home Folk remedies Restoring the body after childbirth. Breastfeeding rules. Doctors' recommendations for restoring the female body

Restoring the body after childbirth. Breastfeeding rules. Doctors' recommendations for restoring the female body

Even before the birth of the baby, the expectant mother must prepare for the fact that immediately after giving birth her life will change dramatically. There will be a lot more worries and troubles associated with caring for a newborn. But besides this, it will take time to restore your health.

It is no secret that the first days after childbirth a woman is accompanied by a deterioration in her emotional and psychological state. In case of difficult childbirth, complications, postpartum period may be accompanied by deep depression. Therefore, by the time of birth you need to prepare carefully and responsibly, so to speak, to be fully armed.

Physical condition of the mother

Regardless of whether a woman gave birth on her own or with the help caesarean section, the recovery period is approximately the same. What happens after childbirth, which sensations are normal, and which require the help of a specialist? Be prepared for the following:

Lochia - bloody uterine discharge. The first few days they are abundant and bright red. Starting from 4 days after birth, the lochia turn pale, and after 10 days they acquire a white or yellowish color. The discharge stops after 5–6 weeks.
Abdominal cramps. They arise due to uterine contractions, when the uterus gradually acquires its original size. Goes away within 1–2 weeks
Weakness and fatigue. Needless to say, childbirth is a huge stress. It takes time to restore energy.
Pain in the perineum. They are especially strong on the first day after childbirth, intensifying with tension and walking. Lasts about a week.
Difficulty going to the toilet. They can be observed on the first or second day after birth. If the problem does not go away on the third day, you should consult a doctor, as there is a high risk of infectious inflammation.
Muscle pain. It is a consequence of strong attempts.
Sweating. Associated with a violation hormonal levels, lasts 2–3 days.

Breasts after childbirth should be given Special attention to protect yourself from mastitis. With cracks, abscesses and bleeding, it becomes impossible to feed the baby.

Mental and emotional state

A lot of new responsibilities and responsibility for a newborn affect the usual routine of life, change the way of thinking, and the nature of the actions of the new mother. The first days after childbirth, hormonal levels change dramatically. The synthesis of oxytocin and prolactin increases. They are necessary for milk production and uterine repair. All this can unsettle any woman. Be prepared for:

Sudden mood swings - from feelings of euphoria to depression and even despair.
Self-doubt.
Irritation caused by one's own weakness.
Complete lack of interest in my husband.

In addition, consequences such as postpartum depression and increased tearfulness are possible.

Postpartum depression

Most women feel a sharp decline in mood 2–3 days after childbirth. This condition is called postpartum depression. Dejection and melancholy continue differently for everyone - from several hours to several days.

During this time, the support of family and friends is important for a woman. Experts associate postpartum depression with fatigue, fears of not succeeding as a mother, lack of sleep, and problems with lactation. Hormonal imbalance plays an important role.

Increased tearfulness

Many women cry a lot after giving birth. Again, this is not due to the best physical fitness women, fear of the new role of mother, hormonal fluctuations.

The best solution to the problem is to consult with a knowledgeable person. This could be a midwife or women you know who already have children. They will give useful advice, will share their personal experiences.

The awareness that this is a turning point and inevitably transitory will help you get rid of tearfulness and depression. After some time, it will disappear without a trace, and all you can do is enjoy motherhood.

Possible complications

The first two hours after birth may develop bleeding. Also, a hematoma may appear on the perineum if some rupture is not completely repaired. Therefore, during this period, the woman in labor is not recommended to get up; she is in the maternity ward. This will allow you to notice complications in time and take action. necessary measures to eliminate them. Only two hours later the woman in labor and her newborn are transferred to the ward.

Postpartum recovery lasts about 6 weeks. At this time, a woman should be very careful about her health. What complications can develop in the first days after childbirth?

Lochiometra

Retention of lochia in the uterine cavity. The first few days the discharge is quite heavy - up to 300 ml. If their volume decreases sharply or stops altogether, you should immediately inform your doctor. The following symptoms give reason to suspect a lochiometer:

Pain in the frontal lobe of the head.
Feverish condition.
Unpleasant, pungent odor of discharge.

The complication develops due to blockage of the cervical canal blood clot or the remainder amniotic sac, insufficient contractility of the uterus.

Attention: if you notice that your discharge has stopped, and then suddenly began profuse bleeding, the reason may be a piece of the placenta remaining inside. This should be reported to your doctor immediately. Treatment involves curettage of the uterus.

Feverish state

During the postpartum period, a woman’s body temperature often rises. This phenomenon may be caused entirely harmless reason– dehydration of the body.

The first time after childbirth, women are so immersed in chores that they completely forget about observing drinking regime. But during lactation, the need for fluid increases. Treatment in this case is very simple - drink at least 3 liters of fluid per day. This will not only help reduce the temperature, but will provide the necessary amount of milk.

Other causes of a febrile state are not so harmless and require medical intervention. First of all this inflammatory processes in organism: urinary tract, renal pelvis(pyelonephritis), lungs, uterus (endometritis), as well as lactostasis, mastitis, lochiometra.

Intestinal atony

Caused by a sudden shrinkage of the uterus after childbirth. Physical inactivity, dehydration, and insufficient food in the first days after birth play an important role.

If normalization of drinking and eating regimen, increase physical activity do not solve the problem, it is recommended to consult a doctor.

Setting up breastfeeding

Many people are interested in what to do first after childbirth? The main task of a woman is to establish breastfeeding. Here are some recommendations that will help improve the process and provide your baby with adequate nutrition:

Express milk only as needed. For example, if you need to leave the child for a while, or if there is stagnation of milk (lactostasis), which little baby still can't resolve.
Learn to put your baby to your breast. If he grasps the nipple incorrectly, this can lead to starvation for him, and for a woman – stagnation of milk and cracks.
Alternate between breasts when feeding. If there is a sufficient amount of milk, it is optimal to give one breast at one feeding, and the other at the next feeding.

