Features and terms of recovery of the body after childbirth. Repeated pregnancy

Many women claim that making love for the first time after giving birth was like "the very first time."

There are lucky women in the world who, even in the hospital, dream about how they will have sex again. And, characteristically, they soon successfully realize their dream. But, alas, there are very few of them. Statistics say that about 50% of new mothers have problems in sexual relations within three months after giving birth, and 18% of these problems continue throughout the first year. How and when can they be resolved?

When?

You can start having sex no earlier than after 4-6 weeks postpartum.

This requirement is primarily due to the fact that it is during this period that the uterus gradually returns to its previous, pre-pregnancy size, the placenta attachment site heals (after all, after the placenta separated from the uterine wall during childbirth, a continuous wound remained in its place surface). If an infection gets into an unhealed wound during intercourse, the case may end with endometritis (inflammation of the uterus).

The vagina should also return to its previous state - after all, after childbirth it is stretched. Most often, by the sixth week after birth, it gradually decreases in size. In order to help him do this, gynecologists recommend performing Kegel exercises that train the muscles of the perineum and vagina.

In the middle of the last century, gynecologist Arnold Kegel invented them for women who had problems with involuntary urination after childbirth. Subsequently, it turned out that these exercises also increase sexual tone, improve blood circulation, and even allow you to control orgasm. In order to feel which muscles you need to train, try to stop the stream of urine while urinating. The muscles with which you did this are the muscles of the perineum. Now your task is to learn how to strain and relax them as much as possible, first at a slow, and then at a fast pace. This can be done at any time - while walking, watching TV, lying in bed, etc.

It would seem that if the birth occurred by caesarean section, then such problems should not arise, and you can have sex almost immediately after childbirth. Indeed, the vagina has not undergone any changes in this case, but the wound at the site of attachment of the placenta should heal in the same way as after natural childbirth. In addition, a scar remains on the uterus, which heals within the same 4-6 weeks (the seam on the skin of the abdomen can heal much earlier).

Can't or don't want to?

It happens that the doctor gives the go-ahead, but the woman still does not want any sex. Do not rush to diagnose yourself with frigidity, but rather figure out why this is happening. The reasons can be both quite obvious and lying deep in the subconscious.

By and large, the dulling of sexual desire is a kind of natural reality. Indeed, as long as the cub needs constant maternal care and care, cannot survive on its own, the next cub of the mother is not yet needed. Therefore, in the body of a woman who has recently given birth, the level of estrogen (the hormone of pleasure) decreases, hence the increased dryness of the vagina, even with a sufficiently high sexual arousal. If the birth was difficult enough, then subconsciously she wants to take revenge on her partner for the suffering she has endured.

There are other reasons for not wanting sex, more conscious:

severe fatigue (often combined with resentment against her husband, who does not help either with the child or with the housework), it is most often expressed in the phrase: “I don’t have time for sex now!”;
a feeling of own unattractiveness, indeed, after childbirth, the female figure loses its girlish angularity, but many men find this very attractive;
postpartum depression - this type of depression, which occurs in about 10% of women, can significantly reduce sexual desire.

And a young mother is simply scared to have sex. She may fear, for example, that:

will hurt or that the wound has not yet fully healed. To cope with this fear, it would be good to see a doctor in advance - he will determine whether everything is in order after childbirth.
at the most crucial moment the child will wake up. Fear leads to tension, and the woman cannot relax. A good option is not to wait for the night when you will literally fall from fatigue, but to ask your grandmother or nanny for an hour or two to take a walk with the child on the street.
she will become pregnant again, and this is now so inopportune. Remember that contraceptive methods have not yet been canceled. You just have to choose the best way for yourself.

Contraception

For some reason, there is a widespread belief among the broad masses of the people that while a woman is breastfeeding or until her menstrual cycle is restored, it is impossible to get pregnant. This is wrong. Moreover, until the cycle has begun or become regular, it is very easy not to notice a new pregnancy. Menstruation may begin as early as 28 days after childbirth, or may not come during the entire lactation period, but this does not mean at all that you are insured against pregnancy. What remains?

calendar method it doesn't suit you right now. Even in “peaceful” time, it is effective in only 50% of cases, and even when menstruation is irregular, there is no need to rely on it at all.

