You can breastfeed a few hours after surgery
Now the approach to the management of women after cesarean section has changed. The main focus was the prevention of deep vein thrombosis of the legs due to inactivity and the prevention of adhesions. Therefore, if a woman feels well, she is allowed and even recommended to get out of bed literally a few hours after the operation.
Of course, during this period she may still have a catheter in her bladder, in such cases the help of a nurse is needed. And you can walk around the ward within 24 hours. To prevent blood clots, wearing compression stockings is also important.
You can shower the next day
Until the scar has healed, which is approximately 4-6 weeks, it is not recommended to take a bath, go to the sauna, bathhouse, public swimming pools or jacuzzi.
Long-term postoperative dressings on the area of the postoperative wound are not recommended. On the contrary, after a day the bandage is removed, the condition of the scar is checked, and the woman can take a shower.
Soap and water may run down the skin of the abdomen, but you should not wash with a washcloth for 4-5 days. And in the future, it is important not to injure the scar area with a washcloth or sponge. After showering, the scar area should be dried with a towel. In general, it is important to keep the postoperative wound clean and dry.
There are no diets after cesarean
You can drink immediately after surgery, because there was blood loss, which means dehydration. After removal of the catheter, fluid intake is not limited, although recording the daily urine volume is still recommended.
You can eat a few hours after a cesarean section, but it’s better not to rush with solid food and wait at least a day. However, there are no diets after cesarean section at all.
Evidence-based medicine has refuted myths about the harmfulness or usefulness of certain products after childbirth, cesarean section and during breastfeeding. Different peoples of the world have their own cuisines and dietary preferences, but after the birth of a child, a woman needs to quickly gain strength and energy, which is important for the development of lactation. To prevent constipation and difficulty with bowel movements, doctors recommend eating foods with a lot of fiber.
Why does the belly appear after childbirth?
For nine months, the fetus in the mother's womb actively grows, and the uterus grows after it. Together they put serious pressure on the skin of the abdomen and the muscles of the abdominal wall. Due to this, the abdominal muscles relax and postpartum stretch marks appear. Therefore, in the first days after childbirth, the stomach can protrude even in thin women. Of course, a woman who has always taken care of herself may be bothered by negative changes, and she will want to start exercising as soon as possible. However, first of all, you need to find out when you can pump up your abs after a caesarean section and wait the necessary time. But the answer to the question about these terms will depend on many factors, including the reasons that led to the appearance of problems in the abdominal area. Among them the following stand out:
- The kilograms gained during pregnancy tend to concentrate around the waist.
- Overstretching of the abdominal wall muscles, which significantly relax during pregnancy. Moreover, the young mother notices problems almost immediately after giving birth. There is a physiological explanation for this. If the muscles do not tense, intra-abdominal pressure and the effect on the uterus are reduced. This allows us to maintain the pregnancy.
- The skin of the abdomen stretches, which negatively affects its appearance.
- Immediately after you give birth, the uterus will still be very stretched. During the first few days, you can still feel it in the navel area. It will then gradually shrink back to its original size over the course of several weeks.
After cesarean section any movement is allowed
The organs of the reproductive system return to normal 6-8 weeks after a cesarean section, so physical education can be resumed no earlier than this time. Moreover, in the first weeks the woman will already adapt to caring for the child, move more, rest less, so additional physical training will not be needed.
The postoperative scar takes six months to form, so you may experience pain during physical activity in the abdominal area. In such cases, the press can begin to be pumped only 3-4 months after the operation or even later. There are no clear recommendations and most often this is a woman’s personal choice based on her well-being.
It is important not to chase records. If pain occurs, the load should be reduced. If the pain does not subside over a period of time, this is a reason to consult a doctor.
After a cesarean section, any movement is allowed, including bending and squatting, but it is important to understand that in some positions a woman may experience more pain. Such body positions should be avoided or limited.
Is it possible to pump up the abs after a caesarean section?
This is perhaps the most common question among women who gave birth by cesarean section. How to get your flat stomach back? Is it allowed to pump up the press?
