Restoration of the body after a caesarean section. After caesarean sex life: doctor's recommendations. Recovery period after caesarean section

Caesarean section is used in cases of impossibility independent childbirth for different reasons. After caesarean section, as well as after other operations, some prohibitions and recommendations are assumed in the recovery period. What can not be done after a cesarean and what can be done in the postoperative period should be known to every woman preparing for surgery.

The first day of the postoperative period

After a caesarean section, the woman is in the intensive care unit. At this time, the woman in labor receives intensive rehabilitation therapy. Depending on the condition of the woman, she may be prescribed drugs to restore lost blood, antibacterial drugs, and drugs that restore bowel function.

On the first day after the operation, you can not eat. You can drink water with lemon juice. It is also not recommended to sit down on the first day. In the first 24 hours after a caesarean section, a woman receives all nutrients intravenously in the form of droppers.

Second postoperative day

If the operation went without complications and the condition of the woman in labor is stable, the young mother is transferred to the postpartum therapy ward on the second day. Every woman who has undergone surgery is advised about the therapeutic methods of postoperative treatment. Seams after caesarean section are treated 2 times a day.

Antibacterial therapy continues. Prohibitions at this time become less strict. The ban on solid food remains. Mom can already eat broths, natural yogurt, boiled meat, chopped in a blender. You can also drink tea, compotes and fruit drinks. Food should be limited. You need to eat small portions 5 - 6 times a day.

Starting from the second day, you must begin to move independently. However, getting out of bed abruptly is not recommended. You need to get up carefully, turning on your side and lowering your legs to the floor. It will be difficult in the first days, but physical activity after the operation is very important for the speedy recovery of all body functions.

In addition, starting from the second day after the operation, it is necessary to apply the newborn to the breast as often as possible. You need to lift the child carefully, without straining the abdominal muscles. This will help to establish lactation and contribute to the rapid contraction of the uterus.

Third postoperative day

On the third day after caesarean section, the ban on solid food remains. You can gradually include porridge, low-fat cottage cheese, low-fat kefir, steam cutlets, vegetable or fruit puree in the diet. There is a ban on overeating. You need to eat often, but in small doses.

You still can’t get out of bed abruptly and strain your muscles abdominals. Until the postoperative suture is tightened with a scar, you can not take a shower. The first careful bathing can be carried out no earlier than the 7th day after the operation. In this case, you can not rub the seam with a washcloth. You can lightly lather it with soap and rinse with warm water. It is important to thoroughly blot the seam after bathing with a soft towel. Make sure the seam is dry. On the recommendation of doctors, if necessary, the seam should be treated with antiseptic solutions.

Seams in the postoperative period

Depending on the suture material that was used during the operation, the sutures may or may not be absorbable. Today, in most cases, surgeons use sutures that do not need to be removed after surgery.

The threads dissolve within 2 months after surgery or remain in the patient's body and do not require removal. At proper care and following all the recommendations, the suture is quickly tightened and becomes almost invisible after 3-6 months after the intervention.

In order to avoid problems with the seams, you can not remove the bandage yourself. It is necessary to strictly follow all the recommendations of doctors and follow the instructions of specialists. In the normal state of the seams, the woman is discharged home on the 7th - 10th day after the caesarean section.

Home restoration

Despite the fact that the woman returned home, she must strictly follow the recommendations of the doctors in the first weeks after the operation. You can not abruptly raise the child, it is better if you feed him. No need to do hard work and overwork.

Doctors do not recommend lifting weights and insist that the only thing a woman can lift in the postoperative period can be a newborn baby. The rest of the housework associated with lifting weights must be entrusted to family and friends.

The diet is gradually returning to the dishes familiar to women. However, the ban on sweet, fried, fatty remains. Also, throughout the entire postoperative period, it is forbidden to eat legumes, cabbage, citrus fruits, sausages, canned foods and bakery products.

Later, when the woman has fully recovered from the operation, these products can be introduced into the diet, carefully observing the reaction of the newborn. If the baby reacts with allergic reactions or indigestion, some food restrictions may continue throughout the duration of breastfeeding.

Intimate life in the postoperative period

Depending on the condition of the woman, the ban on sexual activity can vary from 1.5 to 2 months after a cesarean section. This question the attending physician must decide, based on the examination and the dynamics of recovery in the postoperative period.

If complications arise, such as infection of the suture, inflammation of the uterus, endometriosis, etc., the ban on intimate relationships can be extended until complete recovery. In any case, intimate life can be resumed only after the discharge has stopped and the sutures have completely healed.

