There was no hot water for cesarean in the maternity hospital. Only by indications. When and how is a caesarean section done? How to prepare an apartment for arrival from the hospital

Every woman, preparing to become a mother soon, awaits with special trepidation the birth of a little man - her baby. And each has its own dreams, desires, worries and fears about the upcoming birth. When will that day come? How will everything happen - quickly and painlessly or long and painful? Should I be afraid of possible complications? A woman asks herself a million different questions, because she understands that the birth of a child is the most important thing that will happen in her life!

Of course, we all hope for the best. However, unfortunately, no one is immune from possible surgical intervention in the process of childbirth. In most cases, when it comes to surgery, a woman has a panic. After all, such a procedure implies complications, and any woman will be afraid of this. future mom. And first of all, these concerns relate to the health of her unborn baby. This fear is especially justified when a woman is initially completely and completely tuned in to natural childbirth.

As a rule, the decision to perform a caesarean section is made by the attending physician in the presence of direct medical indications. And here the most important thing for a woman is the right mindset for a favorable outcome of the situation. It is very important to understand that a caesarean section is by no means a sentence! This is just an alternative to the natural course of the birth process.

All the efforts of doctors during the upcoming operation will be aimed at ensuring the safety of the child and his mother. A correct, competent approach to choosing a maternity hospital and a candidate for a doctor, trust in the medical staff conducting childbirth - all this will undoubtedly add confidence to the mother in a favorable outcome of artificial labor! After all, a happy mother and a healthy baby on her chest is, without a doubt, exactly the goal that everyone involved in childbirth is striving for.

Women who have had a caesarean section should pay attention to several important points. How seriously a young mother takes them, ultimately depends on her speedy recovery after caesarean section, returning to her usual way of life and, of course, further full communication with the smallest, but the most important member of the family!

Secretion of breast milk.

The recovery process after caesarean concerns not only the health of a young mother and her physical form. First of all, all conditions must be created so that the newborn child receives good nutrition for full growth and development. A caesarean section is a serious stress for a woman's body. Natural childbirth, in its essence, launches the natural process of caring for the child, signaling the need for active milk production to feed the baby. This factor is especially important in the situation of operative childbirth, since in this case the body is deprived of such a kind of “signal” about the birth of a new person.

In such a situation, it is important for the mother not to miss the moment and make every effort to stimulate the production of breast milk. Of course, the child himself will be of great help in this, since the correct and regular attachment of the baby to the breast stimulates the lactation process in the best possible way.

In the first days of his life, a baby should receive precious colostrum from his mother, which contains the most important fats, vitamins and trace elements to strengthen immunity and protect the body from infections and pathogenic bacteria. Therefore, you should apply crumbs to the chest as early as possible! After all, the sooner this is done and the more often you feed, the better it will be with breast milk later.

In cases where the baby is not able to empty the mother's breasts during feeding, it is necessary to express the remaining milk manually or using a breast pump. Especially in the first time after a caesarean section. Recommendations on the correct attachment of the child to the breast, on the methods of expressing milk, a woman can receive by asking for help from a representative of the medical staff of the maternity hospital department.

Harmony with your own body.

Hormonal restructuring of the body, weakness, fatigue and general exhaustion after childbirth, pain after surgery, associated with uterine contraction and the need to treat the suture area - all these factors require special attention and worries on the part of women. In the first days after childbirth, the mother will have a hard time: she takes care of the newborn child and devotes herself entirely to the baby. She will need strength and energy in order not to forget about herself, about her health, body and appearance, in conditions of extreme lack of time, if she wants to remain no less attractive in the future than she was before the birth of the child!

A postoperative bandage will be of great benefit for the formation of the previous shape of the tummy. It helps to accelerate uterine contraction, helps to tone muscle tissue and reduce the load on the spine.

Pain in the area of the seam after a cesarean section and the presence of a scar very often cause a huge number of complexes in a woman. She is shy of her husband and worries that the seam will ruin her appearance. Actually, you shouldn't worry. Modern surgery takes into account the aesthetic moment in relation to such an operation: a small incision (about 10 cm) is made in the lower part of the tummy, in the form of a “smile”. So do not worry: in a few months, when the scar on the tummy and the inner seam on the uterus heal, you can safely put on the most open bikini!

The hygiene of the postoperative suture area should be taken especially seriously. Fortunately, at present there are special means to accelerate the healing of such scars, smooth the tissues and give the seam a more aesthetic appearance.

In the end, a woman should not forget about her husband, who, with all his love, sympathy for his wife and the desire to help her in everything and always, still sincerely wants to see his wife well-groomed and beautiful. Yes, definitely hard. But, as they say, so be it!

Physical exercise.

Of course, sports, swimming pool and sex are contraindicated in the first few weeks after surgery. Surgical intervention requires a certain time to restore the integrity of the uterus and complete healing of the sutures. But movement, walking, breathing exercises, simple postpartum exercises to strengthen the abdominal cavity are extremely important for the overall recovery of the body and its adaptation.

When will a woman's body fully recover after a caesarean section? After one and a half months after childbirth, after the complete cessation of discharge, in the absence of complications and contraindications from the attending physician, you can completely and completely return to the previous full life in all areas!

Dieting.

In the first two days after childbirth, a young mother is allowed to eat only a large number of lean broth and non-carbonated mineral water with a drop of lemon juice. From the third day, you can switch to low-calorie diet foods: yogurt, jelly, cereals, lean meat, cottage cheese. Food should be easy to digest and not cause bloating. Starting from the seventh day, the woman gradually switches to a normal diet, subject to the recommendations of a nutritionist.

