What are the items that need to be checked 42 days after delivery?

“Be sure to come for a review 42 days after delivery!” Usually, this is the phrase that doctors and nurses remind mothers when they are discharged from the hospital, although it is short, it is especially important for the recovery of the mother’s body and the health of the baby. Why does the hospital require a 42-day review period? The time required from the delivery of the placenta to the recovery of all organs of the mother’s body (except the breast) to the normal state of non-pregnancy is called the puerperium (menstruation). It is usually 6 weeks, or 42 days to recover. The puerperium period is the key stage for a woman to recover as before. During this period, it is important to pay attention to good puerperal health care in order to better complete the postpartum recovery. The 42-day postpartum checkup is to understand the recovery of the mother’s body, to detect maternal diseases in time, and to obtain postpartum nutritional assessment and contraceptive guidance. Of course, the 42-day postpartum checkup does not require that the new mother must be checked on the 42nd day, but generally 42-56 days is fine for the checkup. What are the items that need to be checked at 42 days after delivery? The postpartum checkup includes two parts: mother’s checkup and newborn checkup. Through the checkup, we can not only understand the recovery of mother’s body and baby’s health condition after delivery, but also screen the diseases for early detection, early diagnosis and early treatment. (a) Items that need to be checked by the mother 1. weight: to determine the nutritional status of the mother after delivery, to assess the recovery of the body and the initial examination of the amount of lactation. 2.Blood pressure: Blood pressure after delivery is often slightly higher than that during pregnancy, so this check is especially important for mothers with combined hypertension during pregnancy. 3.Blood and urine tests: To assess the state of postpartum anemia, whether the pre-pregnancy blood hypercoagulability has improved, whether there is a possible combination of infectious diseases, the recovery of the mother’s digestive and urinary system functions, and to further assess the recovery especially for those who have diabetes, hyperlipidemia, liver function damage and other diseases during pregnancy. 4. Gynecological examination and incisional examination: check the formation of abdominal scars of cesarean delivery, whether there are pathological changes such as poor healing of incision, fat liquefaction, incisional hematoma, etc., check the recovery of perineal incision, whether there is incisional granulation formation, whether there is incisional infection and other manifestations. Check the recovery of the cervix and perform vaginal discharge to rule out vaginitis and other conditions. Check the size of the uterus, and if necessary, perform ultrasonography to assess the recovery of the endometrium and exclude residual uterine cavity, etc. 5.Pelvic floor function assessment: no matter vaginal delivery or cesarean delivery, pregnancy will cause certain damage to pelvic floor muscles, some mothers have urinary incontinence, lumbar pain and other discomfort after delivery, through the examination to assess the recovery of pelvic floor muscles, if necessary, pelvic floor rehabilitation exercise treatment for the problem. 6.Breast: check and guide breastfeeding, lactation, check breast lumps, assess breast enlargement, and if necessary, breast milk testing, etc. 7. Contraception, emotional guidance: Some mothers recover ovulation function very quickly after delivery, as they do not necessarily have menstrual flow, but they still need to be alert to the occurrence of unprotected sex leading to unintended conception. Postpartum depression is a more frequent disease at present, and it is necessary to promptly ease the mother’s emotions and require psychological outpatient intervention if necessary. (B) The checkup items needed for babies 1. Growth and development: including length, weight, head circumference, heart and lung function examination, etc., to routinely assess the growth and development of babies. Also the baby’s bowel movement, feeding and sleep. 2, neurological development: assessment of hearing, movement, conditioned reflexes to determine the baby’s neurological development, for premature, asphyxiated children need to be related to the same time to conduct a comprehensive assessment of the examination program. 3, other: including the baby’s umbilical cord shedding, umbilical infection judgment, body erythema rash, etc. So remind all mothers, 42 days postpartum examination is very necessary, not only related to the current health, but also affect the future physical condition, more importantly, also about the lovely child, do not because of trouble or other reasons, and ignore this examination Oh.