After cesarean section, the first days are the most difficult. Such a trifle as turning on its side, coughing, inhaling deeply, or reaching the bed is not easy.
On the first day after the operation, the newly-made mother is in the intensive care unit, where her condition is monitored by a nurse and an anesthesiologist. Her blood pressure, pulse, temperature are measured, the degree of uterine contraction and the intensity of vaginal discharge, urination are evaluated. The nurse changes the dressings in the postoperative suture area. After applying epidural or spinal anesthesia, the woman should stay in bed for 3 to 12 hours. You need to get up gradually, without haste, without sudden movements and always in the presence of someone from the medical staff or relatives. You can sit on the 2-3rd day after surgery.
To feel more comfortable after the operation, it is enough to follow the following tips:
1. In order to make it easier to roll from back to side, first of all, bend your knees so that your feet rest on the plane on which you are lying. 2. Rest your feet and lift your hips so that your body straightens from shoulders to knees. 3. Turn your hips to the side and lower them. Then turn the upper body in the same direction.
So you’re lying on your side. This way it saves your seams from damage and saves your elbows from painful rubbing on the sheets.
If general anesthesia was used during a cesarean section, coughing is necessary to get rid of mucus that has accumulated in the lungs.
To cough, without fear of unpleasant or painful sensations, use an uncomplicated technique called “woof”. Despite its ironic name, it is really effective and recommended by experts.
1. It is necessary to strengthen the seams with your hands, with a small pillow or tie up with a towel. 2. Now take a deep breath, filling the lungs completely. 3. The next action is a full exhalation, sharply, but gently – by pulling in the stomach, rather than puffing it up. 4. Make a sound like “woof”. 5. Repeat several times within an hour, especially if you feel gurgling or sobbing in the chest. If the chest is clean and you regularly get out of bed, there is no need to do it often.
If the “unusual birth” is planned due to special testimony, which we already described in detail in the article “Invaluable assistance in childbirth,” it will be extremely useful to practice properly coughing.
Getting up and walking
For the first time, a nurse will help you out of bed after permission from your doctor. In this case, you may feel weakness and dizziness. Do not be scared! This is natural, because you just had abdominal surgery! Regardless of whether general anesthesia or epidural anesthesia was used, a feeling of weakness on first ascents is inevitable.
Now, having risen for the first time, first think about what is most difficult already behind, and your first ascent already means that you are firmly on the path recovery!
The birth of a child is a great event, a real feat, regardless of how it happened – through the birth canal, or with the help of a “cesarean”. Seriously think that at a certain moment, it was YOU who performed this feat at a given point on the huge Earth! And very soon your long-awaited baby will be with you at home, and you will fully enjoy the happiness of motherhood, precious moments of communication with the sweetest, most beloved, most expensive being in the world.
If you strictly follow the doctor’s recommendations, understanding that the state of your health directly depends on their observance, then recovery runs smoothly and quickly.
To get out of bed, do the following:
1. Turning on its side, allow the legs to hang down from the edge of the bed and move yourself to a sitting position. 2. Sit a little and do the movements with your feet. 3. When you are ready, lower your legs to the floor and stand up (always with help). Stand as straight as possible. It does not hurt your seams, even if it seems that they are stretched. 4. Once you get used to stand, take a small step.
Every time you get out of bed, you will notice that it is easier and easier to do this.
Now try to gradually increase the duration of your walks. Just do not forget to think:
– I’m done! With every step I am getting stronger. Each movement brings me closer to the discharge home, as each wing flaps carries the bird closer and closer to its cherished nest.
They, dears, are forced to pay attention to themselves after any operation on the abdominal cavity. Simply put, this is a situation, tritely voiced by the words “I am in a whip.” The reason for this trouble is the slowdown of intestinal activity as a result of the operation.
Cure with gases will help you: – deep breathing; – rocking chair (if the gases will disturb at home); – exclusion from the postoperative diet of foods and drinks from which gases are emitted
Another delicate moment – possible difficulties with urination. They may occur after a catheter in the ureter, anesthesia, and abdominal surgery.
Do not worry, drink more fluids, try to urinate in the shower or bath. If you cannot urinate yourself, you still need a catheter to empty your bladder.
A woman is allowed to drink water without gas, acidified with lemon juice. Given that usually after the operation, droppers are put in, on the first day the mother receives all the nutrients directly into the bloodstream.
On the second day after cesarean section, a woman is transferred from the intensive care unit to the postpartum ward. A diet after a cesarean section is similar to a diet after any abdominal surgery. Dense food is excluded – at this time it is necessary to spare the organs of the digestive tract as much as possible.
Day 3 and on.
The diet is expanded gradually. On the 3rd day after surgery, a lean chicken broth, minced boiled meat, cottage cheese or meat puree or soufflé, porridge is introduced into the menu. The entire diet is divided into 5-6 receptions. Allowed to drink not very sweet tea, spicy jelly, compotes, broth hips. The usual amount of food at each admission – 70-100 ml.