The right balanced diet, the rejection of "heavy" spicy food and allergens is of great importance not only for the recovery of a woman's body after a cesarean section. Its main goal now is to provide good nutrition to a newborn child in order to satisfy his needs for vitamins and minerals. So a young mother should make it a rule to eat cottage cheese, cheese, dairy products, meat or fish, fruits and vegetables every day. Because she and only she bears full responsibility for the health of her baby!

And the most important thing that a young mother should remember is that her patience, perseverance, positive attitude and, of course, care and love for a little, so beloved and such a wonderful little man will help solve all problems and overcome any obstacles!

A woman cannot always give birth to a child on her own. There can be many reasons: too large fetus, complete placenta previa, high degree myopia, other diseases and features in which only surgical intervention is indicated. But no one removes the responsibility for caring for a baby from women's shoulders, so the question of how to quickly bounce back and recover after surgery worries all patients.

First days after caesarean section:

REFERENCE! Caesarean section - serious surgery, during which the tissues of a pregnant woman are excised in order to extract the fetus to the outside. It is performed under both general and spinal anesthesia.

When do you have to get up after the operation?

The first day after the operation, the patient spends in the intensive care unit. For the first 12 hours, she is not allowed to get up, but lying flat in bed is also not recommended. In order for blood clots to come out and the adhesive process does not start inside, a woman must definitely move - roll over from side to side, move her legs. Try resting your feet on the bed and slightly lifting your hips, rocking them back and forth, and then lowering them. After turn chest first to the left, then to the right. Do everything smoothly and carefully!

Your doctor will constantly monitor your well-being: check the pressure and pulse, the amount of discharge, uterine contractility. It depends on these indicators - when you are allowed to stand up and sit down.

You will be allowed to get up for the first time only in the presence of a nurse. If you feel dizzy, don't worry, it's normal. Sit for a few minutes, breathing deeply. You won’t be able to straighten up right away, so don’t strain. In the early days, you will have to walk a little bending forward so as not to disturb the seam once again.

ATTENTION! As soon as the woman and the baby are transferred to the postpartum and left together, the mother already has to take care of the baby on her own. Therefore, it will not work. You should walk more along the corridor (at least for short distances) - this way the uterus will contract faster.

How long can you push after a caesarean?

With such a nuisance as constipation after childbirth, every second woman faces. Hemorrhoids also often occur (especially in the last stages, when the fetus with its entire mass presses on the rectum). It is impossible to push in these cases! Firstly, it is possible to provoke the appearance of cracks in the mucosa, bleeding and even prolapse of the rectum. And secondly, due to the strong tension of the muscles of the peritoneum and uterus, a fresh suture may begin to bleed.

IMPORTANT! The stitches after caesarean are usually sewn well and cannot open so easily, but attempts to heal will have a negative effect.

The following can help prevent constipation:

Following a special diet with lots of fresh vegetables and croup, fermented milk products, bread with bran, a lot of liquid.
Taking medications: Dufalac, Normaze, Portalak (if the mother is breastfeeding); Guttalax, Bisacodyl, Regulax (if the baby is bottle-fed). It is allowed to use candles - Calciolax, Ferrolax, Glycelax, candles with sea buckthorn oil.
Folk recipes: decoction based on figs, herbal infusions and decoctions of fruits (nettle, valerian roots, fennel, anise, cumin).

How long does it take for the catheter to be removed?

A urinary diversion catheter is a necessity: there is a high risk of damaging bladder during the operation. Therefore, by monitoring the volume and color of urine, and specifically, whether blood has entered the urine, this risk can be reduced.

After the procedure, the catheter remains in the bladder for a day or two and, in general, discomfort he doesn't call. Yes, and the removal is quick and painless: on a deep breath.

Rules for recovery after caesarean section:

A woman should be prepared for the fact that recovery after a caesarean section will last longer than after a natural birth.

- normalization of the menstrual cycle after cesarean

The reverse process of internal restructuring starts from the very day when the baby is born, but if it lasts about six months during natural childbirth, then the body will fully recover after a cesarean section within 3 years. Menstruation will come much earlier - the normal cycle is restored in 3-4 months.

Do not confuse postpartum spotting - lochia - with menstruation. They are not so plentiful, but smearing, day by day they change color from brown to transparent, then completely disappear. The appearance of lochia is a natural process that indicates the healing of the uterine mucosa.

REFERENCE! Breastfeeding accelerates the recovery of the body and uterus. It has been established that human milk contains 20 hormones, one of which is prolactin. It has a depressing effect on the production of progesterone, which is responsible for the maturation of the egg and its fixation in the uterus. The more often a woman puts her baby to her breast, the more prolactin is produced, respectively, the usually longer the period of absence of menstruation. Sometimes they do not come for 8-10 months.

- normalization of breastfeeding after surgery

Women who have had a caesarean section initially have a number of difficulties with breastfeeding. Early attachment (immediately after childbirth) cannot be carried out, since the mother is often in intensive care a day. They don’t bring crumbs there, i.e. no feeding for a day. Therefore, milk does not arrive immediately, but after 4-5 days. The crumbs these days are given a special mixture from a bottle. Since the mechanism of sucking on the nipple and breast is somewhat different, the child has to adapt to the changed conditions. Both the physical condition of the mother and the beginning hormonal changes in the body also affect. In addition, droppers often cause swelling, and in the chest too - it swells, becomes hard and painfully responsive to touch.

