Condition of a woman after cesarean section. What not to do the first time after a caesarean section

I have experienced 2 caesarean sections, and I will say that the first one is very different from the second one. The first time I didn’t know anything, and there were many mistakes, the consequence is strong adhesive process And long recovery. I won’t write at length about the first one, I’ll just say that 2 months after the operation the seam began to get wet, a fistula appeared, I had to go to the maternity hospital for an examination (there the seam was cut and treated). The procedure is unpleasant. After giving birth, the suture hurt for almost six months in total; for 2 months I could not sleep on my stomach or side. I couldn't do anything around the house. The second time I didn’t have time for myself or, on the contrary, I had to recover quickly, and with your prayers I recovered very quickly. Here are my recommendations, i.e. These are the recommendations of the maternity hospital and my personal observations.

If you have a planned caesarean section, you should not eat or drink for 24 hours.

After the operation, get up after 6 hours, immediately go to the toilet a little at a time and wash yourself.
Once it’s cleaned up, immediately put on a bandage, tight and tight. It helps a lot in getting in and out of bed. It hurts a lot without him. I was both awake and asleep in the bandage.
Drink a lot, I don’t want to, but I have to. Drink almost 2-3 liters of liquid and write a lot and often.
It’s hard to be with your child as quickly as possible, but it’s necessary. You drink a lot of liquid, milk will come right away, the baby will suck right away, the uterus will contract quickly. It will hurt, but lactation and contact with the child will quickly improve, and the uterus will quickly begin to return to normal.

Do not eat bread or solid food for the first 3 days to make it easier to go to the toilet more often. How can I go big to avoid an enema, because this procedure is very painful with a stitch? 2 suppositories with glycerin. Insert 1, lie down for 15 minutes, endure (it can be difficult, but it’s necessary), then insert 2 and another 15 minutes and you’re done. This happened to me. Moreover, do not walk with a candle, but lie down, it’s easier. On the 3rd day, the stool improved.
Free time, if you can’t sleep, walk a lot, a lot. Lying on different sides is very painful, but it is necessary to avoid adhesions.
Apply ice to the seam every 2-3 hours for 20-30 minutes through 1 layer of diaper. The uterus contracts quickly, and the suture quickly stops hurting. Just don't be lazy. I applied it 5-6 times a day.
On the 5th day, the bandage is removed from the seam, and the seam should be washed with soap. It sounds scary, I was scared at first, but the doctors know better, they operate so much (although after 1 caesarean they told me not to wet the suture for a month, treat it at home and cover it with a bandage). And I began to wash it, 3 times a day, before each treatment with potassium permanganate, and it turned out that there was nothing wrong. On the 7th day, the stitch was completely dry, almost painless, and I was able to lie on my stomach. After 7 days, the seam is no longer processed. 17 days after the operation, I ran with my grief to all sorts of authorities. I ran and only then realized that I was running and nothing hurt.

The second time they didn’t even give me any contraction drips, etc. after operation. Only antibiotics (everyone gets them after a cesarean section) and painkillers for only 4 days; by the 5th day there was no longer any severe pain.

The first time the seam was somehow thick in itself and always almost red, and the second time the seam was a thin dark thread. I still wear the bandage, not even a month has passed, but this is to be on the safe side, my eldest son loves to jump and kick.

Yes, and it is not true that with a cesarean birth the milk comes later than with a natural birth. My milk always came on the 2nd day.

Good luck to everyone and have an easy birth! I hope someone finds my report useful.

Discussion

You need to pray, dear.
Here is Sorokoust about health [link-1]
When the magpie is read for health, it means not only physical health the people listed. Any prayer is aimed, first of all, at the salvation of a person’s soul, therefore all petitions to the Lord must be weighed against their spiritual benefit.

We tried to give birth ourselves, we suffered for 1.5 days and ended up having a cop. After the CS, they transferred him to the intensive care unit immediately with the child, after 2 hours they put him to the chest, after another 2 they lifted him to his feet and told him to drink a lot, walk and try to walk on a small one. After another 5 hours, they transferred me to the postpartum ward, the baby was with me all this time, no one took him away (previously they took him away at night so that mommy could recover from the operation). There was no talk of having to lie down for a day and not get up, because the baby needs proper care. Plus injections, endless rounds, ultrasounds, examinations, etc., etc.

08/12/2017 12:51:57, Lilia Music

I just can’t understand the logic in the comments - inside, level by level, starting with the uterus, they combine tissues and apply sutures; They give spinal anesthesia and in the best case scenario it is an intervention, and a serious one at that!!! What are you going to restore when you get up 4-6 hours after such an intervention in the body? I have 2 caesarean sections, the doctors also insist get up... Everyone different situations, the ability of tissues to predispose to the formation of adhesions - But when everyone is told to get up, it sounds extremely strange. I, on the other hand, know my body very well - due to various circumstances I have experienced general anesthesia, 3 spinal anesthesia (2 of them cesarean) - once after spinal, due to the ardent persistence of the doctors - she fell.. So, taking into account all the factors, the capabilities of the body, the possibility of modern medicines, which allow you to solve the problems facing the medical staff and NEED to solve the situation - but to say everything that you need to jump up and walk, scaring and agitating for a quick recovery - this is very doubtful!! Everything is good in moderation and in due time!!

01/18/2016 22:09:30, Boom

Yes, thank you for the article, I completely agree with everything, although I had a very hard time recovering from anesthesia, I got up after 8 hours and immediately felt like a heroine when I walked along the wall to the toilet. She gave birth to the first one herself, but anyway, it’s better to suffer and give birth herself! The caesarean was an emergency, thanks to Lyudmila Mikhailovna Fedoryak from the Blagoveshchensk regional maternity hospital, everything was done quickly and efficiently! saved my daughter!