It is important for a woman to learn how to care for her breasts and pay attention to choosing the right underwear. The bra should not be too tight, but it must provide good support for the breasts. A properly selected bra will help mommy maintain her breast shape after graduation. breastfeeding.

Proper nutrition

After the birth of a child, a woman should not pounce on tasty, nourishing home-cooked food. Firstly, the stomach is not yet ready for such a load, which can lead to bowel problems. Secondly, the newborn is completely dependent on quantity and quality breast milk. A poor nutrition can lead to a whole range of problems with his health, among which the most common are:

Allergic reactions.
Diathesis.
Intestinal colic.

During the feeding period, a young mother is prohibited from eating spicy, smoked, salted, fatty foods. But these rules will be useful for a woman if she wants to provide her baby with adequate nutrition:

Rule #1. Vitamins and minerals. It is necessary fresh fruits and vegetables, porridge (rice, buckwheat, oatmeal). But it is better to avoid potential allergens (citrus fruits, strawberries). New foods should be introduced into the diet gradually, carefully monitoring the baby’s reaction to them. It is not recommended to eat legumes and fresh cabbage - they can cause bloating in the baby.
Rule #2. Increase in calories. Many mothers immediately after giving birth strive to lose weight and go on strict diets. But at this time you need to think not about yourself, but about the child. For this purpose, the daily calorie intake is increased by 500 compared to the previous diet. This will ensure good lactation and at the same time it will not negatively affect the figure.
Rule #3. Sufficient amount of calcium. This important element was intensively consumed during pregnancy and continues to be excreted from the mother’s body along with milk. Therefore, the diet should be enriched with calcium. Products containing it should be consumed 5 times a day: hard cheese, milk, yogurt, etc.
Rule #4. Limiting protein foods. You can consume no more than 300–400 g per day. It can be eggs, boiled chicken, river or sea fish, rabbit, turkey. But mushrooms should be completely abandoned during lactation.
Rule #5. Compliance with drinking regime. In addition to the liquid contained in foods, you should drink at least 8 glasses a day of juice, broth, milk, ordinary water. If a woman is worried about increased sweating, she needs to drink even more fluids, but not more than 12 glasses a day. Excessive drinking will put a strain on the kidneys and cause edema. You should not abuse strong tea and coffee - no more than 1 cup per day.

The postpartum diet should include raisins, dried fruits, bran bread and foods high in vitamin B. It is important for healthy intellectual development newborn

Newborn care

Another important question, which interests women immediately after childbirth - how to care for the baby. After all, from the moment of birth he needs care, and it does not only consist of breastfeeding.

The first day the newborn sleeps a lot, waking up only when hungry. If your child is restless and screams all the time, you should consult a doctor. The baby may have some pain, or he is simply not yet accustomed to life outside the mother's womb. What else does a young mother need to know?

Feeding. Experts advise not to feed your baby by the hour, as was previously the case, but to put him to the breast on demand. This will allow you to quickly establish lactation, provide a sufficient amount of milk, and serve as an excellent prevention of stagnation. Be prepared for the fact that the baby will spend a lot of time at your breast at first. Be patient, put everything aside and try to establish feeding.
Bathing. Another procedure that awaits young parents after discharge from the hospital. You need to bathe your baby every day, and up to 6 months it is better to do this in a special bath. The optimal water temperature for swimming is 37 degrees, air temperature is 20–22.
Fresh air. The newborn needs him, he is the key good health and normal development of the little man. By the way, it is not necessary to take your baby outside for the first time after returning home. It is quite enough to constantly ventilate the room. After each diaper change, leave your baby naked for a while. After all, his skin also breathes.
Purity. Keep the baby clean, as well as everything in his immediate environment: toys, dishes, bed sheets, cloth. The first months of life, children are very susceptible to the action of many pathogenic bacteria. Daily wet cleaning of the room is a concern for the baby’s health. No less important is the hygiene of the mother, who is in constant contact with the child.
Cloth. At first, the baby is often kept in diapers, and this is not without logic. A newborn cannot yet control his body, so he can easily injure himself. You should not swaddle your baby tightly. During those periods when he is awake, you can dress him in vests and rompers. A cap is necessary in cool weather, as well as after swimming.

Undoubtedly, the first days after discharge from the maternity hospital will be a serious test for a young mother. But do not forget that this is also the happiest time when you meet a new family member, and he meets you.

I can’t even believe that childbirth is already behind me. And they already separated the placenta, stitched it up, and even allowed me to bring my legs together. And they don't hurt anymore. And what will happen next?What happens to a woman and what does a newborn actually look like? It’s especially interesting what will happen on the very first day of your new life.

Immediately after birth

The first two hours after birth are dangerous due to the occurrence of complications, especially bleeding. In addition, a hematoma may appear on the perineum if some rupture was not noticed or was not completely repaired (fortunately, this does not happen often). And the woman cannot get up yet, because her body is still too weak. Therefore, during these two hours, the postpartum woman is in the maternity ward, since there, if complications arise, it is easier to call someone for help, since all the medical personnel are nearby. During these 2 hours, the woman lies on the couch and rests. At this time, the baby lies swaddled on the changing table in the birth room where he was born, and most often sleeps. And only after two hours, if everything is fine, you and the baby will go to the postpartum ward together.