Sports in the postoperative period

Many women are interested in the question of when to start physical exercise to restore the figure. If women who have given birth on their own can start playing sports immediately after being discharged from the hospital, then with women who have undergone a caesarean section, everything is completely different.

After the operation, it is necessary to withstand at least 1.5 months before starting physical exercises. It is necessary to start classes with minimal loads, gradually increasing the number and pace of exercises.

You can do exercises to strengthen the muscles of the press only after the permission of the attending physician.

Before that, you can do light gymnastics, which is aimed at raising vitality and mood.

Repeated births

Women who have given birth with the help of surgery are highly discouraged from planning a pregnancy earlier than 2 years after the surgery. During this time, the scar on the uterus will completely heal and will not be able to adversely affect a subsequent pregnancy.

Subject to all recommendations, the woman quickly recovers after operational delivery and may plan to have a second child in the future. Repeated births in this case, most likely, will also take place with the help of surgical intervention. However, there are cases of independent childbirth after surgery.

Caesarean section is considered complex operations primarily due to the fact that the recovery process is quite difficult. Moreover, a young mother has a lot of worries about caring for a child. All this requires willpower. How to quickly and less painlessly return to the form we will tell you in this article.

Flawlessly, the most difficult and responsible will be the first days after a cesarean section. Any movements will be difficult - turning over on your side, coughing, reaching for things. To make all this less painful, listen to the advice of doctors and do everything according to the following scheme.

For example, turning over on your side you need to bend your knees so that your feet rest on the bed. Then, lift your hips and straighten your body from your shoulders to your knees. Next, turn your hips to the side and slowly lower them. And only then turn the upper body on its side. By the way, many women after a cesarean section claim that lying on their side is much easier, because in this way it is almost impossible to damage the seams. In addition, the elbows get rid of unpleasant friction.

Immediately after the operation, the woman is monitored by specialists, in particular a nurse and an attending physician. You will constantly measure body temperature, pulse, frequency, monitor the intensity of vaginal discharge.

You will be allowed to get up or stand on your feet for the first time no earlier than 12 hours after the operation. Although this decision is made by the attending physician depending on the specific situation after childbirth. It will be quite difficult to get up for the first time, a nurse will help you or close person. In addition, there is a high chance that you will feel weak or even dizzy. This condition may accompany you for several days. But it will be possible to sit down only two or three days after the caesarean section.

But you also need to get out of bed correctly. To begin, turn gently on your side and hang your legs over the edge of the bed. Then slowly bring your whole body into sitting position. After a short rest, move your legs. After we lower our legs to the floor and stand straight. There is no need to be afraid that the seams will disperse, they will only stretch a little. If you get used to standing like this, then try taking a small step.

A separate problem for women who gave birth by caesarean section is an unpleasant cough. Let's start with the fact that this is a completely natural phenomenon after surgery. So after general anesthesia out of the lungs mucus that has accumulated. It is necessary to cough correctly so that there are no torn stitches after the operation. So, be guided by the following rules:

• We will slightly strengthen the seams with our hands or a small pillow. Although, you can tie yourself with a towel;
• inhale deeply and thus completely fill the lungs with air;
• then we exhale completely, do it sharply, but do not forget about accuracy. In this case, the stomach must be drawn in, and not inflated;
• we exhale, making a sound similar to "woof".

All these actions must be done several times within an hour. Your “barking” will be relevant if you feel gurgling or sobbing in the chest area.

Almost every woman who recovers from a caesarean section experiences unpleasant abdominal cramps. These are intestinal gases. The fact is that after the operation, the work of the intestines slows down a little. Everything can be brought back to normal if you breathe deeply. Rocking in a chair also helps. Flawlessly, eliminate carbonated drinks and foods that cause gas from your diet.

As for urination, difficulties are also possible here. In order for everything to normalize, you need to drink plenty of fluids.

Rapid recovery after caesarean section is largely due to. If on the first day only water with lemon is allowed, then on the second day you can eat liquid food. And then slowly, but still, the body will begin to recover.

Gain strength, patience and, most importantly, do not rush. Many women go through this and then decide to have a second child.

Health to you!