The advice to get up after 6 o'clock also seems strange to me. After the epidural, my legs are rubbery and I can’t move. I tried to get up after 20 hours, but it didn’t work: if I fall, I’ll have to lie on the floor - like a maternity hospital (the method of calling a nurse/doctor is oral). The main thing is not to laugh after a CS! One girl made the whole room laugh with this story. A new mother came to the nurse and asked where they could hang themselves (in the sense of being weighed, of course), and she answered: “They hang themselves on our 4th floor, and in the morning on an empty stomach, and not after lunch!” But we understood differently: you have to hang yourself in the morning so as not to stink overnight. After laughing, sparks flew out of my eyes: the stitch hurt so bad. I barely got to the nurse's office to get an injection. And it's so bad to cough after an operation, and God forbid to sneeze! And cry I really, really want to sob, but I’m also afraid. To avoid problems with bowel movements, eat berries from the compote (this was the only edible dish in that maternity hospital)

10.27.2008 17:40:25, mimi

And I had a cesarean section. So on the second day I moved around the maternity hospital faster than those who gave birth themselves. As soon as I recovered from anesthesia, the doctor made me do special exercises so that the stitch would heal better. Exercise 1: stretching out your toes. Exercise 2: inflate your stomach (don’t be alarmed - it doesn’t hurt at all); To control the process, place your hands on your stomach. Exercise 3: As you inhale, raise your arms above your head, and as you exhale, lower them. The exercises are performed sequentially one after another, 15 times each. And so on at least 10 times a day. Helps a lot. The main thing is to start doing it. It's much easier to do it the second time. I felt a surge of strength.
There were no problems with the chair. On the second day I didn’t even do an enema.
The only negative is that the milk arrived on the 5th day. True, this does not depend on the method of birth, but only on the gestational age. It can be determined by ultrasound.

10.27.2008 14:14:00, Natalya

By the way, advice about candles with glycerin - it really works! I also took it for myself postpartum. I have EP, but with stitches and heavy. I helped myself and the girls go to the toilet after the CS. Very good advice.

I also had a CS (twins). I only got up on the third day; before it was impossible because of spinal anesthesia and severe pain. Colostrum milk came the day after birth. My babies were brought in for feeding from the second day. I didn’t cover the seam with anything, I took a shower from the third day. The suture was removed on the 7th day when he was discharged. And regarding the article - a lot useful information. You just need to apply it appropriately, because it’s suitable for everyone to get up after 6 hours. I really trust my feelings: if it weren’t for them, I might not have been able to bear twins. So, girls, trust yourself in everything. No one knows you better than yourself.

I read it and it was scary...it became.
I don’t know if I’m lucky, whether it’s a doctor’s miracle or God’s grace (I’m leaning towards the latter), but I survived an emergency CS. They picked me up within a day. The seams were internal and cosmetic. NOTHING hurt, I refused painkiller injections right away. It was hard to walk; I had no strength because I hadn’t eaten anything for 2 days. Without any ice or feedings (the milk came very late), on the very first day I felt the uterus contracting; by the time I was discharged, they had almost returned to normal (this is on the 7th day).
Due to my mobility, I did everything at home as usual, I was just scared that the seams might come apart, nothing more. Everything healed quickly and without consequences. There were no problems lying on my side or stomach either.
In my opinion, everything was so wonderful that when we went to see an ENT specialist at 3 months old (this was because of the CS), she asked why we were referred to her? I said I don't know. The doctor asked again: maybe a difficult birth or something else? I say, no, everything is fine! Then I remember and say: oh, I forgot! I have a CS. So I completely forgot about this)))
In fact, I wish everyone a natural birth, and if this is not possible due to circumstances, that it would be as easy for everyone as it was for me.

I've been missing a story like this for a long time.

and I got up after the general. anesthesia after 1.5 hours, after spinal - almost immediately as the legs came off...all the same

I had general anesthesia. What's six o'clock?? I was still fainting.

You didn’t take into account the likelihood of headaches: (the percentage is not large, but I got into it - and honestly, I didn’t care how I recovered - my head hurt terribly to the point of tears.

I also had 2 ks.
You cannot get up 6 hours after spinal anesthesia. A neurologist I know said: get up no earlier than 1.5 days later, otherwise there is a high risk of post-puncture headaches. And drink coffee a couple of times (!!!) to increase the pressure of the cerebrospinal fluid so that the hole heals faster.

The article is generally correct. But you can’t get up after 6 hours... They lifted me up! in a day. I couldn't do it myself. and they immediately brought the baby. It was very difficult to get up and take him in your arms (3600), but nothing can be done... The milk came on the third day. I have a suture that does not need to be removed, it is self-absorbing. I washed with it on the 5th day, although I covered it with cellophane. Now, a year later, there is a thin pink scar. Thanks to the surgeons of the Lukhovitsky maternity hospital! Wonderful doctors there!

Comment on the article "How to quickly recover after a cesarean section"

After a caesarean section 2 years ago I was left with such a terrible belly. I tried everything I could to remove it - firming creams, scrubs, and proper nutrition, and fitness, and wraps, and massage. But somehow the result does not impress me.

Discussion

I have the same problem. For many years. I had a consultation with one good surgeon. It is necessary to cut the adhesions (I have them and the muscles are tight) and correct the seam a little.
This is the result of an operation where the stitching was done poorly.

I have almost the same... Also 2 caesareans. Now I’m looking on the Internet for breathing according to Korpan or Childgir (bodyflex). I'm just trying it out for now. I think the crease will remain, but the muscles will tighten. Look also (on YouTube, for example), maybe. will be interested.

Belly after CS. Mom's condition. A child from birth to one year. Care and education of a child up to one year: nutrition, illness, development. When can you buy clothes? I'm still wearing maternity jeans, they're sick of me - I have no strength. Pre-pregnancy clothes in the belly, of course, do not...

Discussion

Girls, thank you)) I decided that I would still buy one pair of jeans, and then I’ll see how my belly begins to go away. I hope it goes away quickly :)

Everything I had before pregnancy became too big for me pretty quickly - after 3 months. I would buy 1 pair of jeans, and then you’ll see as you go. The fold is still there, but it’s getting smaller, the rectus muscles have come together.

Stomach hurts after orgasm.. Sex. Women Health. Questions women's health- diagnosis, treatment, contraception, well-being. Why do I think about the intestines - if you go to the toilet a lot, it hurts less or stops altogether for a while...

pain after cleaning? Girls, thank you all so much for your support yesterday. Now it hurts in the area of the cervix and uterus during abdominal tension, especially when going to the toilet. I had pain after cleaning, and the discharge lasted for a long time - everything turned out to be within the normal range, BUT!

