Focus: The course of childbirth and complications of childbirth
Why postpartum depression, postpartum sex and contraception
"The female is weak, but the mother is strong." Becoming a mother may be the greatest and most sacred moment of a woman's life.
The vast majority of women go through the process of childbirth throughout their lives. The birth of the human cub is a turning point for a woman to truly change from a girl to a woman.
Having a child means that she will undergo great changes in terms of physical, emotional and social roles, and of course risk her life.
Ancient West: Once a woman becomes pregnant, she must make a will first. Ancient China: To give birth to a child is to go to the ghost gate and take a trip.
Due to the limited human cognition of sex, as well as the long-term oppression and imprisonment of women, for a long time, topics related to reproduction have become taboo, and sexual organs, sexual activities, and childbirth are extremely obscure topics. As a result, women have always known very little about their own body function.
Women have no idea what happens to their bodies during childbirth, and home deliveries and hospital hygiene conditions lead to a very high incidence of puerperal fever and heavy bleeding, and high maternal and fetal mortality rates.
It was not until 1847 that the Austrian physician Ignaz Semmelweis (1818-65) discovered that the terrible "childbed fever" was caused by the lack of hygienic conditions in the delivery room, and doctors examined the mother without washing her hands or disinfecting it. So he ordered his students to wash their hands before touching the sick. Thus, in his ward, he was able to reduce the maternal mortality rate from 20 per cent to 1 per cent.
Later, his discovery was confirmed and widely accepted. Thus, the medical pioneer is known as the "Savior of Mothers".
Coupled with the birth of various birth methods and blood transfusion procedures, the mortality rate of pregnant women and fetuses has gradually decreased.
With the development of modern sexology and medicine, the mortality rate caused by childbirth and pregnancy has been controlled to alarming levels. Therefore, modern women have more opportunities to control their own destiny than ancient women.
Even so, getting pregnant in October and giving birth is not easy for a woman.
Divide and sell
Childbirth is the period and process by which the fetus leaves the mother and becomes an independent individual.
Medically, the process of childbirth is divided into:
Cervical dilation (first stage of labour)
Fetal delivery (second stage of labour)
Placental delivery (third stage of labour)
In the first stage of labor, from the rhythmic contraction pain of the uterus to the opening of the cervical opening of the cervical mouth by 10 cm, the first mother usually takes more than ten hours, and the menstrual period takes about 8 hours.
In the second stage of labor, from the fetal head through the cervical opening to the complete delivery of the fetus, it takes about 1-2 hours.
The third stage of labour, from the delivery of the fetus to the delivery of the placenta, usually takes ten minutes, and then the uterus begins to retract slowly.
Complications of childbirth
Although childbirth is a normal physical function for women, complications and dangers can also arise. These dangers and complications are caused not only by the birth itself, but also by environmental ill-health, cross-infection, etc.
However, most women now go through the entire delivery process in the hospital, and there will be professional guidance from doctors before and after delivery. Doctors who may have problems will also make plans in advance and deal with them in a timely and effective manner, so women do not have to worry too much. But you still need to understand these issues in general.
vulvar resection:
Often when the fetal head is exposed, doctors assess the risk of irregular tearing of the vaginal opening. In this case, the doctor will make a lateral incision of the vulva to prevent the vulva from tearing. The incision is easy to suture and heals soon.
Buttocks:
When the fetus's feet and buttocks are exposed first (instead of the usual head exposed), another problem may occur, which is medically called gluteal first exposure. Breechlus may prolong labour and be dangerous to the fetus. Prolonged second labour may pose risks such as fetal hypoxia asphyxia.
Gonorrhea prevention:
To prevent gonococcal infection of the eyes, doctors will instill silver nitrate solution into each newborn's eyes.
Cesarean:
In some rare cases, due to various reasons, normal delivery is not possible, and caesarean section is required (older women should pay more attention). This means that the doctor needs to cut the abdominal wall and uterus before the fetus is delivered to the vagina, and the fetus is removed. Caesarean section, called "Caesarain section" in English, is quoted from the legend of Julius Caesar, who was born in this way.