About hormonal pills doctors' opinions differ. Some argue that hormones, getting into milk, are not harmless to the child, others insist that modern hormonal contraceptives, skillfully selected especially for you, will not affect the baby in any way. It's up to you, but in no case do not try to "prescribe" a hormonal drug for yourself - only a doctor should do this. In principle, this is a fairly reliable tool - it is 97-99% effective.

There are several options for the introduction of a hormonal drug:

the actual pills (it is necessary to take every day, and preferably at the same time);
an injection, which is also called a “contraceptive injection”, its indications and contraindications are exactly the same as for tablets - only the form of application changes (valid for 8-12 weeks, depending on the type of drug);
contraceptive capsule: injected under the skin of the shoulder (valid for 5 years, and the capsule can be removed at any time).

Intrauterine device effective by 98%, but you can put it no earlier than 6 weeks after childbirth and provided that you do not have chronic gynecological diseases.

Barrier contraception(condoms, diaphragm, spermicides) are 85-97% effective. The combination of a diaphragm and spermicides is especially effective (spermicide is applied to the dome of the diaphragm before its introduction).

Like the first time

Many women claim that making love for the first time after giving birth was like "the very first time." This must be borne in mind by a spouse who is burning with passion. He now needs maximum patience and tenderness in order to renew a love relationship. To begin with, he will have to share with his wife not only the bed, but also the cares of the house and the child.

To relieve muscle tension, massage is a good idea (especially with the use of essential oils). To begin with, it is better to choose a position in which you will control the depth and frequency of penetrations yourself - for example, the “rider” position. To reduce vaginal dryness, you can use special gels and lubricants from an intimate store. It is very important that you do not doubt your attractiveness to a partner. Believe me, the male look is much less demanding than the female one.

They say that it is the restoration of sexual relations that is the end of the postpartum period and the beginning of a new stage in family life. May it be happy for you!

Inessa Smyk, magazine "Be Healthy"

The inevitable lochia after childbirth is wound discharge from the uterus. After pregnancy, the female body is restored, and the injured walls of the uterus heal. As a result, the body begins to recover and becomes the same size as before pregnancy. Its upper surface heals, and the area of attachment of the vaginal wall to the placenta is tightened. Thus, the cause of lochia that appeared after childbirth is:

restoration of the uterine cavity;
cleansing of the membranes.

The uterus shrinks and throws out unnecessary tissues that have become toxic. The discharge is similar to menstrual flow, but is made up of other substances. These are scraps of the lining of the uterine cavity, ichorus, the remains of the placenta, mucus from the cervical canal, and blood.

Lochia consult hygiene products
menstrual cycle Resumption
Development Complex degree of consequences

Immediately after delivery, the entire surface of the uterus is covered with a large wound. Therefore, blood clots and blood can be released. You should not worry, because in this way the body is cleansed and restored on its own.

If the lochia differs from those that should be normal, this indicates postpartum complications. Yes, the first few days after giving birth, a woman is in the hospital, so doctors track the duration of lochia. But then she is discharged home, so she will have to monitor the nature of the discharge on her own.

Normally, postpartum lochia is observed for 6-8 weeks. Permissible deviations - 5-9 weeks. Otherwise, you need to consult a doctor. You can see photos of lochia to know how they look after childbirth.

Duration of uterine recovery

We found out how long lochia takes on average after a past birth, but they come in several varieties. It also depends on their duration.

They appear during the healing process of the inner surface of the uterus.

The active phase lasts about three weeks. During this time, several types of secretions are observed.

Red. It takes about 3-4 days after the baby is born. They cause discomfort to a woman, because they are very plentiful. The color of the discharge is bright scarlet, since a large number of erythrocytes - red blood cells - are present in the remnants of non-viable tissues. Brown blood clots may also be released. Allocations should end on day 4. At the same time, a woman changes one pad per hour. If you have to change more often, you need to call a doctor. After childbirth, the gynecologist usually advises the woman on how long the lochia takes, so the expectant mother is not difficult to navigate.
Serous. They last from 4 to 10 days and are not as plentiful as red ones. The color of the secretions is pinkish-brown or brown, since a large number of leukocytes are present in the excreted substances. Usually, red clots no longer appear, but only sanious-serous discharge is observed.
White. They do not cause discomfort to the woman and last for 20 days. Normal discharge should be without bloody clots, pungent odor. They are yellowish or whitish in color, almost transparent, smearing character.