Discussion

I only had this after childbirth (CS), after cleaning, no.

After cleaning, I had pain and discharge for a long time - everything turned out to be within normal limits, BUT! Just in case, I went to the doctor earlier than expected and had an ultrasound, after which I began to sleep peacefully. This can be both a variant of the norm and a bad sign - it happens that something is left behind when cleaning... Just in case, go to the doctor, I think that everything is fine with you.

The procedure is unpleasant. After giving birth, the suture hurt for almost six months in total; for 2 months I could not sleep on my stomach or side. If you have a planned cesarean section, do not eat or drink for 24 hours. 1. After the operation, I got up 6 hours later, immediately went to the toilet a little and washed myself.

Discussion

Thanks for the advice. Everything is very well written. I have only had one caesarean section so far, I didn’t know much of what is written here and therefore it was more difficult to recover. Although, thank God, there were no complications. If I'm going to give birth a second time, I'll definitely use these tips.

I’ll sign up for almost everything - I had almost the same thing after 1 cesarean (except for the fistula), and after the second - everything was much better, because... I followed steps 1, 2, 4, 5, 6. (only the enema was never painful, for me it was like manna from heaven!)
about water (point 3) I would not be so categorical, it will give you a lot of milk, and your breasts may become bloated, you should drink NOT VERY MUCH at the beginning of your milk coming in!
paragraphs 7, 8 - apparently, it depends on the taxiway. where I was lying, they didn’t do that. but they gave cutting injections.
Ira, thanks for the advice!

Reasons for caesarean section – great amount. But now it’s all behind us, with our beloved baby in our arms. And the time has come to think not only about him, but also about your health.

In the first days after the operation, the young mother is carefully monitored in the maternity hospital. How long it will take to let her go home depends on the condition of her body. This usually occurs on the fourth to sixth day after birth. What you need to know and remember to make recovery faster and more successful:

Rules for the first days after cesarean section:

You cannot eat solid food in the first three days.
You can't sit for a while first three days.
Do not wet the seam for 7 days. That is, both a bath and a full shower are canceled at this time.

Rules for the first months after cesarean section:

Don't lift heavy things. Surgeons after abdominal surgery, such as caesarean section, recommend not lifting weights of more than 2 kg in the first 2 months. Is this possible if there is a newborn at home? Almost not. However, try to ensure a gentle regime. At a minimum, do not carry a stroller or heavy bags.
Do not overuse the bandage. You definitely need to take it off at night. Plus take breaks daytime- approximately every three hours. Muscles must train on their own.
Drink more liquids- juices, fruit drinks, milk, pure mineral water.
To restore stomach function, you shouldn't use enemas. Better - glycerin suppositories and kefir.
Check with the doctor at the maternity hospital which painkillers are currently allowed for you. Without a doctor's recommendation You shouldn’t “prescribe” pills for yourself.
Be prepared for what comes next cesarean uterus will contract a little longer than after natural childbirth, lochia may last longer. Exercises for tummy tuck can be done 1.5-2 months after surgery. And then only if everything went without complications and the doctor gave his permission.
All physical exercise do it smoothly, without sudden movements.

Rules for all times

Eat foods rich in iron and calcium: boiled lean meat, vegetables, cheese and yogurt.
Eat often, but in small portions.
It is worth excluding caffeine, fast food, fried, pickled, fatty, smoked, salty. Walk more.
Jump on the fitball and you'll entertain your little one at the same time.
Maintain your posture and tighten your stomach.
After the stitches have completely healed, you can sign up for the pool.

For two years after a cesarean section, you must regularly visit a gynecologist and inform him of any abnormalities in your body. You should plan your pregnancy no earlier than after 2 years.

Cosmetics for recovery after caesarean section

From about the third week you can use various tightening and anti-cellulite products.
After the seam has healed, make kelp wraps for the abdomen and sides at home or in the salon, cabbage leaves, honey.
Scrubs from sea and table salt or used coffee grounds help tidy up the skin of the abdomen.

Caesarean section is difficult surgery performed under anesthesia when natural birth is prohibited for some reason. Surgery is often accompanied by significant loss of blood, deformation of peritoneal tissue, formation of adhesions, inflammation of the walls of the uterus, and viral or mechanical damage. If a young mother wants to recover faster after a cesarean section, return to normal life without prohibitions and restrictions, then she must adhere to fairly strict rules. Only by carefully following the doctor’s instructions can a woman who has given birth restore her body, normalize her weight, and improve her mood.

Recovery after cesarean section in the first days

Conversions to female body begin as soon as the obstetrician takes the baby out of the stomach. The uterus, which has sharply decreased in volume, contracts intensively, thereby slowing down the bleeding. The empty organ shrinks gradually and returns to its normal size two months after the operation. Usually, doctors place a bag of ice cubes on a woman’s stomach after a caesarean section; thanks to this measure, recovery is accelerated, uterine contractions become more frequent, and bleeding stops. Sutures on the abdomen are treated every day and removed after a week. The nurse constantly monitors the patient’s well-being, measures her body temperature and pulse rate, the attending physician monitors the activity of uterine contractions and the abundance of vaginal discharge. Sometimes injections of drugs that increase uterine contractions are required.

The first days after surgery are the most difficult, the woman must exercise extreme care and caution. Even the slightest bodily movements cause discomfort: turning over in bed, coughing and blowing your nose, stretching your limbs. Many women who have had a caesarean section say that lying on your side is much more comfortable than lying on your back, since the stitches on the abdomen do not stretch and do not hurt. You need to turn over on the bed after a cesarean section slowly and carefully, bending your knees, placing your feet on the bed, first lifting and rotating your hips, and then top part torso. Getting out of bed is usually allowed 12 hours after surgery, although in reality it all depends on the patient’s well-being. You should get out of bed slowly, holding on to a nurse or loved one. When a woman takes a vertical position, she often feels dizzy, but this is not a terrible phenomenon and goes away after a few days. You can sit on a chair only 2–3 days after the operation.

Recovery after caesarean section and discomfort

The first three days after cesarean scars on the uterus, the stitches on the abdomen hurt a lot. Painful sensations must be eliminated, as they provoke an increase in adrenaline in the blood - a stress hormone that negatively affects well-being and slows down the healing of damaged tissues. The pain may reduce the contraction of the muscles of the cut and sutured abdominal wall. This is a protective reaction of the body, but it often becomes the cause of the development of a hernia. Therefore, the doctor immediately after surgery prescribes painkillers to the patient.

