What day is the index of the safety of women, women’s safety index is not the time of ovulation, which is on the first day of the menstruation began, Fifteenth six days is the ovulation period or is said next time before menstruation fourteenth days is the ovulation period, ovulation is a dangerous period, both before and after ovulation is called safety period. However, this method of calculation is based on normal menstrual cycle of people to calculate. If the menstrual cycle is abnormal, this method of calculation is not very accurate.
Why should women energy-saving side cut, cut side is how to carry out the necessary to let more young mothers understand the whole process and delivery side cut, small finishing a woman energy-saving side cut the whole process picture, for your reference. Many people have just heard a woman to give birth to the child, is equal to the completion of a very difficult task, women eutocia child should at the perineum side of the cutting knife, a C-section child cut a knife in the stomach so that both the delivery or caesarean section, all got a knife.
Cesarean section is performed under anaesthetic and is not felt during the incision. But the natural labor cannot give the anaesthetic, then side cutting time is not very terrible? I believe that many mothers are ready to give birth to the same feelings as before, I can’t wait to know.
About the problem of natural side cutting, the women’s health net made up some pictures for mothers to refer to. This is the doctor to do the simulation of natural side cutting whole process pictures, as well as side cut wound care knowledge, I hope all of you can help.
After the birth to the side cut, that is for the baby as soon as possible, so as to avoid fetal heartbeat, the rotation can not be carried out smoothly and other possible circumstances, is to protect the fetus risk means. It prevents the rupture of the perineum and protects the pelvic floor muscles, and the surgical incision is easier to repair and heal.
The process of episiotomy
Anesthetics are injected below the inside of the sciatic spine
Perineal infiltration and pudendal nerve block anesthesia to block pudendal nerve
Open time: see physicians in the fetal head showing the vaginal opening, will determine the baby is not big in the first time, will not cause severe perineal tear, and then decide whether to perform episiotomy; such as the physician to determine the birth process is very smooth, even if do not cut the perineum, tearing wound is small, it can avoid surgery.
How long: it doesn’t take time to cut, but with medical scissors, a quick, instantaneous cut, and the length of the cut is only about 2-5cm. It feels like an instant”. In the throes of severe, and even some pregnant women do not know, has been cut.
Degree of pain: because it is incised at the peak of labor, it is virtually impossible to feel episiotomy. In addition, because of the role of local anesthesia, there is no need to worry about the pain during the incision.
Begin to sew the vagina mucous membrane
Two suture perineum
Doctor operation: according to anatomical layer by layer suture, suture before use 0. 2% metronidazole solution flushing perineal incision, the vagina gauze, with 0 chromic gut from the incision on the top 0. 5~1. The 0cm at the beginning of continuous suture of vaginal mucosa to hymen at the inner ring knot, deep part of the organization should be included under the mucosa, the same gut suture muscle layer, and achieve the purpose of hemostasis closed die cavity. The same gut interrupted suture of subcutaneous adipose tissue, finally with 00 chromicized catgut continuous intradermal suture. When the skin is sewn, it is about 1 from the top of the incision. Enter the needle at 0cm, tie it down, then follow the incision along the left skin edge to the apex 0.
2cm at the needle, and then with the same needle distance along the right side of the needle, and left symmetrical, that is, “U” type suture. Make the skin on both sides of the vertex close to each other, and then along the incision on both sides of the skin, about 0 needle spacing. 5cm continuous intradermal suture to the outer ring of hymen knot. After the suture, routine vaginal examination, remove the gauze roll and residual gauze, with 0. 2% metronidazole solution soaked gauze applied to the wound. In the 520 cases of episiotomy, all incisions healed by Grade A.
Perineal deep tissue
Suture time: when the fetus is born, it can be repaired.
How long: it will take about 20 minutes. Of course, depending on the depth of the wound and the doctor, there will be some differences in time. The local anesthetic potency during lateral resection is still affected, and the pain during suture is not very strong.
What line to use: previously used “insoluble lines” that need to be removed, and now generally use synthetic absorbent sutures, the “dissolved lines””. The synthetic lines, after a period of time, are absorbed and harmless by the body. There will be discomfort in a short period of time and discomfort will disappear after a period of time.