If after childbirth you know how long lochia will come out, then you will immediately understand when you need to contact a specialist for help. The volume of secretions begins to decrease over time, and already at 3 weeks they do not cause discomfort, therefore they are almost imperceptible and very small in volume. Usually, by the 6th week, vitreous mucus with bloody patches is released from the cervix, at which the body finishes its restoration. In this case, the duration of the discharge does not depend on whether your first pregnancy or the second.

In case of complications, you should consult a doctor

When to See a Doctor

If you know exactly when the release of lochia should end after childbirth, it will be easier to track possible violations. You need to make an appointment with a doctor in the following cases.

Allocations last too long or their number has become quite large. Such bleeding is possible due to the fact that parts of the placenta remain in the uterus, so it cannot contract normally. In this case, the woman will have to remove the remnants of the placenta in the hospital. The procedure is painless due to intravenous anesthesia.
The bleeding has stopped, although you know exactly how many days after the last birth the lochia should go. Stopping discharge indicates a possible accumulation of lochia in the uterine cavity. If they are not removed, there is a risk of developing endometritis.

Endometritis develops if, after childbirth, lochia are excreted with pus, and have an unpleasant, pungent odor. A woman notices a deterioration in well-being:

pain in the lower abdomen;
the temperature rises.

In this case, you need to urgently call a specialist or call an ambulance. Sometimes a curdled discharge appears from the vagina. This may indicate the appearance of candidiasis. If it is not healed, there is a risk of developing a severe infection.

It does not matter how long lochia has been going on after the first or second birth. If there is heavy bleeding, you should immediately call an ambulance. In this case, the woman is hospitalized.

Only an attentive attitude to your health, monitoring the secretions and timely response to their changes will help to avoid serious complications. It is better to play it safe and once again consult a doctor than to subsequently be treated for unpleasant sores.

Do not ignore the rules of hygiene, which are especially important for the successful completion of the postpartum period.

If there is a relapse

Sometimes it also happens that after giving birth, lochia first ended, and then started again. If after 2 months there is a scarlet discharge from the vagina, the cause may be:

restoration of the menstrual cycle;
rupture of seams after strong emotional or physical exertion.

When you know how long lochia can go after the last birth, but suddenly they return after 2-3 months, you need to look at their character. Sometimes the remnants of the placenta or endometrium come out in this way. If the discharge is dark in color with clots, but without pus and a sharp putrid odor, everything should end without complications.

In addition, when the discharge passes and then comes again, there is a risk of developing an inflammatory process in the uterus. Only a doctor can help you here. He will conduct an examination and find out the cause of the incident. You may be having a new menstrual cycle. But in the worst case, medical intervention is required.

Carrying a child and its birth is an important stage in the life of every woman. However, for the body of a young mother, the process of pregnancy and childbirth is a rather difficult, stressful period, after which it is difficult for a woman to return to her original shape.

Changes concern not only external characteristics (figure, breast shape), but also the functioning of internal organs and systems, primarily cardiovascular, reproductive, endocrine. Every young mother is concerned about questions: how to recover as quickly and fully as possible? How long does the body recover?

Recovery time

Since ancient times, it was believed that the body of a woman in labor needs about 40 days to return to normal (this is the reason for the belief that a woman who has undergone childbirth should not enter the church for 40 days after the baby is born). In each case, the time of postpartum rehabilitation is purely individual, how long the recovery will last depends on various factors, such as:

How to start rehabilitation?

In the first days and weeks after the baby is born, a woman feels tired and depressed. This is due to hormonal changes, fatigue after a difficult birth process and caring for a newborn baby, negative changes in the figure. Against this background, many young mothers experience such a common phenomenon as postpartum depression. This condition is considered normal, because a qualitatively new stage has begun in a woman's life, the transition to which is accompanied by severe stress. At this time, it is important to take all necessary measures to alleviate your condition.

