What Are the Checks Included in the 42-Day Postpartum Follow-Up After Cesarean Delivery?
Cesarean section is a very important mode of delivery. It can cause certain harm to women's bodies. After surgery and recuperation, it is necessary to go to the hospital for a follow-up examination, which generally includes routine examination, pelvic floor examination, uterine examination, wound examination, and breast examination. In addition, the mental state also needs to be evaluated.
Routine examination includes weight, blood pressure, blood sugar, urine and stool routine, etc. These basic examination items can provide a comprehensive basic assessment of the mother's body. If the doctor finds that the mother has overweight, anemia, infection, etc., they will arrange timely treatment and provide guidance on daily life.
Pelvic floor examination can understand the recovery of muscle tissue tension in the pelvic floor of the mother, and prevent the occurrence of pelvic floor dysfunction such as urinary leakage and uterine prolapse. If pelvic floor dysfunction is not treated in time, it will seriously affect the quality of life of women in the future.
Palpate the fundus to understand the recovery of the uterus. In addition, it is also necessary to understand the condition of the cervix to see if there is still lochia. Normally, lochia lasts for about 3 weeks, and as the uterus recovers, lochia mostly turns into transparent leucorrhea.
Cesarean section also requires checking the healing of abdominal wounds. During the examination, the doctor will observe the recovery of the wound, such as whether the wound is soft and whether there is adhesion. Although mothers who give birth naturally recover faster, if there is a lateral incision, it is also necessary to check the wound healing to see if there is infection.
The doctor will inquire about the breastfeeding situation of the new mother and check whether there is inflammation in the breasts and nipples. Pure breastfeeding is encouraged for 4 to 6 months, and then breastfeeding can continue with the gradual introduction of complementary foods. If there are problems with breastfeeding, you can further consult a breastfeeding consultant. If there is discomfort in the breasts, it can be further treated by a professional breast surgeon.
During the examination and conversation, the doctor will observe the new mother to determine whether there is a tendency for postpartum depression.