After giving birth, women feel differently. Some say that they suddenly felt very good (this is explained by the release of endorphins - pleasure hormones) into the blood, others are completely exhausted. Some people want to call everyone, everyone, everyone and talk to medical personnel, while others only think about getting everyone behind them as quickly as possible. In any case, after a heavy load, you need to take a nap while you have the opportunity. It would also be a good idea for you to eat something, because you haven't eaten for many hours and you need to recuperate. You will most likely skip dinner in the maternity hospital, because most births occur in the evening or at night. Take care of yourself in advance. Take something with you to the hospital to snack on after giving birth.

When you are transferred to the ward, try to start getting up as early as possible, first with the help of the midwife, and then on your own. This helps improve blood circulation, normalize the functioning of the urinary system and intestines, and accelerate healing processes. In addition, very soon the baby will require attention.

Let's get acquainted, baby!

When you have finally recovered from the stress you have suffered, you want to get to know your little miracle, which now lies nearby, as closely as possible. You start to look at him. And who does he look like? Is everything okay? Some women begin to worry when they notice a tumor on their head. However, in most cases this is not a cause for concern. It will go away on its own within 1-2 days.

To be honest, immediately after birth, the baby may seem “scary” to even the most loving mother: a small, wrinkled creature with big head, closed eyes, thin arms and legs. All this was due to the fact that he had to squeeze through a fairly narrow space and experience quite a lot of stress. But in a few days he will fully recover and become even more beautiful than the children in diaper advertisements.

The baby holds his arms and legs close to himself. This is due to physiological hypertonicity of the muscles, and it is not worth fixing the legs in an unnatural position (straightening them). Swaddling in the “log” style is no longer in fashion. In the first day, you can swaddle the baby’s arms quite tightly, because when the baby waves them in front of his eyes, he gets scared, because he doesn’t understand what it is dangling in front of him. In addition, while the baby was in the uterus, his mobility was limited, he got used to it, and felt more protected when swaddled. At home, you can gradually switch to vests and rompers.

The question often arises about how warmly a baby should be swaddled, whether a blanket is needed or whether there are enough diapers. To check if the baby is not freezing, you need to feel the nose and hands (they should be warm). The baby should be “dressed” warmer than the mother, because his thermoregulation is still imperfect and he is very sensitive to temperature environment. But you don’t need to wrap your baby up so that he sweats.

From the very first day, the baby needs your care. It's not just about feeding him. You also need to change his clothes at least once every three hours, wash him several times a day so that he is clean, and calm him down after examinations by the medical staff. These troubles will be enough for the whole day.

In the first day, the baby can sleep almost all the time, waking up only to eat, if nothing bothers him. But it happens that the baby is restless, falls asleep only for a short time, and cries a lot. You need to tell the doctor about this so that he can assess the baby’s condition and check if he has any pain. If the doctor says that everything is fine, it means the baby has simply not fully adapted to the new environment. You need to be patient, maybe the next day he will become calmer.

Don't be afraid to do something wrong! No one can take care of your child better than you. He needs your warmth, which he is used to while in his tummy. You may take it slow at first and don't swaddle as carefully as a nurse, but you'll definitely learn!

Isn't it time for us to refresh ourselves?

One of the most important things for a baby is proper feeding!

Breastfeeding immediately after birth is very good for both of you. Moreover, it is necessary that it is not formal, for recording in the medical history, but so that the baby sucks and eats. This first portion is a gift for the baby and plays a big role in the formation of lactation and in establishing emotional contact.

Colostrum is released on the first day. It is a thick yellowish liquid. Although it is not much, it is enough for the baby for the first time. The calorie content of colostrum is 150 kcal/100 ml (milk has only 70 kcal/100 ml), it is rich in immunoglobulins, enzymes, and vitamins. You need to feed your baby on demand. On the first day, the baby can eat from 2 to 20 times. Feeding is usually frequent, but if this is not the case, there is no need to specifically wake up your baby to feed him. Again, there is no need to panic and demand additional feeding if the baby requires the breast almost all the time and does not let go of it for several hours. Gradually he will adjust his diet. Milk usually arrives on the third day, after which the baby asks to eat less often and fills up much faster.

The nipples, especially in first-time mothers, rub and hurt; it hurts most at the moment of application, but after a few seconds the pain subsides. Gradually the nipples harden and painful sensations disappear. Bepanten cream helps a lot. Its great advantage is that it does not need to be washed off before feeding.

How should mom eat?

If during pregnancy a woman could eat almost whatever she wanted, now the situation has changed, because not everything that the mother likes is good for the baby. Therefore, there are some dietary restrictions.

Foods that should not be consumed can be divided into three groups:

1. Allergens. The most common causes of allergies are citrus fruits, chocolate and alcohol. It is also worth limiting cow's milk, eggs, sweet juices.

2. Products that increase gas formation, which can cause the baby to have a tummy ache. These are cabbage, black bread and legumes.

3. Products that worsen the taste of milk. These are onions, garlic, spicy dishes.

You definitely need to eat meat; boiled meat and meat puree are best digested for baby food. You can also eat yogurt without additives, cheese, cottage cheese, green apples, simple cookies (like “Maria”), a little walnuts, porridge. You can eat pasta and boiled potatoes. You should drink a lot so that milk is released better.

Most women think that everything they give in the maternity hospital can be eaten. Unfortunately, it is not. In all departments the menu is the same; they do not prepare special food for nursing mothers. Therefore, you need to be critical of everything that they bring.

The food they provide in the maternity hospital is not enough, besides, the last meal is no later than 18:00, and you also want to eat in the evening. Therefore, it is necessary to prepare relatives in advance for the fact that they will have to wear bags, so that the nursing mother has a nutritious diet and recovers faster after childbirth.

This is what's happening to me

You are undoubtedly worried about what you will become after giving birth. Don’t be upset if, looking in the mirror, you don’t seem as beautiful as before pregnancy: a flabby belly, bruises under your eyes, some kind of rash on your face... Everything will return to normal, but this will not happen on the very first day, but gradually!

