Postnatal thrombophlebitis (white tumour of feet)
There are cases when for 10-21st day after sorts, seldom later, at women in childbirth one of feet, more often the left falls ill. The woman has a general indisposition, the temperature raises, the foot starts to be ill strongly, swells up, becomes pale, shining, places on it red strips of the stretched hypodermic veins are visible. Sometimes other foot is in the same way amazed also.
Ordinary outcome of process — recover. As to its reason it is caused by corking of a gleam of veins owing to what venous blood circulation in them extremely is at a loss. Formation of such corkings depends on delay of speed of a current of blood, increase of its coagulability and changes of walls of a vein. The postnatal thrombophlebitis is still observed at the women, veins suffering by expansion during pregnancy.
This illness meets seldom. Its duration is various — from several days about several weeks and even months. Bent to a hypostasis and weakness of feet remain sometimes for the whole years. Medical assistance is necessary; before arrival of the doctor it is necessary to give finitenesses raised position.
Hygiene of the postnatal period
During the postnatal period as it is never important to observe rules of personal hygiene as the greatest percent of the female diseases connected with a special susceptibility of an organism to infections, falls for this time.
In the slow last century was considered, that the woman in childbirth should spend the first 8 days to beds, it is as though good it of felt. The modern woman for 4 or 5 day after sorts already leaves maternity home, and for the sixth day starts to turn as fiber in a wheel. Believe, dear ladies, you should have a rest. While the child sleeps, do not rush headlong on kitchen to feed favourite, but not such the helpless husband, take a plaid, a pillow, lay down
More conveniently and at least on hour or so close eyes. There is no need to lay on a back. On the contrary, it is proved, that long preservation of horizontal position contributes to a uterus bend back.
Especially attentive to itself should be the woman who has transferred a Cesarean section. At first it can go only gradually, cautiously, and only gradually, of course, by means of native, the normal rhythm of her life will be restored.
When the woman in childbirth can to allow leave the house? Ordinary, especially in a cold season, it should be kept from walks full six weeks. But it is necessary to adhere to this rule far not in all cases as fresh air perfectly helps to restore forces.
Round the mother all should be irreproachably pure. The underwear should be changed in process of pollution even if at strong it is necessary to do it some times in day. The economy here is extremely dangerous and consequently is unreasonable. The fresh linen should be warmed properly at first and only then already to put on. It is not necessary to let out for one minute from a kind of especial predisposition of women in childbirth to a perspiration and easy possibility to pick up cold.
The bed-clothes also should be changed daily, and thus properly to air bed.
I will add, that air in a room should be fresh. In summertime of year it is possible to hold windows opened wide open, and in cold — often to open window leaves, preserving the woman in childbirth from draughts.
As often we see, that after the first sorts the figure of the woman spoils: breasts droop, and the stomach is stuck out forward! Here not so much pregnancy, how many carrying of wrong, unhygienic clothes, especially in the first months after a birth of the child is guilty. Some mums, having returned from maternity home home, absolutely cease to watch themselves. "Get" into an immense dressing gown, forgetting it once again to wash, neglect a brassiere, do not carry the postnatal bandage ordered by the doctor who are well dragging away stretched belly walls, and here result — dismissed , hardly capable to inspire on feats of own husband. There are also other extreme measures, for example, when the woman in childbirth walks with the kid in a short skirt and thin stockings, earning itself an inflammation of appendages in the winter.
When it is authorised to take the first bath? If the postnatal period proceeds correctly, without rise in temperature, without bleedings etc., to enjoy warm water with addition of any aromatic foam it is possible for 10—11 day after sorts. To remain in a bath follows minutes 10—15, and then it is necessary to lie down.
In the first days after sorts it is very useful to stand some times in day under a shower. It freshens a skin, deletes a perspiration, promotes disclosing of a time and in general well influences health. The shower, even cool, cannot become an occasion to cold in any way.