Perineal episiotomy may present the following abnormalities:
1. wound hematoma:
1-2 hours after the suture, severe pain occurred at the knife edge, and it became more and more serious and even felt a bulge in the anus. At this point, the medical staff should be immediately informed and checked in time. It may be that the doctor has not stopped enough to suture. In this case, as long as the suture is opened in time, the hematoma is removed, the suture is stopped and the wound is sutured again, the pain will soon disappear and the vast majority of the wound can heal normally.
2. wound infection:
For 2-3 days after the birth, the wound has red, swelling, heat, pain and other inflammatory manifestations, and may have induration, extrusion when there is purulent secretions. In this case, the appropriate antibiotic should be taken and the suture removed so that the pus flows out. At the same time can be used to help or anti-inflammatory therapy, Potassium Permanganate water solution bath 1:5000. After taking these measures, because the perineum blood transportation is rich, has the stronger healing ability, therefore generally 1-2 weeks later will be better or heals.
3. the wound is open after stitches:
There are individual women in the suture after the occurrence of perineal wound split, at this time, such as has been discharged, should immediately go to the hospital for examination and treatment. If the wound is fresh, cracking time is short, can be second times in properly suture immediately after disinfection, 5 days after the stitches, most can grow well again; if the wound tissue is not fresh, and there is not available secretions, suture, Potassium Permanganate hip bath, and antibiotics to prevent infection, the local formation of scar after healing.
Several tips for cutting a cut on a new mother’s side
Potassium Permanganate: Potassium Permanganate, a cleaning easily in pharmacies, Potassium Permanganate will be diluted into 1:5000 solution, gently water up to the wound, after cleaning with a soft cloth to clean. Do not bath, easy infection did not recover the uterus, also don’t squat to force to wound.
Two, after each cleaning, bake on the table lamp for about ten minutes. Of course, if you have time to bake several times, there is no harm, but be sure to pay attention to leave a certain distance, careful burns.
Three, if there is no table lamp or trouble, you can also use hot towels hot compress, but this effect is far better than the table baked faster. Immediate lateral incision
How do you avoid episiotomy?
Prepare for the 1. trimester
Doctors decided to use side cuts, a large part of the reason for avoiding perineal lacerations. At this point, some of the practices of foreign mother worthy of learning, they are usually at about 32 weeks of pregnancy, start perineal massage and exercise every day, to increase muscle flexibility and elasticity, the specific operation is this:
Put a mirror in front of the perineum and face the perineum. This way you can clearly see the muscle tissue around the perineum.
Choose some massage oil, such as pure canola oil or water soluble lubricant, and rub massage oil around the perineum with your thumb and fingers.
Stick your thumb deep into your vagina and stretch your legs. Press perineal tissue in the direction of the rectum. Gently extend the perineum until you feel a slight burning or tingling sensation.
Keep this stretch until the tingling sensation subsides, and then gently massage the vagina back and forth.
In massage, lift your thumb in the vagina and pull the vaginal tissue forward slowly, so that the baby’s head will come out during childbirth.
Finally, gently massage the muscles between the thumb and index finger for about 1 minutes.
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A woman once every month “period”, is also the holiday we often say, of course, also called menstruation.
Can promote hematopoietic function
Menstrual body caused by frequent blood loss and blood, the female circulatory system and hematopoietic system has been a male not “exercise”, it makes women more able to withstand unexpected blow loss than men, can quickly produce new blood to make up the loss of blood. Practice has proved that men and women who have the same weight and health status lose the same proportion of blood by accident, so men can die, while women have the possibility of successful rescue and final rehabilitation.
The first sign of a woman’s pregnancy
Childbearing age married women, past menstrual rules, the menstrual period more than ten days or more, the future, first of all to consider whether pregnant. To determine the pregnancy after birth, not ready to take remedial measures as soon as possible; to family, will have to pay more attention to nutrition, avoid smoke, wine, pesticides, chemicals, radiation, avoid taking drugs can cause fetal malformation. According to menstruation can also predict the expected date of childbirth, health care during pregnancy and pregnancy are very useful psychological.
It can make people discover disease early
If the girl is over 18 years old still no menstrual cramps, or previous women had normal menstruation, menopause is more than three months (not including for pregnant and lactating, menopause), to check whether there is a lower genital tract atresia, congenital absence of the uterus or hypoplasia of uterus, ovarian tumor, pituitary tumor or dysfunction, endocrine or wasting disease. Besides, the change of time, volume and accompanying symptoms is an important clue to discover and diagnose many diseases.
