postpartum checkup
Postpartum examination is a health check on postpartum women. It can detect a variety of maternal diseases in time, avoid the impact of maternal illness on the health of the baby, and help the mother to take appropriate contraceptive measures in a timely manner. When you check, you will be asked about your breasts, bleeding (lose, as shown on the left), how it feels; if you have good urination and stool, you will also be asked about your wounds, your contraceptive plan, what are you worried about. Check your breasts, nipples, uterus, and wound sutures. Check your legs for swelling and measure your body temperature, pulse and blood pressure. If necessary, check your hemoglobin level and resistance to rubella. Basic Information Specialist classification: gynecological examination classification: biochemical examination Applicable gender: whether women are fasting: not fasting Tips: For women with postpartum comorbidities, such as liver disease, heart disease, nephritis, etc., should go to the internal medicine examination. Normal value 1. Endometrial examination without uterus enlargement, vulva, vagina, cervix without abnormalities, no viral infection (such as condyloma acuminata), no cervicitis, no uterine fibroids, no ovarian cysts, no uterine prolapse and other common diseases . 2. Incision examination after the intestinal tract without adhesion, uterine laceration, large blood vessels without rupture. 3. Urinary system examination without urinary tract infection. 4. Gastrointestinal examination showed no intestinal paralysis, bloating, nausea, vomiting and other symptoms. 5. There is no venous thrombosis in venous thrombosis. 6. Cardiac examination In the 24 to 28 hours after delivery, the mother feels flustered, chest tightness, can not be supine, shortness of breath and other abnormal phenomena, may have postpartum heart disease. Clinical significance Abnormal results: 1. Endometrial examination: the labor process or water break time is too long, the number of vaginal examinations during birth is too much, or the operation time is too long, the pregnant woman has anemia before the operation, or excessive bleeding during the operation, it is easy to have inflammation of the uterine membrane. 2. Incision examination: Because pregnant women have diabetes or malnutrition, anemia, or surgery for too long, the nature of the drainage tube or the front line is not suitable, and the technique of incision suture has the opportunity to cause incision complication. 3. Urinary system examination: Because the catheter needs to be inserted during surgery, it is easy to cause urinary tract infection. 4. Gastrointestinal examination: due to the use of anesthetics (general anesthesia) or postoperative analgesics, affecting intestinal peristalsis, intestinal paralysis, abdominal distension, nausea, vomiting and other symptoms, usually followed by intestinal tract after 24 hours When the function is restored, the symptoms can be resolved. If the above symptoms persist, and the abdominal distension and abdominal pain are aggravated, there is a possibility that intestinal obstruction may occur. 5. Venous thrombosis: venous thrombosis is more likely to occur at the end of pregnancy or postpartum, and women with cesarean section are more likely to develop thrombophlebitis in the lower extremities. 6. Cardiac examination: Within 24 to 28 hours after delivery, the mother feels flustered, chest tightness, unable to lie down, anxious and other abnormal phenomena, and may have postpartum heart disease. Need to check the crowd: postpartum women. Precautions Taboo before check: pay attention to rest. Requirements for examination: For women with postpartum comorbidities, such as liver disease, heart disease, nephritis, etc., should go to the medical examination; for pregnant women with pregnancy-induced hypertension syndrome, you need to check whether the blood and urine are abnormal, check Whether blood pressure continues to rise; if abnormal, it should be actively treated to prevent conversion to chronic hypertension. Inspection process Check the condition of the breast, bleeding (loar); check the urination and stool, check the condition of the wound; check the breast, nipple, uterus, and wound suture; check whether the legs are swollen, measure body temperature, pulse and blood pressure; Or urine bacterial culture to determine if there is a heart attack. Not suitable for the crowd Not suitable for the crowd: women who are just pregnant. Adverse reactions and risks There are no related complications and hazards.
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