Abstract Objective To investigate the postpartum rehabilitation device in the postpartum rehabilitation treatment. Methods 130 cases of maternal divided into two groups and the control group the average age of primiparas aged 21 to 33, no deformity newborns with severe asphyxia, routine postpartum care, breastfeeding and other aspects of technical guidance in the church, the observation group to post-natal recovery therapeutic apparatus, the control group without treatment for postpartum recovery. Prolactin results in the observation group, and post-voiding, effect of uterine involution and so much better than the control group. Conclusion The treatment for postpartum recovery in advance can promote maternal lactation, increased milk yield, promoting uterine involution, the prevention of postpartum urinary retention.
Key words post-natal rehabilitation apparatus; postpartum recovery; effect
Maternal production process is a painful and strenuous process, often causing difficulties in postpartum recovery, to help postpartum recovery, postpartum recovery device used in our department to facilitate early lactating mothers to increase milk yield, promoting uterine involution, prevention significant effect of postpartum urinary retention, non-invasive, easy to accept and improve the maternity service quality, and are reported below.
1 Subjects and methods
1.1 The object selected in November 2007 ~ December 2008 parturients 130 cases were primiparous, single fetus of maternal, obstetric complications and no severe systemic disease, maternal age are 20 to 38 years old, are the implementation of post-natal rooming-in, breastfeeding and postpartum recovery guidance.
1.2 Treatment
1.2.1 Instruments used Ferrer Technology Co., Ltd. Jiangsu Pringle made multi-system treatment, Model: (Model): YS 1.
1.2.2 130 cases of maternal vaginal delivery were randomly divided into two groups and the control group 65 cases. Groups were observed by the informed consent, in the post-2d, the start using the post-rehabilitation treatment, 2 times a day for 3 days, each site every 30 minutes. Specific use is as follows: maternal supine position, the two special electrodes were connected with four lines inserted firmly, remove the skin, the plastic protective film on the electrode, even in the treatment of coated chip coupling agent, to close at two-paste side of the breast, the stimulation intensity gradually increased from low to high to maternal tolerance to date, continuous stimulation, increased intensity, and maternal communication, and inform the mother of acupuncture treatment site will be numb feeling, the more strength the greater the effect Well, try to reduce maternal discomfort in the process of increasing intensity until the maternal adaptation, the re-enhancement. Treatment done immediately after feeding. Observation and control groups of breastfeeding mothers were given the guidance to encourage more mothers to babies sucking, breastfeeding on demand, without prolactin treatment. Prevention of postpartum urinary retention as above, maternal treatment of sacrococcygeal film paste directly close the lower part of the bladder and the navel area, adjust the frequency, every 30 minutes.
2 Treatment outcome
72-hour observation of milk secretion, and post-voiding the average time for the first time, the incidence of postpartum urinary retention, 24-hour fundal height, the results in Table 1.
The results showed: (1) prolactin General: within 72 hours of the observation group 65 cases of normal milk secretion, the total effective rate was 100%. The control group, normal milk secretion within 72 hours, 55 cases were observed compared with the control group, P <0.05, significant difference. (2) the average time of postpartum voiding the first time: the first urination in the observation group was 2 hours later than 4 hours, an average of 3 hours, the control group the first voiding time is 2 hours and 20 minutes later than 5 hours, 4 hours on average . Observed 1 case of postpartum urinary retention was no control group, 1 case of urinary retention, after post-treatment rehabilitation apparatus 2 normal urination, the observation group effective than the control group, P <0.05, significant difference; (3) uterine involution General: 24 hours emptying the bladder measuring fundal height <10cm, 56 cases of the observation group and control group 44 cases, the observation group was better than the control group, P <0.05, significant difference. Table 1 observed with the control group compared to the situation post-natal recovery
3 Discussion
Because a lot of energy and stamina during production consumption, prevalence of postpartum maternal fatigue, muscle pain, can not be fully effective breastfeeding. Mothers in the delivery process, the fetal head pressure on the bladder, so that the bladder mucosal edema, cesarean delivery and delivery of narcotic analgesics to varying degrees of paralysis of the bladder muscle, both of postpartum voiding. We try to help post-recovery treatment for postpartum comprehensive rehabilitation, the results shown to clear the meridians, relieve fatigue, while low-frequency electrodes internally generated on the maternal breast sucking than infants 5 to 10 times higher stimulation can promote the reflex secretion of prolactin improve microcirculation, to achieve the breast duct flow, reduce the milk block siltation, increase milk secretion, the purpose of promoting uterine involution. Use of integrated treatment for postpartum recovery can significantly pelvic muscles and fascia to produce regular exercise, driving rhythm of the bladder wall muscle movement, improve microcirculation, reduce congestion and edema in the bladder, the bladder muscle to promote recovery, as soon as urine, to avoid the occurrence of urinary retention, greatly reduce the lack of post-partum lactation, uterine involution postpartum urinary retention and poor physical and mental suffering caused to patients.