Excessive iron damage can be avoided
There is a known genetic disease hemochromatosis, easy to cause the patients with iron metabolism disorders, the body will accumulate excess iron; iron overload will slowly lead to skin, heart, liver, pancreatic lesions, joint. One way to cure iron overload is to release a certain amount of blood at regular intervals. Organic damage caused by hemochromatosis is much less common in women than in men, and almost does not occur. The function of menstruation – periodic blood loss – is simply consuming excessive amounts of iron.
False delay long is pregnant? We are the most commonly used daily to determine whether pregnancy is false, also known as menstruation. General menstruation does not come when come, we can think of immediately and be pregnant with concerned. But although this period did not come with the possibility of pregnancy, but also can not be regarded as false is not pregnant. So how do we decide if we’re pregnant?. How much holiday delayed pregnancy?
Normally, if the period was delayed for ten days did not come, should consider the possibility of pregnancy, if not sure, is the best in the delayed menstruation time about ten days, buy a pregnancy test, to do a pregnancy test in the first morning urine, the basic ninety percent is accurate. If you’re pregnant, you’ll be able to tell at this point.
In order to accommodate small uterine distinguished guests, the role of the hormone, will become gentle and soft, with enough blood to form a hollow ball. “Rich” after childbirth, the uterus into a room, not so easy to be restored to the original state, need to take care of my mother.
2 months, “recovery” period
For women, the uterus is very strong, it can produce new life with super endurance; the uterus is also very fragile, it needs 4~6 weeks to gradually recover, 6~8 weeks to complete healing.
The recovery of the uterus consists of three aspects: the restoration of the uterus, the restoration of the cervix and the restoration of the endometrium. Some of which may not be restored at once, and are detrimental to the health of the mother.
Continuous contraction of uterus
Hand on the abdomen, can touch the ball very hard, this is the body of the uterus, the fetus after delivery of the placenta at its highest level in the same high and navel. Uterine body recovery depends mainly on the contraction of uterine contraction will need continuous extrusion production when the fetus and placenta after childbirth; uterus will shrink further, will continue to squeeze out a blood clot, uterine volume will gradually shrink, spherical touch is gradually reduced to the first and fall into the small pelvis cavity.
Cervical “closed door” self-cultivation
Just at the end of the birth, the cervix becomes very soft, and the wall of the cervix is thin and folds like crepe paper due to congestion and edema. 7~10 days later, the cervix will close and begin “internal” repair. Until about 4 weeks postpartum, the cervix will gradually return to normal.
After delivery, the placenta and fetal membranes are completely separated from the wall of the uterus. At this time, a new layer of endometrium is regenerated from the underlying layer of the endometrium. Around 10 days postpartum, in addition to the placenta attachment surface, the other part of the uterus cavity will be covered by the new endometrium.
Tips: postpartum light exercise
After childbirth, in addition to the uterus to be restored, the pelvic tissue should also be restored, otherwise, the lower body will have a sense of fall, easy to lumbar acid, but also prone to urinary incontinence problems. The pelvic tissue recovery, must avoid the lower part of the body, especially the lower abdomen with a knife, like heavy lifting and squatting movements, in half a year after production should try to avoid, but some postpartum exercise, such as abdominal breathing, as well as in the first week lying on the hard bed leg, hip, knee or chest horizontal movement, can make the uterus and abdominal contraction and recovery.
Recovery of the uterus is also “lazy””
It takes a considerable period of time for the uterus to recover completely, which requires mother to take good care of it. Once taken care of, it is possible that the contractions are bad, or very large, very soft, slow to return to the original appearance, persistent bleeding of the brown, and so on.
If the uterus is not well restored, there is a clot or residual placenta in the uterus, and the uterus will be filled with blood clots. This can cause “constriction” of uterine smooth muscle to stop contraction, resulting in poor uterine contraction, and may cause the risk of massive bleeding.
This is the most prominent manifestation of incomplete postpartum uterus, which is most likely to occur in the puerperium, and mothers should pay special attention to it.
Suddenly a “small pot” some mothers after the birth of the baby, can not eliminate the belly, this is often due to a baby’s big, pregnant belly skin will hold to relaxation, so that can not be reduced. In fact, most mothers still contract normal contractions.