After sorts the woman in childbirth syringe only when it is demanded by the doctor. After the normal proceeding patrimonial certificate it is better than any syringings not to do, and easier to wash external genitals and the soiled parts of a body a warm disinfectant solution at means of a slice of hygroscopic cotton wool and their soft ironed towel.
The input in a vagina is pawned by a tampon which should be changed in process of pollution. This tampon absorbs in itself postnatal allocation and stirs to penetration of pathogenic microbes inside. At plentiful bleedings to apply tampons it is not recommended.
The food of the woman in childbirth should be digestible, easy and, of course, nutritious. In the first days it can give a chicken broth or to an ear, porridge which easily is digested is very useful, not loading a stomach, and at the same time has those components which so the organism of the woman resolved from burden requires. Well satisfy I thirst for compotes from apples, prunes etc., and also so-called sweet soups and kissels.
For 5—6 day in a diet of the woman in childbirth add a few a boiled hen or a chicken, soft-boiled egg, porridge, , in the rest peeping remains former. It is necessary to refrain from fried meat. Generally speaking, the feeding woman, contrary to the standard opinion, should not use a lot of meat, canned food, snack and marinades to it is better to refuse absolutely as sharp, spicy dishes make bad impact on milk and cause in the child various gastroenteric frustration.
The important place in a food of the woman in childbirth is occupied with milk and dairy products. The strengthened consumption of milk (as in the pure state, and with tea) promotes a lactation, besides, milk contains a large quantity of vitamins and the mineral substances necessary both mothers, and to the child.
In the narrow-minded environment the opinion dominates, that the feeding woman should drink as much as possible. All-knowing grandmothers advise is salty (more often a herring) and quite often force women in childbirth to drink beer. Remember, from excessive drink will not increase milk, a stomach liquids leads to wrong digestion, and as to beer and other spirits — business, as they say, master's, only it is necessary to know, that each drop of alcohol accepted by mother, with milk gets to an organism of the kid.
In the first days after sorts locks, and meanwhile are often observed, for health preservation it is necessary, that the intestines were regularly cleared. help it is mostly empty a little as the bottom department of intestines happens at this time, therefore it is necessary to resort to laxatives. However, it is necessary to notice, that at correct catering services of a delay of intestinal activity should not be.
The feeding woman should look after chest glands carefully. The pure maintenance of chest nipples, them before each feeding warns formation of painful cracks which cause sometimes strong sufferings and quite often lead to disease by a mastitis (mastitis).
© N.I.Mednikov, “secret of female health”
the period. Changes in an organism of the woman in childbirth
As soon as childbirth has safely come to an end, the woman from the lying-in woman is renamed into the woman in childbirth.
the period lasts six weeks as only after this term the sexual sphere of the woman comes to a normal condition.
Upon termination of the patrimonial certificate the woman feels pleasant languor in all body and enjoys full rest. Very often woman in childbirth, soon after sorts, falls asleep a strong dream restoring its force.
The body temperature of the woman in childbirth ordinary raised during the patrimonial certificate, after the lapse of 2—3 hours falls, but then can raise again. In general it should not exceed 38 with. The exception is made by nervous persons at whom without the serious reasons the heat can be observed very much.
Sometimes on the third or for the fourth day the temperature rises to 40 °, that depends from chest glands (a dairy fever). As a rule, the feverish condition proceeds no more than days. However, many doctors consider such increase abnormal and say, that the dairy fever basically should not be.
Women in childbirth in first eight days strongly sweat, that is for them rather salutary phenomenon promoting deducing from an organism of harmful products.
The urine branch is increased at this time, though it can incorporate with complicated owing to at-puhanija either an excess the channel or a pas - bladder conditions. It should be remembered, and at long detention of urine to address for advice to the doctor.
Intestinal activity of women in childbirth the languid; at this time locks which are necessary for eliminating are often observed.
Appetite is in most cases weakened and improves only for 4 or 5 day after sorts. Thirst, on the contrary, is ordinary very great owing to plentiful exudation of moisture from an organism with urine and then.
The hypostases which have arisen in pregnancy, quickly decrease, no less than expansion of veins of the bottom finitenesses. However, last phenomenon in most cases for all life.
