What items need to be checked for pregnant women 42 days after delivery

2021-04-14 Read:

What items need to be checked for pregnant women 42 days after delivery(图1)

Mothers who have given birth must remember the doctor’s instructions before discharge: “Remember to bring your baby back for review 42 days after delivery.”

However, some mothers have questions, "I feel better after giving birth, do I need to go for a checkup?"

This is not the case. The recovery of the body cannot rely solely on self-assessment. To recover as soon as possible, a 42-day postpartum examination is necessary.

Why do you need to check 42 days after delivery

Mothers who have just experienced pregnancy and childbirth have undergone earth-shaking changes in their bodies in order to adapt to the growth of their babies during pregnancy. After giving birth, mothers must recover their bodies through confinement, and the 42-day postpartum examination is to find out whether there is any abnormality in the mother's body, to help the doctor to judge and find the problem in time, and to treat it in time.

Do I have to check in 42 days?

The postpartum inspection is recommended to be completed between 42 days and 56 days after delivery. It can be advanced or postponed for a few days, but the inspection should not be omitted.

What items need to be checked for pregnant women 42 days after delivery(图2)

Do I need to go to the hospital for an examination 42 days after delivery on an empty stomach?

The 42-day postpartum health check-up does not require an fasting, but if some mothers have some special medical history during the check-up, such as gestational diabetes, high blood pressure, etc., they need to be fasted for postpartum blood lipid and OGTT check-ups, so mothers We have to decide based on our own situation.

Which department does the examination need to be linked to?

Under normal circumstances, major hospitals will have a post-natal review project in the obstetrics department, so mothers only need to add this subject. If a small hospital does not have this post-natal review project, mothers usually go to the gynecology department, or consult the medical staff of the hospital.

What items need to be checked for pregnant women 42 days after delivery(图3)

What are the items to be checked after delivery?

1. Routine hematuria

For mothers with anemia during pregnancy and postpartum hemorrhage, blood routines should be checked. If anemia, they should be treated promptly.

2. Gynecological examination

Through gynecological internal diagnosis and secretion testing, we can understand the recovery of the perineum, vaginal wounds, and cervix. The mothers of cesarean section should also check the healing of the abdominal wounds, and the mothers of the lateral incision should check the healing of the lateral incision.

3. Blood pressure and blood sugar check

For pregnant mothers with pregnancy-induced hypertension, their blood pressure will generally return to the pre-pregnancy level after childbirth. However, some mothers are too tired to breastfeed and take their children day and night, which may cause abnormal blood pressure. Especially for mothers who have complications such as high blood pressure and high blood sugar during pregnancy, this examination must be paid attention to.


4. Uterine recovery

The uterus changes in October during pregnancy. The size of the uterus, whether there is tenderness, the recovery of the uterus, and whether there is postpartum inflammation, etc. are usually checked during the re-examination. If the mother suffers from discomfort such as endless lochia after giving birth, she must seek medical examination in time.

5. Pelvic floor inspection

Whether it is a normal delivery or a cesarean section, pregnancy in October will cause varying degrees of damage to the mother's pelvic floor muscle tissue. Because this part of the pelvic floor muscle is not easy to be sensed, it is easy to be ignored by the mother when the symptoms are mild, and when the symptoms are obvious, the mother will have urine leakage, painful intercourse, vaginal relaxation, and even uterine prolapse. Therefore, a pelvic floor examination can help mothers assess their postpartum pelvic floor muscle strength and damage, and perform corresponding rehabilitation treatments according to the situation to help mothers recover better.

6. Breast examination

Breast health is not only related to the mother's body, but also the key to the baby's development. Breast examination can find out whether there are lumps, whether the mammary ducts are unobstructed, whether there are early signs of mastitis, and whether there is sufficient milk. The doctor will also guide the mother to the correct way of breastfeeding, so that the baby can eat more and better.

7. Bone density

Due to the changes in the internal secretion of pregnant women during pregnancy and postpartum breastfeeding, it will lead to a large loss of calcium in the body. Bone density examination can detect calcium deficiency in time, so as to prevent the mother from osteoporosis and avoid the calcium deficiency in the milk caused by the baby's calcium deficiency. Therefore, the 42-day postpartum check is directly related to the mother's physical recovery and also affects the quality of life in the future. Mothers should pay attention to it.