Point 1: prevent vulva infection
1. Change the sanitary pad frequently to avoid wetness. It will be difficult for the wound to heal when soaked in the wet sanitary pad.
2. Wash the perineum frequently with warm water every day, especially after defecation, wipe and wash the vulva with Bromogeramine cotton. Never wipe forward from the back, but from the front to the back.
Point 2: prevent the perineum incision from cracking after removing the suture
1. Get out of bed early after childbirth, eat more fresh fruits and vegetables, drink more fish soup, pig's hoof soup and other soup, and don't eat spicy food to keep defecation unobstructed.
2. When constipation is difficult to solve, do not force air intake, but use Kaiselu to help defecate.
3. Within a few days after removing the thread, do not squat hard. If you are defecating, you should first converge the perineum and buttocks, and then sit on the toilet. Breath holding force is often the cause of perineum wound rupture.
4. When sitting, the body's center of gravity is inclined to the right side to prevent the wound from being compressed and the skin of the incision from being staggered.
5. Avoid falling or excessive leg abduction, which will cause the wound to crack again.
6. It is not suitable to leave the hospital on the day after the wound is broken, because the wound fracture often occurs on the day when the wound is removed.
Point 3: avoid hematoma in wound
1. In the first few days after the operation, the parturient should take the right lying position, which can make the blood in the wound flow out of the wound without hematoma, and prevent the endometrial fragments in the lochia from flowing into the wound to form endometriosis.
2. Pay attention to the condition of knife edge after operation. If the wound is in pain within 1-2 hours after operation and becomes more and more severe, contact the doctor immediately. It is likely that hematoma is formed due to insufficient hemostasis before suture.
3. If there is hematoma, cold compress with 50% magnesium sulfate solution.
Point 4: treatment of edema in wound
1. The wound is edematous. Before removing the suture, the suture will be tight. 95% alcohol gauze or 50% magnesium sulfate solution can be used for hot compress and wet compress twice a day.
2. When lying, raise some hips to facilitate refluxing and thus reduce edema.
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The wound nursing of natural production has fewer complications after natural delivery. The lacerated wound of natural delivery usually heals in 3-5 days after delivery. The relative recovery speed is faster than that of caesarean section. Generally, the pain has disappeared in about 1-2 weeks. However, care should not be taken lightly. First of all, we should do a good job in preventing infection: wash the wound twice a day with warm boiled water; in order to prevent wound pollution, do not wipe it forward from the back after defecation, it should be washed from the front to the back, and it should be washed again; pay attention to changing the sanitary pad frequently to avoid the wet and wet wound.
Obstetricians and gynaecologists suggest that "warm water sitting bath" can be used after 24 hours of natural labor, that is to say, bath with basin water sitting bath, and the water temperature is about 41 ℃ ~ 43 ℃. About 3-4 times a day, 10-15 minutes each time, lasting until the wound heals. During the period when the wound hasn't recovered, it will be milder and less irritating to wash with warm water, and it can avoid the inflammation caused by bacteria entering the uterus with water.
More attention should be paid to the care of the wound of the mother who is in labor. If it is a side cut wound, the first thing that must be paid attention to is the infection. The integrity of the skin is the first line of defense to protect the body. Therefore, the red, swollen, hot and painful part of the wound must not be ignored. As long as the discomfort is not improved continuously or there is purulent secretion, remember to return to the hospital for examination as soon as possible. In addition, a large amount of vaginal bleeding or discharge of blood clots is also abnormal, should be treated as soon as possible. If it is a side cut mother, in addition to do a good job in nursing anti infection work, but also targeted care.
1. Keep perineum clean and dry
If the lochia has not been cleaned, the vulva should be rinsed with flowing water at least twice a day, and once after defecation. When washing, the vulva should be rinsed from the front to the back to avoid contamination of feces and other dirt. Make sure to use a clean towel (it is not recommended to use a water basin, because the dirty water in the basin will circulate to pollute the perineum wound). Frequently change the sanitary napkin and underwear to avoid the infection caused by the wet wound.
2. Prevent the wound from cracking
In the first few days of postpartum, the new mother should take the right lying position to make the blood in the wound flow out without hematoma, which will affect the healing. It can also prevent the endometrial fragments in the lochia from flowing into the wound and form endometriosis in the future. After 4-5 days, when the wound grows stronger and the evil thunders are difficult to flow in, you can take the left and right rotation position, pay attention to the situation of the perineum incision, the wound appears pain within 1-2 hours after the operation, and it becomes more and more severe, so you should contact the doctor immediately and deal with it in time.
The center of gravity of the body inclines to the right side when the parturient is sitting and standing, which can not only reduce the pain caused by the pressure of the wound, but also prevent the epidermis from staggering, so as to avoid the wound from splitting due to falling or excessive abduction of the thigh. The puerpera should not be discharged on the day of suture removal, and the wound dehiscence often occurs on the day of suture removal. The wound dehiscence will bring trouble to the treatment after returning home.
3. Keep the stool unobstructed
Don't always lie in bed, walk as much as you can to prevent constipation. When defecate, can converge perineum and buttock first, sit on toilet slowly next. In case of constipation, do not use too much force, but use Kaiselu temporarily.
4. Do more anal constriction exercise at ordinary times
Lie down, sit, do it anytime, anywhere. This will not only promote the contraction of the dilator, but also restore the tightening of the vagina as soon as possible.
