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From soft to firm! The mysterious changes of uterine contraction after childbirth!
Postpartum physiological changes are a necessary process for every mother after giving birth. These changes mark the body's gradual return to its pre-pregnancy state, including uterine contractions and breast milk production. However, these changes are not just physiological adjustments, but may also be accompanied by some unexpected circumstances.
Breasts and breastfeeding
During pregnancy, your breasts begin to grow due to the effects of progesterone in preparation for breastfeeding.
About two to five days after birth, the breasts will begin to produce milk, a process often described as "the milk coming in."With the changes in the endocrine system after delivery, the breasts begin to produce rich colostrum, which is an important substance for newborns to adapt to the external environment.
If the mother can get more information about breastfeeding before giving birth, it will help her understand the breastfeeding process better and get the necessary support.
Changes in the uterusThrough breastfeeding, the baby's sucking will promote the release of oxytocin, which not only helps stimulate the movement of the mammary glands, but also helps to contract the uterus and prevent postpartum hemorrhage.
The changes in the uterus after delivery are the most significant, dropping from about one kilogram before delivery to about 60 grams after delivery.
Under normal circumstances, the uterus should feel firm, not floppy.After delivery, the uterus begins to contract to expel the placenta, a process that can take up to 30 minutes.
Changes outside the uterus
Other physiological changes after childbirth include changes in the cervix, vagina, and perineum. The cervix remains soft after delivery, and the vagina gradually returns to its pre-pregnancy size over time.
During the four to six weeks after delivery, your vagina will discharge lochia, which contains blood, mucus, and uterine tissue.
Restoration of the immune system
During pregnancy, the body's normal immune response is reduced in order to allow for acceptance of the embryo. After delivery, the normal immune status needs to be restored quickly, a process that may trigger manifestations of some potential infections, especially autoimmune diseases.
Pain Control and Comfort Measures
Adequate education and discussion before delivery can reduce the mother's anxiety. After childbirth, the mother may experience discomfort such as perineal and uterine contractions and nipple pain.
Effective pain control, including the use of medications, ice, and position changes, is essential to promoting maternal comfort.
Management and care
During the initial postpartum period, the health care team will conduct regular monitoring to ensure the mother's health. According to the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists,
vital signs, including blood pressure, pulse, uterine position, and bleeding, should be assessed every 15 minutes for the first two hours after delivery.
Nutritional requirements after childbirth
Breastfeeding mothers require additional calories, from approximately 2300-2500 kcal to 1800-2000 kcal relative to non-breastfeeding mothers. Proper nutrition, adequate water intake, and supplementation of potassium, calcium, and iron are important parts of postpartum care.
In terms of diet, it is recommended to reduce the intake of caffeine and alcohol, and to eat more nutritious foods, such as deep-sea fish.
Special Considerations After Cesarean Section
A cesarean section often involves the use of a urinary catheter, pain associated with the abdominal incision, and may require a longer recovery time. During the recovery process, the mother needs to pay special attention to preventing the formation of blood clots and perform appropriate leg exercises to promote blood circulation.
Postpartum changes are an important issue that every mother must face. These changes are not only physiological adjustments, but also the basis for the emotional connection between mother and newborn. Let us think together, how can we support each other’s physical and mental health during this important journey of life?
