Recovery after caesarean section. Recovery after caesarean section: bounce back without loss There was no hot water in the maternity hospital

Congratulations, you have become a mother! For some reason, you were unable to give birth on your own, and your baby was born by caesarean section. The advice that you will receive from doctors when you leave the hospital will largely coincide with those that women who have given birth through vaginal delivery will receive. birth canal, But there will be some differences - you will learn about them from this article.
Operation progress
Cesarean section is an abdominal operation and is performed either under anesthesia (general anesthesia) or under epidural anesthesia1. The anterior abdominal wall is opened in layers: first, the surgeon cuts the skin - across, along the pubic hairline, or along, from the pubis to the navel. What will be the incision depends on the choice of the operating doctor and on the current situation. Then the subcutaneous fatty tissue is dissected, the aponeurosis, muscles and peritoneum are opened; an incision is made on the uterus - the child is removed through it, and then the placenta. After that, the wound is sutured in layers in reverse order. A thread is applied to the skin - either absorbable or non-absorbable (the latter is removed on the 6-7th day after the operation) - or metal brackets. The choice of thread also depends on the preferences of the surgeon and on the availability of a particular suture material.
Possible Complications
Like any other operation, during which an incision is made in tissues, and, accordingly, in blood vessels, a caesarean section is associated with a certain amount of blood loss. Normal blood loss during spontaneous childbirth is approximately 200-250 ml; such a volume of blood is easily restored by a woman's body prepared for this. Cesarean section implies blood loss much more than physiological: its average volume is from 500 to 1000 ml.
Naturally, the patient's body alone can not cope with this problem. Therefore, during the operation and in the postoperative period, intravenous administration blood-substituting solutions, and sometimes blood plasma, red blood cells, or whole blood- it depends on the amount of blood lost during the operation and on the capabilities of the patient's body.
During the operation, the integrity of the peritoneum is violated - the cover that allows the intestines to freely peristalt - move, promoting food. After surgery, as a rule, adhesions occur - adhesions between intestinal loops and other internal organs. If the adhesive process is slightly expressed, the patient will not feel it in any way; if the characteristics of the organism imply the development of an extensive adhesive process, there may be problems with the stool, pain in the abdomen, especially in the lower sections. Treatment in this case depends on the severity of the adhesive process. In mild cases, physiotherapy is sufficient, and in severe cases, the question of surgical treatment(for example, about laparoscopic surgery with thermocoagulation ("cauterization") of adhesions).
Of the complications of cesarean section, endomyometritis, inflammation of the uterus, can be noted. Naturally, in this case, it occurs more often than after spontaneous childbirth. It is clear that during the operation there is a direct contact of the uterine cavity with air, the complete sterility of which cannot be achieved. To prevent endomyometritis after surgery, antibiotics are prescribed. It will be a short course or a long one - depends on concomitant diseases women and the trauma of this operation.
After a caesarean section, the uterus contracts worse than after a vaginal birth, since during the operation the uterine muscle is cut. In this regard, subinvolution (impaired contraction) of the uterus occurs more often, which requires the appointment of additional therapy aimed at improving the contractility of the uterus. This therapy is carried out in maternity hospital within 2-5 days.
After operation
After operative delivery, the puerperal during the first day is in a special postpartum ward (or intensive care unit). She is constantly monitored by an anesthetist (intensive care unit nurse) and an anesthesiologist. During this time, the woman adapts to the postoperative existence: she is corrected for blood loss, begins antibiotic therapy to prevent postoperative infectious complications, and stimulates the bowels. On the first day after a caesarean section, it is only allowed to drink water with lemon juice. On the second day, you can treat yourself to chicken broth, boiled meat scrolled through a meat grinder, low-fat cottage cheese, yogurt without fruit fillers, fruit drinks without sugar.