Almost all women recovering from a cesarean section experience colic. During the operation, the mother's intestines slow down and accumulate a large number of gases Gas formation can be quickly reduced by learning to breathe freely and deeply, eliminating from the menu foods and drinks that contribute to the formation of gas bubbles in the intestines. Rocking in a rocking chair is also good for coping with colic. A common occurrence in women after cesarean section is wet cough with hoarseness and sobs. This is how mucus that accumulates during anesthesia comes out of the respiratory tract. You need to cough carefully, but actively, inhaling deeply and exhaling sharply, sucking in your stomach, making a sound similar to a dog barking. To prevent the stitches from coming apart when you cough, you should wrap your stomach with a towel or cover it with a pillow.

Recovery after caesarean section using medication

The first day after the operation, the woman who gave birth is in the ward intensive care. Doctors help the patient recover from blood loss, administer through a drip nutrients, treat the sutures on the abdomen with antiseptics, normalize the work digestive tract, change the dressings at certain intervals. The woman in labor must be prescribed antibiotics to prevent the development of infection in the body. There is no need to be afraid to take medications. Modern antibacterial drugs, developed specifically for women who have given birth, are not potent and do not negatively affect the quality breast milk, do not harm the baby.

If complications after cesarean are not observed, then the patient moves to the ward of the postpartum department. The woman stays in the hospital for a week, sometimes a little longer. In the general ward, the young mother can already get out of bed, walk around little by little, and breastfeed the baby. A week after the operation, a happy and healthy mother and child return home. At home, the woman herself monitors the condition of her body and decides how to quickly recover after a caesarean section. There are several ways to get rid of extra pounds accumulated during pregnancy, return wellness, normalize the menstrual cycle, prevent the occurrence of infectious diseases.

Contraindications after cesarean section

When a young mother is discharged from maternity hospital, the doctor should advise her on how to recover from a cesarean section. To quickly normalize physical and emotional condition body, a woman needs to work hard and also observe certain restrictions. If a mother pays attention to all the doctor’s recommendations, then she will have no problems short term drives away overweight, gets rid of anxiety and depressive mood, returns to active and full life. During the recovery period, advice should not be ignored medical specialist, carelessly treat your health. If it is impossible to normalize the menstrual cycle, the formation of pus in the sutures, too long and excessive vaginal discharge and other problems, the woman should be urgently treated so as not to harm both herself and her child. During rehabilitation of a young mother it is prohibited:

eat solid food for the first three days after surgery;
take a bath and shower during the week;
for two months, pick up objects heavier than three kilograms;
enter into intimate relationships until the lochia stops;
rub the stitches on the stomach with a washcloth for two weeks;
wearing a bandage too often;
do abdominal exercises for a month;
the first three days after surgery, take a sitting position;
to give birth in the next two years.

Normalization of the menstrual cycle after cesarean section

Both caesarean section and natural childbirth turn the uterus into a bleeding mess. All the time while the disfigured organ is being restored, lochia comes out of the vagina - a discharge first consisting of blood clots, then of ichor and mucus. Return of the uterus to normal condition takes 6 – 8 weeks. Recovery time menstrual cycle is determined not by the complexity of the operation, but hormonal levels women in labor. If a young mother is healthy, eats well, leads a healthy lifestyle, does not have chronic diseases, then menstruation returns quite quickly.

Interestingly, the normalization of the monthly cycle depends on lactation. The longer a woman breastfeeds her child, the later she begins to use artificial formula, the more intensively mammary glands milk is produced, the longer you have to wait for menstruation. In some cases, after a cesarean section, there are no periods for a whole year, and there is nothing wrong with that, but only if the newborn baby is fed breast milk. If the menstrual cycle is disrupted for a long time, the mother who gives her child formula from birth should sound the alarm.

Normalization of breastfeeding after surgery

Often after a cesarean section, women have problems feeding their baby breast milk. The source of these difficulties can be pain and weakness after surgery, lethargy of the baby caused by the anesthetics used, feeding with milk formulas while the mother’s body is “resting”. All this makes it difficult to restore lactation. In addition, due to low-calorie nutrition in the first four days after cesarean organism a nursing woman experiences a shortage important substances, micro- and macroelements. And this affects both the quality and quantity of breast milk. Therefore, its production in women after surgery is almost two times lower compared to the amount of milk in mothers who gave birth on their own, and its composition is noticeably poorer.

It is recommended to put the baby to the breast in the first hours after surgery. Today, in maternity hospitals it is common practice for the newborn and mother to be in the room together. If the operation was successful, the mother’s wish to leave the baby next to her is enough to start breastfeeding. At first, this will have to be done under the supervision of a nurse, because until the anesthesia wears off and you have enough strength, picking up the baby on your own can be dangerous.

If breastfeeding contraindicated for more long time for any reason (treatment of the baby, complications in the postpartum woman), it is recommended to express milk in accordance with the feeding schedule in order to enhance lactation.

An important condition for successful breastfeeding is finding the most comfortable position for feeding the baby. For about a day after the operation, it is more convenient to feed the child lying on his side. For some women, this position is not comfortable; while in it, they feel the tension in the seams. Then it is recommended to use the “lying across the bed” or “football under the arm” poses. In them, feeding is carried out while sitting, the woman holds the baby under her arm. You can put a pillow on your lap and place your baby on top. This is how it is achieved correct position the child’s body, and less stress falls on the abdominal area. As the stitches heal, the mother will be able to feed the baby as she wants.

To stimulate lactation, physiotherapy methods are used - UHF, UVO of the mammary glands, ultrasound, vibration massage, sound “bioacoustic” stimulation. Herbal medicine is often used: decoctions of dill, caraway, oregano, anise, etc.

The quality of milk can be improved by special nutritional supplements. It is recommended to introduce special protein and vitamin preparations into the diet of a nursing mother. Milky Way", "Enfimama", "Mama Plus", "Femilak-2" and others. All these measures help improve performance physical condition babies while they are in the hospital. In addition, by the time she returns home, the mother already has a well-formed lactation.

