Recovery of the uterus after delivery

The uterus is an important body organ for women and bears the important mission of extending life. After a woman gives birth to a baby, the uterus enters the recovery period, and the length of the recovery period and the recovery situation have a greater relationship with individual factors. So, how big should a woman’s uterus after giving birth be normal?

How big is the postpartum uterus
After a woman has given birth to a baby, the recovery of the uterus usually takes 42 days. When the baby is just born, the size of the uterus and the baby’s head are similar, and the weight is about 1kg. After 4 to 6 weeks after delivery, the uterus will return to its pre-pregnancy size, which is the size of an egg, weighing 50 to 70g. This process is also called involution of the uterus, which relies on continuous uterine contractions. About 42 days after giving birth, the mother has to go to the hospital for an obstetrics and gynecology examination to confirm whether the uterus is restored to normal size. Because of individual differences, the standards mentioned here are also for most people. Besides judging the recovery of the uterus by the size of the uterus, what are the signs of recovery of the uterus?

Signs of uterine recovery
1. The uterus drops. During pregnancy, after the placenta is expelled, the uterus will contract, and the spherical uterus can be touched on the abdomen. At this time, the hardness of the uterus is relatively large, and the highest point is flush with the belly button. Subsequently, the height of the uterus will decrease gradually with the day, dropping by about 1 to 2 cm every day. 10 to 14 days after delivery, the uterus will descend into the small pelvic cavity. At this time, the abdomen cannot touch the uterus.

2. The cervix is ​​closed. After delivery, the cervix will be very soft due to edema and bleeding, and the cervical wall will be very weak. When it is wrinkled, it will be like a cuff, and it will return to its pre-birth shape within 1 week. The internal opening of the cervix will also be closed in 7 to 10 days, and the size of the cervix will not return to its normal size until 4 weeks after delivery.

3. Recovery of the endometrium. After the placenta and fetal membranes are separated from the uterine wall, they will be discharged through the mother’s body, and the basal layer of the endometrium will regenerate the endometrium. About 10 days after delivery, the uterine cavity will be covered with new endometrium except where the placenta is attached. After the delivery is completed, the area of ​​the uterine wall to which the placenta is attached is approximately the size of a palm. About 2 weeks postpartum, the diameter is reduced to about 3cm; after 6-8 weeks, it will be fully recovered.

4. Exhaust lochia. After delivery, the removal of lochia is a signal that the uterus has completed recovery. Within 3 days after childbirth, the amount of lochia is large, the color is bright red, and it contains a lot of blood, necrotic decidua, small blood clots, etc. This is also called bloody lochia; 3 to 5 days after childbirth, the lochia will change, the color is light red, blood It is called serous lochia due to reduced volume and more cervical mucus; 10 to 14 days postpartum, lochia turns white or light yellow, and contains a large amount of decidual tissue and white blood cells, also called white lochia; postpartum 4~ At 6 weeks, the secretion of lochia stopped and the uterus basically returned to normal.

How to promote uterine recovery
1. Urinate in time. After the delivery, the parturient often suffers from decreased muscle tone, mucosal congestion, bladder compression, perineal pain, etc., combined with bed-ridden urination, prone to urinary retention, which causes the bladder to expand and hinders the uterine contraction, which makes the parturient in labor. Bleeding or cystitis afterwards. Therefore, women who want to recover the uterus as soon as possible must urinate in time.

2. Uterine massage. The recovery of the uterus depends on the contraction of the uterus. Therefore, the doctor in the delivery room will help the parturient who has finished giving birth to massage the uterus and use drugs for contraction of the uterus. After mothers go home, they can also perform uterine massage with the help of family members to promote uterine contractions.

3. Breast massage. The baby’s breastfeeding process causes the uterus to contract. With reference to this physiological principle, breast massage or using a hot towel to apply heat to the breast can achieve a similar effect and promote uterine contractions.

4. Avoid abdominal exertion. Parturients should try to avoid exerting lower body force, such as squatting and moving heavy objects. At the same time, they should prevent constipation and keep their abdomen warm. However, it is not completely incapable of exercise. Some exercises such as abdominal breathing, lying in bed, raising buttocks, knee-chest and horizontal exercises can be carried out, which have a good effect on the recovery and contraction of the lower abdomen and uterus.

5. Levator movement. The levator anus refers to the contraction of the anus, and the puerpera who gives birth can perform the levator anus exercise on the day of delivery. Each levator should be maintained for 20 to 30 seconds, and then relax, 3 to 5 times in each group. You can also adjust the time for keeping the levator anus in motion according to your physical condition.

In short, postpartum women should actively take rehabilitation measures to ensure the speed of physical recovery. Among them, the recovery of the uterus is particularly important. Through the introduction of this article, mothers can understand the signs of uterine recovery, learn some measures to promote uterine recovery, and promote the recovery of health.