You can completely return to a normal diet after the first independent stool (on the 4-5th day). But already on the 2nd day, the happy mother is transferred to the postpartum department, where she immediately begins to lead an active lifestyle - she gets up and walks, feeds her baby. Mom is allowed to sit down on the 2-3rd day after the operation. For 7 days after the caesarean section (before removing the sutures), the procedural nurse processes the postoperative suture daily antiseptic solutions(for example, "brilliant green") and changes the bandage. If the wound was sutured with absorbable suture material, then the wound is treated in the same mode, but the sutures are not removed (such threads dissolve on their own on the 65-80th day after the operation). The skin scar is formed approximately on the 7th day after the operation; therefore, already a week after a caesarean section, you can safely take a shower. Just do not rub the seam with a washcloth - this can be done in another week.
Discharged from maternity hospital in the absence of any complications on the 7-10th day after operative delivery.
Lactation
If, after spontaneous childbirth, milk comes on the 3rd-4th day, then after a cesarean section - on the 4th-5th. This is due to the fact that when a woman goes into labor on her own, she releases certain hormones into the blood, which, among other things, stimulate the production of breast milk. If the caesarean section is performed in a planned manner, that is, before the development labor activity, a hormone that stimulates lactation, begins to enter the bloodstream delayed, after delivery. But this practically does not affect the weight and condition of the baby, since, if necessary, he is supplemented with special adapted mixtures.
Necessary restrictions
Often, patients and their relatives ask if it is possible to lift weights, go in for sports after the operation, and in general - what can and cannot be done during this period. The answer to the first question is not clear. Surgeons, for example, after abdominal operations do not allow their patients to lift more than 2 kg for 2 months. But how to say this to a woman who has to take care of a baby? Therefore, we do not recommend postpartum women after a cesarean section during the first time (2-3 months) to lift more than 3-4 kg, that is, more than the weight of the child.
Women after spontaneous childbirth can immediately work on all the muscles of their body (ideally, if during pregnancy future mom did it). Patients who have undergone a caesarean section can work on the abdominals no earlier than a month after childbirth. As regards the resumption sexual relations after operative delivery, then this period is the same for the operated patients, and for women who gave birth through the natural birth canal. After childbirth, the uterus is an extensive wound surface (at the site of attachment of the placenta and membranes). And as you know, an infection easily "sits down" on any wound. The healing process of the wound surface is accompanied by secretions, the so-called lochia. At first they are bloody, then bloody and mucous. Lochia is excreted within 6-8 weeks after childbirth. Full recovery the mucous membrane of the uterine cavity is characterized by the cessation of these secretions. After that, you can resume sexual relations, but do not forget about contraception so that an unplanned pregnancy does not occur.
With regard to postpartum bandages, we can say that you do not need to abuse their wearing: your abdominal muscles should work on their own. It should be remembered that after a caesarean section, a scar remains on the uterus, which can affect the course of subsequent pregnancies. It has been proven that the scar reaches the optimal state for carrying a pregnancy 2-3 years after the operation. By this time, the woman's body is also recovering from the previous pregnancy. Therefore, it is better to think about a brother or sister for your first child after this time. Obstetricians have not yet come to a consensus on the possibility of spontaneous childbirth in patients who have undergone a previous caesarean section and have a scar on the uterus. As a rule, a scar on the uterus is in itself an indication for a second caesarean section. But sometimes there are exceptions. In any case, if you would like to give birth on your own, this problem is solved individually, depending on your state of health, on the condition of the scar (it is assessed according to ultrasound), on the course postoperative period and many other circumstances.