However, if in the process of self-examination, 2 weeks after the birth of the small abdomen can still get a group of things, it is likely to be poor uterine contractions or fibroids caused by, of course, depends on the bleeding.
The interference of care “sudi”
In fact, the uterus is wronged. It is not intended to “lazy”, it is not serious, encounter some difficult “rivals”, some “unable to resist sustain the blows”.
1, placenta or fetal membranes remain in the uterus cavity. If the placenta or fetal membranes are incomplete, there will be persistent bleeding and sometimes massive bleeding.
2, uterine decidua abscission incomplete. Decidua usually falls about one week after delivery, and if it falls incomplete, it may lead to late postpartum hemorrhage.
3, combined endometritis or pelvic inflammation. If improper care after delivery, causing the uterus or pelvic infection, will also be long-term bleeding.
4, excessive uterine retroversion, lochia not easy to discharge.
5 、 combined with intramural myoma of uterus. Uterine fibroids affect the contraction of the uterus, the amount of postpartum song will increase.
6, if the postpartum micturition is unfavorable, the bladder is too full, also can cause the uterus can not descend to the pelvic cavity.
7, if the mother is older, the health condition is not ideal, the childbirth time many or the multi tire pregnancy, also often will affect the postpartum womb restoration.
Fast recovery n – Worldwide
Most mothers recover from their babies. However, if you want to recover quickly and well, you still need moms to do some homework”!
Coup 1: timely urination
Postpartum, the doctor will often ask mother to urinate as soon as possible, usually 4 hours after the birth of urine. Because during childbirth, bladder pressure, mucous membrane congestion, muscle tension reduction, perineal wound pain. Not accustomed to bed, posture, urination and other reasons, are prone to urinary retention, so that the bladder swell, impede uterine contraction and cause postpartum hemorrhage or cystitis.
Coup two: “don’t stay in the puerperium”
Pay attention to the bedridden elderly after childbirth, afraid of cold. However, after 6~8 hours, the mother in the elimination of fatigue after it is best not to “stay in bed”, second days to get out of bed, which is beneficial to the physiological function and physical recovery, help the uterus restoration and lochia discharge.
Coup three: Breastfeeding stimulation
Stimulating the nipple can also help the uterus contract. Therefore, it may be in the postpartum baby to eat breast milk as soon as possible, as long as the baby a suck, the uterus will shrink, baby frequent sucking, frequent generation of this reflex stimulation, will make the uterus recovery faster. Mothers who do not breastfeed can also massage breasts or compress breasts to stimulate the nipple.
Coup four: don’t be dirty mother
It’s good for mother to take a bath after childbirth. If it is normal delivery, bath can make the vulva wound and surrounding bacteria not easy to stay, but also promote the vulva wound blood circulation, is conducive to wound healing. If it is cesarean section, and take the skin transverse incision, subcutaneous suture method, then bath water will never enter the wound. Just apply a piece of gauze on the surface of the wound so that the water can not touch the wound directly. Of course, after all, the wound is very delicate, so after bathing, the wound should be renewed dressing, do not use wet towels on the wound back to wipe.
Coup five: Massage
In the early postpartum period, regular massage of the floor of the uterus to stimulate and contract the muscles of the uterus is also a way of stimulating recovery.
Since the birth of the baby, the mother can be broken heart, whether eating or drinking, or care must be carefully watched. Because the baby’s gastrointestinal function is not developed enough, so constipation is a common occurrence, this time the mother can be anxious!
When the baby has the constipation, mothers can try first therapeutic methods, to feed their children and some complementary laxative food, you can take massage, use Enema Glycerini and other methods if not enough……
Baby constipation, how to recuperate?
First, the baby constipation way
(I) diet therapy;
1. add complementary food
Babies are weaned period of constipation, can increase the food supplement, in addition to the high nutritional value of eggs, lean meat, liver and fish, but also increase the cellulose more fruits and vegetables and porridge, such as spinach, rape, cabbage, celery, bananas, pears and so on.
Larger children constipation, can increase some cereals, such as standard powder, potato, corn, barley, etc., grease, food, cold water also help constipation prevention and treatment. For 4 – 5 months or more babies, may be appropriate to increase food supplement, spinach, cabbage, the best vegetables, shepherd’s purse, chopped, add rice porridge with boiled, made into a variety of delicious food to eat porridge baby.