Specially forMaryana Surma

A caesarean section is an operation to deliver a fetus by removing the abdominal wall and uterus through an incision. The postpartum uterus returns to its original state within 6-8 weeks. Traumatization of the uterus during surgery, edema,

the presence of hemorrhages in the suture area, a large number of suture material slows down the involution of the uterus and predisposes to the occurrence of postoperative purulent-septic complications in the pelvic area with involvement of the uterus and appendages in the process. These complications after caesarean section are 8-10 times more common than after vaginal delivery. Complications such as endometritis (inflammation of the inner layer of the uterus), adnexitis (inflammation of the appendages), parametritis (inflammation of the periuterine tissue), further affect the reproductive function of a woman, because. can lead to menstrual irregularities, pelvic pain syndrome, miscarriage, and infertility.

The initial state of women's health, the choice of a rational method and technique for performing the operation, the quality of the suture material and antibiotic therapy, as well as the rational management of the postoperative period, the prevention and treatment of complications associated with operative delivery, determine the favorable outcome of the operation.

A transverse incision in the lower segment of the uterus is made parallel to the circular muscle fibers, in a place where there are almost no blood vessels. Therefore, it least of all injures the anatomical structures of the uterus, and therefore, to a lesser extent disrupts the course of healing processes in the operating area. The use of modern synthetic absorbable sutures contributes to the long-term retention of the wound edges on the uterus, which leads to an optimal healing process and the formation of wealthy scar on the uterus, which is extremely important for subsequent pregnancies and childbirth.

Prevention of complications after caesarean section

Currently, in order to prevent maternal morbidity after cesarean section, modern highly effective broad-spectrum antibiotics are used, since microbial associations, viruses, mycoplasmas, chlamydia, etc. play a large role in the development of infection. reduce their negative impact on the child. In the postoperative period, preference is given to short courses of antibiotic therapy in order to reduce the flow of drugs to the child through mother's milk; with a favorable course of caesarean section after surgery, antibiotics are not administered at all.

On the first day after the caesarean section, the puerperal is in the intensive care unit under the close supervision of medical personnel, while monitoring the activity of her entire body. Algorithms for the management of puerperas after caesarean section have been developed: adequate replenishment of blood loss, anesthesia, maintenance of the cardiovascular, respiratory and other body systems. It is very important in the first hours after the operation to monitor the discharge from the genital tract, because. there is a high risk of uterine bleeding due to impaired uterine contractility caused by surgical trauma and the action of drugs. In the first 2 hours after the operation, a constant intravenous drip of drugs that reduce the uterus is carried out: OXYTOCIN, METHYLERGOMETRIN, an ice pack is placed on the lower abdomen.

After general anesthesia, there may be pain and sore throat, nausea and vomiting.

Withdrawal pain after the operation is given great importance. After 2-3 hours, non-narcotic analgesics are prescribed, after 2-3 days after the operation, anesthesia is carried out according to indications.

Surgical trauma, entry into the abdominal cavity during the operation of the contents of the uterus ( amniotic fluid, blood) cause a decrease in intestinal motility, paresis develops - bloating, gas retention, which can lead to infection of the peritoneum, sutures on the uterus, adhesions. An increase in blood viscosity during and after surgery contributes to the formation of blood clots and their possible blockage of various vessels.

In order to prevent intestinal paresis, thromboembolic complications, improve peripheral circulation, eliminate congestion in the lungs after artificial ventilation, early activation of the puerperal in bed is important.

After the operation, it is desirable to turn in bed from side to side, by the end of the first day, early rising is recommended: first you need to sit in bed, lower your legs, and then start getting up and walking a little. You need to get up only with the help or under the supervision of medical staff: after a sufficiently long lying down, dizziness and a fall are possible.

Not later than the first day after the operation, it is necessary to begin drug stimulation of the stomach and intestines. For this, PROZERIN, CERUKAL or UBRETID is used, in addition, an enema is made. With an uncomplicated course of the postoperative period, intestinal motility is activated on the second day after the operation, the gases leave on their own, and on the third day, as a rule, there is an independent stool.

On the 1st day, the puerperal is allowed to drink mineral water without gases, tea without sugar with lemon in small portions. On the 2nd day, a low-calorie diet is prescribed: liquid cereals, meat broth, soft-boiled eggs. From 3-4 days after an independent stool, the puerperal is transferred to a general diet. It is not recommended to take too hot and too cold food, solid foods should be introduced into your diet gradually.

On the 5-6th day, ultrasound examinations of the uterus are carried out in order to clarify its timely contraction.