Therefore, remember a few important rules:

Be sure to massage your breasts and express milk if it comes. It is enough to do this every 3-4 hours for 15 minutes for each gland. Do everything carefully and carefully, without squeezing or pulling.
Attach the baby to the chest so that not only him, but also you are comfortable. You can do this while lying on your side, or by placing the baby on your stomach and holding it tightly.
You should not feel pain when sucking! If the baby's mouth is wide open, the chin is pressed to your chest, and the lower lip is turned outward, you are doing everything right.
You need to feed the crumbs on demand, but if he sleeps more than 4 hours at night, you should wake him up and feed him.

- body restoration

Remember - the recovery period lasts for each woman in different ways. It depends on several factors:

Individual characteristics of the organism. How the operation went, whether there were any complications (suppuration of the sutures or the remains of the placenta in the uterine cavity) - all this does not add positive emotions and delays the healing process. Separately, it is worth mentioning the pain threshold. This indicator is different for each person: someone forgets about the pain after a couple of days or does not pay attention to it, and someone is not able to fully sleep and take care of themselves, not to mention the child.
Psychological condition. It depends not only on the nature of the woman and her moral condition, but also on the climate in the family, relations with her husband and other close relatives, and attitude towards the newborn.

The more active the mother is, the faster she will recover after the operation. However, it is important not to harm and do only what the doctor will allow! Moderation is the key. A large belly affects posture and gait. The abdominal muscles lose their tone, the gait becomes like a duck. All this can be dealt with, but not immediately, but gradually. Athletics is allowed 10 weeks after surgery. Yoga and swimming are allowed. Walk as much as possible, wear a special corset and low heels. A good relaxing effect gives back and neck massage.

- exercise after cesarean

Already a couple of hours after the operation, you can do self-massage - stroke the stomach in a circular motion from left to right and from top to bottom. Get a tennis ball - write out circles for them, starting from the navel, clockwise.

6-8 months after cesarean, you can do exercises to strengthen the muscles of the hips, abdomen and waist, starting with the lightest ones. Pilates, water aerobics, dancing, running are allowed.

ATTENTION! It is forbidden to use dumbbells and other weighting agents after the operation for a year! Postpone cycling, volleyball, and weightlifting for a while. If during the exercise you feel dizzy, divergence of the seam, discharge from it or the vagina, pain in the abdomen - immediately stop exercising and choose another method in the future.

- hygiene after caesarean section

In the maternity hospital, nurses will handle the stitches. When they are removed (after 5-8 days, you will have to do it yourself. Pain at the incision site for the first 3-4 days is normal. It is important to wear a postpartum bandage and go to the toilet on time. Sometimes painkillers may be required, this is also not deviation.

What to do at home:

Wash hands before each handling.
The seam is washed while taking a shower with a special gel and blotted with a disposable paper towel. Terry is better not to use - microbes can accumulate in its folds.
After bathing, the damaged area is treated with chlorhexidine, diluted salicylic acid or other disinfectant.
Wear cotton underwear of the right size. It should not pull the skin, reap and rub.
2-3 weeks after the cesarean, you can begin to smear the suture with a regenerating gel - it will help the skin return to normal faster.

IMPORTANT! The first bath - not earlier than a week after the operation!

What can not be done in the first time after a cesarean section?

Carry weights
The maximum that you can raise is a child. No heavy packages and boxes, especially from the floor.
Tighten the press and make sharp movements (tilts, turns).
Rub the seam with a washcloth.
Eat fatty, sweet and fried foods. Legumes, cabbage, canned foods and white bread are prohibited.
Have sex.
The ban is imposed for 1.5-2 months, but in the presence of complications (internal inflammation, endometriosis, suppuration of the suture, etc.) - until the permission of the gynecologist.

REFERENCE! Plan the next conception no earlier than 3 years after cesarean. Let the seam heal completely, and the body recover.

Conclusion

Be prepared for certain difficulties after a caesarean section, but do not shake with fear, but meet them fully armed. By following all the recommendations, you can bounce back pretty quickly, as well as avoid unpleasant complications. It takes effort, but the result is worth it.

Specially for- Elena Kichak

A caesarean section is an operation to deliver a fetus by removing it through an incision. abdominal wall and uterus. The postpartum uterus returns to its original state within 6-8 weeks. Traumatization of the uterus during surgical intervention, swelling,

the presence of hemorrhages in the suture area, a large amount of suture material slow down the involution of the uterus and predispose to the occurrence of postoperative purulent-septic complications in the pelvic area with involvement of the uterus and appendages in the process. These complications after caesarean section are 8-10 times more common than after vaginal delivery. Complications such as endometritis (inflammation of the inner layer of the uterus), adnexitis (inflammation of the appendages), parametritis (inflammation of the periuterine tissue), further affect the reproductive function of a woman, because. may lead to violation menstrual cycle, pelvic pain syndrome, miscarriage, infertility.

The initial state of women's health, the choice of a rational method and technique for performing the operation, the quality of the suture material and antibiotic therapy, as well as rational management of the postoperative period, prevention and treatment of complications associated with operative delivery, determine the favorable outcome of the operation.

A transverse incision in the lower segment of the uterus is made parallel to the circular muscle fibers, in a place where there is almost no blood vessels. Therefore, it least of all injures the anatomical structures of the uterus, and therefore, to a lesser extent disrupts the course of healing processes in the operating area. The use of modern synthetic absorbable sutures contributes to long-term retention of the wound edges on the uterus, which leads to an optimal healing process and the formation of a prosperous scar on the uterus, which is extremely important for subsequent pregnancies and childbirth.

