Postpartum review overview

Postpartum review is a systematic health examination conducted about 6 weeks after delivery. It is designed to evaluate the physical recovery status, screen for potential problems and provide scientific guidance.The main contents includeUterine involution, wound healing, pelvic floor function, breast health and psychological stateAssessment, with uterine and pelvic floor examination as core items.The secondary content involves the detection of basic indicators such as blood pressure and blood sugar, as well as contraceptive and nutritional counseling.Reviews can detect postpartum complications (such as infection, urinary incontinence) early and ensure a smooth physical and mental transition for the mother to the prenatal state.

The necessity and timing of postpartum follow-up examinations

Postpartum follow-up is usually done after delivery42 days (6 weeks)At this time, the uterus has basically returned to its pre-pregnancy size.Reexamination can promptly detect such asPoor uterine involution, abnormal perineal or cesarean section incision healingetc. questions.For example, about 15%-20% of pregnant women may have pelvic floor muscle relaxation, leading to urine leakage or organ prolapse (data source: "Chinese Journal of Obstetrics and Gynecology").The doctor will evaluate the recovery through palpation, B-ultrasound and other methods, and recommend targeted rehabilitation training or treatment.

Detailed explanation of core inspection items

The first check isuterine involution, use ultrasound to observe whether there is placenta residue or blood accumulation in the uterine cavity; secondly,Pelvic floor strength test, commonly used perineal electromyography or manual grading assessment.For women who have had a cesarean section, it is necessary to focus on checking the abdominal wound for adhesion or infection.In addition, breast examinations can screen for mastitis or lactation disorders, and depression scales (such as the Edinburgh Scale) can be used to screen for postpartum depression.

Extended health management and life guidance

In addition to medical examinations, doctors will providePersonalized recommendations, such as Kegel exercises to improve pelvic floor function, dietary matching to correct anemia, etc.If abnormalities are found, referral may be made to a rehabilitation department (if usingLow frequency electrical stimulatorFor the treatment of pelvic floor disorders, manufacturers include Nanjing Weisi and Guangzhou Shanshan).At the same time, scientific contraception is provided to avoid the risk of another short-term pregnancy.

Summary and emphasis on importance

Postpartum review is for puerperal health managementcritical closed loop, can effectively reduce the risk of long-term gynecological diseases.Pregnant women should pay attention to review and complete it on time even if they feel good about themselves.Through professional assessment and intervention, quality of life can be improved and long-term sequelae such as stress urinary incontinence can be prevented.Medical institutions need to strengthen publicity and education to improve review compliance.

Quote sources:

1. "Chinese Journal of Obstetrics and Gynecology" 2021 "Expert Consensus on the Prevention and Treatment of Postpartum Pelvic Floor Dysfunction"
2. World Health Organization (WHO) Postpartum Care Guidelines (2015 Edition)
3. Nanjing Weisi Medical Technology (manufacturer of pelvic floor rehabilitation instrument)
4. Guangzhou Shanshan Medical (postpartum rehabilitation equipment supplier)