Postpartum urinary retention after vaginal delivery

2021-11-29 Read:

Postpartum urinary retention after vaginal delivery(图1)


1. Urination retention after childbirth


Normally delivery mothers need to urinate in time within 4 hours of delivery and cesarean delivery mothers within 6 hours of removing the catheter. If you cannot urinate on your own 6 hours after delivery, you may be diagnosed with urinary retention. Postpartum urinary retention affects the contraction of the uterus, leading to increased vaginal bleeding, and may also cause postpartum urinary system infections. After childbirth, you can massage the lower abdomen with hot compress, and low-frequency electric stimulation can promote the recovery of bladder contraction function and promote smooth urination.



2. Appropriate activities


6~12 hours after normal delivery and 24 hours after cesarean section, you can usually get out of bed, which can help physical recovery, urination and defecation, avoid or reduce the incidence of venous embolism, and restore pelvic floor and abdominal muscle tension , Promote blood circulation in the uterine cavity and accelerate the discharge of lochia.



3. Abdominal massage


Massage the uterus clockwise, 3 times a day, 10 minutes each time, which can promote blood circulation in the abdomen and uterus and accelerate the discharge of lochia.


4. Breastfeeding


When the baby sucks, it will stimulate the mother's posterior pituitary to synthesize more oxytocin. After oxytocin is released into the blood circulation, it promotes uterine contraction and accelerates the discharge of lochia.



5. With the help of instruments


2 hours after normal delivery and 6 hours after cesarean section, the low-frequency electrical stimulation function of the rehabilitation device can be used to stimulate the contraction of uterine smooth muscle, drive the movement of uterine ligaments, promote uterine contraction, effectively improve the pelvic blood circulation, accelerate the discharge of lochia, and prevent the uterus The occurrence of poor involution.



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