First of all, it is important to realize that the birth of a child is a great joy, the most significant event in the life of any woman, and some difficulties that will arise from time to time cannot overshadow the joy of motherhood. In addition, a woman needs the support of relatives and friends, but if postpartum depression is intense, you can seek the advice of a psychologist.

It is important to understand that the recovery process after childbirth is not instantaneous, it requires a lot of time and patience. First of all, you need:

Recovery of the cardiovascular system

In the process of bearing a child, the cardiovascular system undergoes significant changes. In particular, the volume of blood circulating in the body of the expectant mother increases. Normal volume is restored some time after the birth of the baby, however, this process does not occur immediately.

In addition, childbirth, accompanied by profuse blood loss (especially if the child is born by caesarean section), leads to an increase in blood clotting. This in turn increases the risk of blood clots, especially in the small blood vessels in the legs. Therefore, in the first time after childbirth, it is advisable for a woman to wear compression stockings.

Restoration of the organs of the reproductive system

Pregnancy and childbirth have a significant impact on the condition of the uterus, its cervix, and vagina. The menstrual cycle is disturbed.

Uterus

Recovery of the uterus occurs after 6-8 weeks. All this time, the woman has specific spotting - lochia. This is fine. In the first 2-3 days after childbirth, lochia resemble heavy menstruation. Over time, the discharge becomes less intense, their color changes (the discharge becomes lighter) and consistency (mucous discharge and blood clots appear). Important! If the birth took place using the caesarean section, the recovery period of the uterus and the duration of postpartum hemorrhage increase.

The recovery process is accompanied by uterine contractions, during which the woman may experience intense pain. This is also the normal state. The uterus, contracting, comes to a normal state, its size and volume are restored. If immediately after childbirth the organ weighed about 1 kg, then after 1.5-2 months its weight is 60-80 g, the original pear-shaped form returns (after the birth of the child, the shape of the uterus was spherical). Uterine contractions are caused by the release of the hormone oxytocin into the blood, the production of which increases when the baby is attached to the breast. That is why with breastfeeding, the recovery process of the uterus occurs more intensively.

In many women, uterine tone is significantly reduced after childbirth. This phenomenon can lead to very adverse consequences, such as uterine bleeding, stagnation of lochia with the subsequent development of the inflammatory process, endometritis. The development of complications is accompanied by a change in the nature of postpartum discharge, their color, volume, smell.

Cervix

This part of the reproductive system is restored the longest. And even after the expiration of the rehabilitation period, the cervix will no longer return to its original shape (therefore, during a gynecological examination, the doctor can easily determine whether a woman has given birth or not). This is typical only for natural childbirth. So, if before pregnancy the opening of the cervix was round, after childbirth it acquires a slit-like shape. The cervix itself becomes like a cylinder (before childbirth, it had a conical shape). The duration of the rehabilitation period of the cervix is about 4 months, in the presence of complications during childbirth, this process can be extended.

Vagina

After pregnancy and childbirth, the tone of the muscles of the vagina decreases (over time, it increases, but it will never be the same). How to quickly recover after childbirth? To do this, it is recommended to regularly do Kegel exercises, which will not only bring muscle tissue back to normal, but also avoid such unpleasant manifestations of hypotension, such as urinary incontinence, which is observed in many women in labor.

In addition, a woman has vaginal dryness, which occurs as a result of increased secretion of prolactin (breastfeeding hormone, against the background of a decrease in the level of sex hormones - estrogen and progesterone). Over time, the hormonal background returns to normal. Finally, this happens at the end of breastfeeding.

Menstrual cycle

The signal that the process of postpartum rehabilitation is completed is the normalization of the menstrual cycle. Usually the cycle is restored after 7-8 months, however, the appearance of normal periods may occur later. How long the cycle normalization process will take depends on the presence or absence of some unfavorable factors, such as:

general weakness of the body;
pathological course of pregnancy and childbirth;
the presence of diseases in the chronic form of the course;
malnutrition;
physical and emotional fatigue;
age (the older the woman in labor, the longer the period required for her body to recover).