Experts answer: Irina Aleksandrovna Fedyunina, obstetrician-gynecologist, and Vladimir Kholopov, gym coordinator.
Irina Fedyunina: Many women who want to get in shape as quickly as possible after childbirth are interested in when they can start training their abdominal muscles, namely pumping up their abs, and whether it is possible. Undoubtedly, after childbirth, a woman’s body needs recovery, especially if the birth ended with a cesarean section.
It is worth remembering that a cesarean section is an abdominal operation in which the integrity of the tissues of the anterior abdominal wall is disrupted. And although modern techniques for performing this operation make it possible to shorten the postoperative rehabilitation period and reduce the incidence of complications after the intervention, it still takes some time for the scar to heal. Therefore, simple physical exercises can be started no earlier than 3 months after surgery.
It is not recommended to put a high load on the abdominal muscles for six months - this is how long the recovery period after surgery lasts. Too hasty actions can cause increased intra-abdominal pressure, pain in the sutures and their separation, and this is fraught with serious consequences. In any case, you can start abdominal training after a caesarean section only after the doctor’s permission.
After discharge from the hospital, you should not do abdominal exercises; it is recommended to sleep on your stomach and wear a postoperative bandage to help tighten the abdominal muscles and skin.
You can start pumping up your abs after a caesarean section with simple exercises:
• Try to work your legs while sitting or lying down (the body should remain motionless). This can be lowering and raising the legs, bending them, crossing them in weight, etc. • Rotating movements of the body with the legs tightly pressed to the floor and motionless will help strengthen the abs after a cesarean section. • You can perform cross movements with your body and legs at the same time.
There is no need to be afraid to move and do exercises. But if discomfort and pain occur in the suture area, gymnastics should be stopped immediately. You should always consult your doctor before starting exercise.
Vladimir Kholopov: The prenatal and birth periods are a very important time in the life of an expectant mother. During this time, the woman should be under close medical supervision. After all, a competent attitude towards your health is the key to excellent well-being for both mother and child in the future. No less attention must be paid to your health after childbirth.
It is known that every woman after giving birth strives to quickly return to her previous, “prenatal” forms. Therefore, young mothers often wonder: when can they start doing abdominal exercises and is it possible? Especially if there was a caesarean section.
After a cesarean section, the recovery period lasts much longer than after a natural birth. However, after a certain time, moderate stress on the abdominal muscles is allowed. Before starting any exercises, you need to consult with your gynecologist, undergo an ultrasound examination, make sure the suture is intact after a cesarean section and the body is recovering.
Usually, obstetricians-gynecologists recommend starting exercises after 6 months, but in most cases, in each specific case, the start time of exercises is determined individually. Many women start training after 3-4 months. Again, it all depends on the degree of recovery of the body and its readiness for physical activity.
Before you start exercising, you should pay attention to general recommendations: • choose exercises with low amplitude; • 10-15 repetitions in one approach, no more; • training should take place 3 times a week, the abdominal muscles are a group of endurance muscles, and therefore they require systematic training; • training exercises should be selected individually, based on the woman’s physical condition; • it is necessary to control the execution of exercises; it is best to exercise under the supervision of an experienced trainer or exercise therapy doctor.
At home, I would recommend doing the following exercises: 1. “Folding” while sitting on the floor. From the “sitting on the floor” position, arms supported, behind the back. Pull your knees towards your chest. 10-12 repetitions, 2-3 sets. 2. Plank. Static tension of the abdominal muscles while resting on the forearms and toes. 15 seconds, 2-3 approaches. 3. Crunches with legs raised. From the supine position, the knees are bent at an angle of 90 degrees. Raise your head and try to reach your knees with your straight arms. 12-15 lifts, in 2 approaches. 4. Then you need to give a load to the oblique muscles of the anterior abdominal wall. Lying on your back, bend your knees and tilt them to the right while your arms tilt to the left. Then synchronously change the position of your knees and hands, that is, your knees go to the left, your hands to the right. Perform 12 pairs of crunches.
