The puerperium period is a crucial period for maternal and physical rehabilitation. The average weight during pregnancy increased by 12.5kg, and the weight loss of the fetus and its appendages after delivery was about 4-5kg. If the body weight is well controlled during pregnancy, after undergoing puerperal body rehabilitation and breastfeeding, the postpartum body shape will easily return to pre-pregnancy status from 3 to 6 months after delivery. (Lao Cai guide WeChat: laocaidy) Zheng Dasan Affiliated Hospital Obstetrics expert reminds: There are three main points in weight management and postpartum body shape recovery.

1

First, develop postpartum weight management plan

Calculate your body mass index [Body mass index = weight (kg) ÷ height (m2). 19-24 is the normal value, 24-26 is overweight, greater than 26 is mild obesity, and greater than 28 is obvious obesity, and then the weight management plan is formulated according to the body mass index. If the mother is fatter, the postpartum weight is reduced by 0.5kg per week; if the mother is thinner, the weight should be increased according to the body mass index to ensure breastfeeding and maternal health.

Second, reasonable diet

A balanced diet is conducive to maternal physical rehabilitation and meet the needs of newborn breastfeeding. Maternal women should appropriately increase the intake of fish, poultry, eggs, lean meat and seafood. Appropriately increase the consumption of milk and drink more soup. The food is diverse and not excessive. It is not suitable to eat spicy, cold food, avoid alcohol and tobacco, avoid drinking strong tea. Or coffee or eat greasy food. Appropriate calcium, iron, etc. according to the doctor's advice to increase the intake of fresh vegetables and fruits to ensure the quality of breast milk. According to the demand of calories, formulate recipes, there are main meals, there are also meals.

Third, postpartum activities and exercise

Postpartum activities can promote uterine contraction and discharge of lochia, prevent postpartum hemorrhage; promote bowel movements, prevent constipation; promote pelvic floor muscle contraction, help pelvic organs return to their original position, prevent uterine prolapse, vaginal wall bulging and urinary incontinence; Promotes blood circulation, prevents deep vein thrombosis of the lower extremities; enhances muscle tone of the body and promotes recovery of the body.

After a full rest, postpartum activities and exercise can begin gradually. If there is no abnormality in delivery, you can get out of bed within 6 to 24 hours after delivery. The first time you get out of bed, there will be dizziness, cold sweat, pale complexion and other orthostatic hypotension due to changes in posture. Therefore, keep in mind: sit-station-line principle, and need to help others to prevent falls. For vaginal midwifery or cesarean section, the time to get out of bed after childbirth is appropriately extended.

Whether it is a birth or a cesarean section, after the body comfort is improved, you can do some softer exercises in bedtime, such as lifting the hips, retracting the anus, pumping the pump.

The sports are as follows:

1. Deep breathing exercise: maternal supine, body relaxation, the nose slowly inhale deeply, so that the chest is dilated; it is conducive to promoting blood circulation; full rest on the day after delivery, starting on the first day after delivery, 2 times a day, 5 to 10 each time Times.

2. Neck movement: supine, straight legs, then tilt the head forward, so that the chin close to the chest, and then repeat the operation, can enhance the abdominal muscle tension, improve the separation of the rectus abdominis; 3 to 4 days after birth, 2 times a day, 5 to 10 times each time; cesarean section begins after the wound has healed.

3. Chest movement: supine on the bed, the two arms straight to the left and right sides, and then lifted up until the palms touch and then return to the original left and right flat position, enhance the chest muscle strength, prevent breast sagging and sagging; after delivery Start the next day; 2 times a day, 5 to 10 times each time.

4. Vagina, pelvic floor contraction movement: supine bed, legs slightly apart, knees bent so that the legs and the bed at right angles, lift the buttocks off the bed, support with both shoulders and feet, then close the knees, while Clamp the vagina and buttocks muscles for 1 to 2 minutes to promote uterine involution and pelvic floor muscle contraction, promote blood circulation in the perineum, and facilitate healing of perineal wounds. After the perineal or abdominal wound pain is significantly improved, it is repeated several times a day according to individual circumstances.

5. Hip movement: Lift one leg, try to make the thigh close to the abdomen, close the calf to the buttocks, and then straighten the leg to the bed surface, so that the two legs are exchanged. Promote abdominal muscle contraction, pelvic floor muscle contraction and uterine involution; a week after the perineal wound healing begins, each time 5 times.

6. Lifting the leg movement: lying on the bed, hands flat, legs straight, lift one leg about 45 degrees to put back to the bed, the left and right legs alternately raise 5 times; promote abdominal muscle contraction, pelvic floor muscles Contraction and uterine involution; a week after the perineal wound healing begins.

7. Sit-ups: supine on the bed, hands crossed on the chest, use the waist and abdominal strength to sit up; help the abdominal muscles to exercise; start 2 weeks after birth, several times a day.

8. Kegel exercise (commonly known as anal movement): supine, sitting or standing position, legs crossed, with the perineum contraction lift up, feeling like to urinate or to force the stool, but must hold back, continue to contract 3 After ~5 seconds, relax all muscles, and repeat; at this time, the muscles of the urethra, vagina, and anus all contracted at the time of systole, restore vaginal elasticity, prevent tension urinary incontinence and uterine prolapse; can be 28 weeks from the third trimester of pregnancy After the start, 2 times a day, 100 ~ 200 each time to achieve the purpose of training the pelvic floor muscles, regardless of time and place.

9. 踝 Pump movement: supine or sitting position (cross legs), including flexion and extension and surrounding two groups of movements. The calf is straight, the thigh is relaxed, and the toes are slowly tilted toward you. After 5 to 10 seconds, the original position is restored, and then the toes are pressed down to maintain the knee toes in a straight line for 5 to 10 seconds; The toes are wound 360 degrees, try to keep the action to the maximum. This exercise can relax the muscles of the ankle and toe joints, improve softness, promote blood circulation of the lower extremities, and eliminate edema and fatigue of the lower extremities; it can start from 28 weeks after the third trimester of pregnancy, and bend and stretch 5 to 6 times a day.

Precautions:

Exercise time from short to long, exercise amount from less to more, avoid fatigue; exercise needs regular and certain intensity; must be sustained, because the recovery of muscle tension takes 2 to 3 months; if there is bleeding or discomfort during exercise, stop or consult medical services immediately Personnel; need to empty the bladder, wear loose clothes, fresh air, and choose a hard bed before exercise.

Of course, develop good habits for life! At the end of the puerperium period, you can also practice postpartum yoga, brisk walking, jogging, etc., and aerobics is prohibited during the postpartum period. According to your body mass index value, develop a weight management plan that suits you, plus regular, step-by-step postpartum exercise. I believe that you will return to the original satisfactory body from 3 to 6 months after delivery.

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