Figure restoration

Throughout the pregnancy, a woman gaining about 10-12 kg of weight, which includes the weight of the fetus, amniotic fluid and membranes, the weight of the increased blood volume. Almost all of this weight goes away after the baby is born. However, changes in nutrition and a decrease in physical activity of a pregnant woman lead to visible changes in her figure.

For a faster recovery, a woman is recommended:

Childbirth is a serious test for a woman, and no matter how well they proceed, the body needs a lot of time to fully recover. It is not for nothing that obstetricians and gynecologists strongly do not recommend thinking about a new pregnancy in the near future: there must be a gap between births at least 2 years, and in the case of delivery by caesarean section - at least 3 years.

Internal organs

The greatest load during pregnancy, of course, fell on the internal organs, which for a long time worked in intensive mode for two.

The cardiovascular system functions with a high load due to the formation of uteroplacental blood flow and an increase in the volume of circulating blood.
urinary system during pregnancy, it removes metabolic products not only of the mother, but also of the child.
There are changes in respiratory system, because the need for oxygen increases significantly.
Other body systems are also undergoing global restructuring.

Uterus

Postpartum recovery is primarily in complete involution of the uterus. This hollow organ undergoes the greatest changes during pregnancy: the uterus grows with the baby and increases almost 500 times. After childbirth, it is a huge bleeding wound, damaged in the area of \u200b\u200battachment of the placenta and filled with blood clots.

information In the first 3 days after the birth of a child, the uterine cavity should already be cleansed of blood, after 3-5 days its inner layer heals, however, one can speak of its complete recovery no earlier than one and a half to two months.

Immediately after childbirth, discharges called lochia begin to flow from the organ: at first they are bloody, then they become lighter and more liquid, and finally stop by about 6 weeks after childbirth. At the same time, the uterus begins to contract intensively, which may be accompanied by pain in the lower abdomen, and returns to its former size and weight. There is also a contraction of the internal and external uterine os: immediately after childbirth, the diameter of the hole is 10-12 cm, but by the end of the third day the canal will be passable for only one finger.

Vagina

During the second stage of labor, there is a significant load on the vagina: it is greatly stretched, its walls become thinner and partially lose sensitivity.

In most cases, the vagina recovers fairly quickly and returns to normal prenatal size within 6-8 weeks. However, there are times that this requires much more time, effort, exercise, and in some cases, the help of plastic surgeons. Such situations can occur with significant injuries and ruptures during childbirth.

Other organs

As mentioned above, during the period of bearing a child, all systems and organs worked in an enhanced mode, in addition, many of them were displaced by the pregnant uterus. For this reason, after childbirth, it takes time for them to function already in the usual prenatal mode.

Global restructuring occurs in the endocrine system: hormone levels change significantly, and quite dramatically. This situation is often accompanied by a deterioration in the woman's well-being, both physical and moral.

For example, on the 3-4th day after the birth of a child, the level of prolactin, which is necessary for the production of breast milk, begins to increase sharply. This may entail:

drop in mood;
the appearance of irritability;
apathy
tearfulness.

Menstrual cycle

Recovery of the body after childbirth also, of course, consists in the normalization of the menstrual cycle. The beginning of menstruation, first of all, depends on whether the woman is breastfeeding the child.

The timing of the onset of menstruation after childbirth

These terms are averaged, the onset of menstruation for each woman can proceed individually.

After the onset of menstruation after childbirth, they may be irregular and differ markedly from the menstrual cycle before pregnancy. Its full recovery should occur no later than 2-3 months, otherwise the woman should contact an obstetrician-gynecologist.

Figure and weight

Probably, every woman dreams of restoring the body after childbirth as soon as possible, and first of all, this applies to a slender figure.

You should not expect that the weight gained during pregnancy will disappear overnight. It takes about 9 months for its full recovery, i.e. approximately the time for which he was recruited.