In the postoperative period, the dressing is changed daily, examination and treatment of postoperative sutures with one of the antiseptics (70% ethyl alcohol, 2% iodine tincture, 5% potassium permanganate solution). The sutures from the anterior abdominal wall are removed on the 5-7th day, after which the issue of discharge home is decided. It happens that the wound on the anterior abdominal wall is sutured with an intradermal "cosmetic" absorbable suture suture material; in such cases, there are no external removable seams. Extraction is usually carried out on the 7-8th day.

Establishing breastfeeding after cesarean

Breastfeeding is often difficult after a caesarean section. They are due to a number of reasons, including pain and weakness after surgery, drowsiness of the child against the background of the use of painkillers or impaired adaptation of the newborn during operative delivery, the use of mixtures to give the mother "rest". These factors make it difficult to establish breastfeeding. Due to the need for a low-calorie diet for 4 days, the formation of lactation occurs against the background of a deficiency in the diet of a nursing woman of macro- and microelements, which affects not only the quantity, but also the quality of milk. Thus, the daily secretion of milk after cesarean section is almost 2 times lower compared to spontaneous childbirth; milk has a low content of the main ingredients.

It is important to ensure that the baby is attached to the breast in the first 2 hours after the operation. At present, most obstetric institutions operate on the principle of joint stay of mother and child.

Therefore, if everything went without complications, you can express a wish to leave the baby next to you and start breastfeeding under the supervision of the staff, as soon as the anesthesia wears off and you have the strength to take your baby in your arms (approximately 6 hours after the operation). For puerperas who, for various reasons, breastfeeding is postponed for more than late dates(the birth of children requiring special treatment, the occurrence of complications in the mother), you should resort to expressing milk during feeding hours to stimulate lactation.

One of the main conditions for successful breastfeeding after caesarean section is to find a position in which a woman is comfortable to feed her baby. On the first day after surgery, it is easier to feed lying on your side. Some women find this position uncomfortable because at the same time, the seams are stretched, so you can feed while sitting and holding the baby under your arm (“soccer ball from under your arm” and “lying across the bed”). In these poses, pillows are placed on the knees, the child lies on them in the correct position, while the load is removed from the area of ​​\u200b\u200bthe seams. As the mother recovers in the future, the mother can feed the baby while lying down, and sitting, and standing.

In order to stimulate lactation, physiotherapeutic methods of stimulating lactation are used (UVR of the mammary glands, UHF, vibration massage, ultrasound, sound "bioacoustic" stimulation), herbal medicine: a decoction of cumin, dill, oregano, anise, etc. To improve the qualitative composition breast milk must be included in the diet of a nursing mother nutritional supplements(specialized protein and vitamin products): Femilak-2, Milky Way, Mom Plus, Enfimama. All these activities have a positive impact on the performance physical development children during their stay in the maternity hospital, and the mother is discharged with well-established lactation.

Gymnastics after cesarean

6 hours after the operation, you can start the simplest therapeutic exercises and massage of the chest and abdomen. You can perform them without an instructor, lying in bed with your knees slightly bent:

• circular strokes with the palm over the entire surface of the abdomen clockwise from right to left, up and down along the rectus abdominis muscles, from bottom to top and from top to bottom obliquely - along the oblique abdominal muscles - for 2-3 minutes;
• stroking the anterior and lateral surface of the chest from the bottom up to the axillary region, left-hand side massaged with the right hand, the right - with the left;
• hands are wound behind the back and the lumbar region is stroked with the back and palmar surfaces of the hands in the direction from top to bottom and to the sides;
• deep chest breathing, to control the palms are placed on top of the chest: at the expense of 1-2, a deep breath is taken from the chest (the chest rises), at the expense of 3-4, a deep exhalation, while chest lightly press with palms;
• deep breathing with the stomach, palms, holding the area of ​​\u200b\u200bthe seams, inhale at the expense of 1-2, inflating the stomach, exhale at the expense of 3-4, drawing in the stomach as much as possible;
• rotation of the feet, without lifting the heels from the bed, alternately in one direction and the other, describing the maximum big circle, bending the feet towards and away from you;
• alternating flexion and extension of the left and right leg, the heel slides on the bed;
• coughing, supporting the area of ​​\u200b\u200bthe seams with the palms.

Repeat exercises 2-3 times a day.

Getting back in shape after a caesarean

Warm dousing of the body in parts from the shower is possible already from the 2nd day after the operation, but you can take a shower completely after discharge from the maternity hospital. When washing the seam, it is better to use fragrance-free soap so as not to injure the crust. You can immerse yourself in the bath not earlier than 6-8 weeks after the operation, because. by this time, the inner surface of the uterus completely heals and the uterus returns to its normal state. A trip to the bath is possible only 2 months after the doctor's examination.