After childbirth, the uterus is located at the level of the navel. When feeding, it contracts, as irritation of the nipples causes the release of oxytocin, which has a contractile effect. Therefore, breastfeeding, among other things, is the prevention of postpartum hemorrhage. Can be nagging pain lower abdomen. It is better to sleep and lie on your stomach, this way the uterus contracts faster.

The discharge on the first day is bloody and quite copious (about 300 ml in the first three days). Increased discharge when moving is normal phenomenon. You will have to walk with a diaper between your legs. This is not very convenient, so stock up on disposable panties and pads in advance. They must be changed at least every 2 hours.

The abdomen is flabby, and there may be separation of the rectus abdominis muscles. It comes into tone only after 6 weeks. But you can start wearing a bandage immediately after giving birth. In addition, from the first day you can do breathing exercises: while inhaling, inflate your stomach, while exhaling, deflate it. Repeat 10-20 times, 4-5 times a day.

After childbirth, a woman may also experience muscle pain in the different parts bodies. Which muscles hurt the most depends on which muscle group you strained the most during childbirth.

The “rash” on the face is pinpoint hemorrhages. They appeared because small capillaries burst due to stress during childbirth. There may also be bleeding in the eyes.

Blood pressure may be low on the first day, so dizziness may occur. To avoid this, you do not need to make sudden movements; you should stand up smoothly and carefully. If you constantly feel severe weakness, tell your doctor about this.

You may feel pain in the perineum, even if there were no tears and no incision was made in the perineum. They appear because the perineum has in any case been subjected to severe stretching, and, consequently, traumatization. If there are stitches in the perineum, you will not be able to sit at least first 2 weeks.

Hemorrhoids sometimes appear during pregnancy and after childbirth and also cause pain. Careful hygiene (showering after each act of urination and defecation) and applying ice to the perineum helps reduce pain.

There may be problems with urination, which is associated with a decrease in the tone of the bladder muscles and swelling of its wall due to the fact that during childbirth it was compressed between the baby’s head and the pelvic bones. Even if you don't feel the urge, empty bladder need at least every three hours. There is usually no stool on the first day.

Things to take to the hospital

Usually, in the maternity hospital, a woman always remembers that she is missing something. Here sample list things to make mom feel comfortable:

For myself:

- Documents (passport, policy and its copy, exchange card)

- Bathrobe, slippers (washable), socks, nightgowns (some maternity hospitals provide them, but they give you your own)

- Absorbent diapers

- Toilet paper

- Toothbrush and pasta

- Shower accessories, towels

- Telephone

- Non-perishable food (cookies, muesli)

- A bottle of still water

- Notepad, pen

- Gaskets

- Disposable panties

- Breast pads

- Nursing bras

- Postpartum bandage

- Boiler or kettle

- Utensils (cup, plate, spoon, fork, knife)

- Nipple cream

For a child:

- Diapers

- Cotton buds(for navel treatment)

- Baby soap (liquid)

- Diaper cream

- Wet wipes

- Socks

- In the cold season, you can take a cap and a flannel vest with you.

You need to pack your bag in advance, about three weeks before the expected date of birth, so that at the moment when you realize that it’s time to go to the maternity hospital, you don’t run around the apartment looking for diapers and slippers.

You are not alone

On the first day, and generally while you are in the maternity hospital, you will be under the control of medical personnel.

Soon after you are transferred to the postpartum ward, regardless of the time of day, the midwife will come. She will tell you about the daily routine and help you wash. Then the children's nurse will come. She will treat the child (clean the nose, eyes, ears, remove the remaining cheese-like lubricant, disinfect umbilical wound). She will teach you how to swaddle your baby, explain how to care for him, and show you how to properly apply to the breast.

In the morning you will be woken up at six o'clock to measure your blood pressure and both of your temperatures. These measurements are taken twice a day. Also, twice a day, morning and evening, the pediatric nurse performs toileting for the baby.

A doctor will examine you both. An obstetrician-gynecologist will look at how your uterus contracts, whether colostrum is released, and assess the condition of the sutures and the amount of discharge. The pediatrician will examine your baby, check his innate reflexes and tell you about his condition. Don't hesitate to ask all the questions that interest you. If you forgot to ask something, don’t worry, the doctor on duty will come in the evening.

On the very first day, your child will be vaccinated against hepatitis B with your consent.

If you have stitches, you will need to go for treatment three times a day.

Most maternity hospitals have a lactation specialist who advises new mothers and helps them express milk when necessary. Don't hesitate to contact him!!!

In general, one of the medical staff will always be nearby. They won't leave you alone. They will help, advise, tell. Postpartum wards are most often two- or three-bed. This has its advantages: you still need to go out from time to time, and it is calmer if the child is not left completely alone. Women who gave birth on the same day are placed in the same room, so you will have something to talk about.

Visits are usually not allowed (unless you are in the service ward). You can wave to your relatives from the window. And so communication mainly takes place over the phone. If you are not superstitious, you can take a photo of the baby and send the photo to dad. Although, to be honest, you won’t be able to chat much on the first day.

Deja Vu

It’s a little easier for multiparous women, because they already know a lot. But nevertheless, if questions arise, do not hesitate to ask them. Repeated births may differ from the first, as well as postpartum period. For example, multiparous women have more pronounced cramping pain in the lower abdomen during feeding, as the uterus contracts more intensely. The amount of milk may also vary.

You should also not expect that the second baby will be exactly the same as the first, he has his own character, and he can behave completely differently.

If you gave birth several years ago, recommendations for caring for the child may have changed, for example, they began to swaddle differently, use new hygiene products and medications.