5. Always pay attention to the wound until two weeks after delivery.
First of all, whether the wound is painful, such as feeling the wound pain, checking whether the wound is red, swollen, cracked, bleeding, purulent and other phenomena, it is best to see a doctor immediately, it is likely that the wound is infected. If there is a small abscess in the wound, it may be that there is an obstacle to the absorption of suture. Please go to the hospital and ask the doctor to remove the suture, and the wound will be healed.
How to deal with the pain of the side cut during the delivery? The mothers who are in the delivery basically feel the pain of the wound after delivery. The main reasons for the pain of the side cut are as follows:
1. This is because in the process of delivery, the pelvic floor muscles will be strained to a certain extent, some muscle fibers will be broken, or, because the fetus is large and the perineum is tense, perineum tear will occur.
2. In some cases, in order to avoid severe laceration of the perineum, the midwife will cut the perineum, which will cause pain in the perineum wound after delivery.
3. As the suture of perineum wound is dry, it will produce traction pain of perineum wound. When the suture is removed or absorbed, the pain will be significantly reduced.
Generally, the wound will still feel pain within 1 week after delivery. After 1 week, the pain will be relieved to disappear. The time for wound healing is about 2 weeks. During this period, the nursing work to be done is as follows:
1. Physical therapy: with the elimination of perineal wound edema, the pain will be significantly reduced. If the new mother's response to the suture is obvious, physical therapy can also be carried out to promote local blood circulation and help intestinal absorption, which will also reduce the pain of the wound.
2. Observe whether there is hematoma: it should be noted that if the wound is in severe pain within 24 hours after delivery, accompanied by the feeling of anal distension, the doctor should be immediately asked to check the wound to see if there is hematoma around the wound.
3. Cleaning the wound: clean the suture of the wound with clean warm water (or medicine lotion provided by the hospital) 2-3 times a day; after cleaning, gently dry the genitals with disinfectant paper or medicine cotton; after defecation, clean the vulva with clean water to keep the wound clean and dry to prevent infection.
4. Avoid pressing the wound side when sleeping: if the wound is on the left side, sleep to the right side, and vice versa.
5. Exercise of pelvic floor muscle: if the physical condition allows, exercise of pelvic floor muscle can be carried out to stimulate the blood circulation of the pudenda, so as to promote wound healing.
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How to deal with the laceration of the cut after the cut? Once the cut is done, the mother to be should take care of the cut. If the care is not paid attention to, it may be moving heavy objects or stretching too much, which is easy to cause the laceration of the cut. If the time is long, it will cause wound infection and harm the health of the mother to be. If you want to breastfeed, you need to be more careful with medication, so the mother to be must be careful Nurse the side cut wound well, then how to deal with the split of the side cut wound?
A small number of mothers took off the suture after delivery and found that the wound of the side incision was split. If they have been discharged from the hospital at this time, they should go to the hospital immediately for examination and treatment.
If the wound tissue is fresh and split for a short time, the second suture can be performed immediately after proper disinfection, and the suture can be removed after 5 days, most of which can grow well again; if the wound tissue is not fresh and there is secretion, it can not be sutured, and potassium permanganate solution can be used for sitting bath, and antibiotics can be taken according to the doctor's advice to prevent infection, and the wound will be healed after the local scar is formed; if the wound is a little white, please pay attention The air permeability of the pudenda and the underpants with good air permeability. Usually pay attention not to make the pudenda sweat frequently. It doesn't matter if there is a crack on the outside. As long as it grows well inside, it will heal slowly outside.
How to deal with the edema of side cut wound after delivery? The new mother will sweat a lot, have lochia and vaginal wound. In this recovery period, the new mother should pay attention to the physical health and health care, and should not stick to the traditional point of view. When there is swelling, pain and induration in the wound, and there is purulent secretion when squeezing, antibiotics should be taken under the guidance of the doctor, and the suture should be removed to facilitate the outflow of pus.
1. When the wound is edematous, the suture should be tightened before removing the suture, and the pain will continue. 95% alcohol gauze or 50% sulphur brewed magnesium solution can be used for local hot compress and wet compress twice a day.
2. Take a sitting bath with 1:5000 potassium permanganate warm water twice a day for 10-15 minutes, or wash the wound with the decoction of clearing away heat, detoxification and traditional Chinese medicine.
3. When lying, raise some hips to facilitate reflux and thus reduce edema. One week after the operation, it is better to take a dregs free diet, that is, food with less fiber, such as milk, etc., to prevent the formation of hard stool which is harmful to the healing of perineum incision.
How long can a natural birth wound be good? A vaginal tear or a lateral perineum incision is usually left. In general, mothers who give birth naturally have fewer complications after childbirth. Their relative recovery speed is faster than that of mothers who give birth by caesarean section. Generally, the pain has disappeared in about 1-2 weeks, and the wounds can be better in about 2 weeks.
To some extent, it will cause some changes or damages to the cervix and vagina, but such wounds usually heal themselves after childbirth. If the vaginal laceration is caused by the rapid progress of labor or improper exertion during labor, it must be sutured by surgical repair, so as not to delay the recovery time. Therefore, in order to avoid the large-scale and difficult to deal with laceration of perineum during delivery, obstetricians or midwives usually cut the perineum to help the fetus to be born smoothly.
The perineum wound will heal in about 4-5 days after delivery, and the pain will gradually disappear in about one week, and the wound will reach a stable state in about two weeks. If the wound is red, swollen