Restoring your figure after caesarean section

No surgical intervention spoils female figure As severe as a caesarean section, recovery from surgery requires a lot of time and effort. All women want to look slim and beautiful, but removing the hated fat folds on the stomach and sides is not easy. The problem is complicated by the fact that for a month after the operation you cannot engage in intense physical exercise, go to Gym, dance. Women who have given birth to a child naturally, restore their figure much faster than mothers who had a caesarean section. Most mothers, after surgery, develop an ugly fold of fat on their abdomen, which is very difficult to remove. If you have the money, you can easily deal with the problem; you just need to contact a plastic surgeon. But there are also less expensive ways to regain an attractive figure: proper nutrition, physical activity. To become slim and fit again, a woman who has given birth must:

Eat foods containing a lot of iron and calcium every day;
eat often, but in small portions;
take vitamin and mineral complexes;
drink plenty of water, natural juices, milk, compotes;
remove coffee, fried foods, marinades, smoked meats, pickles, and pastries from the menu;
watch your posture;
try to walk with your stomach pulled in;
walk in the fresh air every day;
move more at home, doing household chores.

Gymnastics after caesarean section

The simplest gymnastic exercises and massage (abdomen and chest) can be performed 6 hours after surgery. You don't have to ask someone else or leave the bed. Simply lie on your back and bend your knees slightly.

Stroke the surface of the abdomen with your palm in a circle clockwise, from right to left, down and up the rectus abdominis muscles; diagonally up and down the oblique muscles. Continue stroking for 2-3 minutes.
Stroke the side and front surfaces of the chest from the bottom up to the armpits. Left side should be massaged right hand, right, respectively – left.
Stroke the lower back areas in different directions with both sides of your palm, placing them behind your back.
Breathe deeply into your chest. To control, place your palms on your chest. On the count of one or two, inhale deeply, lifting chest, on 3-4 exhale completely, lightly pressing your chest with your palms.
Breathe with your belly. Hold the seam area gently. On count 1-2, inhale, sticking out your stomach; on count 3-4, you need to exhale, pulling your stomach in as deep as possible.
Rotate your feet without lifting your heels off the bed. Movements should be as wide as possible, either in one direction or the other. Bend your feet towards and away from you.
Alternately bend your knees and straighten your legs without lifting your heels off the bed.
Cough lightly while holding the suture area with your hands.

Gymnastics should be repeated two to three times a day.

Exercising after cesarean section

You can play sports after surgery only after a month, and pump up your abs after two months. And then only if the surgical procedures did not provoke complications, the woman feels good and does not complain about anything. But how to recover after a caesarean section if active exercise is prohibited? For the first five weeks after surgery, the mother in labor is recommended to perform breathing exercises. It perfectly tones and strengthens the abdominal muscle tissue, but all inhalations and exhalations should be done calmly and smoothly. When the stitches are completely healed, you can resume going to the pool and gym.

Recovery after caesarean section with massage and cosmetics

Many young mothers are too busy caring for a newborn baby to devote time to gymnastics and swimming in the pool. Therefore, they try to find out about other ways to quickly recover after a cesarean section. From the third week after surgery, the use of scrubs, firming body masks, anti-cellulite creams and others is allowed. cosmetics. The main thing is that they must be used extremely carefully so as not to cause suppuration of the surgical suture. You can remove an ugly fold on your stomach using cabbage and honey wraps, scrubs made from coffee grounds and table salt. Massage after cesarean section tones the skin, improves metabolism and blood circulation in the muscles of the abdominal wall. It is useful to massage the stomach with a small ball, as well as while taking a contrast shower.

Maintaining hygiene after caesarean section

After the operation, clean women have a hard time, because they are allowed to shower only after a week, when the stitches have completely healed. Until this time, women in labor can only be content with washing their faces and limbs. After each visit to the toilet, young mothers need to wash themselves thoroughly, being careful not to wet the surgical suture. At home, after being discharged from the maternity ward, you can take a shower, but you cannot rub your stomach with a washcloth. Preferably after water procedures treat the seams with brilliant green. To avoid leaving an unsightly scar on the abdomen, a month after surgery it is recommended to use ointments and gels that promote the regeneration of damaged tissue.

Prevention of postoperative complications

Most infections after cesarean section are caused by microbial associations, viruses, protozoa and bacteria. To avoid infection of the mother's body, the most modern effective antibiotics are used today. wide range actions. During the operation, they are inserted after the umbilical cord is separated. So the drugs won't work negative influence for the baby. In the postoperative period, antibiotic therapy is prescribed in short courses in order to minimize the entry of drugs into the child’s body through mother’s milk. If recovery after a cesarean section occurs without complications, then treatment is not used at all.

For the first 24 hours after the operation, mommy remains in the intensive care unit. During constant monitoring, the medical staff monitors all the functions of her body. In accordance with the developed procedure for treating postpartum women after cesarean surgery, the following activities are carried out:

anesthesia,
replenishment of blood loss,
support of the respiratory and cardiovascular systems of the body.

Doctors closely monitor genital discharge due to high risk uterine bleeding, which can occur as a result of impaired uterine motility due to surgical trauma and anesthesia. To relieve the condition internal organs In the first two hours, the woman is injected intravenously with Oxytocin and Methylergometrine, which contract the uterus; Place an ice pack on your stomach.

Side effects general anesthesia There may be nausea, sore throat, pain, and vomiting.

Pain management is one of the important areas of activity in relation to the postpartum woman. 2-3 hours after the cesarean section, she is given non-narcotic analgesics. If required, painkillers are used after 2-3 days.

One of the consequences of surgical trauma is intestinal paresis. It occurs due to blood and amniotic fluid entering the abdominal cavity, and intestinal motility decreases. There is bloating and gas accumulation. All this can lead to the formation of adhesions and infection of the sutures on the uterus and peritoneum.

During and after surgery, blood viscosity often increases. This condition is fraught with the formation of blood clots and blockage blood vessels. To prevent intestinal paresis, complications from the circulatory system, eliminate congestion in the lungs after use artificial ventilation the postpartum woman should make active movements in bed. It is advisable to change position, turning over from one side to the other. By the end of the first day, you should start getting up - carefully sit down on the bed, lower your legs, stand up smoothly and walk slowly. It is better to do this under supervision or with the help of medical staff. Prolonged stay in a horizontal position can cause dizziness, loss of balance and falling when trying to stand up suddenly, and the nurse will be able to help or prevent this in time.