Quite often, expectant mothers are interested in a caesarean section (hereinafter referred to as CS). Reading various sentimental stories about natural childbirth, women think that the operation is The best way. However, in reality recovery after cesarean proceeds at a slower pace. The operation is abdominal, which means that you will need to prepare for it in advance. There are times when KS- only decision.

When is a caesarean section necessary?

The procedure itself is relatively simple and frequent. - This is an incision (dissection) of the walls of the uterus. It is necessary in several cases: when natural childbirth poses a threat to the life of mother and baby, with high pressure, the presence of a narrow pelvis, the gluteal position of the fetus, abruption or placenta previa, diabetes, heart defects, operations on the uterus, a high degree of myopia. In such cases, childbirth naturally can have a negative impact on the mother's body. At such moments, a planned operation is shown.

An emergency operation is performed with weak labor activity, prolonged unsuccessful contractions, the threat of fetal hypoxia, and a sudden change in the position of the fetus.

How is a cesarean section performed?

If you have been told that you cannot do without a cesarean section, then you should find out in advance how the operation itself goes, as well as how to quickly recover from a cesarean section afterwards.

The operation can be carried out as epidural anesthesia(planned), and under general anesthesia(emergency and planned).

At general anesthesia you are placed on the couch and the pubic area is treated with brilliant green, and a urinary tube is also placed. Then the pressure is measured and anesthesia is injected into the vein on the arm, after putting on a mask. You don't feel like falling asleep. The surgeon then makes a thin transverse incision, removes the baby and then the placenta. The incision is then sutured layer by layer. bioresorbable or non-absorbable threads. Parentheses can be used instead of threads. The stitches are removed for 6-7 day. If the threads were self-absorbable, then they gradually disappear without a trace, and "tails" fall off on their own after a few weeks.

The cut can be either vertical or horizontal. Recently, incisions for caesarean section are made horizontal. When healed, such a seam becomes almost invisible and allows you to flaunt in a swimsuit and underwear. But the most important thing is that such an incision allows a woman to give birth naturally in the future (if there are no additional contraindications).

What are the possible complications?

Sometimes there are complications after a caesarean section. A woman loses 3 times more blood than during natural childbirth. To restore severe blood loss, plasma or other blood substitutes are injected through droppers. The number of droppers is proportional to the amount of blood lost.

Sometimes there may be adhesions in the intestines(as a result of the cut). This does not always happen and is cured by physiotherapy procedures. In extreme cases, adhesions are removed surgically.

Also, after the operation, the uterus contracts much worse than after natural childbirth. To improve the contraction, oxytocin is injected or the uterus is massaged for 1-2 days, which can be painful after surgery. In this case, you just need to be patient. At the same time, antibiotics will be dripped through the dropper to prevent infection of the uterine cavity.

Recovery after surgery

How to recover quickly after a caesarean section? Doctors will take you to intensive care and will carefully monitor your condition. Immediately after the operation, an ice pack is placed on the abdomen. This procedure is accompanied by measurements of pulse and pressure. Doctors will observe how well the uterus contracts after a caesarean section, as well as monitor the discharge. In the first hours after the operation, you will have a urinary catheter placed.

Withdrawal from anesthesia- an unpleasant thing. Your stomach will hurt and you will be thirsty. You just need to get through this time. Don't worry, the nurses will administer pain medication to help relieve the pain. These drugs are not canceled within 1-3 days.

Do not be surprised if you are forced to move after 6-8 hours. This is very important for a quick recovery. After the intensive care unit (usually the next day), you may be transferred to the postpartum ward, where you will continue to receive intravenous and intramuscular drugs, be told to move more, and begin to process the suture. Processing is usually done with green paint. Then the seam is sealed with a special tape. Later you will process it yourself.

In order not to touch the already painful seam, wear panties with a low waist made of natural fabrics. After the crust falls off on its own, you do not have to stick the tape, but you should not forget about processing either.

The shower is allowed to take on the 7th day. In this case, the seam cannot be affected. An extract after a caesarean section is carried out on the 7-10th day. Perhaps at first it will be difficult for you to unbend, a feeling of tightness will appear. This is normal and discomfort will disappear over time.

After the operation, abundant lochia also appears ( bloody issues). You should not be afraid of them, just stock up on absorbent pads. Gradually, the lochia will begin to decrease and disappear completely. During this period, be sure to wash yourself without affecting the area of ​​\u200b\u200bthe seam.

Possible problems after surgery

Uterus. This hollow organ after natural childbirth or caesarean section should be reduced. Contractions are necessary to return the uterus to its natural state. Hormone released during breastfeeding oxytocin and this allows the uterus to contract faster. You may feel pain in the lower abdomen as soon as you attach the crumb to your chest. This is absolutely normal and necessary. Also, contractions are necessary to prevent the accumulation of blood and the inflammatory process. To make the process less painful, the woman is prescribed painkillers.

