Everyone who is a mother has the experience that although the process of raising a baby is sweet, it is a challenge to the body. From pregnancy to childbirth, the changes experienced by the female body and the problems brought about by the changes may be far beyond our imagination.
Being pregnant and having a baby is very stressful
○ In order to welcome the baby, the body will make adjustments
In addition, the center of gravity of the mother-to-be will shift, and the curvature of the thoracic and lumbar spine will increase. These problems will cause muscular dysfunction, such as lengthened abdomen, shortened back muscles, and bring discomfort such as pain.
○ The birth of a baby is a joy and a test of the body
In October, after giving birth, the birth of a baby is an expression of "desperate love" by mothers.
In modern medicine, confinement is called the "puerperium" and it usually only lasts six weeks, but postpartum rehabilitation does not just refer to these six weeks. The term "return to pre-pregnancy" during the confinement period refers to the involution of the uterus, that is, the size and position of the uterus are restored to their pre-pregnancy state, while the recovery of other body functions requires more time.
For example, the endocrine function after childbirth is completely restored, and it is necessary to wait at least three months after the end of the lactation period for the hormones to return to normal levels.
"Confinement" also has indicators
The China Health Care Association and United Family Healthcare announced the quality control and operating standards of medical institutions for postpartum rehabilitation services in the "2018 China Postpartum Rehabilitation Services White Paper".
The standard points out that postpartum rehabilitation institutions should achieve: the rate of exclusive breastfeeding is greater than 50% per month, the improvement rate of rectus abdominis is greater than 75%, the satisfaction of patients' medical experience is greater than 90%, and the completion rate of initial screening for postpartum depression is 100% per month. The incidence of mastitis is less than 5% per month, and the rate of neonatal umbilical cord infection is less than 5% per month.
In the past, our inherent thinking was that as long as the confinement has been sitting for enough days, it is considered "achieving the target." But in fact, "confinement" should also have specific rehabilitation indicators. The recovery indicators and plans should be formulated according to each postpartum mother’s problems, physical needs and personal wishes.
Use visible indicators to improve training motivation and ensure rehabilitation effects.
○ Scientific postpartum rehabilitation can lay the foundation
For example, hydrotherapy can help mothers reduce edema, relieve postpartum pain, improve muscle strength, and shape postpartum body. It is a training program that is very suitable for the recovery of pelvic floor muscle function.
Another example is electrical stimulation therapy, which can effectively help women restore pelvic floor muscle function. The operation is simple and there is no pressure for mothers to cooperate.
For damaged pelvic floor muscles, there are a series of treatments and training methods according to the degree of damage.
Kegel training method
Kegel training method, also called Kegel exercise, is a set of methods invented by American psychologist Dr. Arnold Kegel to help women train to achieve orgasm or enhance sexual pleasure. This method It can not only restore the tension of the pelvic muscles, but also solve the problems of women's postpartum urinary incontinence.
The postpartum rehabilitation doctor of Chengdu Women's and Children's Central Hospital told us that the Kegel training method is the most common exercise method for pelvic floor muscle repair. This method is simple and convenient to operate, but it is very useful for diseases related to pelvic floor organ dysfunction.
Exercise frequency: can be used as a daily training method.
Kegel training method steps:
Contract the pelvic floor muscles for 5 seconds
Relax these muscles for 10 seconds
Repeat the exercise 10 times
ps. When urinating, suddenly hold those muscles that are exerted in the process, that is the pelvic floor muscles. Training generally takes more than 3 months to be effective.
Vaginal dumbbell training
Vaginal dumbbells, also called shrinking dumbbells, are the most commonly used Kegel exercise equipment in the world. It comes in two sizes: classic and mini. Every woman can find the most suitable and effective pelvic floor exercise equipment.
The doctor also mentioned that for the exercise of the pelvic floor muscles, we can also use some special equipment, and the vagina dumbbell is specially used to exercise the pelvic floor muscles, and has different sizes and weight specifications, which is convenient for people of different levels to use and can effectively help Recovery of pelvic floor muscles.
Exercise frequency: 1 to 2 times a day, 15-20 minutes each time
Operation steps of vagina dumbbell training:
The initial exerciser can choose 1# weight, apply special lubricating ointment to the dumbbell, take a supine or squatting position, put the round end of the dumbbell forward, and put it into the vagina one knuckle deep (2cm), and then stand up to perform contraction and relaxation exercises .
After placing vaginal dumbbells, vaginal contraction and relaxation begin to exercise step by step: standing → walking → squatting → going up and down stairs → lifting heavy objects → coughing → beating, gradually increasing the difficulty.
Exercises in the vagina
1. Contract vagina → relax vagina → contract vagina
2. Contract the vagina → hold for 1 second-5 seconds → relax the vagina
When to replace heavier dumbbells?
If you relax and do the above actions, the vagina dumbbells will not completely fall off from the vagina, and if you insist on exercising for a week, you can replace the heavier vagina dumbbells, and so on until the heaviest 5# dumbbell.
ps. Vaginal dumbbells must be washed with hand sanitizer or shower gel before and after each use
Electric shock therapy
For patients with severely damaged pelvic floor muscles or unable to maintain training for a long time, clinically, pelvic floor muscle stimulators will be used to stimulate the pelvic floor muscles to achieve repair.
The principle of treatment is that a weak current is emitted from the vaginal probe or external electrodes to stimulate the contraction of the pelvic floor muscles and the activity of nerve fibers.
This method can be used to treat urinary urgency, stress and urge incontinence, frequent urination, fecal incontinence, etc. It can improve pelvic floor muscle strength and muscle endurance.
ps. After the treatment has recovered to a certain level, exercise can also be combined with the above-mentioned exercise methods for better results
We always say "Being a mother is not easy", but maybe after reading this article, we may really understand. Being a mother is never easy.
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