Therefore, even if you have become a mother for the second or third time, be sure to seek help from the medical staff, ask all the questions that interest you, because this is why you and your baby are in the maternity hospital.

Everything will be fine!

The first day after childbirth is quite difficult and eventful. It’s almost impossible to even sleep, because as soon as the baby falls asleep, you have to go to have the stitches treated, or the doctor comes, or someone calls you, or the neighbor’s child is crying. Some women even feel that they cannot cope with such a load. But the first day will end, smoothly flowing into the second, then the third, and then they will be discharged...

And you and your baby will have a lot more ahead interesting days! Your whole life!

For young mothers, it is a myth that they cannot get pregnant after giving birth. Many people believe that in the first months, especially if the mother is breastfeeding, the likelihood of conception is excluded. Actually this is not true.

What is the probability of getting pregnant after childbirth? Let's figure it out and find out the doctors' opinion regarding the timing between pregnancies.

When does menstruation and ovulation occur?

Before answering the question of how soon you can get pregnant after giving birth and whether this is possible immediately after childbirth, you need to find out when a woman’s cycle is restored, that is, when menstruation and ovulation occur.

Recovery menstrual cycle depends on whether the woman is breastfeeding or not. If the child is fed formula, the first period should begin in about 2-2.5 months.

If a mother breastfeeds her baby, menstruation usually resumes after six months. For some women, the cycle resumes only after they stop lactation, for others - immediately after the end postpartum discharge.

During lactation, the hormone that stimulates ovulation (prolactin) is suppressed. While the baby is breastfeeding, there is a high probability that menstruation and ovulation will not occur. Therefore, it is generally accepted that breastfeeding is a reliable method of contraception.

6-8 months, and even a year after birth, a new pregnancy poses a certain danger

However, everything is individual. For some, ovulation occurs no earlier than a year later, while others become capable of conceiving as soon as the postpartum discharge ends, since the egg retains its mobility all the time.

Is it possible to get pregnant immediately after childbirth without menstruation?

After a woman gives birth for a long time there is bleeding. In the first week, the discharge is abundant, then becomes scanty, and completely disappears after 1-1.5 months. Is it possible to get pregnant immediately after childbirth if there is such bleeding? Until the bleeding stops, conception is impossible.
By the way, it is not recommended to have sex during this period, since the uterus has not yet recovered, and an infection can be introduced into the body. But after the bleeding stops, most couples resume sexual intercourse without particularly worrying about protection, as they are confident that the possibility of conception is excluded.

Is it possible to get pregnant if the cycle has not yet returned? This is quite likely, since ovulation can occur even before the onset of menstruation. Conception within a month after birth is not excluded.

Conception while breastfeeding

Many women believe that fertilization is impossible during lactation, especially if menstruation does not occur. But it is possible during sexual activity. This depends on the concentration of the hormone prolactin in the body. The more it is, the less chance get pregnant.

Therefore, you should not rely on GV as a method of contraception. After all, ovulation can occur even if there is no menstruation during guarding. If there is no menstruation, a woman will believe that this is normal, but in reality it will turn out that she has already been pregnant for three months or even more.

Fertilization after cesarean

Some women give birth by cesarean section when indicated. It's complicated and dangerous operation, requiring long recovery period. Is it possible to get pregnant after a caesarean section almost immediately after giving birth?

Recovery reproductive function in this case is significantly different than in women who gave birth in the usual way. And after a cesarean section, you can get pregnant in the first month or after 6 weeks.

But if after a normal birth a woman is only concerned about giving birth again and raising children, and also perhaps whether she has enough strength to bear children of the same age, then in the second case, conceiving a child immediately after childbirth is dangerous.

After a cesarean section, a scar remains on the uterus, and rapid conception and repeated births threaten its rupture. Recovery takes a long time; this process will take one and a half to two years. In this case, the doctor advises preparing for the next birth no earlier than after 3 years.

How long after giving birth is it best to plan a pregnancy?

Doctors do not advise getting pregnant right away, but to wait at least 1 year. This measure is necessary not only because of concern for the health of the unborn baby, but primarily because of the risks associated with high stress on the mother’s body.

Reproductive function is restored quickly, but this does not mean that the body is ready for new stress. Repeated conception is fraught with complications.

Therefore, immediately start using contraceptives upon recovery. sex life, even if you haven’t had your first period after giving birth.

What is the probability of getting pregnant 1-2 months after giving birth?

How quickly can you get pregnant after giving birth? Is it possible to conceive in just one or two months? This question interests all women who have just become mothers. Today it is a fact quick conception no longer surprises anyone, although women used to believe that when natural feeding fertilization is excluded.

Conception is possible already during the first ovulation, which can come immediately after completion postpartum hemorrhage until the cycle is restored. That is, you can get pregnant within 3 weeks after birth. If this happens and your test shows two lines, it means that hormonal balance established However, doctors do not recommend conceiving so quickly.

If spouses dream of children the same age, it is still better to wait until at least six months. In six months, the couple will feel more confident, and the first child will grow up.

Chance of conception in 3-4 months with breastfeeding

The question of whether it is possible to get pregnant after 3 or 4 months after giving birth worries even those mothers who are on guard duty. If the risk 2 months after birth is low, then by 3-4 months women can conceive very quickly. The probability is high if:

the child stops breastfeeding at night;
a woman feeds her baby less than 5 times a day;
natural feeding is combined with artificial nutrition.

During the first year of life, a small child is in dire need of his mother’s affection, parental care and care.

The increased risk is caused by pituitary hormones. The less the baby suckles, the less prolactin is produced, and, therefore, the greater the chance of ovulation.