Changes on a stomach skin, namely — ruptures of a hypodermic fabric in the form of brilliant white strips, also remain for ever. Brown colouring of an average line of a stomach gradually turns pale, but quite disappears only by six weeks.
Especially strong changes occur in the field of sexual sphere. The uterus quickly decreases, but only upon termination of the postnatal period reaches the normal amount. It is necessary to notice thus, that a giving birth uterus always more not giving birth, behind an exception, of course, painful cases. The uterus weight decreases as follows: after sorts it, on the average, weighs 1000 , two days later — 750 , in the end of the first week — 500 , in the end of the second — 350 and only in the end of sixth it the normal weight, i.e. 40—45
On a level with falling of weight of a uterus its sizes decrease also, and is equal also a thickness of walls. Reduction of the sizes of a uterus occurs so: the fabrics entering into its structure, i.e. Mainly muscular fibres, turn to fatty weights and in such kind are soaked up by blood and lymphatic vessels.
Internal, mucous, the cover of a uterus during the patrimonial certificate partly collapses. The blanket of a uterus and its internal cavity represent as though enormous a bleeding wound, it is especially sharply expressed in that place where has been attached , on which large enough blood vessels are bared. The branch is always accompanied by the big or smaller bleeding, however owing to quickly reductions of a uterus it soon stops, conceding that moderated postnatal , or . For 4—5 day postnatal allocation lose character, become dirtier, brown, and on 2 week they become serovato-white and dense enough.
Duration postnatal is equaled to 6 weeks. At feeding mothers pass faster — for 3—4 weeks. In a word, as soon as the uterus will come in the normal condition, the expirations from it stop also. It is not necessary to be mistaken that the more plentifully allocation, the better. Big specifies in wrong development of the postnatal period, on slow reduction of the sizes of a uterus, let alone that similar bleedings cause an organism exhaustion.
a neck absolutely smoothed during the patrimonial certificate and making direct, without clear borders; continuation cavities, soon comes back to the former condition, in 12 days after sorts it accepts usual size, remaining some time more juicy, richer blood, than ordinary. The copular device of a uterus and pipes also gradually settle into shape.
The vagina and external genitals in the first days after sorts carry on itself traces of the big or smaller damages arising owing to a bruise or their squeezing at passage of a head of a fruit. But these damages to the first days after sorts heal.
Reduction of the sizes of the uterus, depending on its reduction, on the one hand, and from fatty regeneration of its fibres — with another, is quite often accompanied more or less strong pains (more often at ). As a rule, they are observed in first four days after sorts and only in rare instances proceed more. It is noticed: than fight were weaker and the faster there was a patrimonial certificate, the postnatal pains, and on the contrary will be stronger and more long. But, however, their force never happens too considerable and they are transferred ordinary easily. For reduction of pains and the best reduction of a uterus it is useful for women to carry a bandage.
In the postnatal period active development of chest glands proceeds. On the third or the fourth, and sometimes and for the second day it is observed them , breasts become heavy, firm, sensitive, increase in volume, quite often there are the pains extending from a breast to a hand or a shoulder. chest glands it can be accompanied by temperature slight increase. This quite usual physiological phenomenon, and it should not guard the woman.
The first applying of the child to a breast make in some hours after sorts. Surpluses of milk should be decanted. Full chest glands promotes the best formation of milk and, besides, promotes reduction of a uterus till the usual sizes.
The milk allocated from chest glands in first 5—7 days after sorts (colostrum), differs from so-called mature milk both on appearance, and on a chemical compound. It represents a whitish liquid with yellow points and strips. Along with dairy balls through a microscope in it it is possible to consider the big cages — little bodies.
In female milk there are all nutrients necessary for the child and vitamins. The milk branch proceeds about one year. Ordinary by tenth month its quantity starts to decrease, but very often feeding by a breast can be continued within two years.
In feeding by a breast , usually appearing in 3—4 months after sorts, as a rule, have irregular character.
© N.I.Mednikov, “secret of female health”