Bowel emptying. It becomes difficult after surgery on abdominal cavity. Therefore, immediately after the COP, an enema is given. Further, in the maternity hospital, a woman is shown a diet that helps get rid of processed food and prevent. Dairy products are shown. Fiber (pasta, bread) and raw fruits/vegetables should be avoided. The fact is that they cause the accumulation of gases in mom and baby. Increased gas formation for the mother in the postoperative period can be painful. The drug Lactusan, which softens in the intestines, has proven itself well stool and helps to get rid of them. In addition, this drug has a bactericidal effect, which is necessary after surgery.

Abdominal muscles. After the operation, they should not be loaded to avoid divergence of the sutures. At such a moment, a woman should wear a bandage, which will gradually bring the abdominal muscles back to normal and will fix the seam.

Recovery after caesarean section - step by step

1. With a planned caesarean section, you can not drink and eat for exactly a day.

2. C-section recovery includes good hygiene. You need to wash yourself 2 times a day.

3. The bandage will help you reduce pain and recover faster after a caesarean section. Put it on as soon as you shower. He will help you lie down and get up.

4. Ask you to bring your baby not the next day, but the same day. Attach the crumb to the chest. You will feel pain in the uterus, but such contractions are necessary for a speedy recovery. In addition, you will establish faster contact with the child.

5. Paste in anus suppositories with glycerin to facilitate bowel movements. In a few days the stool will improve.

6. Apply ice wrapped in a handkerchief. This will help relieve pain and induce contractions.

7. Drink more fluids and go to the toilet more often in a small way.

At the hospital after surgery

Help. Ask a family member to be with you in the postpartum room. For this, a paid ward is usually ordered in advance. With a loved one, you can recover very quickly after a caesarean section, both physically and mentally. In addition, they will help you with the child.

Motion. No matter how painful it is after a caesarean section, you absolutely need to move. Remember: the more you move, the sooner it will become painless.

Communication. Don't be afraid to ask staff questions about how to recover from a caesarean section and breastfeed your baby. You will be told and taught everything. Often, after the first feeding, the nipples begin to hurt from the habit. In this case, you will need Bepanthen cream or special pads.

Baby care. Always wash your hands before changing a diaper or touching your baby at all! To recover from a caesarean section, you need to be more distracted from the heavy thoughts about your stomach pain and take care of the baby.

Home after surgery

On account. As soon as you are discharged, you will need to register the crumbs with the pediatrician at the place of residence within a week.

Dream. Sleep as much as possible and in any free minute. How long does it take for the body to recover after a caesarean section? This may take several months. But if you rest more, then recovery will go faster.

Drink. After the operation, you should drink as much water as possible. Water helps replenish the fluid lost in the body after a caesarean section.

Food. Eat more light and low-fat foods to help you recover from a caesarean section. Boiled poultry, steam rice, kefir or yogurt are suitable.

Motion. Avoid squats, sudden movements, bending over, heavy lifting, pressure on the abdomen and excessive load, so that the suture does not begin to open after a caesarean section.

Scar. Take good care of the suture after a caesarean section - wash it with soap and treat it several times a day with brilliant green.

Sex. Do not engage in intimate caresses for 3 weeks or more after surgery.

Hygiene products. Use only pads and forget about tampons for a while.

Breastfeeding after caesarean section

After a caesarean section, the baby can be brought the next day or the second day. You also need to start feeding the baby as soon as possible so that he receives a portion of valuable colostrum. In addition, breastfeeding will help you recover faster after a caesarean section.

Life after a caesarean section

To quickly recover mom after a cesarean section, you need to remember that you can’t lift weights. Now your most valuable and permitted cargo is a child. But not more!

Also, do not think about the figure yet. To recover from caesarean section, time needs to pass. Light physical activity is allowed for 2-3 months after the operation. However, you will have to forget about exercises for the press for a long time. If you find it difficult to lift the stroller - ask one of the relatives to accompany you on a walk, or after a cesarean section, walk with a crumb in your arms.

Carefully monitor the seam after cesarean section, avoid overwork and overstrain, monitor the condition mental health and walk more fresh air. This will help the body recover quickly after a cesarean section and focus on the baby.

