How to make urine more after delivery
During pregnancy, due to the change of hormone level, the retention of water and sodium in the body increases. After delivery, the situation changes, the placenta is discharged, the placental circulation stops, the uterus contracts, and a large amount of blood enters the systemic circulation; When the blood volume increases, the glomerular filtration rate increases and the absorption of sodium decreases, so the water and sodium retained during pregnancy will be excreted through the kidney, which will greatly increase the postpartum urine volume. In addition, the mother just gave birth to a child, in order to secrete more milk, she will drink a lot of soup, which will also lead to an increase in postpartum urine.
Generally speaking, in the first few days after delivery, the urine volume of the lying-in woman within 24 hours is 2000-3000 ml, which is a normal physiological phenomenon, so don't worry.
Although the compression of bladder during delivery may cause mucosal congestion and edema, and the lateral perineal incision and suture may cause local pain, which may lead to dysuria, mother should try to prevent urinary retention.
What about postpartum dysuria?
Diet, radish stewed crucian carp soup has diuretic effect, radish diuretic, crucian carp promotes milk secretion, and can be eaten regularly after delivery. For patients with urinary retention, catheterization should not be considered at first, and patients should try their best to urinate by themselves, and physical and drug methods should be used successively.
1. Hot compress method
Hot compress the lower abdomen and urethral orifice with hot towel or hot water bag, and massage at the same time, three times a day, each time 15~30min.
Introduce urine
Let go of the water pipe in the bathroom, the sound of running water or other people's urine can stimulate the patient to urinate, which leads to the patient urinating automatically.
3. Intramuscular injection of neostigmine 0.5mg 1~3 times/day can promote the recovery of bladder smooth muscle function.
4. Acupuncture and massage
(1) Tuina diuretic point: the diuretic point is located between the umbilicus and pubic symphysis, and it is intermittently pushed downward in the direction of pubic symphysis, counterclockwise, light first and then heavy, 3-4 times a day, each time 10~ 15min. (2) New needle: Qi and sea penetrate curved bones, and Sanyinjiao penetrates hanging bells. (3) Acupoint or acupoint closure: Sanyinjiao and Yinlingquan are the main points, and Guanyuan and Qihai are the auxiliary points. (4) Ear acupuncture: bladder meridian point.
5. Chinese medicine treatment
Based on the principle of warming yang and tonifying kidney, the prescription is Guifu Bawei Decoction: cooked aconite 12g, cinnamon 1.5g, dogwood 12g, yam 18g, Radix Rehmanniae 12g, Poria 18g and Zeze. Radix Codonopsis 30g and Radix Astragali 15g are added for patients with qi deficiency. Folk prescription: 20~30g of silkworm molt, 500~600ml of water decoction, 1~3 times a day, and the effect is good.