Prevention of complications after caesarean section

Currently, in order to prevent maternal morbidity after caesarean section, modern highly effective antibiotics are used. a wide range actions, since the role of microbial associations, viruses, mycoplasmas, chlamydia, etc. is great in the development of infection. During a cesarean section, prophylactic administration of antibiotics is carried out after cutting the umbilical cord in order to reduce their negative impact on the child. In the postoperative period, preference is given to short courses of antibiotic therapy in order to reduce the flow of drugs to the child through mother's milk; with a favorable course of caesarean section after surgery, antibiotics are not administered at all.

On the first day after the caesarean section, the puerperal is in the intensive care unit under the close supervision of medical personnel, while monitoring the activity of her entire body. Algorithms for the management of puerperas after caesarean section have been developed: adequate replenishment of blood loss, anesthesia, maintenance of the cardiovascular, respiratory and other body systems. It is very important in the first hours after the operation to monitor the discharge from the genital tract, because. high risk uterine bleeding due to impaired uterine contractility caused by surgical trauma and action drugs. In the first 2 hours after the operation, a constant intravenous drip of drugs that reduce the uterus is carried out: OXYTOCIN, METHYLERGOMETRIN, an ice pack is placed on the lower abdomen.

After general anesthesia, there may be pain and sore throat, nausea and vomiting.

Withdrawal pain after the operation is given great importance. After 2-3 hours, non-narcotic analgesics are prescribed, after 2-3 days after the operation, anesthesia is carried out according to indications.

Surgical trauma, entry into the abdominal cavity during the operation of the contents of the uterus (amniotic fluid, blood) cause a decrease in intestinal motility, paresis develops - bloating, gas retention, which can lead to infection of the peritoneum, sutures on the uterus, adhesive process. An increase in blood viscosity during and after surgery contributes to the formation of blood clots and their possible blockage of various vessels.

In order to prevent intestinal paresis, thromboembolic complications, improve peripheral circulation, eliminate congestion in the lungs after artificial ventilation, early activation of the puerperal in bed is important.

After the operation, it is desirable to turn in bed from side to side, by the end of the first day, early rising is recommended: first you need to sit in bed, lower your legs, and then start getting up and walking a little. You need to get up only with the help or under the supervision of medical staff: after a sufficiently long lying down, dizziness and a fall are possible.

Not later than the first day after the operation, it is necessary to begin drug stimulation of the stomach and intestines. For this, PROZERIN, CERUKAL or UBRETID is used, in addition, an enema is made. With an uncomplicated course of the postoperative period, intestinal motility is activated on the second day after the operation, the gases leave on their own, and on the third day, as a rule, there is an independent stool.

On the 1st day, the puerperal is allowed to drink mineral water without gases, tea without sugar with lemon in small portions. On the 2nd day, a low-calorie diet is prescribed: liquid cereals, meat broth, soft-boiled eggs. From 3-4 days after an independent stool, the puerperal is transferred to a general diet. It is not recommended to take too hot and too cold food, solid foods should be introduced into your diet gradually.

On the 5th-6th day, ultrasound examinations uterus in order to clarify its timely contraction.

In the postoperative period, the dressing is changed daily, examination and treatment of postoperative sutures with one of the antiseptics (70% ethanol, 2% iodine tincture, 5% potassium permanganate solution). The sutures from the anterior abdominal wall are removed on the 5-7th day, after which the issue of discharge home is decided. It happens that the wound on the anterior abdominal wall is sutured with an intradermal "cosmetic" absorbable suture suture material; in such cases, there are no external removable seams. Extraction is usually carried out on the 7-8th day.

Establishing breastfeeding after cesarean

Breastfeeding is often difficult after a caesarean section. They are due to a number of reasons, including pain and weakness after surgery, drowsiness of the child against the background of the use of painkillers or impaired adaptation of the newborn during operative delivery, the use of mixtures to give the mother "rest". These factors make it difficult to establish breastfeeding. Due to the need for a low-calorie diet for 4 days, the formation of lactation occurs against the background of a deficiency in the diet of a nursing woman of macro- and microelements, which affects not only the quantity, but also the quality of milk. Thus, the daily secretion of milk after cesarean section is almost 2 times lower compared to spontaneous childbirth; milk has a low content of the main ingredients.

It is important to ensure that the baby is attached to the breast in the first 2 hours after the operation. At present, most obstetric institutions operate on the principle of joint stay of mother and child.

Therefore, if everything went without complications, you can express a wish to leave the baby next to you and start breastfeeding under the supervision of the staff, as soon as the anesthesia wears off and you have the strength to take your baby in your arms (approximately 6 hours after the operation). Women in childbirth who, for various reasons, postpone feeding to a later date (the birth of children requiring special treatment, the occurrence of complications in the mother), should resort to expressing milk during feeding hours to stimulate lactation.

One of the main conditions for successful breastfeeding after caesarean section is to find a position in which a woman is comfortable to feed her baby. On the first day after surgery, it is easier to feed lying on your side. Some women find this position uncomfortable because at the same time, the seams are stretched, so you can feed while sitting and holding the baby under your arm (“soccer ball from under your arm” and “lying across the bed”). In these poses, pillows are placed on the knees, the child lies on them in the correct position, while the load is removed from the area of \u200b\u200bthe seams. As the mother recovers in the future, the mother can feed the baby while lying down, and sitting, and standing.

In order to stimulate lactation, physiotherapeutic methods of stimulating lactation are used (UVI of the mammary glands, UHF, vibration massage, ultrasound exposure, sound “bioacoustic” stimulation), herbal medicine: decoction of cumin, dill, oregano, anise, etc. To improve the quality of breast milk, it is necessary to introduce into the diet of a nursing mother nutritional supplements(specialized protein and vitamin products): Femilak-2, Milky Way, Mom Plus, Enfimama. All these activities have a beneficial effect on the indicators of the physical development of children during their stay in the maternity hospital, and the mother is discharged with well-established lactation.