Stimulation is usually performed on the first day after cesarean section. gastrointestinal tract medicines. For this, Cerucal, Prozerin, Ubretide, etc. are used; enemas may be used. However, in some women, restoration of bowel function after cesarean section begins independently on the second day after delivery; gases do not accumulate, and by the third day normal independent bowel movements occur.

After a caesarean section, nutrition is as follows: on the first day, the woman is given mineral water still, tea without sugar with lemon in small portions. From the second day, a low-calorie diet is introduced: liquid porridge, soft-boiled eggs, and meat broth are given. On the third or fourth day after spontaneous bowel movement, a woman is prescribed general diet. Some dishes should still be limited - you should not eat too hot or cold foods, and slowly and gradually introduce solid foods into your diet.

After 5-6 days, the postpartum woman undergoes an ultrasound of the uterus to confirm its timely contraction.

In addition to these measures, every day the woman has her bandages changed, examined and treated with antiseptics (5% solution of potassium permanganate, 70% ethanol, 2% iodine tincture). The stitches are removed by the end of the week. Sometimes this is not required, because... the incision on the anterior abdominal wall is closed with a “cosmetic” suture using a special suture material that dissolves on its own over time. Then they find out whether it is possible to discharge mother and baby home. Usually discharge occurs within 7-8 days.

Childbirth after caesarean section

Regeneration of muscle tissue in the uterus in the scar area occurs 12-24 months after cesarean section. About a third of all women who undergo surgery would subsequently like to have more children. Therefore, it is believed that it is more correct to plan a new pregnancy 2-3 years after it. The myth about the impossibility of giving birth to a child after a cesarean section naturally is gradually becoming a thing of the past. Relatively many women various reasons chooses natural way delivery with a history of cesarean section. Statistics indicate that the number of natural births among women with a cesarean scar on the uterus is close to 40-60%.

Every woman who has given birth by cesarean section must understand that her body has undergone a serious surgical intervention, after which it will take some time for her body to recover.

The main thing to do during the recovery period after a cesarean section is to follow the doctors’ instructions to avoid the occurrence and development of complications.

How is the operation performed?

During a caesarean section, the mother's tissues are cut, right down to the uterus, to safely remove the fetus. For safe operation, in some cases only spinal anesthesia is used. Medical drug is inserted into the epidural region of the spine using a catheter.

With spinal anesthesia, only the lower part of the body is anesthetized - from the lower back to the heels. In this case, immediately after childbirth, the woman in labor is able to independently attach the baby to her breast.

If it is known that a caesarean section will be performed in advance, the operation is called “elective”. Indeed, in some cases, a woman in labor is not able to give birth on her own. Such cases include:

Complete presentation of placental tissue;
Some dangerous diseases;
Features of the location of the child in the uterus;
Discrepancy between the size of the child and the mother's birth canal and much more.

The operation is prescribed to avoid the occurrence possible complications both for the child and the mother herself. Also, a caesarean section is performed when complications arise during natural childbirth and the woman in labor is unable to cope on her own. This operation is called an “emergency caesarean section” and is performed using slightly different methods, unlike a planned one.

Consequences and complications

Despite high level developments in medicine, various complications after surgery occur in almost 35% of women in labor. In the first place, in terms of complications that arise, it is worth highlighting various inflammations. The location and severity are difficult to predict; they are individual in each individual case.

Among the main causes of complications, it is worth highlighting infections and some mistakes that were made during a caesarean section.

Women in labor are most often concerned about:

Infections arising in wounds;
Endometritis;
Inflammation of the sutures;
Unpleasant discharge from the birth canal;
Sepsis;
Peritonitis.

These complications bring discomfort to a woman’s life, but when timely treatment will be quickly eliminated. But it is also worth highlighting a group of diseases that can lead to death, infertility, and constant pain:

Inflammation of the appendages;
Inflammation of the inner layer of uterine tissue;
Inflammation of the tissue near the uterus.

To avoid the occurrence of these diseases, it is necessary to provide the mother with necessary care and regular check-ups from doctors.

The first days after the operation

The first days after a cesarean section, a woman must spend in bed, restoring her strength after the operation. After all, even the simplest operations, which previously went unnoticed, will take away physical strength.

Women in labor spend the first day in the intensive care ward, under observation nurses. Temperature, blood pressure and pulse are checked regularly. At the same time, the intensity is checked vaginal discharge and uterine contractions. Particular attention is paid to the seam, on which the bandages are changed every few hours, and the condition of the seam itself is checked. To avoid stretching, the woman in labor remains in bed for the first day.

During the operation, painkillers are used; the woman should not even sit on the bed for the first 15 hours. It will be possible to get up only after three days under the strict supervision of medical personnel.

All movements should be done slowly, getting out of bed is done with the help of relatives or nurses. When you first rise, you may experience slight dizziness and weakness throughout the body. Unpleasant symptoms will pass quickly during the recovery period.

First steps

Depending on how the woman in labor behaves, how the rehabilitation period will go depends. When you first try to get out of bed, you must follow some rules:

Before sitting on the bed, you need to lie on your side and only then sit down with your legs dangling;
Then you need to lightly move your feet, as if sifting through water;
When standing up, the feet should rest on the floor and the back should be straight - this way the seam on the stomach will not strain, the woman will feel only a slight tension in the navel area;
There is no need to rush to go; you need to stand for a while, leaning on a bed, cabinet or person;
And only then start moving with light, small steps.

It is these instructions that should be followed in the first days after surgery. If you do everything correctly, after just a couple of days, the process of walking will bring less discomfort. You should gradually increase the load every day, but not too much, so that the load on the seam is minimal.

Fighting cough

Some women in labor after a cesarean section are bothered by a cough. To reduce the load on the stomach, and accordingly postoperative suture, you need to learn how to cough correctly so as not to strain your stitches.

