Recently, there is a Weibo on the Internet about "Confinement is a month of great aunt", causing everyone to be shocked and panicked" "I always thought that confinement was a good meal and a good drink to rest for a month, just knew that confinement is a month of great aunt!" ”
Do I need to panic? Do you need to be afraid? In fact, most of everyone's panic comes from the lack of relevant science. Then today Xiaobian will open the skylight to talk to you about the matter of "confinement is to come to a month's aunt".
Confinement, in medicine refers to the puerperium period, generally 6 weeks (42 days), in this period of discharge of secretions similar to what we call "great aunt" / menstruation, but in fact, the discharge of secretions at this time is called lochia, in addition, this period is also from the whole body organs (except the breast) to a normal state of non-pregnancy a normal process.
1. What is lochia?
After delivery, the placenta is peeled off the uterine wall due to uterine contractions, and the blood vessels on the uterine wall naturally bleed, and then slowly close the broken ends as the uterus recovers. In this process, the blood flowing out and the mixture of deciduous tissue and mucus that have fallen off on the uterine wall are discharged through the vagina, and these menstrual-like blood are called lochia.
Bloody lochia
It is named for the large amount of blood it contains, bright red color, large amounts, and sometimes small blood clots. Microscopic findings include large amounts of erythrocytes, necrotic decidua, and a small amount of membranes. Bloody lochia lasts 3 to 4 days. Bleeding gradually decreases, the serous fluid increases, it turns into serous lochia.
Slurry lochia
It is named for the large amount of slurry contained, and the color is reddish. Microscopic observations include more necrotic deciduous tissue, uterine cavity exudate, cervical mucus, a small number of red blood cells and white blood cells, and bacteria. The serous lochia lasts for about 10 days, the serous fluid gradually decreases, the leukocytosis increases, and it becomes a white lochia.
White lochia
Because it contains a large number of white blood cells, the color is whiter, and the texture is viscous. A large number of white blood cells, necrotic deciduous tissue, epidermal cells and bacteria are seen under the microscope. White lochia lasts about 3 weeks clean.
Second, lochia abnormalities?
If the amount of bleeding increases just after delivery, it may be caused by poor uterine contractions, lacerations in the birth canal, placental residues and abnormal coagulation function, which is a simple case of "postpartum hemorrhage" rather than lochia. At this time, most of them occur in hospitals, and the scene can also be dealt with in a timely manner by medical staff.
Another situation is a sudden increase in bleeding 2-3 weeks after delivery, or even a large bleeding, which may be poor uterine rejuvenation at the placental attachment site, placental placental placenta or shedding remains, and uterine incision infection.
Abnormal lochia is generally manifested as purple and dull as the color of the sauce or washed flesh, with a foul odor, and can be accompanied by fever, abdominal pain, uterine tenderness, excessive duration, and repetition.
If only the lochia time is prolonged, more than the normal time, the amount is small, not accompanied by an increase in the amount and color change, nor odor, it is also abnormal. The causes of this condition may be poor uterine rejuvenation, poor maternal constitution, and endocrine disorders.
If the postpartum uterus is incomplete or the placenta, membrane or co-infection remains in the uterine cavity, the amount of lochia increases, lasts long and smells, and the lochia is called lochia.
Observe lochia daily for color, volume, and odor. If the uterus is incomplete, the lochia increases, the duration of the bloody lochia is longer, the lochia has a foul smell, and the uterus has tenderness, you should seek medical attention in time.
Third, nutrition must not be less!
1, the need for sufficient heat and moisture
Chinese women need about 1800 kcal of calories per day, and it is recommended that women increase 200 kcal per day in the middle and third trimesters of pregnancy, and about 500 kcal per day after childbirth.
Since the spleen and stomach function is in a weakened state within a few weeks after childbirth, the increase in food intake should be taken in a gradual manner. Eat in multiple doses, eating 5 to 6 meals a day. Every day, the water in the diet should be a little more, and more soups, porridges, and soup dishes should be made.
2. High protein supplementation is required
Protein is the material basis of life, contains a large number of amino acids, is the basic substance for repairing tissues and organs, and is very important for women who have just given birth. In addition, if the nursing mother lacks high-quality protein in the body, it will also lead to a decrease in the amount of milk produced.
3. Calcium supplementation needs to be guaranteed
In the process of production, the mother loses a lot of calcium, lactation will make the mother consume 200 mg of calcium per day, if the supply of calcium in the diet is insufficient, it is bound to use the storage of calcium in the maternal bone tissue, which will lead to muscle weakness, waist and leg pain, loose teeth, and osteomalacia deformation.
Pregnant women drink 200ml of milk every day and usually, and eat more calcium-rich foods such as dark green vegetables, soy products, shrimp skins, and small fish, which can achieve the recommended intake.
4, the need to ensure the supply of iron
About half of pregnant women during pregnancy suffer from iron deficiency anemia, and about 200 mg of iron is lost due to blood loss during childbirth, and lactation and breastfeeding will continue to lose some iron, so it is recommended that in addition to eating more iron-containing foods, you can choose mild small doses of iron supplementation. (Such as: medical vitamin double effect iron, mild and efficient, will not cause constipation, gastrointestinal reactions and other problems)
5. Vitamin supplementation is required
Vitamins are indispensable nutrients for the human body. In addition to the small increase in maternal vitamin A requirements, the rest of the vitamin needs are more than 1 times higher than non-pregnant women, therefore, the postpartum diet of various vitamins must be increased accordingly, in order to maintain maternal health, promote milk secretion, to meet the needs of infant growth and development.
6. Adequate fat intake is required
When it comes to fat, mothers who focus on postpartum recovery may reject it, but in fact, fat is an essential nutrient for the human body, which can protect the health of the human internal organs and bones. During the confinement period, you can choose olive oil, walnuts, deep-sea fish and other foods to consume healthy fats.
It is recommended that you can also continue to supplement the medical vitamin 2 stages after childbirth, 2 stages contain a variety of nutrients (active folic acid, high-quality protein, a variety of vitamins and calcium, iron and other 24 nutrients) to meet the nutritional needs of postpartum women!