Gymnastics after cesarean

6 hours after the operation, you can start the simplest therapeutic exercises and massage of the chest and abdomen. You can perform them without an instructor, lying in bed with your knees slightly bent:

circular strokes with the palm over the entire surface of the abdomen clockwise from right to left, up and down along the rectus abdominis muscles, from bottom to top and from top to bottom obliquely - along the oblique abdominal muscles - for 2-3 minutes;
stroking the anterior and lateral surface of the chest from the bottom up to the axillary region, the left side is massaged with the right hand, the right side with the left;
hands are wound behind the back and stroking the lumbar region of the back and palmar surface hands in the direction from top to bottom and to the sides;
deep chest breathing, to control the palms are placed on top of the chest: at the expense of 1-2, a deep breath is taken with the chest (the chest rises), at the expense of 3-4, a deep exhalation, while lightly pressing on the chest with palms;
deep breathing with the stomach, palms, holding the area of \u200b\u200bthe seams, inhale at the expense of 1-2, inflating the stomach, exhale at the expense of 3-4, drawing in the stomach as much as possible;
rotation of the feet, without lifting the heels from the bed, alternately in one direction and the other, describing the maximum big circle, bending the feet towards and away from you;
alternate flexion and extension of the left and right legs, the heel slides along the bed;
coughing, supporting the area of \u200b\u200bthe seams with the palms.

Repeat exercises 2-3 times a day.

Getting back in shape after a caesarean

Warm dousing of the body in parts from the shower is possible already from the 2nd day after the operation, but you can take a shower completely after discharge from the maternity hospital. When washing the seam, it is better to use fragrance-free soap so as not to injure the crust. You can immerse yourself in the bath not earlier than 6-8 weeks after the operation, because. by this time, the inner surface of the uterus completely heals and the uterus returns to its normal state. A trip to the bath is possible only 2 months after the doctor's examination.

In order for the postoperative scar to dissolve faster, it can be lubricated with prednisolone ointment or CONTRACTUBEX gel. Numbness may be felt in the area of the scar for up to 3 months until the nerves cut during the operation are restored.

Of no small importance is the restoration of physical fitness after a caesarean section. From the first day, it is recommended to wear a postpartum bandage. The bandage relieves back pain, helps to maintain correct posture, accelerates the restoration of elasticity of muscles and skin, protects the seams from divergence, helping to heal the postoperative wound. However, it is undesirable to wear it for a long time, because. muscles have to work, contract. As a rule, the bandage is worn for several weeks after childbirth, focusing on the condition of the abdominal muscles and general well-being. Therapeutic gymnastics should be started 6 hours after the operation, gradually increasing its intensity. After removing the sutures and consulting a doctor, you can begin to perform exercises to strengthen the muscles of the pelvic floor and muscles of the anterior abdominal wall (Kegel exercise - compression and relaxation of the pelvic floor with a gradual increase in duration up to 20 seconds, retracting the abdomen, lifting the pelvis and other exercises), which causes a rush of blood to the pelvic organs and accelerates recovery. When performing exercises, not only the physical form is restored, but also endorphins are released - biologically active substances that improve the psychological state of a woman, reduce stress, a feeling of depression, low self-esteem.

After the operation, it is not recommended to lift weights of more than 3-4 kg for 1.5-2 months. You can start more active activities 6 weeks after giving birth, given the level of your physical training before pregnancy. The load is increased gradually, avoiding strength exercises on the upper body, because. this may reduce lactation. Active types of aerobics and running are not recommended. In the future, if possible, it is advisable to engage in an individual program with a trainer. After high-intensity training, lactic acid levels can increase, and as a result, the taste of milk deteriorates: it becomes sour, and the baby refuses the breast. Therefore, engaging in any kind of sport for a nursing woman is possible only at the end of breastfeeding, and not for lactating women - after the restoration of the menstrual cycle.

Sexual relations can be resumed 6-8 weeks after the operation, by visiting a gynecologist and consulting about the method of contraception.

Second and third births after cesarean

The gradual restoration of muscle tissue in the area of the scar on the uterus occurs within 1-2 years after the operation. About 30% of women after a caesarean section plan to have more children in the future. It is believed that the period 2-3 years after the caesarean section is more favorable for the onset of pregnancy and childbirth. The thesis "after caesarean section childbirth through natural birth canal impossible” is now becoming irrelevant. For a number of reasons, many women attempt vaginal delivery after a caesarean section. In some institutions, the percentage of natural deliveries with a uterine scar after caesarean section is 40-60%.

Caesarean section in modern world is perceived as something simple, not requiring special attention - like a tooth extraction or light surgical procedures. In fact, a caesarean section is nothing more than a real abdominal operation that requires anesthesia (or other anesthesia), can give its complications, and does not go unnoticed by any organism. And recovery from a caesarean section is similar to recovery from an appendectomy or any other abdominal surgery. The only difference is the presence of a baby who also needs care and attention and who cannot be explained that the mother herself is not feeling very well, and she herself needs help. And now we will talk about how to combine recovery after a caesarean section with the presence of a small child.

Possible complications after caesarean section

Due to the fact that a caesarean section is an operation that involves cutting the tissues of the peritoneum, it can be accompanied by various complications associated with abdominal cavity and with the woman's body as a whole.

First, any operation involves a certain degree of blood loss. For comparison: if during normal, physiological childbirth, you lose about a glass of blood (200-250 ml), then during a cesarean section, blood loss is much more - from half a liter to a liter of blood. Naturally, this gives certain complications associated with emergency blood transfusion or other medical procedures aimed at restoring normal hematopoiesis. In natural childbirth, if there were no complications, no such measures are provided - the lost glass of blood is easily restored in the body for some time.