In order for the postoperative scar to dissolve faster, it can be lubricated with prednisolone ointment or CONTRACTUBEX gel. Numbness may be felt in the area of ​​the scar for up to 3 months until the nerves cut during the operation are restored.

Of no small importance is the restoration of physical fitness after a caesarean section. From the first day, it is recommended to wear a postpartum bandage. The bandage relieves lower back pain, helps to maintain the correct posture, accelerates the restoration of muscle and skin elasticity, protects the seams from divergence, helping to heal the postoperative wound. However, it is undesirable to wear it for a long time, because. muscles have to work, contract. As a rule, the bandage is worn for several weeks after childbirth, focusing on the condition of the abdominal muscles and general well-being. Therapeutic exercises should be started 6 hours after the operation, gradually increasing its intensity. After removing the sutures and consulting a doctor, you can begin to perform muscle strengthening exercises. pelvic floor and muscles of the anterior abdominal wall (Kegel exercise - compression and relaxation of the pelvic floor with a gradual increase in duration up to 20 seconds, retraction of the abdomen, lifting the pelvis and other exercises), which causes a rush of blood to the pelvic organs and accelerates recovery. When performing exercises, not only the physical form is restored, but also endorphins are released - biologically active substances that improve the psychological state of a woman, reduce stress, feelings of depression, low self-esteem.

After the operation, it is not recommended to lift weights of more than 3-4 kg for 1.5-2 months. You can start more active activities 6 weeks after giving birth, given the level of your physical training before pregnancy. The load is increased gradually, avoiding strength exercises on the upper body, because. this may reduce lactation. Active types of aerobics and running are not recommended. In the future, if possible, it is desirable to engage in individual program with a trainer. After high-intensity training, lactic acid levels can increase, and as a result, the taste of milk deteriorates: it becomes sour, and the baby refuses the breast. Therefore, engaging in any kind of sport for a nursing woman is possible only at the end of breastfeeding, and not for lactating women - after the restoration of the menstrual cycle.

Sexual relations can be resumed 6-8 weeks after the operation, by visiting a gynecologist and consulting about the method of contraception.

Second and third births after cesarean

The gradual restoration of muscle tissue in the area of ​​the scar on the uterus occurs within 1-2 years after the operation. About 30% of women after a caesarean section plan to have more children in the future. It is believed that more favorable for the onset of pregnancy and childbirth is the period 2-3 years after the cesarean section. The thesis “after caesarean section, childbirth through the birth canal is impossible” is now becoming irrelevant. For a number of reasons, many women attempt vaginal delivery after a caesarean section. In some institutions, the percentage natural childbirth with a scar on the uterus after caesarean section is 40-60%.

Content:

A caesarean section is an abdominal operation performed under anesthesia or epidural anesthesia. It can be accompanied by a large blood loss, violates the integrity of the peritoneum, often provokes the formation of adhesions in it, among the consequences, endomyometritis or subinvolution of the uterus is diagnosed.

In order for a young mother to return to her usual, healthy, without restrictions lifestyle after surgery as soon as possible, she must at first observe whole line rules. Only in this case is it possible to fully recover after a cesarean section of both the body, and the figure, and the moral state of the woman.

Medical recovery

At first (about a week or a little more), recovery after the operation takes place under the supervision of doctors. The mother spends the first day in the intensive care unit. To help her body adapt, the following activities are carried out:

1. blood loss is corrected;
2. antibiotic therapy is prescribed to avoid infectious complications after surgery;
3. the work of the intestine is stimulated to restore its work;
4. nutrient solutions are introduced through a dropper;
5. the seams are treated with an antiseptic solution;
6. dressings are changed regularly.

If everything is fine, on the second day the young mother is transferred to the general postpartum department. There, her bed rest is already ending: she has to get up, walk herself, feed the baby. In short, lead an active lifestyle. If the caesarean section did not cause any complications, recovery after it after 7-10 days takes place already at home. It is during this time period that a woman in labor with a child is discharged. And here it will be necessary for you to decide for yourself what you can do and what you can’t.

Do not be afraid! Modern antibiotics for recovery of the body, used after cesarean, are quite compatible with breastfeeding so that your baby will not suffer from their intake. But this applies only to light drugs aimed at natural, without pathologies, recovery of the body after childbirth.

