What are the physiological changes during puerperium?

The puerperium (the traditional "confinement" is only 30 days before the puerperium) refers to the period when the fetus and the birth organs and psychological aspects of the mother, the birth organs, and psychological are adjusted for a period of 6 to 8 weeks, which is 42-56 days.EssenceDuring this period of time, mothers should take rest, especially in the 15 days after giving birth to bed rest, adjust the body, and promote the recovery of the systems of all body organs, especially reproductive organs.

In order to adapt to the development of the fetus and prepare for childbirth, the reproductive organs and the whole body have changed a lot. After childbirth, a seriesThe change takes about 42 days to complete.Since the placenta is delivered, the mother has entered the puerperium.During this time, the maternal breasts must be lactated, the uterus must be restored, and the systems of the body should gradually return to normal, such as reducing excess blood capacity by sweating and increasing urination; increased gastric acid.The gastrointestinal tension and peristaltic recovery allow the digestive ability to restore normal; maternal women who do not breastfeed or partial breastfeeding may have menstruation.In short, the puerpered period is a period of gradually recovery in the system of the whole body and the abdominal wall.

1. Changes in life indicators

During the puzzle period, the maternal temperature, pulse, breathing, and blood pressure are mostly within the normal range. The day after delivery is slightly higher, generally not higher than 38 ° C.The postpartum pulse slows slightly slowly, 60 to 70 times per minute, and it can return to normal after 7 days.Postpartum breathing 14 to 16 times/minute.Postpartum blood pressure is stable.

2. Changes in the reproductive system during puerperium

Changes in the reproductive system during puerperium mainly include uterine changes, subordinates and cervical changes, vaginal and vulvar changes.The uterine change refers to the process of gradually returning to pre -pregnancy state after delivery.This process takes about 6 weeks. During the period, the main change is the shrinkage of uterine muscle fibers and endometrial regeneration.The lower section of the uterine and cervix is mainly within 2 to 3 days after giving birth, and the palace mouth can still accommodate 2 fingers.After one week after giving birth, the inner mouth of the cervix was closed and the cervical pipe was restored; 4 weeks after giving birth, the cervix recovered to the shape of no pregnancy.The cervical outer mouth often occurs at 3 points and 9 o’clock in childbirth, so that the outer mouth of the first mother’s cervix from a prenatal round (unprecedented type) to a postpartum "one" shaped horizontal fracture (already produced).

3. Breast change

Postpartum breasts will become fuller and start secreting milk.2-3 days of puzzle will feel breast tenderness. At this time, the baby should be sucking early to stimulate early milk.The first few days of milk is called colostrum, which shows pale yellow. It contains a large amount of immune antibody, which can improve the resistance of the baby within one year after birth.After a week of colostrum, it turns to normal breast milk. The milk is white and the quality is strong.

4. Changes in the urinary system

During pregnancy, the amount of water retention in pregnant women is mainly discharged through the kidneys, so the urine output of the first 7 days of postpartum will increase.The renal pelvis and ureteral expansion during pregnancy will take 2 to 8 weeks to return to normal.During the puzzle, especially on the first day of delivery, the pressure of the bladder caused the mucosal edema, congestion, the decrease in muscle tension, the decreased sensitivity to the internal pressure of the bladder, and the cause of perineal injury oral pain, not used to bed urination, etc.

5. Changes in the digestive system

The weakened gastrointestinal muscle tension and peristaltic of the postpartum takes about 2 weeks to recover.Therefore, many postpartum periods will occur in constipation during puerperium.In addition, circular systems, blood changes, and abdominal wall changes in the puerpered period are generally returned to normal in 6-8 weeks.

6. Vulnerability changes

With the recovery of the uterus, the necrotic tissue in the uterus was discharged from the vagina with blood and mucus.The postpartum lochia can last for about 3 weeks, and the amount gradually decreases from the amount. The color has changed from bright red to dark red and finally pale yellow or white without odor.Once the lochia is bright red for more than 3 weeks or the number of lochia increases so much, but the stretch marks will not disappear.

I hope Bao Ma pays attention to hygiene and survive safely!

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