What danger could there be?

after a strong shake, you need to wait for recovery after childbirth, the likelihood of successful pregnancy is reduced, and the risk of miscarriage increases;
because of sharp fluctuations hormones, high load and weakened immunity, an exacerbation is observed chronic diseases in the mother, which is aggravated by repeated pregnancy. This can undermine a woman’s health for a long time;
Many women experience postpartum depression, the course of which is complicated re-conception. This is fraught with serious mental disorders;
During another pregnancy, hormonal changes occur that negatively affect the lactation process. The milk may either disappear completely, or the baby may stop suckling on his own. Problems such as mastitis, lactostasis, and congestion cannot be excluded;
when life begins, it requires a lot of vitamins and useful substances, which women lack. This is fraught with the development of vitamin deficiency and lack of vitamins in the infant and fetus;
due to large blood loss after previous births during repeat pregnancy The woman develops anemia. The fetus suffers from a lack of oxygen, which can lead to developmental pathologies.

The best contraception after childbirth

The need for contraception occurs immediately after the completion of postpartum discharge, that is, after two to three months. A gynecologist will help you choose the right remedy.

A small device made of plastic with copper that inhibits the movement of sperm into the uterine cavity

The following contraceptive methods are usually preferred:

Method	Description and reliability
Intrauterine device (IUD)	The method that is most often used in these cases. Its effectiveness is at least 90%. If the birth was successful, an IUD can be inserted after 6 weeks. The spiral is contraindicated for inflammation of the genital area.
Barrier methods (diaphragm, cap, condom)	The diaphragm and cap do not interfere with lactation and do not affect the baby’s health. It can be installed after 4-8 weeks, and the selection and administration of funds is carried out by a doctor. Condoms are convenient and affordable way contraception, but after childbirth their use is fraught with difficulties. At this time, the woman’s amount of natural lubrication in the vagina decreases, so sexual intercourse may cause discomfort. The problem is solved with spermicides, which simultaneously immobilize and neutralize sperm, as well as infection. Efficiency barrier methods high – up to 99%.
Hormonal drugs	Contraindicated during lactation hormonal pills containing estrogen, as they reduce the amount of milk and shorten the lactation period. Therefore, only tablets containing progestogen are suitable. They are not as effective as combined agents, you need to take them strictly at a certain time, and start taking them immediately after the end of the postpartum period. Another hormonal method– injections. The first injection is given to lactating women after 6 weeks, to non-breastfeeding women - after 4 weeks. One injection guarantees protection for up to three months. In the third month you need to give the next injection.
Sterilization	Provides an absolute guarantee against unwanted pregnancy, but is only suitable for those couples who are sure that they will never want to have children again. The method involves tubal ligation.

Another addition to the family

Doctors' recommendations for restoring the female body

WITH physiological point vision, you can become pregnant immediately after childbirth, because lactation does not prevent this. For many, provided they are in good health, such pregnancy and childbirth proceed well. However, those who are seriously considering planning a second pregnancy should not neglect the advice of specialists:

Doctors are of the official opinion that the optimal interval between births is at least two years. That is, you can conceive again approximately a year or a year and 3 months after birth. During this period, the functioning of the mother’s body is finally restored, cardiac and vascular system, blood flow and hormonal levels return to normal;
Consider the difficulties you encountered last time during pregnancy and childbirth. In the presence of common diseases they need to be eliminated before conception;
if during labor activity serious anomalies were observed, such women are at risk. For this reason, they are advised to protect themselves from recurrent pregnancy for a certain period of time. In turn, if unprotected sexual intercourse occurs, what is the probability of getting pregnant, the gynecologist will tell you;
with a caesarean section, doctors are categorical: for a repeat pregnancy, you should wait at least 2-2.5 years, in order to then conceive and have a normal pregnancy. The doctor will decide which way a woman will give birth based on the patient’s health condition.

Before deciding whether to have a second baby, carefully weigh the pros and cons. Think about a new pregnancy and whether you can cope with two small children. Your strength must be enough, but this is difficult when poor health and not everyone copes.

Waiting for birth in last weeks pregnancy is characterized increased nervousness, fear of the unknown and of course impatience expectant mother. And now this moment has come, the woman, without having time to come to her senses, is already holding her long-awaited child in her hands. Everything is over, the grueling contractions are over, the pain has subsided, and the doctors’ examinations have ended. The postpartum period has arrived. What should a young mother do next, how to behave in the maternity hospital on the first day after childbirth, and what you need to know about the postpartum period.

The first day

The first day after giving birth, the young mother is under close medical supervision. If the birth was natural and passed without complications, the woman remains in the maternity ward for no more than 2 hours after birth. At this time, the woman is examined, interviewed, and her condition is monitored. In the case where no early postpartum complications, the young mother and baby are transferred to the postpartum ward, where full-fledged motherhood begins.

If the birth took place by caesarean section or was complicated by ruptures and sutures, transfer to the postpartum ward may be postponed until the young mother’s condition returns to normal. Nowadays, the child is not taken to the children's ward if his health and the mother's condition allow them to be together.

The baby is put to the breast immediately after birth, and from that moment on he is with his mother.

After being transferred to the ward, the woman is given clear recommendations on how to behave in the first hours after childbirth. Be sure to visit the restroom so that a full bladder does not interfere with the natural contractions of the uterus. The young mother is also shown how to dress, wash and care for her newborn.

Possible ailments

Childbirth is severe stress for the woman's body. Sharp drop hormone levels, physical fatigue and nervous exhaustion may have a negative impact on a woman’s well-being. Some mommies can feel severe decline strength, weakness and dizziness, while others feel the opposite increased anxiety And nervous tension. All these phenomena are absolutely normal in the first days after childbirth.

Doctors advise women to rest more and pay attention to the baby.