Restrictions

Before discharge, the doctor advises the young mother on how to recover from a caesarean section, following certain rules. If a woman takes them into account, the body will quickly return to normal, the figure will return to its former proportions, depression and fears will remain in the past. However, all this will require some effort from her. In particular, during this period there will be a large number of restrictions regarding nutrition, lifestyle and even sex.

It is forbidden:

• eat solid food in the first 3 days: on the 1st day you can lemon water, on the 2nd - chicken broth, on the 3rd - boiled meat, low-fat cottage cheese, yogurt without fillers, fruit drink without sugar;
• sit down for 3 days;
• take a shower, bath (i.e., wet the seam) for 7 days;
• rub the seam with a washcloth for 2 weeks;
• lift more than 3 kg within 2 months;
• work on the press earlier than 1 month after childbirth;
• have sex until they stop;
• give birth within the next 2-3 years;
• abuse wearing a bandage.

Compliance with these rules will allow a young mother to recover faster after a caesarean section, both physically and mentally. morally. If any specific problems arise (the stitches fester, the lochia does not stop for too long, the lower abdomen sags very much, etc.), they also need to be able to competently solve them. The main thing here is not to harm your own body and make sure that the measures taken do not affect the child in any way.

And further! During the recovery period after a cesarean, a young mother is strictly forbidden to be nervous, worry and not sleep at night. Rest, rest and good mood- that's what she needs in this period the most.

Normalization of the menstrual cycle

The problem is relevant, because physical activity, like exercises, sports, fitness, dancing, is simply prohibited in the first 1-1.5 months. And while mothers who have given birth naturally are already with might and main normalizing the outlines of their bodies, those who have been cesarean only sigh, looking at the sagging “apron” (the so-called postpartum fold). And absolutely in vain. After all, the restoration of the abdomen after a cesarean section is available to them already from the first days of the baby's birth.

Proper nutrition

1. Eat foods rich in iron (boiled lean meats, leafy green vegetables, legumes) and calcium (cheese and yogurt).
2. Take vitamin supplements for nursing mothers from Complivit, Elevit, Vitrum, Alfavit, etc.
3. Eat often, but fractionally.
4. During the recovery period after a cesarean section, it is recommended to drink more juices, fruit drinks, milk, pure mineral water.
5. Eliminate caffeine, fast foods, everything fried, pickled, fatty, smoked, salty.

Physical activity

1. More walking.
2. Sit on a fitness ball.
3. Keep your posture.
4. Draw in the stomach.
5. Walk outdoors daily.
6. Fulfill simple job housework.

Sports

1. From the first day to 5-6 weeks after caesarean section, you need to perform breathing exercises thanks to which the recovery of the body will be much faster.
2. As for the tummy tuck directly, they can be done only 1.5-2 months after the operation. And then only if everything went without complications and the doctor gave his permission.
3. There are lungs, thanks to which the recovery of the abdominal muscles after cesarean is possible already in the first week after the operation. However, they must be performed with extreme caution, smoothly, without making sudden movements.
4. After the stitches are completely healed, you can sign up for a pool, gym, to the fitness club, depending on your preference. All these sports will allow you to quickly restore your former shape after childbirth.

Cosmetics

1. Starting from the 3rd week, the restoration of the figure may include the use of various tightening, anti-cellulite cosmetics.
2. Make wraps for the abdomen and sides at home from kelp, cabbage leaves, honey.
3. Scrubs made from sea and table salt or used coffee grounds will also allow you to remove folds that have sagged after childbirth.
4. Shop masks and creams with the same effect (lifting) should be used very carefully so that their use does not cause suppuration of the seams.

If a young mother sets out to regain her former harmony and become beautiful and attractive again without any wrinkles and sagging on her stomach, restoring the shape is possible if all of the above measures are observed in combination. It's not that easy, but it's doable. As a last resort, if there is not enough time ( most of which is spent on the child) or forces (their expenditure occurs all at the same address), you can always turn to plastic surgery. She will definitely return you a flat, retracted tummy and a slender waist, even after several cesareans.

Keep in mind. If you are not sure that you are already allowed to exercise, it is better not to start exercising. Restoring a figure is much easier than health.

If you are aiming for fast recovery after a caesarean section, so that nothing limits you in communicating with your child, follow the above recommendations and take into account a few more useful tips.