Cesarean Section - Doctor Komarovsky's School (video):

Personal experience of how to survive a caesarean section (video):

According to statistics, today every fifth woman preparing for motherhood gives birth by caesarean section. At the same time, there is a steady increase in operative delivery both in Russia and abroad. Cesarean section - abdominal operation under anesthesia. With this method of delivery, the baby completely bypasses the birth canal and is removed from the mother's body through an incision in the lower abdomen. Like any other surgical intervention, caesarean section entails a long and painful rehabilitation.

Recovery of the body after caesarean section

The first day of a woman in labor passes under the constant supervision of medical staff in the intensive care unit (ICU). To prevent complications, a number of measures are taken:

• taking the main indicators of the mother's condition (measurement of temperature, blood pressure, pulse),
• correction of blood loss using medication and other methods (drugs that increase the tone of the uterus, blood transfusion, blood substitutes),
• prescription of antibiotics a wide range actions,
• pain relief with drugs combined with breastfeeding,
• urinary catheter control,
• restoration of peristalsis of the mother's intestines,
• care of the postoperative suture (treatment with antiseptic solutions, change of dressings),
• general monitoring of the condition, well-being of the mother and assistance to her.

On the second day, in the absence of problems and complications, the mother and child are transferred to the postpartum department. Now the activity of the newly-minted mother is increasing, all the care of the baby falls on her shoulders.

Consider the limitations and difficulties faced by women who gave birth by caesarean section.

When can I get up, start walking and sitting

You can try to get out of bed 6-8 hours after giving birth. The first ascent must be carried out under the supervision of medical staff or relatives. Getting up early is the prevention of bowel problems.

It is necessary to rise very carefully, without haste, so as not to provoke dizziness. At first, it is better to sit a little, dangling your legs from the bed. Then try to stand up for a while, leaning on the bed with one hand. It is better to hold the seams with the other hand, this will reduce pain.

With each subsequent rise, it is necessary to increase the time spent on your feet and try to take steps. In the absence of complications on the second day, women in labor should move independently to provide care for their children. A good helper for mom will be a postoperative bandage. It must be purchased in advance at the pharmacy and brought with you to the hospital. The main thing is not to abuse the wearing of a bandage, use it for no longer than three hours in a row and only in a standing position and when walking.

The best remedy for recuperation of the mother after a caesarean section is good sleep. Therefore, you need to rest as much as possible, lying in bed. The first two days are accompanied by severe pain in the incision area, so it is better to refuse prolonged sitting, for example, while eating. It is possible to fully sit after the operation only 3-4 days after childbirth.

What weight can be lifted

In this matter, a lot depends on how the birth went, how the mother feels. Doctors recommend that women lift no more than two kilograms in the first months after surgery. But the harsh realities are such that a young mother has to take care of a baby almost for days, so such restrictions are simply impossible. If the mother's condition allows her to carry the child painlessly and without difficulty, then let the baby be the only burden for the mother for the next couple of months.

In this case, the allowable weight to lift after a caesarean section is 3–5 kg for 2–3 months.

Permissible severity after cesarean - baby's weight

When can you lie on your stomach and on your side

The opinions of doctors differ on this issue. Some believe that lying on the stomach helps the uterus contract faster, and this is true. That's just for women in labor with a painful seam on the abdomen, this can be extremely problematic. Therefore, it is advised to try to lie on your stomach no earlier than 2 days after childbirth. This should be done very carefully. In case of the slightest pain, it is better to stop these attempts for a while, but do not quit.

Almost immediately after the operation, you can and should lie on your side and turn from one to the other. This will help restore intestinal motility and reduce the risk of adhesions.

After childbirth, it will be advisable to perform simple workouts in the absence of general contraindications:

• perform head rotations
• gently bend and unbend the legs,
• commit circular motions hands,
• rotate the feet and hands,
• tense and relax the buttocks to strengthen them,
• use the Kegel method (from 3 days after birth).

Table: list of exercises allowed in the early postoperative period

When can I take a shower and a bath

If you perform such simple gymnastics from the first day, you can avoid many complications and health problems. Rather, the uterus will shrink and the intestines will begin to work, the former shapes and sizes will return faster.

It is absolutely impossible to wet the seam before healing. You can limit yourself to rubbing and washing. You can take a shower no earlier than a week after giving birth. You can not rub your stomach with a washcloth for two weeks.