Health problems may include urinary retention, pain in the lower abdomen, lack of stool, and pain in the mammary glands. In the absence of complications, pain in the lower abdomen indicates contraction of the uterus; these are nagging, unpleasant pain sensations that are similar to menstrual cramps. For quick disposal To avoid these sensations, the woman is recommended to lie on her stomach in the first hours after being transferred to the ward. This will help the uterus contract faster and facilitate the rapid removal of postpartum discharge. Also, to quickly contract the uterus, you need to urinate more often. If you do not urinate within 6 hours after giving birth, be sure to tell your doctor.

Lack of bowel movements can also be a cause for concern for a new mother. In the first days after childbirth, there may be no urge to go to the toilet, especially if the mother has had a prenatal enema. However, if there is no urge for a longer period, also tell your doctor about this, this may indicate a decrease in intestinal tone, which can be complicated by constipation.

Is it possible to lie on your stomach or how to speed up recovery after childbirth

Many women make one serious mistake after giving birth. They don’t just rest a lot, but constantly lie down and don’t get out of bed. Despite weakness and drowsiness, a woman should still get up.

Movement is necessary for faster contraction of the uterus.

This, of course, does not mean that women in labor should run around the ward and play sports; they need to get up to hygiene procedures, walk along the corridor, go to the toilet more often.

Hygiene

To prevent postpartum complications, you need to carefully monitor perineal hygiene in the first weeks after childbirth.

After each visit to the sanitary room, the perineum should be washed with water.

You can use baby soap. Keep the gaskets clean. Today in many maternity hospitals The use of regular underwear is not permitted. There are special disposable panties on sale that cannot be washed. They are sterile and more suitable in the first days of the postpartum period, as they are made of breathable natural mesh fabric.

In addition, you should wash your hands frequently and armpits. The child can only be picked up with clean hands. The robe in which you go to the toilet must be removed before feeding. Mammary glands need to be washed twice a day, during a hygienic shower.

Also pay special attention to your baby's hygiene. You need to wash it every time you change diapers. Girls should be washed from front to back. Boys can be washed in any direction.

Discharge

In the first days after childbirth, a woman may observe abundant bloody issues with clots. This is absolutely normal, because the uterus contracts, and remnants of tissue damaged during childbirth come out. If you feel like your discharge is excessive, consult your doctor. To extract from maternity hospital The discharge should be free of clots and less intense. Lochia disappears completely within 1–2 months. What to do, if copious discharge didn't come or stopped abruptly? See a doctor immediately, this may indicate a blockage or bending of the cervix.

Motherhood

Despite the fact that all babies are born ugly and wrinkled, each child seems the most beautiful to its mother. Every mother, holding her baby in her arms, experiences a whole bouquet of positive emotions after all, their long-awaited meeting finally took place. This may surprise some, but the child experiences the same feelings. He clings to his mother, is afraid of separation from her and wants her to always be near. Many babies simply refuse to sleep in cribs, and there are also those who sleep only in their mother’s arms. Each child is individual and begins to show his character immediately after birth.

A young mother should be prepared for this. There is no need to measure all babies according to generally accepted standards. You don’t have to look at your neighbor and wonder why her child sleeps peacefully in a cradle, while yours calms down only in your arms.

It all depends on individual characteristics baby and often depending on the method of birth.

So, for example, it has been proven that children born by cesarean section are more in need of their mother's attention, so they more often refuse to sleep separately, and nothing needs to be done about it.

Cleaning after childbirth

First feeding

Although the first feeding occurs immediately after childbirth in the delivery room, many mothers are simply unable to experience all the delights of this moment at this time. Later, when you are alone with your baby, take him in your arms and give him the breast, you are overwhelmed with simply fantastic sensations. The baby's smacking seems so conscious, and his facial expression is so serious, that it simply cannot leave the mother indifferent. At this moment, pride in your baby is born!

Next, the baby needs to be fed on demand. Every time the baby is restless, offer him the breast. This will not only calm your baby, but will also allow you to establish healthy lactation. Many mothers at this stage try to rock the baby. There is no need to do this.

IN early age a child cannot cry because he cannot sleep; if he is healthy, he only cries from hunger.

Imagine your feelings if you come to a restaurant and, instead of offering you a menu, the waiter grabs you in his arms and starts rocking you to sleep! You will be outraged! So is your baby. Give him your breast and he will stop crying; you will rock him and he will be even more indignant.

How to wear

Immediately after birth the baby will be dressed nurses. To do this, you need to take a hat, vest, diaper and romper to the maternity ward. Those children whose mothers did not take care of clothes are swaddled in hospital diapers. Today the question often arises: to swaddle the baby or immediately dress him in normal clothes. Many doctors are inclined to believe that diapers are already a relic of the past.

Each mother must decide the issue of swaddling herself. One thing can be said for sure: swaddling tightly, so that the arms and legs are not straightened. Loose swaddling is more acceptable. However, if the baby is calm and not afraid of his hands, you can completely abandon swaddling.

Today, some pediatricians do not even allow the baby to wear mittens, which supposedly protect the baby from self-harm. They believe that a newborn, like any other person, has an instinct of self-preservation, thanks to which the baby cannot harm himself.

What to eat

In the first weeks after childbirth, a young mother needs to adhere to a certain diet. At the same time, a woman’s diet should be varied and healthy. It is necessary to exclude foods such as whole milk, eggs, sweets, dark chocolate, baked goods, citrus fruits, and products that increase gas formation from the diet.

You can eat porridge with water, vegetables, fruits, soups and broths. For drinks, give preference to compotes and still mineral water. After discharge from the maternity hospital, you can gradually introduce your usual diet into your diet, giving up strong allergens. After tasting a new product, carefully monitor your baby's reaction. If you notice allergic reactions or an upset stomach in a baby, the use of this product should be avoided. Under strict ban Alcohol is present throughout the entire period of breastfeeding, even in minimal quantities.

