2020年11月13日星期五

hemorrhoids rupture,How to reasonably arrange meals during the puerperium?

    It usually takes 6 to 8 weeks for a parturient to give birth to the fetus and its appendages until the reproductive organs return to a non-pregnant state. This period of time is medically called the puerperium, and is commonly known as "confinement" in folk. According to Chinese tradition, it is very important to take food supplements during the "confinement period". The mothers have to eat a lot of animal foods such as meat, poultry, fish, eggs, but at the same time there are some food taboos, such as not eating fruits and vegetables. Excessive intake of animal foods will cause excessive intake of protein and fat, increase the burden on the digestive system and kidneys, and cause excess energy and lead to obesity; insufficient intake of vegetables and fruits will increase the intake of vitamins, minerals and dietary fiber. The decrease in intake will affect the amount of milk secretion and the content of vitamins and minerals in the milk, and increase the incidence of constipation, hemorrhoids and other diseases in nursing mothers. Resuming normal diet immediately after the "full moon" will also affect the continuation of breastfeeding. This kind of dietary misunderstanding should be corrected, so that the food in the puerperium is varied but not excessive, and the nutrition of the entire lactation stage should be emphasized to ensure the quality and quantity of milk and to provide protection for continued breastfeeding.

    So how should the puerperium meal be arranged reasonably?

    Some parturients feel fatigued or weakened or have poor gastrointestinal function in the first 1-2 days after delivery. They can choose lighter, softer, and easily digestible foods, such as noodles, dried noodles, wontons, porridge, steamed or boiled eggs, and boiled Rotten meat and vegetables can then transition to a normal diet. For cesarean section patients, half-body anesthesia is generally used for cesarean section, which has less impact on the gastrointestinal tract. Liquids are generally given after the operation, but flatulence foods such as milk and soy milk should not be used; normal diet can be restored after anal exhaust. For women who have undergone general anesthesia or have complicated surgical conditions after cesarean section, their diet should follow the doctor's advice.

    During the puerperium, you can eat more eggs, poultry meat, fish, animal liver, animal blood, etc. than usual to ensure adequate supply of high-quality protein and promote milk secretion, but not excessive. We must also pay attention to the intake of fruits and vegetables. Recommended daily food for lactating mothers: 250~300 g of cereals, 75 g of potatoes, no less than 1/3 of whole grains and miscellaneous beans; 500 g of vegetables, of which green leafy vegetables and colored vegetables such as red and yellow account for more than 2/3; fruits 200~400 g; fish, poultry, eggs, meat (including offal) 220 g per day; 400~500 ml milk; 25 g soybeans, 10 g nuts; 25 g cooking oil, salt no more than 6 g. In order to ensure the supply of vitamin A, it is recommended to eat animal liver 1-2 times a week, with a total of 85 g of pig liver, or a total of 40 g of chicken liver. The content of macronutrients such as protein, fat, and carbohydrates in milk is generally relatively stable, while the concentration of vitamins and minerals is more easily affected by the lactating mother's diet. The most susceptible nutrients include vitamin A, vitamin C, vitamin B1, vitamin B2, vitamin B6, vitamin B12, iodine and fatty acid composition. Therefore, we must pay attention to adequate and balanced nutrition during lactation to ensure the quality and quantity of milk.

    So, what are the taboos of the breastfeeding diet?

    Smoking and drinking will affect the secretion of milk, and the nicotine and alcohol in tobacco can also enter the baby's body through the milk, affecting the baby's sleep and psychomotor development. In addition, the caffeine in tea and coffee may cause excitement in babies, and nursing mothers should avoid drinking strong tea and large amounts of coffee. Therefore, lactating mothers should avoid smoking and drinking, and prevent mothers and babies from inhaling second-hand smoke. Nicotine in tobacco can enter milk, and smoking can reduce milk secretion by inhibiting oxytocin and prolactin. Although the breast does not store alcohol, the alcohol content in the breast milk is positively correlated with the mother's blood alcohol content. Studies have shown that the mother's milk production can be reduced by about 20% after 3 to 4 hours after drinking. In addition to reducing lactation, drinking alcohol can also change the smell of milk, thereby reducing the baby's milk intake. The mother's drinking also affects the baby's sleep. It has been reported abroad that the baby's sleep time was significantly reduced 3.5h after the mother's drinking. In a prospective cohort study, researchers found that maternal drinking can adversely affect infant gross motor development. Strong tea and coffee contain a lot of caffeine. Studies have shown that caffeine intake by lactating mothers can cause irritability and affect sleep quality in infants. Long-term intake can affect infant nervous system development. Therefore, during breastfeeding, mothers should avoid tobacco and alcohol, and avoid drinking strong tea and coffee.

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