O hot tub you will have to forget for at least 6-10 weeks until lochia (bloody discharge from the uterus after childbirth) runs out.

Failure to comply with restrictions in water procedures is fraught with:

• dehydration of the tissues of the scar on the abdomen,
• slowing down the healing process of sutures,
• suppuration
• increased blood circulation and, as a result, intense bloody discharge,
• inflammation of the uterus due to the penetration of bacteria and germs from tap water.

• thoroughly wash the bath with safe proven products,
• observe the temperature regime (not higher than 40–42 degrees),
• use high quality natural soap,
• exclude aromatic oils, foam and salt,
• periodically take a bath with decoctions of herbs (chamomile),
• start with 5 minutes and each time increase the time spent in hot water.

How to breastfeed

For a child on the first day of life, it is extremely necessary to receive colostrum in order to start the digestive system and adapt to existence outside the mother. Nurses should suggest feeding positions for women that are comfortable for both them and their babies. In the early days, feeding is possible only in the supine position.

• lie on your side
• put a pillow under your knees to keep it from sliding down the bed,
• with a second pillow, protect your stomach from the push of the child,
• hold the baby's head
• make sure that the baby's head and body are in the same plane.

In the future, you can feed sitting. Use a pillow to lift your baby up to chest height and protect your inseam.

The position for feeding "In the cradle" is very convenient after a caesarean section.

It is imperative to avoid postures in which pressure is placed on the painful abdomen. It is very convenient to use the poses "In the cradle" and "From under the arm."

The “Underhand” position for feeding will help not strain the mother’s stomach

When can you get pregnant again

Any childbirth is a huge stress for a woman's body. Therefore, before again subjecting it to such tests, it is necessary to wait at least 2-3 years. Everything is individual. And only an experienced obstetrician-gynecologist, after a complete examination of the mother's health, can "give the go-ahead" for a second pregnancy and childbirth.

You can get pregnant after a caesarean section just as quickly as after a natural birth, so you need to think about the method of contraception before resuming sexual activity.

Read more about pregnancy after cesarean in the article -.

Each woman will be able to choose the method of contraception that suits her.

• intrauterine device (IUD) - allowed from 7 weeks after surgery in the absence of contraindications,
• barrier contraceptives (condoms, caps, diaphragms) - acceptable after the cessation of lochia,
• spermicides (in the form of suppositories, tablets, creams) - chemicals destroying spermatozoa
• injectable contraceptives (combined and progestogen-only) - recommended from the time of renewal menstrual cycle,
• voluntary surgical sterilization.

Be responsible for contraception after a caesarean section. After all, a pregnancy that occurs before two years after the operation is very dangerous for the health and life of a woman.

Recovery after caesarean section with spinal anesthesia

A caesarean section is always performed under general or local anesthesia.

Recently, epidural or spinal anesthesia has been increasingly chosen for pain relief, in which the woman in labor is conscious. This allows the mother to see the birth of the child with her own eyes, hear his first cry and almost immediately try to attach him to the breast.

With a caesarean section under spinal anesthesia, a woman in labor can immediately see her baby and even hold him

Benefits spinal anesthesia are considered:

• efficiency (100% pain relief),
• no risk to the child (with a correctly calculated and administered dose),
• non-toxic effect on the mother's body,
• ease of carrying out
• minimal complications after surgery.

But individual reactions to drugs are always possible. Thus, many women who have gone through childbirth with spinal anesthesia note the following symptoms:

• severe dizziness and headaches,
• drop in blood pressure,
• loss of feeling in the legs,
• yeast attacks,
• sore pain in the back, in the injection area,
• shortness of breath and difficulty breathing,
• vomit,
• numbness.

If a woman after spinal anesthesia observes such symptoms, doctors recommend bed rest on the first day, without getting out of bed.

Recovery will go faster and it is more successful if a young mother, even lying in bed, will do:

• turns from side to side,
• simple exercises for arms and legs,
• breathing exercises.

Restoration of the monthly cycle after caesarean section

For 6-10 weeks after the birth of a child, a young mother has lochia, they have nothing to do with menstruation.