In no case should you go on a strict diet immediately after childbirth, especially for nursing mothers, because the child should receive maximum nutrients. A woman's diet should be balanced, containing only healthy foods. To correct weight, it is better to start leading an active lifestyle and devote more time to physical activity.

Normally, weight loss should not exceed 1 kg per month.

Active training

The birth is over and mom is in a hurry to start restoring her former beautiful figure. Of course, sport is a useful occupation, but its unreasonably early start after childbirth can only harm. In no case is it recommended to start training earlier than 6 weeks after the birth of the child, especially for abdominal exercises and any activity with heavy physical exertion. After operative delivery by caesarean section, these terms can be significantly increased depending on the course of the postoperative period and the condition of the scar.

In addition, intensive sports are contraindicated for nursing mothers, because. strong physical activity can lead to a drop in prolactin levels, and, accordingly, the cessation of breastfeeding. A woman during this period can only do light gymnastics and simple fitness.

Recovery after childbirth refers to the process of involution. This is the reverse development of the organs and systems associated with them that experienced tremendous changes during the period of bearing a child. Most of all, the changes affected the systems of the pelvic organs, cardiovascular, hormonal, and mammary glands. The involution of the body after childbirth takes a relatively short period of time, not counting the endocrine system and the breast, which are restored with the cessation of lactation.

Cardiovascular and Respiratory System

The respiratory system is restored immediately after childbirth, as the diaphragm-displacing uterus no longer prevents the lungs from breathing to the full chest. Shortness of breath passes, the load on the heart decreases. The cardiovascular system during pregnancy has undergone great changes - an increased volume of blood can make itself felt for some time after childbirth with edema. The volume of circulating blood comes to the pre-pregnancy level gradually.

In the first days after childbirth, due to natural physiological bleeding from the birth canal in the absence of pathologies of the circulatory system, blood clotting is enhanced, especially in women after cesarean section. Due to increased thrombus formation after surgery, it is recommended to wear compression stockings on the first day when bed rest is indicated.

Restoration of the uterus, vagina, menstrual cycle

Recovery of the uterus after childbirth takes 6-8 weeks. The whole process is accompanied by postpartum discharge - lochia. The first 2-3 days they resemble heavy menstruation, then the strength of the bleeding decreases and a week later, during natural childbirth, the discharge brightens, they contain impurities of mucus and blood clots. With a caesarean section, bleeding and the recovery period of the uterus last longer.

The process of involution of the uterus is accompanied by painful contractions. Thus, there is a decrease in its volume and size. Immediately after childbirth, the uterus weighs about 1 kilogram and is like a ball. By the end of the recovery period, she returns to a slightly larger weight and size than that of a nulliparous woman - 60-80 grams, and acquires the usual "non-pregnant" pear-shaped shape.

Accelerates the recovery period of the uterus hormone oxytocin. Naturally, it is released into the bloodstream with each application of the child to the breast, therefore, when feeding in the first days after childbirth, painful uterine contractions are felt.

The more often a woman breastfeeds, the faster the uterus contracts.

With a weakened tone of the uterus, the recovery process is unsatisfactory and there is a threat of such complications as uterine bleeding, stagnation of lochia, leading to inflammatory diseases of the genital organs, which in advanced cases can spread throughout the abdominal cavity. The most common postpartum complication is endometritis, an inflammation of the lining of the uterus. An indicator of such complications are lochia - their volume, appearance, smell and duration of the discharge period.

Acne during pregnancy: causes and treatment

Recovery after childbirth of the menstrual cycle in the absence of breastfeeding occurs after 1.5–2 months, with mixed feeding up to six months, with full breastfeeding, the terms vary from 6 months to 1.5–2 years. These values are averaged and may vary depending on the individual characteristics of the woman's body.

Re-pregnancy can occur immediately with the establishment of the menstrual cycle. Moreover, menstrual bleeding does not necessarily become a signal of such readiness of the body for conception. Ovulation - the process of the release of an egg ready for fertilization from the ovary, occurs before menstruation in about 2 weeks, and pregnancy can take a woman by surprise.

Significant changes during natural childbirth undergoes the cervix and vagina. You can force the acquisition of the original shape of the vagina by Kegel exercises.

