Puerperium

The puerperium is commonly known as confinement and is called the puerperium in medical textbooks. Before the liberation, I understood in the rural areas that the postpartum confinement period was one month, and the postpartum rest period of one month was all recovered. Women had to participate in manual labor. Many elderly women suffered from uterine prolapse and other diseases. More, it may have a certain relationship with inadequate postpartum recuperation. After liberation, the party and government were very concerned about the health of women and children. The provision of 56 days for women's postpartum recuperation leave. Modern medical textbooks clearly stipulate that the puerperium refers to a period of time during which the fetus and the placenta are adjusted for recovery of the body, reproductive organs, and psychology, and it takes 6 to 8 weeks, which is 42 to 56 days. During this period of 6-8 weeks of confinement, mothers should rest mainly, especially bed rest within 15 days after giving birth, take good care of the body, and promote the rapid recovery of systemic organs, especially the reproductive organs. During pregnancy, the pregnant woman bears the heavy responsibility of providing various nutrients required for the growth and development of the fetus, so a series of physiological adaptation changes have occurred in each organ system of the pregnant woman. The organ with the most changes in the body is mainly the uterus. Because the fetus develops and grows in the uterus, the uterine muscle cells become enlarged, proliferate, and become longer. The weight of the uterus increases from about 50 grams when it was not pregnant to about 1,000 grams when it is full term. The capacity of the uterus is increased by more than 1000 times compared to when it is not pregnant. The changes in the organs of the whole body are also great. The heart burden increases, blood flow speeds up, heart rate increases by 10 to 15 times per minute, and heart volume increases by 10%. These changes are to meet the growth and development of the fetus and the mother's own nutritional needs. During pregnancy, due to the growth of the fetus in the uterus, the enlargement of the uterus raises the diaphragm, the heart shifts, the burden on the lungs increases, the lung ventilation increases by 40%, and the nasal, pharynx, and tracheal mucosa become edema and congestion. During pregnancy, the kidneys also increase, the ureter thickens, muscle tension decreases, and a series of physiological adaptations occur in the stomach, endocrine, bones, joints, skin, ligaments, etc. These physiological changes must gradually recover after delivery. Normal and childbirth is very hard labor. The physical and mental health of a woman must be repaired and restored through rest and recuperation during postpartum confinement. Most traditional confinement talks about physical rest and recuperation. The modern point of view also emphasizes that during the confinement period, the maternal needs not only physical adjustments, but also psychological and psychological adjustments, because the child's birth, first motherhood, the increase in family members, the role of new roles and the establishment of parent-child relationships The needs and so on must be adjusted in the process of confinement. Therefore, the scientific nature of confinement is very important. As the saying goes, "the confinement is difficult to treat." There is also a certain truth in this statement. During the period of confinement, the mother should pay attention to the adjustment and adaptation of both physical and psychological aspects. Scientific care to keep youth and health. In order to adapt to the development of the fetus and prepare for childbirth, pregnant women have undergone great changes in their reproductive organs and the entire body. After delivery, a series of changes have been made to restore the reproductive organs and the entire body (except the breast) to a non-pregnant state. The change takes about 42 days to complete, and this period is called the puerperium. After the placenta is delivered, the mother enters the puerperium. During this time, the mother's breasts need to be lactated, the uterus needs to be restored, and the various systems of the body should gradually return to normal, such as reducing excess blood volume through increased sweating and urination; gastric acid increases. Gastrointestinal tract tension and peristalsis are restored to normalize digestive ability; women who are not breastfeeding or partly breastfeeding may have menstrual cramps. In short, the puerperium is a period of gradual recovery of the entire system including the body shape and abdominal wall. The traditional "confinement" is only the first 30 days of the fertility period. Whether the woman can recover as before, the puerperium is the key stage. During this period, we must pay attention to the puerperium health care to ensure the health and recovery of the body, which will also make your baby healthier and the family more happy.

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