In the matter of restoring the menstrual cycle, childbirth by caesarean section is no different from natural. The arrival of menstruation is influenced by completely different factors:

• age, health and lifestyle of women,
• the course of pregnancy, its features and problems,
• breast-feeding.

lactation can be called driving force restoration of menstruation. It is from the duration breastfeeding and its frequency depends on how soon the cycle resumes.

In women who are breastfeeding, menstruation comes 6-12 months after childbirth.

If the feeding is artificial, then the restoration of the cycle can be expected in 2-3 months.

The recovery of the menstrual cycle after childbirth in all women is different

It is imperative to contact a gynecologist if there is no menstruation for more than a year after the birth of the child, in order to exclude inflammatory process and other problems.

Restoration of the figure after caesarean section

Every young woman dreams of gaining a beautiful figure as soon as possible after the birth of a child. It will be easier to return the former forms after childbirth if you follow a number of recommendations:

• getting up early after surgery
• physical activity during the day
• full sleep (possible only with the help of relatives),
• proper nutrition,
• playing sports (within the allowed time).

Nutrition Features

In the maternity hospital, the medical staff is responsible for the food of the woman in labor, so it will not be so difficult to follow a diet. It is very important to maintain proper nutrition at home. This will be useful not only for the figure of a young mother, but also for the health of her baby if the child is breastfed.

To bounce back after the operation and provide the baby with milk, the mother must:

• eat balanced,
• use only high-quality natural products,
• exclude carbonated drinks and fast food,
• drink enough water.

Any diet aimed at losing weight is contraindicated for lactating women.

Table: an approximate daily set of products for a nursing mother

Table: Dr. Horvath's diet

The woman who chose artificial feeding, for weight loss, you can offer the diet of Dr. Horvath. The advantage of this diet is the gradual reduction extra pounds, which means a lasting effect.

Physical activity in the first two months

In the first time after childbirth, the best physical activity, along with taking care of the baby, is walking. It doesn't matter where exactly to walk - at home around the apartment or in the park with a stroller. The main thing is to do it systematically and with pleasure. Do not be afraid that the seams will open. A postpartum bandage will help prevent this, which reduces the load on the painful suture.

Postpartum bandage will become good helper for women after caesarean section

Part homework it is better to shift to relatives, for example, mopping, hand wash something big. Avoid heavy lifting (except for a child) and stress on the scar.

Sports activities from the third month

After a caesarean section, you need to take care of your stomach. You can download the press no earlier than six weeks after giving birth and with the permission of the attending physician. He will examine your seam and recommend loads.

To restore the abdominal press, you should start with the simplest exercises.

Table: a set of exercises from the third month after cesarean section

For young mothers with a scar on the uterus, Pilates and aqua aerobics classes will be useful, where the load on the stomach and abdominal muscles is minimized.

Pilates classes will have a beneficial effect on the recovery of a woman after a caesarean section

Six months after giving birth, you can start more active training aimed at reducing the abdomen.

Video: a simple way to remove the stomach after a cesarean section

Care after caesarean section

As a result of an operation on a woman's stomach on long time a scar remains, which must be carefully looked after in order to avoid suppuration of the tissues. Take a shower every day a week after the operation, but do not rub the incision with a washcloth. After that, treat it as your doctor indicated in the extract.

Ointments (Kontraktubeks, Solcoseryl) will help to remove an ugly scar.

Video: postoperative suture hygiene

It is quite possible to recover after a caesarean section in a short time if you take this issue seriously. First of all, you should listen to the advice of the attending physicians, observe the restrictions of the postoperative period, load the body gradually, without overworking it. Physical activity in combination with healthy eating quickly restore the health and figure of a woman to its previous state.

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

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

How to recover after a caesarean section?

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

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

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

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

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

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

14 ways to recover faster after a caesarean

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

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

3. Do breathing exercises.

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

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

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

From 3-4 days:

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Perform a massage with a contrast shower.

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

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

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

11.​ Watch for secretions.

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

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

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

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

To avoid a rough scar, after a month you can use special ointments(kontroktubeks, solcoseryl, klirvin), if desired, you can contact the beauty salon.

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

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

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

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