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Normal postpartum Health Checks

Pregnancy health check
After a normal birth does not mean that mothers do not return to the doctor obgin. Because normal childbirth, a lot of complaints. When and how it will work, let us follow the next review!

What is checked?

"Normal postpartum health check is a check made to see Moms condition after childbirth," Dr. Anita Arju, spitting up of mother and child hospital Hermina Depok go.

Your doctor will evaluate (compare) the state of pregnancy, the birth of postpartum. Research in the form:

1. Evaluate the condition mothers after childbirth process

The issue of breast milk (milk), bladder, bowel movement, the condition of the uterus, vagina, blood, childbirth and the condition of the perineum (the area between the vagina and rectum) - usually occurs during the tears childbirth.

2. Discussing the problems that arise during labor and prevent the possibility of repeated again when the next delivery

For example, a mother who was expecting her first child at the time of birth is difficult to push mistakes of the body position or posture. At the time of the audit postpartum doctor will feed into the latest incident is not repeated again at the next delivery.

3. Assess and evaluate co-morbidities that can occur during pregnancy and childbirth for not returning in subsequent pregnancies and childbirth.

For example, the disease process of diabetes because of pregnancies that resulted in a large birth weight baby or piles (pile) because the process of pregnancy and childbirth.

When is Done?

Better control of the normal postpartum obstetrician performed twice, namely:

1. A week after giving birth

Exam Centres in the area around the belly (womb) and the perineum. The uterus is checked again whether it is shrinking or not, how the state of episiotomy wounds (tears to the birth canal) or dry or not.

And usually the doctor will also ask whether there are other symptoms such as:
- bowel movement is not smooth. Usually caused by a lack of moisture and fiber, or a feeling of fear to defecate, because the pain of childbirth trauma and fear of injury torn seams. Your doctor will advise you to consume enough water to at least 3 liters per day, high protein diet (for episiotomy wound healing and the production of breast milk) and a high fiber content. But if not successful, doctors will give stimulants intestine through the anus so it does not affect breast milk.

- Pain is the perineum. This can happen due to lack of hygiene in the vaginal area. Do not be afraid to wash the perineal area clean.

- Blood childbirth a little and is accompanied by the smell. The main cause is usually due to the lack of contractions of the uterus, can occur in women who have deployed or not to breast milk directly deliver. Suction on the nipple of contractions of the uterus, so shrunk back to their pre-pregnancy size boost.

- Putting milk blisters. Usually occur because the position of the nipple is not proportional to the cavity so the baby's mouth bitten.

- Breastfeeding is not smooth, causing swelling of the breast. This usually happens in almost all new mothers. Breasts feel fuller / tension and pain that comes on the third or fourth day after birth is a sign that many starts in the milk production.

If not removed, will accumulate in the breast, the nipple ever so flat and hard to smoked baby, the breast looks red and shiny skin, maternal fever and very painful. For prevention, the baby breast milk as often as possible (on request), remove the milk by hand or pump when the production exceeds the needs of the baby. Reduce pain in the chest and applying a cold compress to reduce swelling to sort do (massage) of the breast.

- Often found in the occurrence of infections, with symptoms of fever with a temperature> 37.5 degrees Celsius, followed by complaints of pain in the troubled region. For example, the perineum, such as the perineum looks swollen, red and hot and painful, burning sensation while urinating, lokia (fluid that comes out during childbirth) who smells blood and still are common.

To prevent infection of the perineum, the trick is to wash your hands before replacing pads, always wipe from the vagina to the anus for bacteria from the anus does not transfer to Miss V, do not hesitate to wound Wash and dry with a clean, dry towel, Pat gently suture, and always the pads after urinating or defecating.

2. 40 days after childbirth

Usually the postpartum period is over and the doctor will be a series of checks, including:

- General condition, maternal weight ranged from 3.5 to 4 pounds usually be reduced - depending on maternal nutrition -, blood pressure is back to normal - except the mother has been suffering from hypertension since before pregnancy.

- Review of the uterus, or the size of the uterus has returned to normal, state of the perineum, episiotomy wound and whitish.

- Asking the production of milk, or the current or even reduced.

- Consult the use of contraception. For mothers who are not breastfeeding, menstrual cycles usually start in the next 5-8 weeks after delivery. To prevent pregnancy is discussed with a doctor about contraception that's best for the mother and husband. For mothers who exclusively breastfed, this activity can be used as a natural contraceptive method is not equipped with a baby 6 months old, my mother is not menstruating, and exclusively breastfed infants.



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