A cough occurs because when general anesthesia is used, a small amount of mucus accumulates in the lungs. Names this mucus and coughing up after surgery. For the first couple of days, the stitch will become very tense and painful when you cough. To reduce pain, you need to place your palms on your stomach, holding the area with stitches. The best option is to bandage the stomach with a cloth or terry towel. Cough technique:

Dial full breasts air;
Exhale sharply;
Keep your stomach pulled in.

If all conventions are followed, the cough will resemble a dog barking.

Intestinal gases and urinary problems - normal or pathological?

It is worth preparing in advance for the fact that after the operation, the woman will have intestinal gases. This is a normal phenomenon, since surgical intervention in the abdominal area slows down the processes of peristalsis.

It is impossible to completely eliminate the formation of gases in the first days. Refusal of food that causes attacks of flatulence, deep breathing techniques and rocking in a chair will help solve the problem.

Less often, women in labor begin to have problems with bladder. Difficulty urinating can be caused by a catheter used during a cesarean section. In order to get things working genitourinary system It's worth trying to drink more fluids.

If a simple method does not help, consult a doctor. Using a catheter for release Bladder from accumulated fluid will alleviate some suffering. The main thing is not to hush up the problem. In the future, consultation with a nephrologist is necessary.

Rules for eating

For the first two days, all nutrients to support the life of the woman in labor are administered intravenously. This is necessary so that all internal organs can rest after the operation. Only pure non-carbonated water is allowed, with a small slice of lemon.

And only on the third day is it possible to consume chicken broth. This nutritious dish will help you quickly gain strength. After a couple of days, liquid porridge, chopped meat, and all liquid foods are allowed. Regardless of the product, its volume should not exceed one hundred grams (milliliters).

Small portions are calculated so as not to strain the gastrointestinal tract. This will speed up recovery after a cesarean section. For the same reasons, food should be easily digestible. Ideally, everything is boiled or steamed. Do not be surprised that the first hard stool forms only after a week.

Features of feeding a baby

If no complications arise in the first days, the woman can safely ask that the baby be brought to her for breastfeeding. The baby will stimulate milk production in the breast.

If for various reasons the baby is not brought in for feeding (for example, if complications arise), the milk must be expressed independently.

When feeding, you need to hold the baby sitting or lying down. Standing makes the seam tense, and the load of a child will only delay rehabilitation. Depending on the severity of the operation, the ban on holding the child standing for a long time may last for six months.

When feeding, it is better not to sit upright, but to lean your back on several pillows. At this moment, relatives should be nearby or medical staff. They will take the baby so the woman can go back to bed.

Taking care of the seam

As after any other operation, it is necessary to take care of the stitches during the rehabilitation period. The first days of care consist of daily treatment of the wound. The dressing is changed five times a day. You can shower only after the stitches have been removed. But even when taking a shower, you should forget about the washcloth, despite the fact that the scar has already formed. The tissue on the scar is still very tender, it is not worth once again influence her.

After a cesarean section, the stitches will hurt for several days. To cope with pain, a doctor in every individual case prescribes painkillers. Over time, the pain becomes less and less, the dose of the drug decreases. Bandages are needed to support the abdomen. For at least two months, women who have undergone surgery should not understand things whose weight exceeds two kilograms.

Recovery after a cesarean section is how motherhood begins for women who, for medical reasons, had to abandon the prospect of a natural birth. This difficult process requires patience and increased attention To own health- return to full physical activity succeeds only after 2 months, during which it is necessary to put up with prohibitions and work on oneself to ensure complete healing of internal and external sutures.

Caesarean section technique

Indications for a cesarean section (CS) can be absolute, in which the birth of the fetus through the birth canal is impossible, and relative, when the natural course of labor is accompanied by risks. It should be noted that with the development of medicine, the list of indications is becoming wider: a number of diagnoses for which cesarean section was considered one of the alternatives have now been transferred to the category of absolute.

There is also the possibility of carrying out a CS at the will of the woman, without medical indications. How justified is this choice? Experts present arguments for and against based on theory, personal experience and statistical research, but their beliefs on this issue can lead to diametrically opposed conclusions: some advocate natural childbirth, others talk about the benefits of surgery. At the same time, modern medical technologies are improving in both directions.

Caesarean section is performed either planned or emergency. In cases where the decision to surgical intervention accepted before labor activity, the patient can receive detailed information from the doctor about methods of pain relief, tissue dissection and suturing. The technique is selected depending on the state of health of the mother and fetus, the anatomical location of the internal organs, the characteristics of the tissues of the abdominal wall and uterus, as well as the professional skills of the surgeon.

The abdominal wall incision can be:

lower middle - from the junction of the pubic bones to the navel, used for quick extraction of the fetus;
transverse - in the pubic area, has several variations; with this technique, peritoneal tissue is more easily restored.

There are a number of techniques for dissecting the uterus, the use of which does not depend on the method of opening the abdominal wall, but in practice, each surgeon has his own well-developed technique. Choosing a method of pain relief (epidural, spinal anesthesia or general anesthesia) depends on the decision of the anesthesiologist. With partial anesthesia, if there is no need for resuscitation measures, the child is placed in the mother's arms immediately after removal. Synthetic absorbable materials are used for suturing.

Stages of a caesarean section:

Preparation: the necessary tests are taken and the time for the operation is set. The stomach is cleansed, the corresponding area of skin is disinfected, and a catheter is placed to drain urine.
Anesthesia: during partial anesthesia, a screen is placed to block the patient's viewing areas.
Surgical intervention: dissection of the peritoneum, opening of the uterus, extraction of the child, cutting of the umbilical cord and removal of the placenta, sequential suturing.
Postoperative period: the patient needs to stay in the intensive care unit for at least a day. Being under constant supervision, women recover from anesthesia, and the risks of unforeseen complications and reactions are eliminated. Then appointed hospital treatment drugs to normalize contractile function uterus, restoration of urination and functioning of the gastrointestinal tract. If necessary, analgesics and antibiotics are administered.

Risks during surgery and possible complications

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Hospitalization before surgery (from 1 day to 2 weeks) depends on medical indications for monitoring the condition of the mother and child, supporting and diagnostic procedures, according to the same parameters, a decision on discharge is made. Stationary postoperative treatment in the maternity hospital lasts on average 5-7 days.