Secondly, possible complication caesarean section may be the occurrence of adhesions in the intestines of a woman. If the adhesions are small, this will not cause you any particular discomfort. But if the spikes are very pronounced, you may have problems with stool, digestion, start. In this case, doctors prescribe special physiotherapy, and in especially severe cases, adhesions are treated even with surgical methods.

Thirdly, a caesarean section, if performed with even the slightest imperfections in hygiene, can lead to endometritis - inflammation of the uterus. The thing is that during a caesarean section, the uterine cavity is in direct contact with the surrounding air - and if even the slightest pathogenic bacterium enters the uterus, inflammation will begin. Of course, during natural childbirth, endometritis also sometimes occurs - but the frequency of such cases is incommensurable with the frequency of similar cases with caesarean section.

And, finally, fourthly, caesarean section is fraught with violations of uterine contraction. If during natural childbirth there are no mechanical effects on the uterus, then during a cesarean section, the uterine muscle is crossed, which can disrupt the contractility of the uterus. To correct the situation, after a caesarean section in the maternity hospital, additional therapy is carried out aimed at improving the contractility of the uterus.

The well-being of a woman after a caesarean section

The well-being of a woman after childbirth, regardless of how the child was born, is noticeably different from her usual well-being. Let's take a look at the main characteristics of a woman's well-being after a cesarean section.

If you had a caesarean section general anesthesia, then such manifestations as vomiting, hallucinations, nausea, etc. are quite possible. Therefore, agree in advance that during the recovery period after a caesarean section (at least during the first 2 days), someone close to you is next to you.

If the operation was carried out with the use, then on the first day after it, the woman often feels numbness in the lower body from the legs to the abdomen. In addition, for about 12 hours after anesthesia, it is necessary to lie only on your back without changing your position. Of course, all this causes certain inconveniences and slows down recovery after a caesarean section.

General condition of the body after caesarean section. As a result of the operation, the general condition of the body may worsen - the temperature rises, pressure jumps, the seam hurts, nausea is felt, etc. Since the postoperative period is fraught with various kinds of inflammation or infection penetration into the wound (due to which all of the above signs appear), recovery after a cesarean section is always accompanied by antibiotic therapy with antibiotics. As for nausea, this is normal after a caesarean section, but if it lasts more than 3 days, be sure to tell your doctor about it so that he finds out the causes of nausea and takes the necessary measures.

The seam is a very vulnerable place on your body after the operation, so you need to follow it special care. Within 7 days after caesarean section with antiseptics and not exert any mechanical influences on it (including a washcloth during washing). After the anesthesia wears off, the suture may begin to hurt a lot. In order not to suffer from pain, doctors usually offer young mothers painkillers that can be injected directly into the suture area. If you are breastfeeding, do not worry - these drugs do not pass into breast milk.

Defecation after caesarean section. After childbirth (including caesarean section) you may experience problems with urination and suffer from constipation and gas. To solve the problem of urination, you will have a catheter placed for 1-2 days. The only disadvantage of the catheter is that it can cause inflammation of the bladder or urethra, so it must be removed at the slightest indisposition.

With regard to constipation and gases that may appear due to abdominal surgery and pain in the suture area, then this problem can be solved by using products that improve intestinal motility, laxatives, or, in rare cases, even enemas. If the question is only about gases, you can use special preparations against gases or use a special gas outlet tube (as for children).

Features of breathing after caesarean section. Special breathing exercises greatly facilitate recovery after caesarean section. In order to remove the remnants of anesthesia from the body and straighten the lungs to avoid postoperative pneumonia, doctors advise women to do breathing exercises and cough.

Very useful for recovery after a caesarean section is this exercise: firmly press your hands, a pillow, or bandage the seam with a towel (to reduce pain during exercise), and then draw more air into your lungs and exhale sharply, but gently, drawing in your stomach. This exercise is especially useful for those who feel gurgling and sobbing in the lungs. By the way, this exercise can be done before the operation if you have a planned caesarean section. This way you are less likely to have fluid build up in your lungs.

Excess fluid in the area of the diaphragm can be manifested by pain in the shoulder. To avoid this - it is also worth doing physical exercise and, if necessary, apply painkillers.

Initiation of physical activity after caesarean section. Once the anesthesia wears off, you will be able to get out of bed with someone else's help. For some, this time may come a few hours after the operation, for someone - only a few days. But whenever you decide to get up, in the first minutes of your physical activity you may be accompanied by dizziness, weakness, numbness of the limbs, blackouts in the eyes and other signs that portend an imminent fainting. In order not to fall immediately, as soon as you get to your feet, roll over onto your side and hang your legs off the bed as far as possible. Then slowly sit up, sit for a while on the bed, rotate your limbs to improve blood circulation. When you feel that the dizziness has subsided, put your feet on the floor and stand on them with the help of someone. If you can stand, try walking (with support, of course). Gradually increase the duration of your physical activity each time - and very soon you will fully recover from a caesarean section.

Condition of the uterus after caesarean section. In the same way as in the situation with natural childbirth, the uterus returns to normal for some time after delivery. This is manifested in involuntary uterine contractions - the only "but" may be that uterine contractions after cesarean section give an additional load on the suture.

Edema and sweating. After caesarean section, as after natural childbirth, there may be excessive sweating and leg swelling. The situation in the case of a caesarean section is aggravated by the fact that physical activity after the operation is quite limited - therefore, edema must be dealt with especially intensively. To prevent swelling from leading to varicose veins and thrombophlebitis, be sure to wear elastic stockings.

