In the early morning of january 31 Chinese New Year's Eve, Lin Chiling posted on social platforms that she had given birth to her son and posted photos of shaking hands with the baby. It seems that it should be the safety of mother and child, congratulations!
Lin Chiling and her husband Kurosawa Ryohei got married in November 2019, after marriage, the outside world has spawned several times, she herself has seen a lot of doctors, we also boldly speculate that she secretly performed IVF, and now finally ushered in a baby, the process is really not easy, fortunately, finally got what she wanted.
However, After all, Zhiling is a 48-year-old early-age pregnant woman, in addition to the pregnancy is prone to various complications, postpartum recovery will be worse than that of young people, and the long time of postpartum recovery will increase the probability of puerperal infection and thromboembolism to a certain extent.
Now, there are also many women who give birth at an advanced age, so what scientific and reasonable rehabilitation do they need to pay attention to?
Advanced maternal age women need to pay attention to which postpartum rehabilitation
Poor uterine rejuvenation: The uterus recovers from the size of a watermelon before childbirth to the size of an egg before pregnancy. Poor uterine rejuvenation may lead to postpartum abdominal pain, dysmenorrhea and other symptoms.
Mastitis: in elderly women, the breast ducts have not been used for many years, and the mammary glands are prone to unsmooth phenomena, resulting in mastitis, which is manifested as local redness, swelling, heat and pain in the breasts. If it occurs, it is necessary to seek medical treatment in time, and once the treatment is delayed or the treatment is not standardized, it may aggravate the condition.
Rectus abdominis: During pregnancy, the pressure on the abdominal wall gradually increases, the abdominal white line between the two rectus abdominis muscles is stretched and becomes weak, and the distance between the rectus abdominis muscles increases, resulting in rectus abdominis separation. Pregnant women postpartum abdominal muscles are relaxed, abdominal wall tension decreases, can not quickly return to the original position and shape, excess flesh will accumulate in the abdomen protruding.
Pelvic floor dysfunction: The pelvic floor muscles support the organs in the pelvic cavity like a hammock. Just as the leather band is always in a state of stretching, the elasticity will be reduced, the weight of the abdominal cavity during pregnancy increases, and the pelvic floor muscle is "pressed" for a long time, coupled with the large fetal head and the long delivery time, which is easy to cause pelvic floor dysfunction diseases. Young maternal compensatory function is relatively strong, symptoms are not obvious, but the muscle damage of elderly women is not easy to recover, after entering menopause, it is more likely to appear uterine prolapse, bladder urethra and rectal bulging, sphincter insufficiency, urinary incontinence, fecal incontinence and other problems, seriously affecting the quality of life.
Bad psychology: Pregnant women after october pregnancy, hormones drop sharply, easy to physical and mental exhaustion, low mood. At the same time, postpartum women face a change in roles, family members will shift most of their attention and care to the newborn, and there is a sense of loss in the mother's heart, which is prone to anxiety and loss.
Physical obesity: advanced women have low metabolism and are more likely to appear obese after childbirth.
When is the best time to recover
At present, 6 weeks after giving birth is considered the best time to start postpartum recovery. Rehabilitation is available after 28 days for vaginal births; caesarean sections generally begin postpartum rehabilitation between one and a half months and two months after delivery.
1. Breastfeeding: exclusive breastfeeding helps to repair the uterus and promote slimming, and can also promote the discharge of uterine lochia. At the same time, exclusive breastfeeding can reduce the incidence of breast cancer and ovarian cancer in the mother, and nearly 500 calories need to be consumed when lactation, and the energy consumed can speed up the recovery of the body.
2, body shape management: requires women to stay in bed after childbirth less exercise, and eat a lot of nutritious food "confinement" traditional concept can easily lead to postpartum obesity. Therefore, in terms of diet, it is best not to eat greasy and fatty foods. 1-3 weeks after childbirth can be done first to do puerperal exercises, which is conducive to the recovery of maternal body shape and pelvic floor muscle tone.
Method: Take abdominal breathing as an example, first lie on your back, straighten your knees, place your feet flat on the bed, and gently place your hands on your chest; slowly take a deep breath, and then empty the air in your lungs. The hands placed on the chest when inhaling should be left naturally; 5 or 6 times every 2 or 3 hours for 15 minutes.
For women over 30 years old, starting from the 4th week after childbirth, yoga gymnastics can reduce fat in the back, buttocks, and abdomen, and improve poor posture. Method: Stand upright, take a big step forward on your right leg, turn your left foot outward 45 ゚, put your right knee and right toe on a horizontal line, and press down as much as possible so that your right thigh is parallel to the ground. Bend your body and place the palm of your right hand behind your right foot to hold the ground. When you extend your left arm as much as possible, still keep your right thigh parallel to the ground.
3. Develop good hygiene habits and avoid the intake of irritating beverages such as tea, cola, and coffee.
Pelvic floor rehabilitation is a top priority for postpartum rehabilitation
Pelvic floor rehabilitation is an important part of postpartum rehabilitation for women. The main methods of pelvic floor rehabilitation are:
1. Kegel Movement. Studies have shown that Kegel exercise from 28 weeks gestation to 6 months postpartum can effectively increase pelvic floor muscle tone and prevent the occurrence and development of pelvic floor dysfunction. Pregnant women should see the campaign as part of their daily lives and stick to it for a long time.
Exercise method: continuous contraction of the pelvic floor muscles (levator movement) for 2 to 6 seconds, relaxation rest for 2 to 6 seconds, and so on 10 to 15 times as a group. Train 3 to 8 sets a day for more than 8 weeks or more. Except for the levator ani muscles, the abdomen, thighs, and buttocks are not strained.
2. Bladder training. After childbirth, the daily water time, water intake and urination are recorded, and the interval between urination is consciously extended, and finally the urination is achieved every 2 to 3 hours during the day.
3. Biofeedback. With the help of an electronic biofeedback therapy device placed in the vagina or rectum, doctors monitor the electrical activity of the pelvic floor muscles and convert this information into visual and auditory signals to feed back to the patient, instruct the patient to properly and autonomously train the pelvic floor muscles, and form conditioned reflexes. Compared with pelvic floor muscle training alone, biofeedback is more intuitive, and the short-term effect is better than pelvic floor muscle training alone.
4. Electrical stimulation therapy. Using electrodes placed in the vagina and rectum, the pelvic floor muscle groups or nerves are regularly stimulated, and the function of levator ani muscles and other pelvic floor muscles and striated muscles around the urethra is enhanced to improve the ability to control urine.
If the pelvic floor dysfunction is more severe, surgery can be selected after receiving professional guidance and functional rehabilitation training, but the effect is still not good.
Congratulations to Sister Zhiling again, I hope that after that, she can share more about the growth of the little baby, recover as soon as possible, and re-emerge from the jianghu with a beautiful posture!
Today Chinese New Year's Eve, Jin Xuan Medical Class wishes all readers an auspicious year of the tiger, a happy family, and like Zhiling, they want to succeed! We'll see you next year!