The use of cesarean section is the main factor in reducing neonatal mortality statistics, but surgical intervention also affects them:

a certain portion of drugs penetrates into circulatory system baby, which can lead to intoxication, depression of the respiratory reflex, painful lethargy and passivity in the first days of life;
fluid and mucus are not completely expelled from the lungs, which can lead to pneumonia;
pressure changes during the extraction of the child can provoke micro-effusions into the brain;
the overall adaptability of the body decreases, since during birth without stress, hormones are not produced that are responsible for the newborn’s adaptation to the external environment.

A woman in labor may have the following complications:

Education pathological adhesions in the intestines and ligaments that hold the organs of the genitourinary system. This may be the result of a prolonged operation, blood and amniotic fluid entering the abdominal cavity, inflammatory processes. Leads to intestinal obstruction, tubal infertility, uterine bending and menstrual irregularities.
Postoperative hernia and functional muscle damage abdominal cavity associated with defects in tissue suturing. They lead to indigestion, back pain, prolapse of the vagina, uterus, and the formation of an umbilical hernia.
Damage to nerve roots during spinal and epidural anesthesia. Leads to back pain, tremors and numbness of the limbs.
Postpartum endometritis is an infection of the inner layer of the uterus with various pathogens, manifests itself a few days after cesarean section and occurs due to a decrease in protective functions body. Leads to pain in the abdomen, atypical discharge, and increased body temperature.

Unfortunately, both the natural course of childbirth and surgical intervention are not immune from unforeseen circumstances. In the case of a caesarean section, we can talk about a common set of risks inherent in all abdominal operations which arise due to reactions to anesthesia, heavy blood loss, blood clots.

To prevent risks main role play:

adequate choice of surgical and rehabilitation techniques;
compliance with standards for the duration of surgical intervention;
the quality of the medications and suture materials used;
postoperative therapy;
qualifications of the surgeon and medical staff.

Recovery period

After a cesarean section, time is needed for the healing of injured tissues and postpartum hormonal changes. You have to stay for a week in the maternity hospital, then endure constant aching pain, which keep you tense and limit your movements, establish a routine and nutrition and at the same time get used to maternal responsibilities. Communication with the child and the support of loved ones greatly ease the situation, but even in this case, the desire to quickly recover often leads to overload, which only prolongs the painful period.

Wearing a bandage

A specially designed bandage secures the abdominal organs, helps prevent their prolapse and alleviates pain. It can only be worn if the seams are in good condition and normal operation intestines. In the first 4 weeks after surgery, the bandage is worn for 3-4 hours a day, especially when you need to get up, sit and walk. After this, you can switch to wearing tight underwear.

Postpartum bandage

Nutritional Features

Diet selection is aimed at replenishing iron deficiency, restoring digestion and water metabolism, and ensuring lactation. During periods when you still have to lie down for a long time, you need to consume more fiber to prevent constipation. General recommendations relate to the exclusion of fried, salted, smoked foods, and the need for fractional meals. It is recommended to individually exclude foods that cause gas formation. You can take a special course of vitamins for nursing mothers.

Intimate life and sports

Regardless of physical fitness, return to usual sports is possible only 6 months after surgery. Overuse, as well as excessive restriction of movement, can complicate the healing process. Special gentle exercises aimed at preventing varicose veins and thrombophlebitis and working out the pelvic muscles should be performed daily with a gradual increase in frequency.

Hygiene and seam care

Care of the suture in the maternity hospital is carried out by medical staff, and by the day of discharge, the discharge from the wound stops, the sutures are removed or dissolved. At home, you need to ensure sterility and protect the affected area from mechanical damage. Disinfectants and healing agents are used. The cosmetic appearance of a scar depends on the characteristics of the body. Corrective measures (laser resurfacing, photo correction) should be postponed for at least a year.

Sleep and rest mode

The process of physiological and psychological recovery is individual, but in any case, the mother should spend as much time as possible with the child, and at the same time she should sleep as needed.

At first, her loved ones should protect her from interrupted sleep at night and assist in any activity that requires physical exertion, such as bathing the baby or rocking him in his arms. A gradual transition from bed rest to normal mode is carried out by performing walking and sitting exercises several times a day.

Breastfeeding after surgery

Lactation may begin late, and there is also a certain risk of absence or shortage of breast milk, so supplementary feeding with formula is inevitable. Doctors advise not to give up trying to accustom your child to breastfeeding, to pick him up more often and put him to the breast not according to a schedule, but on demand. If the baby is already accustomed to the nipple, you need to express milk and try to maintain lactation even in small volumes.

Analgesics are stopped in the maternity hospital, and doctors do not advise pain relief, using them as an indicator motor activity. Painful sensations allow you to dose physical exercise, tell you how to get out of bed correctly, how much time to spend on your feet or in a sitting position.

The consequences of anesthesia may be paroxysmal cough caused by the accumulation of mucus in the bronchi. To avoid the sutures coming apart, you need to control this process by holding the seam with your palms and clearing your throat while exhaling forcefully.

What absolutely cannot be done?

Life after a caesarean section improves only with time, and the rehabilitation process is not only extended over time, but also cannot be clearly predicted. It is important to understand that prohibitions are measures to prevent complications, which allow you to shorten the recovery period and spend it at home, next to the child.

The first item on the list of restrictions is a ban on lifting weights of more than 3 kg until complete scarring of the uterine tissue occurs. During this period, you should also not make sudden movements, such as pulling yourself up or bending over. In the first months after surgery, you should not take hot baths.

You need to protect yourself from viruses and bacterial infections, limiting external contacts as much as possible and observing hygiene rules. Conceiving in the first 2 years after cesarean section can lead to a complicated pregnancy, so it is necessary to pay attention Special attention contraception.

It is important to move away from the stereotype that restrictions can be lifted if the pain has stopped and the stitch on the abdomen has healed. Complications from internal inflammatory processes and abnormal scarring of the uterus can occur hidden, so it is important not to ignore warning signs and not to violate the prohibitions imposed by the doctor based on the individual characteristics of the patient.

In what cases should you immediately consult a doctor?

Depending on the intensity of symptoms, you need to call ambulance or contact your doctor if:

body temperature increased;
there is atypical discharge;
the seam is inflamed;
weakness, dizziness, vomiting, and acute pain appeared.