To combat sweating, wipe yourself with a damp cloth as needed (because you can’t wash for a week after a cesarean section).

Removal of stitches. If you haven't received self-absorbable sutures, they will need to be removed about a week after surgery. In the first days after the stitches are removed, the scar site may itch, and small discharges may come out of the wound. With proper hygiene, these secretions will soon stop.

Nutrition after caesarean section

The first day after the operation is quite modest in terms of nutrition. During this period, it is only allowed to drink - water with lemon juice.

After a day, if you feel normal, you can use chicken broth, boiled meat minced in a meat grinder, cottage cheese and natural yogurt (all low in fat), cottage cheese or meat puree or soufflé, fruit drink or compote without sugar.

If, in the process of recovery after a cesarean section, you yourself went to the toilet “in a big way” for 4-5 days after a cesarean section, you can rejoice! You can start eating the way you are used to (of course, taking into account breastfeeding and your own well-being).

Breastfeeding after caesarean section

Problems with breastfeeding after a caesarean section are very far-fetched. after natural childbirth and caesarean section differs only in terms of onset. If after natural childbirth milk comes for 3-4 days, after cesarean it can be expected only for 4-5. The reason for this delay is that during natural childbirth, the hormone responsible for lactation is released into the blood immediately after childbirth, and during cesarean section this phenomenon occurs later.

But the late arrival of milk after a cesarean section does not affect the condition of the newborn, especially, in case of urgent need, he can always be supplemented with infant formula.

Recovery after caesarean section in everyday life

Well, the initial recovery is over - and you returned home with the baby. How will your life change now, and what are the restrictions in Everyday life will be present for you for some time after the caesarean section?

With regard to lifting weights, it is contraindicated for 2-3 months after a caesarean section to lift more weight than your child (ie, about 3-4 kg).

Even if you want to quickly put your figure in order after childbirth - and decided, first of all, to start pumping the press - wait at least a month until the seam heals. Otherwise, the consequences can be the most unpleasant.

The resumption of sexual relations after a caesarean section occurs after at least 8 weeks - since the uterus after any type of childbirth is a big wound. And if an infection gets into it during intercourse, inflammation cannot be avoided!

And, finally, with regard to the postpartum bandage, then you should not abuse it while recovering from a cesarean section. Much more useful will be the situation when the muscles will work independently.

Recovery after a caesarean section is a rather difficult period, and your loved ones should understand this. To make life a little easier for yourself after a C-section, do not neglect asking for help with child care and household chores. Remember that care and concern in your situation is needed not only for the child, but also for you!

According to statistics, today every 3-4 pregnancy ends with an operation. The new mother will have to face not only postpartum period, but also with the state after the operation.

And this is doubly difficult. No one canceled the duties of caring for a baby. No one but you can put the baby to the breast. It is not for nothing that women are interested in how to quickly return themselves to their previous shape.

How to recover after a caesarean section?

The change in your body begins immediately after the removal of the child, still on the operating table. The uterus reacts to a decrease in volume and shrinks sharply. Thus helping to stop bleeding.

From now on, it will decrease in volume every day. It will be completely reduced somewhere by 2 months. After the operation, an ice pack is placed on your stomach - this is also a means for improved contraction of the uterus and stop bleeding. Be sure to prescribe uterine contraction injections.

Postoperative scars on the uterus, anterior abdominal wall and skin will make themselves felt almost immediately. Especially strong pain in the first 3 days. Pain contributes to the release of stress hormones: adrenaline and noradrenaline, which negatively affects the state of the body, as well as the healing of scars and pelvic organs.

In addition, the tone of the muscles of the anterior abdominal wall decreases in order to save the cut stomach. This can lead to the formation of hernias in the future. You must be prescribed painkillers.

The suture after cesarean will be processed daily. Will be removed for 7-8 days.

Doctors will tell and show, and only you can help yourself.

14 ways to recover faster after a caesarean

1.After the operation, do not lie down! After the operation, 10-12 hours, and if you had spinal anesthesia, then a day, you will have to keep bed rest. The first time you need to climb in the presence of doctors. The earlier you get up, the better for you.

2.Physical activity. Almost immediately after the operation, it is necessary to move, turn in bed. The seam is tightly sutured with threads, it will not disperse. 3-4 hours after cesarean, you need to perform the first exercises. Bend and unbend the legs at the ankles and knee joints, Hands.

3. Do breathing exercises.

Lying on your back, take your hand to the side - inhale, return to ip. - exhale.
Lying on your back, with outstretched legs and arms along the body. Raise your straight arms up - inhale through your nose, lower your hands down - exhale through your mouth.
Lying on the left side left hand under the head, right - along the body, legs straight. Raise your right hand up, touch the pillow - inhale, lower - exhale. Repeat 1-2 times. Repeat on the right side too.
Lying on your back, legs extended right hand lies on the stomach, left hand on the chest. Inhale through the nose - inflate the stomach, exhale through the mouth - blow it off.

After you can rise, on the 2nd day, start doing the exercises sitting on the edge of the bed, legs lowered.

Flexion, extension of the legs in the knee joints.
Inhale - pull your knees to your chest, helping with your hands, exhale - return to SP.
Inhale - spread your arms to the sides, exhale - draw in your stomach and return to SP.