Losing weight after childbirth or how many kg are lost immediately in the maternity hospital

Depression

Today, doctors note a high increase in the incidence of postpartum depression in young mothers. Mental disorder Even those women who have given birth to more than their first child are exposed. The main culprit of this disorder is considered to be hormonal disbalance, however, there are a number of factors that can aggravate mental condition women.

Normally, depression occurs on the second or third day after birth. It is characterized by apathy, fatigue and irritability. Ideally, this condition should resolve within a few days. This type of depression is considered normal.

If after discharge from the maternity hospital your psychological condition is getting worse and you are not happy with the baby and his care, contact a specialist.

The doctor will assess the state of your hormonal levels, conduct several tests and prescribe gentle treatment. adequate treatment. remember, that running forms depression is difficult to treat and can lead to irreversible consequences.

Change in appearance

During pregnancy, many women dream that they will leave the hospital slimmer and prettier. However, the reality is that returning to a pre-pregnancy state takes a long period of time. In addition to the saggy belly, stretch marks and excess weight a young mother may encounter such cosmetic problems such as acne, brittle nails and hair, dry and flaky skin, etc.

Congratulations on becoming a mother! You have a tiny crying little bundle that has illuminated your whole life with joy. Woman after childbirth Having realized that she is a mother, in a fit of maternal love she sometimes devotes all her time and energy to the child, completely ceasing to care about her own health, hoping “that everything will go naturally.” However, we should not forget that in the first time after childbirth the body is weak and susceptible to infections, and therefore the best thing a mother can do for her baby after giving birth is to also take care of herself.

Early postpartum period

The first few hours after childbirth (this is how long the early postpartum period lasts), a young mother should rest a little under the mandatory supervision of a doctor who will monitor her blood pressure, pulse, and the condition of the uterus and bladder. Please note that you should empty your bladder immediately after giving birth. To do this, it is not at all necessary to get up and go to the toilet; they will help you do this right in the delivery room.

Surely you have heard more than once about early breastfeeding. Nature made sure that breastfeeding benefits not only the child, but also the mother herself. When she breastfeeds, it makes it much easier to restore her health after childbirth (the baby sucks mother's milk, this stimulates the breast, which in turn leads to a reflex contraction of the uterus and its speedy return to normal).

Having rested and woken up after several hours of postpartum sleep, the young mother discovers blood in the bed. Do not be alarmed, because this is a normal physiological phenomenon - discharge or, as doctors call it, lochia. These lochias, although not so intense, will leave the body for several more weeks. The first week after birth - red, bloody, by the end of the month they will become light and scanty. The placenta will depart immediately after birth, leaving a wound surface in its place, which doctors call the placental platform. It will finally heal only 3 weeks after rejection.

After giving birth, you cannot wear panties or use pads - in the maternity hospital you will be given special cloths and explained how to use them. Try to go to the toilet in small increments more often, after sleep - be sure. For some time, the urge to go to the toilet will practically not be felt - the bladder after childbirth is in a state of hypotonicity and the desire to visit the toilet may simply be absent, although there is a need for it.

Childbirth, especially the first birth, is a terrible stress for the mother’s body. Immediately after giving birth, the mother may feel chills, dizziness, and weakness. Don't resist the urge to bundle up or wear warm socks, even if it's summer outside. And do not hold back the desire to drink - during childbirth, the body loses a lot of water, which needs to be replenished urgently.

Late postpartum period

Several hours after the baby is born, the late postpartum period begins for the mother. After just 6 hours, the mother is allowed to get out of bed on her own, although for the entire three days while she and the baby are in the maternity hospital, most It's better to just lie down. Rest helps the body return to normal - the organs will fall into place, and the mother will learn how to properly attach the baby to the breast. The more often you put the newborn to the breast, the sooner the uterine contraction will end. As aid It is allowed to lie on your stomach and apply cold to the uterine area for 15–20 minutes.

Around the third day, colostrum is replaced by milk, the breasts become fuller and heavier. It is important not to miss this moment - to “start” full lactation, correct and early breastfeeding is required. If everything is in order with the health of the newborn and his mother, she will be discharged home after about 3 days. After a cesarean section, mothers find themselves home a little later - on the 5th or 6th day.

You need to understand that returning home does not mean returning to old life. After childbirth, a woman’s body will return to normal for at least the entire first month, or even more. If everything is in order with the mother's health, it is recommended to start light exercises a week after birth.

Take time to take care of yourself. For some time, do what you like: lie down, watch your favorite movie or TV show, read, and if you like movement, slightly dance to your favorite music.
Sleep more often, this is very important now. When your baby falls asleep, try not to start cleaning the house or doing laundry, but take advantage of the moment to relax. If you still can't sleep, lie down on the couch, close your eyes and relax.
Remember, a mother should eat right after giving birth. This is extremely important, since the woman is breastfeeding the baby during this period. Put off the idea that you need to lose a few kilograms gained during pregnancy for several months, otherwise your milk supply may decrease or even disappear completely. Always keep your lungs at your fingertips, healthy foods, which you can snack on without harming your health.
Avoid big ones physical activity. For several weeks after giving birth, do not carry heavy bags or other burdens, and if possible, ride in the elevator rather than climbing stairs.
As lightweight physical exercise Pay attention to walking and muscle stretching exercises. Consult your doctor before you decide to exercise after giving birth.
To ensure that there is enough milk after birth, wrap your breasts in a warm shawl. Choose a bra that provides good support for your breasts and fits snugly to your body. During feeding, make sure that the baby drinks milk from each breast in turn.