The first independent chair should be on the 3-5th day after the operation. After that, you can return to the products consumed during pregnancy, but subject to the restrictions recommended for nursing mothers. After all, by this time milk usually comes.
Stool normalization and the prevention of constipation are very helpful:
– moderate physical activity, – also a sufficient amount of vegetables and dried fruits (especially prunes) in the diet. During this period, there are no dietary habits for women who gave birth by caesarean section, does not exist.
Breastfeeding “from A to Z”
There is a possibility of first feeding even in the operating room, provided that the operation was performed with local anesthesia, and hospital rules allow such feeding. But with feeding you will have to wait a bit if the operation was performed under general anesthesia or your child needs medical care.
Try to pick up the child from the children’s chamber as soon as you come to your senses. It must be remembered that certain physical factors make it difficult for the child to attach to the breast.
Even fear can cause the first unsuccessful feedings. In addition, milk may come later (5-9 days) due to the use of general anesthesia and the restriction of the use of funds that reduce the uterus, the lack of the necessary hormones released during vaginal delivery. However, your baby’s breast milk is so necessary!
Remember the following rules
Require attachment to the baby’s breast immediately after delivery or after withdrawing from anesthesia.. But do not expect from the first breastfeeding of this feeding, as you both need to learn a lot more.
Ask your doctor for support if you see a doctor’s or hospital nursing ban on feeding your baby in the puerperal ward, especially if the birth was normal. You must bring the baby for feeding.
Most often, maternity hospitals after cesarean use medicines that are compatible with breastfeeding, but nurses still scare moms with harmful drugs, especially antibiotics.. Ask your doctor what medications you have been prescribed and if they are compatible with nursing. Write down the names of these medicines.
It may happen that at the time for feeding, your baby will sleep. Wake him up, despite the fact that this does not seem ethical. When he wakes up, start feeding right away. The main thing is your desire to start and continue feeding. Milk production is very dependent on two things: your confidence that you can feed the baby, and the sucking activity of the baby.
Whenever a baby is brought for feeding, be sure to attach it to your breast., even if he sleeps: babies can suck half asleep.
Be patient. Do not worry, the child will not be hungry, as the need for food in newborns is small. First of all, your child needs love and caress. Hold him close. He will “remember” your heartbeat and “recognize” you.
If the child is with you no earlier than the 3rd day and is kept separate:
Being in the ward separately from the child, decant both breasts – it is better to make 8 – 10 short attempts for 5 minutes, every 2 hours, excluding the night break with
If the baby is brought to you by the hour, save another 6-8 pumpings, excluding the night break. Usually, every second feeding is inefficient due to the fact that the baby is fed and he is used to sucking from the bottle. If during feeding the baby actively sucked the breast in the correct position, consider this date by pumping. If the baby sucks sluggishly – strain the breast after feeding.
Every time you visit a child, you should not focus on how much he sucks, but on how he takes the breast.
Be sure to apply the baby to both breasts in one feeding, for better stimulation of lactation.. Do this until there is a substantial rush of milk, which can begin on days 2 to 5 after the baby has been brought in regularly.
Feed the baby only when he is calm. Otherwise, he will not be able to find and capture the nipple. If the child is screaming, pull him close, shake and calm him. Then give the chest. To reduce postoperative discomfort, when feeding a child, place a pillow under it, lying on its side. Over time, the pain of the seam will pass and you will experience only joy when feeding the child.
You and your baby are at home!
Do not be nervous if you have a failure when feeding a baby. Feeding should begin as calm and relaxed as possible. Learn not to think about anything that can upset and upset you.
In addition, mental stress can reduce the release of milk.
– Invite a breastfeeding adviser to teach breastfeeding practices and techniques (learn how to properly apply, properly take away, get comfortable, feed from different positions, feed lying down and sleep together in a child, express properly, if necessary)
– Before consulting on breastfeeding, apply the child to the breast every 2 hours, regardless of whether he is sleeping or awake, except for a night break from 22-24 o’clock in the morning until 4 am.
– Take the child with you to bed as soon as you put it yourself and sleep all night next to it.
Your food when feeding
When breastfeeding, a daily ration should include at least 500 ml of milk, kefir or yogurt, 50–100 g of cottage cheese, about 200 g of meat, 600 g of vegetables (different vegetables should be introduced in turn), 1 egg, 300–500 g of fruit ( the amount should be increased gradually), 35 g butter and 20 g vegetable oil.
Alcohol and foods that cause allergies should be excluded: honey, citrus fruits, strawberries, chocolate, canned goods, sausages. It is necessary to drink enough liquid. It is also recommended to resume the intake of vitamin-mineral complexes for pregnant and lactating, as the need for vitamins and minerals remains as high as during pregnancy.
It is advisable that someone help you around the house, so that you can devote time to restoring your own strength, and establishing breastfeeding. After two or three months, you can already begin to do special exercises in order to gain elasticity of the abdomen, slender legs, beauty of the chest.