From 3-4 days:

Lying on your back, bend your knees, arms along the body. We raise the pelvis and turn it to the right - to the left, lower it.
Lie on your back, knees bent, arms outstretched. We lower our knees to the right, outstretched arms to the left, we lower our knees to the left, outstretched arms to the right.
We lie on our back, legs and arms are extended, raise one leg and begin to draw numbers from 1 to 6. Then do the same with the other leg. Every day we add 1 digit and we reach 20.
To restore the tone of the muscles of the perineum, there is a set of Kegel exercises.

If you do gymnastics, then recovery after a cesarean will go much faster. There will be no adhesions, with time the former elasticity of the tummy will return, and the uterus will shrink in a short time. But first, you should consult with your doctor.

Against the background of temperature, if during the operation there was a large blood loss, if you have thrombophlebitis, exercises are contraindicated. Do not perform gymnastics through force. Stop exercising if pain occurs.

Caesarean section is not compatible with intense physical activity. You can not lift weights, pump the press, exercise on simulators, run, squat for the first 2-3 months.

Important! It should also be remembered that excessive exercise stress will not promote milk production. Therefore, it is contraindicated for nursing mothers.

3. Lactation. Breastfeed your baby. What will it give? During nipple sucking, the body produces oxytocin. It stimulates the production of milk in the mammary glands and the contraction of smooth muscles, i.e. uterus.

In addition, it is a hormone of love that helps the formation of maternal instincts. Oh oh useful properties breast milk for a baby is talked about a lot and everyone knows that there is nothing better.

4.Anemia. The need for iron during pregnancy and lactation is always increased. With a caesarean section, blood loss is several times higher than after a natural birth.

You may become anemic after surgery. This disrupts the healing of tissues, contraction of the uterus and does not affect well-being in the best way. If the doctor says that you have low hemoglobin, then you need to take iron supplements.

5. Lie on your stomach. Already on the second day after cesarean, you can lie on your stomach. This will speed up the contraction of the uterus.

The first day after the operation will have to endure urinary catheter. This is not pleasant and makes it difficult to move. It is placed before surgery to control the amount and color of urine, as well as to prevent injury to the bladder during surgery.

After the operation, they also consider how much urine was released per day. This is important to assess if there has been damage to the bladder or ureters. An empty bladder is an important condition for proper uterine contraction, and you will not be able to get on the ship on your own for the first 12-24 hours.

After the operation, you may experience constipation. This is due to reduced intestinal tone, hormonal stress and, of course, an inactive lifestyle. If there is no stool by the third or fourth day, you will be given an enema.

Drink more water, move more. At home, it is worth eating more vegetables and fruits, dairy products, soups and cereals with buckwheat and pearl barley, vegetable oils.

7. Nutrition. The body needs strength to return to normal after surgery, as well as to feed the child. Therefore, eat more meat, protein is a building material, and you have scars that need to heal.

More fiber: vegetables and fruits, but avoid overseas fruits. Remember that you will be breastfeeding your baby. Therefore, your menu should not harm the baby. You can not eat food with preservatives, spices, hot sauces, smoked meats, grilled chicken, hot dogs, pizza, fatty and fried foods. Food should be stewed, boiled and steamed.

8. Massage and self-massage will help to restore. It improves skin tone, improves blood circulation and metabolism. Muscle tone also increases.

Interesting! In addition, massage has a positive effect on nervous system. Normalizes sleep, reduces pain sensitivity. You can perform self-massage.

In technique, there are 4 techniques: stroking, rubbing, kneading and vibration.

Already from the first hours, you can stroke your stomach with your palm in a circle, from top to bottom and from bottom to top.

You can use a tennis ball. Write them out in a circular motion clockwise starting from the navel.

Perform a massage with a contrast shower.

9. Wear a bandage. It will relieve pain, support weakened abdominal muscles. The bandage is especially indispensable in the first days and weeks. In the prone position, the bandage is not needed, only when moving. Do not wear the bandage for more than 3 hours. From 4-6 weeks, the bandage is not needed, and its prolonged wearing can lead to the opposite effect, i.e. weakening the press.

10. Hygiene. Unfortunately, if you had a caesarean section, then you will be allowed to take a shower only after the suture is removed and then on condition that it has healed well. This will happen in about a week.

Before this, it is necessary to wash in parts so as not to wet the seam. Be sure to observe intimate hygiene: it is necessary to wash with soap after each visit to the toilet.

11. Watch for secretions.

In the first 3 days they are bright red and very plentiful.
From 4 to 10 days pink-brown e or brown. Every day their number decreases, and the color becomes lighter.
By day 10 yellowish or white spotting.
By 3 weeks they contain streaks of mucus.
The discharge will completely stop by 6-8 weeks.

If they are very plentiful, dirty in color and with an unpleasant odor, while you are worried about pain in the lower abdomen or a fever, you should consult a doctor. Perhaps complications have arisen that will slow down the recovery of the body after childbirth and the healing of the scar on the uterus.

12.Dream. The body must be well rested. Sleep during the day with your baby.

13. Properly care for the scar on the skin. The stitches will be removed on the 6-7th day. If there are no complications, take a shower every day at home, but do not rub the incision area with a washcloth. After a shower, treat it with brilliant green, unless the doctor prescribes anything else upon discharge.

In order to avoid a rough scar, after a month you can use special ointments (kontroktubeks, solcoseryl, klirvin), if you wish, you can go to a beauty salon.

Important! If there is pain, swelling and pus in the area of the suture, you should consult a doctor.

14. Walks in the fresh air. Rapid wound healing and tissue nutrition is impossible without oxygen. In addition, it will be useful for your baby.

After 6-12 months, scars will heal, muscle and skin tone will return.

Putting your body in order after childbirth and caesarean is not so easy, but the joy of the birth of your crumbs will overshadow all the difficulties.