1. If you decide to wear after a cesarean to restore your figure, you do not need to abuse it. It must be removed at night. Yes, and during the day, let the body rest from this design every three hours. This will force the abdominal and uterine muscles to repair themselves, which is much more beneficial for them.
2. For two years after a cesarean, you need to regularly visit a gynecologist and inform him of any abnormalities in your body.
3. To restore the work of the stomach after cesarean, it is not necessary to treat constipation with enemas. Better apply glycerin suppositories and drink kefir.
4. For pain relief, apply ordinary ice to the lower abdomen in the first days after cesarean.
5. Even in the hospital, ask your doctor in advance what painkillers you can drink after a cesarean, and stock up on them. Believe me, they will still come in handy.
6. As a rule, recovery after the second caesarean section is slightly delayed, but not significantly. The uterus contracts more painfully, lochia can go long enough, menstrual cycle does not return to normal immediately. Nevertheless, if all the recommendations are followed, everything will pass with the least losses and complications.

If you have to give birth to a baby by caesarean section, you do not need to worry about the restoration of the body and figure after it. With competent actions and the implementation of certain rules outlined above, complications can be avoided, and the rehabilitation period can be reduced to a minimum.

According to statistics, today every 3-4 pregnancy ends with an operation. The newly-made mother will have to face not only the postpartum period, but also the condition after the operation.

And this is doubly difficult. No one canceled the duties of caring for a baby. No one but you can put the baby to the breast. It is not for nothing that women are interested in how to quickly return themselves to their previous shape.

How to recover after a caesarean section?

The change in your body starts right after the baby is taken out, still on operating table. The uterus reacts to a decrease in volume and shrinks sharply. Thus helping to stop bleeding.

From now on, it will decrease in volume every day. It will be completely reduced somewhere by 2 months. After the operation, an ice pack is placed on your stomach - this is also a means for improved contraction of the uterus and stop bleeding. Be sure to prescribe uterine contraction injections.

Postoperative scars on the uterus, anterior abdominal wall and skin will make themselves felt almost immediately. Especially strong pain in the first 3 days. Pain contributes to the release of stress hormones: adrenaline and noradrenaline, which negatively affects the state of the body, as well as the healing of scars and pelvic organs.

In addition, the tone of the muscles of the anterior abdominal wall decreases in order to save the cut stomach. This can lead to the formation of hernias in the future. You must be prescribed painkillers.

The suture after cesarean will be processed daily. Will be removed for 7-8 days.

Doctors will tell and show, and only you can help yourself.

14 ways to recover faster after a caesarean

1.​After the operation, do not lie down! After the operation, 10-12 hours, and if you had spinal anesthesia, then a day, you will have to keep bed rest. The first time you need to climb in the presence of doctors. The earlier you get up, the better for you.

2.Physical activity. Almost immediately after the operation, it is necessary to move, turn in bed. The seam is tightly sutured with threads, it will not disperse. 3-4 hours after cesarean, you need to perform the first exercises. Bend and unbend the legs at the ankle and knee joints, hands.

3. Do breathing exercises.

• Lying on your back, take your hand to the side - inhale, return to ip. - exhale.
• Lying on your back, with outstretched legs and arms along the body. Raise your straight arms up - inhale through your nose, lower your hands down - exhale through your mouth.
• Lying on the left side left hand under the head, right - along the body, legs straight. Raise your right hand up, touch the pillow - inhale, lower - exhale. Repeat 1-2 times. Repeat on the right side too.
• Lying on your back, legs extended right hand lies on the stomach, left hand on the chest. Inhale through the nose - inflate the stomach, exhale through the mouth - blow it off.

After you can rise, on the 2nd day, start doing the exercises sitting on the edge of the bed, legs lowered.

• Flexion, extension of the legs in the knee joints.
• Inhale - pull your knees to your chest, helping with your hands, exhale - return to SP.
• Inhale - spread your arms to the sides, exhale - draw in your stomach and return to SP.

From 3-4 days:

• Lying on your back, bend your knees, arms along the body. We raise the pelvis and turn it to the right - to the left, lower it.
• Lie on your back, knees bent, arms outstretched. We lower our knees to the right, outstretched arms to the left, we lower our knees to the left, outstretched arms to the right.
• We lie on our back, legs and arms are extended, raise one leg and begin to draw numbers from 1 to 6. Then do the same with the other leg. Every day we add 1 digit and we reach 20.
• To restore the tone of the muscles of the perineum, there is a set of Kegel exercises.

If you do gymnastics, then recovery after a cesarean will go much faster. There will be no adhesions, with time the former elasticity of the tummy will return, in short term the uterus will shrink. But first, you should consult with your doctor.

Against the background of temperature, if during the operation there was a large blood loss, if you have thrombophlebitis, exercises are contraindicated. Do not perform gymnastics through force. Stop exercising if pain occurs.

