What do you need to pay attention to in postpartum slimming?

I advise you to lose weight after delivery. Don't overdo it. Health comes first. Let's share a case.

The real postpartum rehabilitation is a physical and mental rehabilitation process that integrates reproduction, breast, physique, skin, psychology and physique. Modern high-knowledge women and urban women generally pay more attention to postpartum rehabilitation, but even if they have enough consciousness, there will inevitably be misunderstandings: some omissions or going too far. The following is a self-reported case of a health practitioner to avoid the pit for everyone's postpartum rehabilitation.

Ms. Sun is 24 years old.

Mode of production: caesarean section

be pregnant

Weight gain is too fast, and there is urine leakage.

Sneezing, coughing and urine leakage (stress urinary incontinence) occurred after 6 months of pregnancy. The weight before pregnancy is 43-44kg, the day of delivery is 70kg, and the weight gain during pregnancy is 26kg；; Fetal birth weight: 3.6kg, weight on the second day after delivery: 63kg.

second trimester of pregnancy

Knee joint discomfort

There is discomfort in the left knee joint in the second trimester, and the doctor suggested strengthening calcium supplementation in the later period.

The main reasons are: regular exercise during college, mild pain in knee joint; Due to excessive weight gain during pregnancy, knee joint pressure increased, moderate discomfort occurred, and postpartum improved.

Within 30 days after delivery

Healthy production project

Within 30 days after delivery, do the following postpartum rehabilitation projects in the hospital: uterine involution (electrical stimulation), moxibustion, breast dredging/lactation (electrical stimulation+Chinese medicine massage); Weight: 58kg.

42 days after delivery

Healthy production project

The rehabilitation projects for 42 days after delivery include pelvic floor muscle repair, rectus abdominis repair, stretch marks repair and body shape repair; About 50 days after delivery, due to poor involution of uterus, oxytocin was treated in community hospital for 3-5 days.

9 months after delivery

Start fitness training

After stress urinary incontinence was treated in the hospital, the first and second muscles were evaluated: grade 4-5; To 9 months after delivery: weight 52.4kg.

Postpartum recovery effect is good, start fitness training (main strength training/3 times a week).

Postpartum 1 1 month

Excessive exercise hurts the knee joint.

Severe discomfort of knee joint occurred 1 1 month after delivery. The results of hospital MRI showed that the left knee joint had bone marrow edema, meniscus injury and joint effusion.

Main symptoms: persistent low fever of 38-38.3℃ for 8-10 days, and late hospitalization for 28 days.

The doctor suggested: Don't do high-intensity physical training for 5-6 years.

As can be seen from the whole case, Ms. Sun has a high awareness of postpartum rehabilitation. Usually, many women's postpartum rehabilitation starts from 42 days after delivery to the hospital for re-examination, and some even begin to pay attention to postpartum urine leakage and other discomfort. Within 30 days after delivery, Ms. Sun has started to do related rehabilitation projects in the hospital: uterine involution (electrical stimulation), moxibustion, breast dredging/lactation (electrical stimulation). The parturient should stay in the delivery room for observation within 2 hours after delivery. After this time, encourage breastfeeding. This process can help the parturient to promote lactation and uterine degeneration. At the same time, electrical stimulation can also be used to simulate breastfeeding for breast dredging/breastfeeding. Items such as uterine involution (electrical stimulation) and moxibustion within 30 days after delivery are also helpful to restore the uterus during the puerperium and eliminate lochia.

suggestion

Postpartum rehabilitation can only be carried out after 42 days of puerperium. According to personal circumstances, the earlier some projects are involved, the better the recovery will be.

Ms. Sun's weight before pregnancy was light, and her weight during pregnancy was neglected, and she gained too much weight, which also caused many problems.

First of all, the problem of her case, because she suffered from slight pain in her knee joint due to physical training, and gained too much weight during pregnancy, which aggravated the knee joint problem. Secondly, the heavier weight increases the pressure on the pelvic floor, so she developed sneezing, coughing and urine leakage (stress urinary incontinence) in the sixth month of pregnancy. In addition, excessive nutrition and excessive weight gain during pregnancy will increase the risk of gestational diabetes and hypertension; The fetus is overweight, and it is easy to have dystocia and injury during childbirth.

suggestion

Weight gain during pregnancy should be controlled reasonably, and the weight gain standard during pregnancy can be formulated according to the body fat index (body mass index) before pregnancy.

Ms. Sun's postpartum rehabilitation programs are very comprehensive: uterine involution (electrical stimulation), moxibustion, breast dredging/lactation (electrical stimulation), pelvic floor muscle repair, rectus abdominis repair, stretch marks repair and body shape repair, which is a more positive attitude. However, because of the rapid weight gain during pregnancy, Ms. Sun was eager to restore her prenatal weight and figure, and started fitness training prematurely, and it was high-frequency and high-intensity strength training, which injured her already problematic knee joint again.

suggestion

Before postpartum exercise, we should first restore pelvic floor function and abdominal muscles to avoid the influence of various postpartum discomfort symptoms such as urinary leakage and organ prolapse. Secondly, postpartum fitness exercise should be a gradual process, not too hasty or too intense.