesarean is not only about the health of a young mother and her physical fitness. First of all, all conditions must be created so that a newborn child receives adequate nutrition for full growth and development. Caesarean section operation is a serious stress for a woman's body. Natural childbirth, at its core, triggers the natural process of caring for the baby, signaling the need for active milk production to feed the baby. This factor is especially important in the situation of operative childbirth, since in this case the body loses such a kind of "signal" about the birth of a new person.

In such a situation, it is important for the mother not to miss the moment and make every effort to stimulate the production of breast milk. Of course, the child himself will be of great help in this, since the correct and regular attachment of the baby to the breast stimulates the lactation process in the best possible way.

In the first days of his life, the baby should receive from his mother precious colostrum containing essential fats, vitamins and minerals to strengthen the immune system and protect the body from infections and pathogenic bacteria. Therefore, you should apply the baby to the chest as early as possible! After all, the sooner you do this and the more often you feed, the better it will be with breast milk later.

In cases where the baby is not able to empty the mother's breast during feeding, it is necessary to express the remaining milk by hand or using a breast pump. Especially during the first time after a cesarean section. A woman can get advice on the correct attachment of the baby to the breast, on methods of expressing milk, by contacting a representative of the medical staff of the maternity ward for help.

  • Harmony with your own body.

Hormonal changes in the body, weakness, fatigue and general exhaustion after childbirth, painful sensations after surgery associated with uterine contraction and the need to process the suture area - all these factors require special attention and care from the woman. In the first days after giving birth, the mother will have a hard time: she takes care of the newborn baby and devotes herself entirely to the baby. She will need strength and energy in order not to forget about herself, about her health, body and appearance in conditions of extreme lack of time, if she wants to remain no less attractive in the future than she was before the birth of the child!

The postoperative bandage will be of great benefit for the formation of the previous shape of the tummy. It helps to accelerate the contraction of the uterus, help tone muscle tissue and will reduce the stress on the spine.

Pain in the suture area after a cesarean section and the presence of a scar very often cause a huge number of complexes in a woman. She is ashamed of her husband and worries that the seam will ruin her appearance. You really don't need to worry. Modern surgery takes into account the aesthetic aspect of such an operation: the incision is made small (about 10 cm), in the lower part of the tummy, in the form of a "smile". So do not worry: in a few months, when the scar on the tummy and the inner seam on the uterus will heal, you can safely put on the most open bikini!

The hygiene of the area should be taken especially seriously. postoperative suture... Fortunately, there are currently special means to speed up the healing of such scars, smooth the tissues and make the suture more aesthetic.

In the end, a woman should not forget about her husband, who, with all his love, sympathy for his wife and the desire to help her in everything and always, still sincerely wants to see his wife well-groomed and beautiful. Yes, definitely hard. But, as they say, it should be so!

  • Physical exercises.

Of course, playing sports, going to the pool and having sex are contraindicated in the first few weeks after surgery. Surgical intervention takes some time to restore the integrity of the uterus and complete healing of the sutures. But movement, walking, breathing exercises, simple postpartum exercises to strengthen the abdominal cavity are extremely important for the overall recovery of the body and its adaptation.

When will a woman's body fully recover after a cesarean section? After a month and a half after childbirth, after the complete cessation of discharge, in the absence of complications and contraindications from the attending physician, you can fully and completely return to the previous full life in all its areas!

  • Compliance with a diet.

In the first two days after giving birth, a young mother is allowed to eat only a small amount of lean broth and still mineral water with a drop of lemon juice. From the third day, you can switch to low-calorie dietary products: yogurt, jelly, cereals, lean meat, cottage cheese. The food should be easy to digest and not cause bloating. Starting from the seventh day, the woman gradually switches to her usual diet, subject to the recommendations of a nutritionist.

A correct balanced diet, refusal from "heavy" spicy food and allergens is of great importance not only for the recovery of a woman's body after a cesarean section. Its main goal now is to provide adequate nutrition for the newborn child in order to meet his needs for vitamins and minerals. So a young mother should make it a rule to eat cottage cheese, cheese, dairy products, meat or fish, fruits and vegetables. Because she and only she bears full responsibility for the health of her baby!

And the most important thing that a young mother should remember - her patience, perseverance, positive attitude and, of course, care and love for a little, so beloved and such a wonderful person will help to solve all problems and overcome any obstacles!

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