1, excessive bleeding during childbirth, how to prevent anemia after childbirth?

Postpartum anemia is caused by anemia that is not corrected during pregnancy and excessive bleeding during childbirth. Anemia can make people weak, loss of appetite, decreased resistance, easy to cause postpartum infection, and can also cause myocardial damage and endocrine disorders, so it should be treated promptly. Hemoglobin 90g / liter or more is a mild anemia, can pass, should eat more animal internal organs, lean meat, fish and shrimp, eggs, milk and green vegetables. Hemoglobin 60 ~ 90 g / liter is a moderate anemia, in addition to improving the diet, need medication, often oral ferrous sulfate, folic acid and so on. Less than 60 grams / liter is a severe anemia, relying solely on the therapeutic effect of the diet, should lose fresh blood several times, restore hemoglobin as soon as possible, reduce the occurrence of sequelae.

2, how to deal with postpartum perineal pain?

There are many causes of perineal pain, and the cause should be clarified before treatment, and then treated separately for different reasons.

During childbirth, if the perineal is not properly protected, or the fetus is large, or the perineal body is long and tight, it can cause perineal laceration. Doing perineal incision suture can also form a wound in the perineum and can be secondary to infection. Excessive compression of the perineum for too long can cause perineal edema. When the perineal wound is sutured, the blood vessel ligation is not complete and will form a perineal hematoma. Exfoliation, swelling, etc. are common causes of perineal pain.

The perineal pain can affect the maternal diet, rest and general recovery in different degrees, so it should be treated in time. For the different causes of perineal pain, the corresponding treatment is given. If the perineal hematoma is found to be large or gradually enlarged, the hematoma should be cut open, the blood clot should be taken out, and then the bleeding point should be found, the hemostasis should be stopped, and the hematoma cavity should be sutured.

If there is a wound in the perineum, the perineal care should be strengthened, and the perineum should be cleaned. The perineal scrub should be performed with 1:1000 benzalkonium solution or 1:15000 potassium permanganate solution twice a day, and the perineal pad can be used. If a wound infection is found, the suture should be removed in time. If there is an abscess, the pus should be cut open, bathed with 1:15000 potassium permanganate, and antibiotics treated with antibiotics.

For patients with severe edema in the perineum, 50% magnesium sulfate can be applied wet twice a day for 15 to 20 minutes to promote the disappearance of edema. Patients with sputum nucleus prolapse can be reimbursed, and those with obvious edema can apply topical hemorrhoid cream or 1:5000 potassium permanganate bath.

3. Why does the body temperature rise after childbirth?

Postpartum women’s body temperature is mostly normal, if the labor process is prolonged, maternal fatigue, low fever, most of them return to normal after 24 hours. 3 to 4 days after delivery, due to breast vascular lymph filling, breast pain, can also cause low fever, but it will not exceed 38 ° C, the milk secretion will be normal after returning. If the postpartum body temperature exceeds 38 ° C or continues to rise, it is mostly caused by infection.

4. What diseases can be caused by postpartum infection?

Upper respiratory tract infection: What diseases can be caused by postpartum infection? After the body is weak, sweating, often causing a cold, the main symptoms are headache, cough, sore throat, etc., accompanied by fever.

Acute mastitis: often caused by rupture of the nipple or milk stagnation. Breast redness, pain, accompanied by high fever, chills, body temperature can reach 38 ~ 40 °C.

Acute pyelonephritis: persistent fever, sputum pain in the kidney area, low back pain. A urinary tract has a large number of pus balls.

Calving infection: caused by genital tract infection, chills, fever does not fall, abdominal pain, uterine tenderness, increased lochia, turbidity and odor.


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