After completing these exercises, you can do some general stretching exercises. And, of course, you should pay close attention to your lifestyle. A balanced diet, walks in the fresh air, taking vitamins and positive emotions are additional, effective means of restoring the body.
Source:
mama.ru
It is better to lift a child by squatting
There are no clear recommendations regarding heavy lifting, but in general it is not advisable to lift anything weighing 5-7 kg for the first 6 weeks after surgery. This usually coincides with the weight of the child being cared for. After 6 weeks, you can gradually increase weight loads.
There is a technique called safe lifting. The legs have more muscles, so the load on the legs is safer than on the spine or the front wall of the abdomen. That is, it is easier to lift a child not through bending, but through squatting.
Torso rotations must begin with changing the position of the legs - this reduces the load on the spine. When a woman is sitting and holding a child in her arms, the correct thing to do is not to get up with the child, but to first put the child next to her, stand up, and then lift the child. It is also important to keep the child or any weights close to the body.
How does healing proceed after tummy tuck and is it possible to speed it up?
Rehabilitation lasts 3-4 weeks. The stitches are not removed, I use a self-absorbing thread.
The rehabilitation period involves wearing a special tightening bandage. At this time, you must strictly follow the recommendations of the plastic surgeon. You can go back to work after 7-10 days.
Patients have many questions about what the scar will be like after abdominoplasty? It is located in the bikini area and is easily hidden by panties. The doctor’s task is to make the stitch as invisible as possible. To speed up healing, I use a special medical glue for the skin. Thus, the scar is protected from environmental factors and bacteria. After just 1 month, he looks like he did after 6-8 months. Over time, it turns into a stripe that takes on the color of the skin.
Pregnancy is not recommended for two years
There are no strict contraindications for starting sexual activity after a cesarean section, although in the first weeks a woman may experience a lot of discomfort and pain. Lochia (postpartum discharge) can make sexual intercourse difficult. Therefore, most often women return to sexual activity 4-6 weeks after surgery. If there is discharge, it is advisable to use condoms.
In general, after a cesarean section, any method of contraception (hormonal, intrauterine device) can be used, with the exception of the calendar method. Moreover, the insertion of an intrauterine device can be performed directly during surgery.
It is not recommended to become pregnant for two years. These are international recommendations.
Special ultrasound monitoring of the scar is not needed, because it will not be informative. When a woman becomes pregnant, it is necessary to control the thickness of the scar. With a thickness of 5 mm or more, natural childbirth is possible.
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Physiological features of recovery after cesarean section
In order for sex after cesarean to be enjoyable and not lead to problems such as infections, stretching of stitches, etc., it is important to listen to your body and understand whether it is possible to return to intimacy or whether it is worth waiting for now. There are several useful tips that young couples should follow so that sexual activity does not cause any discomfort for the woman:
- Wait until the bleeding stops.
- Perform an ultrasound. The doctor will evaluate the condition of the sutures and give his recommendations regarding subsequent sexual activity.
- Emphasize the importance of contraception. Sex after a cesarean section should not result in another pregnancy. During the lactation period, a woman should not use many contraceptives. The intrauterine device also has its installation limitations - it can only be installed six months after a cesarean section. Therefore, the couple can only protect themselves with either special vaginal suppositories or standard condoms.
- All movements of a man during sex should be careful and leisurely. There should be no deep penetration.
- For six months you can use only traditional poses without strong entry inside.
- During the first sex after a cesarean section, a woman may experience some pain and discomfort. All this is natural, so there is no need to worry. Over time, ligaments, muscles and tissues will return to their former shape. You just need to give your body some time to adapt to the new changes.
- Replacing classic sex with other forms of activity is contraindicated. This can lead to infections.
- Violent female orgasm is also contraindicated, as it can lead to suture rupture.
Having sex after a caesarean section should be done very carefully, based on the advice of doctors. If there are any infections or inflammations in partners, then sex is strictly contraindicated.
There are also some requirements for a man. He must be completely healthy and undergo an examination before starting intimacy again after a cesarean section. In some cases, psychological difficulties prevent the resumption of intimate life. For example, a woman’s libido decreases, which in most cases is a consequence of a cesarean section.