In addition to the beneficial effects on the female reproductive system, these exercises solve the problem of urinary incontinence after childbirth.

With the restoration of the tone of the muscles of the perineum and vagina, it will approach the size of a nulliparous woman, but it will no longer become the same.

During the restoration of the reproductive system, the production of female sex hormones - estrogen and progesterone - is reduced, which leads to natural vaginal dryness. The same thing happens with breastfeeding - the biological rhythm of the reproductive system is controlled by the hormone "feeding" prolactin, suppressing sex hormones, and vaginal dryness in a nursing mother can be observed for quite a long time - six months, and sometimes a year.

The slowest involution of the cervix. It ends on average by 4 months after birth. During vaginal delivery, the shape of the external os is not restored, and the gynecologist, upon examination, easily determines the woman who has given birth - the opening of the cervix takes on a slit-like shape, in contrast to the round one in the nulliparous woman. The cervix itself takes on the appearance of a cylinder, but before childbirth, it looked like an inverted cone.

SARS during pregnancy - rules of conduct and treatment

Rehabilitation and recovery after caesarean section

Recovery after childbirth with an operative method of delivery is slower. Rehabilitation after caesarean section includes early physical activity - the first attempts to get up and walk should be done already 6-12 hours after the operation. In the first days after childbirth, oxytocin injections are used to stimulate uterine contractions. For the same purpose, it is important to organize and support breastfeeding, it is useful to lie on your stomach.

After intervention in the abdominal cavity, intestinal functions are disturbed, its temporary paralysis and weakening of motor functions occur, which leads to constipation. The adhesive process is launched in the abdominal cavity, which can subsequently significantly affect both the state of the organs and systems of the small pelvis, and health in general.

The risk of postpartum complications after cesarean due to reduced uterine tone is slightly higher than with natural childbirth. Walking, moderate physical activity, breastfeeding on demand, and not on a schedule, are the prevention of the above conditions and contribute to the normal course of the postpartum recovery period.

As for the duration of uterine involution after caesarean section, it lasts about 8 weeks and is often accompanied by a longer period of profuse bleeding. The sutures are removed 5-7 days after the operation.

Establishment of digestion and normalization of the stool occurs within 6-7 weeks after childbirth, so during this period it is better to avoid eating hard-to-digest food.

The recovery of the abdominal muscles due to the presence of a scar and painful sensations is delayed, and exercises for the press can be started only after the pain and discomfort do not make themselves felt. On average, it takes about six months after the operation.

Otherwise, recovery after childbirth by caesarean section is no different from that of women who gave birth naturally.

The main causes of the development of umbilical hernia in women after childbirth

Breast and endocrine system

The shape of the breast after childbirth and especially prolonged breastfeeding will no longer be the same. The process of reverse development of the mammary glands begins with the completion of lactation. This happens gradually with a decrease in the number of attachments of the child to the breast - the level of prolactin in the body decreases, milk production decreases.

The glandular tissue of the breast, in which milk production took place, degrades and is replaced by fatty tissue, which reduces the elasticity of the breast. The milk ducts close and about 6 weeks after the last delivery of the baby, the breast takes its final shape.

With a drop in prolactin levels, the secretion of estrogens and progesterone rises, and the hormonal balance returns to the pre-pregnancy rate within 1-2 months. When a woman notices that there is practically no milk in her breast, then you need to stop feeding completely. Rare episodic applications for the sake of a child who has already grown up and does not need breast milk provoke sharp jumps in prolactin, which makes it difficult to rebuild the body.

If a woman has not yet begun menstruation, then with the complete cessation of breastfeeding, the cycle should be restored within a month.

The absence of menstrual bleeding for 2 months is a reason to contact an endocrinologist.

In addition to internal systems and organs, the appearance of a woman also changes during pregnancy. The problems of excess weight, sagging skin, stretch marks, hyperpigmentation do not color and can upset anyone. If we add psycho-emotional instability, then a not very cheerful picture emerges. Recovery in this sense can take longer than physiological. But all these are trifles, and even if you don’t become exactly like in a past life, you can get closer to the ideal. Health mom and baby!