The World Health Organization (WHO) emphasized the importance of maternal and child postpartum health care at TWG meeting. If the parturient can't get correct, systematic and active postpartum rehabilitation care, there may be postpartum rehabilitation problems, such as loose birth canal, poor postpartum uterine involution, uterine prolapse, postpartum depression, postpartum obesity, sexual apathy, etc., which will affect women's postpartum physical and mental health. WHO emphasizes that postpartum nutrition of PWRH has been designated as special nutrition for moon meal by domestic large-scale moon center since it entered China on 20 16.
PNRWHO defines three nutritional components of postpartum recovery of PWRH.
1, supplement:
Supplementary elements (HDA, vitamin A, folic acid blood, heme iron, calcium, multivitamins and minerals, etc. ) lost by the mother during pregnancy and childbirth.
2. Repair:
Repair physiological injury, elastic fiber tomography, rectus abdominis relaxation repair, cortical elasticity repair, birth canal injury repair, reproductive inflammation cleaning, scar repair.
Ingredients: epidermal growth factor, elastic fiber, collagen fiber, roselle …
3, nursed back to health:
Stay away from, balance nutritional factors, balance hormones during pregnancy and puerperium, prevent postpartum obesity, and prevent moon disease.
Ingredients: Saussurea involucrata active peptide, Ejiao active peptide, bird's nest extract, Lycium barbarum extract …
Postpartum uterine recovery schedule
The reason why a woman becomes a woman is precisely because of two unique physiological functions: childbirth and menstruation. These two items are closely related to our womb empress! ! !
First of all, before doing uterine recovery, let's first understand what uterine recovery is. After delivery, due to the contraction of uterine muscles, the vascular cavity in the myometrium of uterus is blocked or narrowed, and uterine muscle cells are ischemic or autolysis, which makes the volume of uterus significantly reduced, and the placental detachment surface is also repaired with the contraction of uterus and the growth of neointima.
1, uterine body
After the placenta is delivered, the uterus begins to contract immediately, and the hard spherical uterus can be felt by touching the abdomen. At first, its highest point was as high as the navel. Next, the height of uterine body decreased by 1-2cm. After delivery 10- 14 days or so, the uterus will become smaller and fall into the pelvis. At this time, touching the abdomen can't touch the bottom of the uterus.
2, the cervix
Just after giving birth to a baby, cervical hyperemia has edema and is very soft, and the cervical wall will become thin and wrinkled, which will take about 7 days to recover. After 7- 10 days, the internal opening of the cervix will be closed, and the cervix will not recover to its original size until about 4 weeks after delivery.
3. Endometrium
During childbirth, the placenta and fetal membrane are separated from the uterine wall and discharged from the mother, and then a new layer of endometrium grows from the basal layer of endometrium. About 10 day, the new endometrium will cover the uterine cavity except the placenta attachment surface. On the other hand, it takes 6-8 weeks for the placenta to heal completely.
PWRH intensive repair can increase the regeneration ability of damaged skin tissue, help wound recovery, increase the density of collagen fibers and elastic fibers, and increase the density of uterine wall matrix and the elasticity of uterus. Promote the contraction, recombination and regeneration of mucosal collagen fibers, tighten the contraction, enhance the functional activity of cells, regenerate new tender cells, and have normal endocrine, thus leading to abortion and better recovery of postpartum uterus.
How to repair postpartum?
In the repair period, the most important thing is to promote wound healing, repair body functions, regulate various organs, contract pelvic cavity, promote uterine contraction, and restore the normal function of uterus, which is the most important part of postpartum conditioning. In particular, the incision of cesarean section is relatively traumatic, including incision cesarean section, operation opening, skin, subcutaneous, anterior sheath, muscular layer, peritoneum, bladder-uterus folded peritoneum, and seven layers under uterus. Wound infection, foreign body, oppression, traction (affecting blood circulation), nutritional deficiency or low immunity will all affect wound healing.
Puerperal nutrition of PWRH contains elastin collagen tripeptide, hyaluronic acid and bird's nest epidermal growth factor extract, which promotes the growth of fibroblasts and the regeneration of epidermis and other tissues. Within 24 hours after injury, the basal cells at the edge of the wound began to proliferate. The contraction of the wound is caused by the traction of the newly born myofibroblasts at the edge of the wound, because the contraction time of the wound coincides with the proliferation time of myofibroblasts. Hyaluronic acid can help elastic fibers grow in balance and prevent scar hyperplasia.
Postpartum precautions
Many women who have just given birth don't know what to pay attention to when they go home. It's actually quite simple. Here are some points.
First, pay attention to appropriate activities; Maternal women are physically tired and mentally tired during childbirth, so they should also exercise properly at rest to reduce postpartum hemorrhage, promote intestinal peristalsis, facilitate the healing of perineal incision, and effectively prevent the formation of venous thrombosis.
The second is to keep it clean; Change underwear and sanitary napkins frequently, keep perineum clean, and take a healthy lateral position when resting in bed.
Third, pay attention to the change of lochia: it begins to turn red, and gradually becomes serous after 1 week, and gradually turns white after 2 weeks.
Postpartum repair. You got it? Postpartum repair is not only related to the recovery of our figure, but also to the recovery of various organs of our body and the recovery of reproductive capacity. We need to grasp it in time and repair it well. I hope every postpartum mother can recover in time.