2. feeding some Runchang food
When feeding the baby constipation, can add sausage food, such as orange juice, red dates juice, cabbage juice.
(two) other relief methods
1. Enema Glycerini
Let the baby lying on the side, Enema Glycerini will cut the tip of sealing, pipe must be smooth, so as not to hurt your baby skin. Enema Glycerini baby nozzle inserted into the anus, gently squeeze the liquid medicine into the anus in the plastic bag, and then pull out the Enema Glycerini shell, baby in the anus clip a clean towel to avoid spillage dirty clothes or linens. Try to let the liquid more stay in the baby body, in order to stimulate the intestinal tract, and soften the stool, to achieve the best laxative effect.
Palm down, flat in the baby’s navel, gently push clockwise direction. This can speed up bowel movements, promote bowel movement, and help digestion.
Baby constipation, how to recuperate?
3. Glycerol Suppositories
Glycerol Suppositories’s wrapping paper opens, slowly stuffed into the baby’s anus, and then gently press the anus, as much as possible to stay a little longer, so that Glycerol Suppositories fully thawed, and then encourage baby defecation.
Be careful！ If the above methods are not effective, should take the baby to the hospital in time, check whether it is due to other diseases and constipation.
Two, prevention of constipation baby
1., a little baby can let the baby drink plenty of water, drink some fruit juice, vegetable juice, etc., larger can eat more vegetables, fruits and coarse grains, can play the role of Runchang catharsis.
2. add some vegetables to the weaned baby’s lunch and supper. White radish, leek and celery, which contain more cellulose, are good for relieving constipation. In addition, in the staple food can be appropriate for the baby to eat some coarse grains, such as corn, oats.
3., the law of life regular defecation: to cultivate good habits of children, regular work and rest time, develop the habit of regular defecation, but also an important way to prevent constipation.
4., appropriate to increase the baby’s activities, large amount of exercise, physical energy consumption, gastrointestinal motility increased, prone to hunger, eating the situation must be good, natural excretion is also a lot of exuberant.
It is generally believed that the change in mood during pregnancy is due to hormonal changes. In addition, changes in the eating habits of expectant mothers can also affect the quality of sleep during pregnancy. Therefore, a balanced diet is very important. Some expectant mothers have great changes in their tastes during pregnancy, but they must avoid food that causes stress, such as coffee, tea, fried foods, etc..
How to stay away from insomnia?
1, do not eat flatulence food
Some foods produce more gas during digestion, resulting in abdominal distention that interferes with normal sleep. Such as beans, cabbage, onions, broccoli, cabbage, green peppers, eggplant, potatoes, sweet potatoes, taro, corn, bananas, bread, citrus fruit and add Xylitol (sweetener) drinks and desserts.
2, do not eat spicy food before going to bed
Spicy foods such as chillies, garlic and raw onions can cause heartburn and indigestion in some people and interfere with sleep. In addition, high salt foods can cause people to ingest too much sodium ions, which can cause vasoconstriction and blood pressure rising, resulting in intense emotional tension and insomnia. If you already have a history of hypertension, eating high salt foods is likely to lead to hypertensive headaches and strokes.
3, do not eat too greasy food before going to bed
Dinner rich greasy, or eat a pile of high-fat food, will increase the intestinal, stomach, liver, gallbladder and pancreatic workload, stimulate the nerve center, so that it has been working, but also lead to insomnia. The smartest thing to do is to schedule the most delicious meals at breakfast or lunch, and eat less and light meals at dinner, such as some celery lilies for dinner. This kind of dinner will serve as a sleeping pill.
4, skillfully eat fiber thick vegetables
Like leeks, garlic bolt, mustard etc. these fibers too coarse vegetables are not easy to digest, even to eat fried, should also be a little bad, and don’t put too much salt. Try to eat boiled, steamed, fried foods, eat less fried, barbecue. In addition, the food should be soft, not hard, especially in rice should be as soft as possible.
I’ll tell the mother a small recipe from insomnia, fresh pear peel, orange peel, banana peel 50-100 grams into the unsealed pouch, on a pillow, peel perfume can help mother to sleep.
Women’s health network (Editor)