Nowadays, many women will worry about pain, Y-channel relaxation and other issues and actively choose caesarean section, in fact, they may be too worried. Giving birth to a child is usually within the range of pain, and there are many painless delivery methods that can relieve the pain. Y-channel relaxation is the result of pregnancy in October, and it has little to do with childbirth, so it is not a wise choice to choose caesarean section.
puerperium
After delivery, both the mother and the fetus need a period of time to recover physically. Women need a process (confinement) to restore the body to the prenatal state as much as possible, while adapting to the new role of mother. During the puerperal period, many women may experience mild depression, with a series of common mental disorder symptoms such as sadness, sensitivity, depression, irritability, irritability, and crying for no reason.
80% can be alleviated or disappeared by drugs and psychotherapy, but it also needs attention, and serious ones can lead to suicide, infanticide and other extreme behaviors.
Why does postpartum depression occur?
1. Changes in hormones affect higher brain activity, and sudden changes in the level of estrogen and progesterone in the maternal body indirectly affect maternal brain activity, coupled with overwork and poor rest. Therefore, "one pregnancy for three years" is not without basis.
2. Other factors
The care of the family is insufficient, especially from the partner and the sharing of children.
Family relations affect, mother-in-law and daughter-in-law relationship, husband and wife relationship will also directly affect the mood of maternity.
Economic survival, jobs, housing conditions, economic level, infant health, etc. can also put pressure on maternity.
Psychological factors, not being mentally prepared to adapt to the new role of mother, worrying that they will not be able to take good care of their children, and so on.
The causes of postpartum depression may be manifold, if after childbirth, the family can give the mother more love, especially the partner, help the mother to take care of the child, share more responsibilities, give her more tolerance, understanding, support, I believe these problems will be greatly reduced.
Because of the changes in maternal hormones after childbirth, most of the energy is in taking care of the child, and the desire for the couple's life will be relatively low, which is very normal. Men should not complain that they have no ideas, and do not dislike their personal looseness, body shape and other physical changes. Having children is instinctive, but for a family, they are great.
If men can understand them more and share more responsibilities for taking care of children, not only will their feelings with her not be weakened by having children, but they will also have less concerns: whether he will cheat, if he can't go to work to make money, I'm out of shape...
Postpartum recovery
After childbirth, the remaining turbidity and residual blood in the mother's uterus will be excreted through the vaginal D along with the shedding of the endometrium and cervical mucus, and it can be drained in a few weeks. The uterus will also retract to its pre-pregnancy size and shape within a few weeks.
Pregnancy and childbirth will make some changes in the woman's body, although it will recover to varying degrees within a certain period of time, but it is still necessary to cooperate with some postpartum repair measures to minimize the impact of childbirth on the body.
Shortly after childbirth, a woman's nipples secrete an aqueous fluid called "colostrum." Colostrum appears to have an effect on improving immunity in newborns.
A: The baby's sucking sends nerve impulses to the brain. B: Prolactin is released into the bloodstream. C: Prolactin stimulates breast milk production.
After about 3 days, the colostrum is replaced by milk, and the baby's sucking can stimulate the release of prolactin, which induces the breast to secrete milk. It is very normal to have pleasure or sexual arousal due to the baby's sucking, and there is no need to panic or be ashamed of it. This physiological response has important physiological and psychological functions, and on the contrary, it should be self-indulgent.
For a period of time after childbirth, due to changes in hormones in the body, the mother usually stops ovulating, and menstruation naturally stops. Stopping ovulation means not getting pregnant, but couples can't use this natural mechanism to get contraception.
Because ovulation occurs before menstruation and ovulation occurs before the first postpartum period, contraception is required from the moment of sex after childbirth. Do you understand that?
After childbirth, it takes a while for a woman to regain her sexual interest, and doctors generally recommend avoiding sex for 6 weeks after childbirth, although studies have shown that sex shortly after childbirth does not cause physical harm to women. The specifics have to be treated specifically, and this "one-size-fits-all" rule is not necessarily really beneficial.
From a medical point of view, once the bleeding, incision or tear healing is stopped, sexual life can be restored, and those hazel effluents can be ignored. This is not to encourage the early resumption of sex after childbirth, but to reduce the psychological burden caused by this rule. The physical recovery and care of mothers and newborns should be the first consideration.
"Mother" is sacred, not a simple title, but more of a responsibility. Women who are not ready to become a mother, please be sure to do contraception.