Caesarean section is not compatible with intense physical activity. You can not lift weights, pump the press, exercise on simulators, run, squat for the first 2-3 months.

Important! It should also be remembered that excessive exercise stress will not promote milk production. Therefore, it is contraindicated for nursing mothers.

3.​ Lactation. Breastfeed your baby. What will it give? During nipple sucking, the body produces oxytocin. It stimulates the production of milk in the mammary glands and the contraction of smooth muscles, i.e. uterus.

In addition, it is a hormone of love that helps the formation of maternal instincts. Oh oh useful properties breast milk for a baby is talked about a lot and everyone knows that there is nothing better.

4.​Anemia. The need for iron during pregnancy and lactation is always increased. With a caesarean section, blood loss is several times higher than after a natural birth.

You may become anemic after surgery. This disrupts tissue healing, uterine contraction and does not in the best way affects well-being. If the doctor says that you have low hemoglobin, then you need to take iron supplements.

5.​ Lie on your stomach. Already on the second day after cesarean, you can lie on your stomach. This will speed up the contraction of the uterus.

The first day after the operation, you will have to endure a urinary catheter. This is not pleasant and makes it difficult to move. It is placed before surgery to control the amount and color of urine, as well as to prevent injury to the bladder during surgery.

After the operation, they also consider how much urine was released per day. This is important to assess if there has been damage to the bladder or ureters. Empty bladder, important condition for the correct contraction of the uterus, and you will not be able to get on the ship on your own for the first 12-24 hours.

After the operation, you may experience constipation. This is due to reduced intestinal tone, hormonal stress and, of course, an inactive lifestyle. If there is no stool by the third or fourth day, you will be given an enema.

Drink more water move more. Eat more fruits and vegetables at home fermented milk products, soups and cereals with buckwheat and pearl barley, vegetable oils.

7.​ Nutrition. The body needs strength to return to normal after surgery, as well as to feed the child. Therefore, eat more meat, protein is a building material, and you have scars that need to heal.

More fiber: vegetables and fruits, but avoid overseas fruits. Remember that you will be breastfeeding your baby. Therefore, your menu should not harm the baby. Do not eat food with preservatives, spices, spicy sauces, smoked meats, grilled chicken, hot dogs, pizza, fatty and fried. Food should be stewed, boiled and steamed.

8.​ Massage and self-massage will help to restore. It improves skin tone, improves blood circulation and metabolism. Muscle tone also increases.

Interesting! In addition, massage has a positive effect on nervous system. Normalizes sleep, reduces pain sensitivity. You can perform self-massage.

In technique, there are 4 techniques: stroking, rubbing, kneading and vibration.

Already from the first hours, you can stroke your stomach with your palm in a circle, from top to bottom and from bottom to top.

You can use a tennis ball. Write them out in a circular motion clockwise starting from the navel.

Perform a massage with a contrast shower.

9.​ Wear a bandage. It will relieve pain, support weakened abdominal muscles. The bandage is especially indispensable in the first days and weeks. In the prone position, the bandage is not needed, only when moving. Do not wear the bandage for more than 3 hours. From 4-6 weeks, the bandage is not needed, and its prolonged wearing can lead to the opposite effect, i.e. weakening the press.

10.​ Hygiene. Unfortunately, if you had a caesarean section, then you will be allowed to take a shower only after the suture is removed and then on condition that it has healed well. This will happen in about a week.

Before this, it is necessary to wash in parts so as not to wet the seam. Be sure to observe intimate hygiene: it is necessary to wash yourself with soap after each visit to the toilet.

11.​ Watch for secretions.

• In the first 3 days they are bright red and very plentiful.
• From 4 to 10 days pink-brown e or brown. Every day their number decreases, and the color becomes lighter.
• By day 10 yellowish or white spotting.
• By 3 weeks they contain streaks of mucus.
• The discharge will completely stop by 6-8 weeks.

If they are very abundant, dirty in color and with bad smell, while you are worried about pain in the lower abdomen or a fever, you should consult a doctor. Perhaps complications have arisen that will slow down the recovery of the body after childbirth and the healing of the scar on the uterus.

12.​Dream. The body must be well rested. Sleep during the day with your baby.

13.​ Properly care for the scar on the skin. The stitches will be removed on the 6-7th day. If there are no complications, take a shower every day at home, but do not rub the incision area with a washcloth. After a shower, treat it with brilliant green, unless the doctor prescribes anything else upon discharge.