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Even during pregnancy nipple can squeeze a drop of colostrum leak.

Colostrum is alkaline, contains protein, fat droplets, glandular epithelial cells of the bubbles and the milk ducts and "colostric veal" -. Filled with fat droplets white blood cells

2-3 days after birth increased blood flow, Mom "congestion" is a preparatory measure for lactation mammary glands increase the size is observed, is becoming sensitive . Marks a significant congestion puerperant complains chest pain radiating to the axilla, where sometimes palpable nodules.

milk secretion is influenced by complex reflex and hormonal influences, in which the main role is played by the nervous system and pituitary prolactin.

To keep significant irritation lactation breastfeeding nipple sucking reflex leads through increased training in the pituitary prolactin and its distribution. Slices oxytocin decreases and moves milk directly contributing milk has expired. Also contributing to the reduction of the uterine muscle. Therefore, when the infant reflexes sensations in his mother posed as "battles" - the uterus (cramping pain in the lower abdomen) is cut. And women postpartum breastfeeding observed rapid involution (decrease) in the uterus after delivery

Milk is a white liquid suspension (emulsion) with tiny droplets of fat found in the serum . ; Milk is alkaline boiling is not limited. The composition of the milk of women: -87 to 88% water, protein (albumin and casein) - 1.5-2% fat - 3.5-4% sugar - 6.6 to 7.5% salt - 0.18 -0.2%.

In the normal course of the postnatal period of the general status of the mother-woman good. It is a bit weak in the first days after birth, leading gradually. Sometimes pain in the notes of the first days of the vulva and perineum, are not painful "battle", especially while breastfeeding. Deep breathing 14-16 breaths per minute. Rhythmic pulse, good cushioning, 70-80 beats per minute, is often slow (bradycardia). Blood pressure in the normal range: 110/70 to 120/80 mm Hg Art.. or slightly reduced in the early days. Body temperature to normal, without complications during the postpartum period - from 36.6 to 36.7 ° C. The heart rate and body temperature are generally described in the postnatal period. Rapid (90 u. / Min or more) and repeat above 37 ° C increase indicates the occurrence of complications, often the presence of infectious disease postpartum.

In general, the cardiovascular system of women, pregnancy and childbirth is a very heavy load. The presence of fetal placental blood flow and increased pressure in the abdomen causes the heart to overcome the increased resistance do a great job. And after childbirth is a redistribution of the blood by eliminating uteroplacental blood flow, uterine contractions and reduce their blood supply, as well as due to changes in metabolism and excretion of water a large amount of body liquid. Blood volume increases by 15-30% initially, and then, with the loss of body fluids, gradually decreases

postpartum usually prone to sweating, especially with lots of glass -. This is normal.

Renal - OK, diuresis (urine) - generally high. But sometimes the bladder function is broken: puerperant not feel the need to urinate even when the bladder is full substantial. Often in the early days after the birth of urinary retention or difficulty urinating is marked, sometimes painful urination that occurs due to a decrease in muscle tone of the bladder, the edema of the mucosa, or swelling does bladder neck, the presence in it of small hemorrhages due to compression of the head during fruit tissues of passage. Painful urination may be related to exposure to the urine of cracks and scratches to the vulva and perineum

Chapter 1 :. Secrets cosmetology

care and body skin

the culture of maintaining their own body starts, of course, even diapers when the soft hands of a loving mother All day care cleanliness and comfort of your baby's skin. Baby grows and learning skills properly as important, it will definitely be useful to him in the future

One of the most important body care principles is to maintain the cleanliness of the skin develops, and it is this ability -. The key to achieving personal hygiene and clean appearance.

Remember that the thumb, which slides inside does not have to apply pressure, because he found the brachial artery, and Vienna, as well as the nerves.

Methods:

1) stroking (hand lies in his hand massaging - 4 fingers are on the outside, large - in 3-4 times)

3) knead Personal muscles clasp, a little away from the bone. Then knead the phalanges and - knife hand

4) agitation ;.

5) hugs

The back of the shoulder - the triceps (triceps) is given freely in his hand massages along the trunk. All traffic that goes from the elbow to the shoulder. Receptions :.

1) stroking;

2) tightening;

3) kneading;

4) shaking

5) stroking.

At the end of the arm that hangs trembling before relaxing the muscles.

the deltoid muscle can be massaged into a sitting position when the elbow rests on the knee of the bent leg, hanging brush, or you can put a hand in front of him on the table. Receptions :.

1) expatriates straight or elbow wound to the neck;

2) by pressing the edge of the palm and thumb (to put the whole muscle)

3) knead (simple - all the fingers of the right hands, fingers tight in a finger fist, fingers, the base of the palm)

The shoulder joint .. Receptions:

1) rubbing deltoid (4 fingers before from armpit to the shoulder girdle and the large muscle);

2) kneading. Alternating with grinding. Increasing return effect if the front shoulder back. If you can see the tension in the muscle, you have to keep stirring and techniques;

3) passive and active movement in all directions, ending massage the shoulder joint

The elbow joint .. Palm tower in a position in giving the outer part of the joint massage. Receptions:

1) scrub ("Chuck" - the global reach and grind joint lateral ligaments; straight and circular - and singing phalanges of the hand);

2) active and passive movements: flexion and extension (hand turns palm up and down)

forearm .. First, you must massage the inner forearm (hand turned palm up)

Methods :.

1), which was held firmly stroking his hand from the wrist to the elbow joint;

2) compression hill thumb pressed to the index on the side of the hand, the thumb pad or fingers for 2-3 servings;

3) knead: padded thumb to push the arm in the bed of the bone and flexes its rotational movements; fingertips, the base edge of the palm palm, knuckles;

4) shaking;

5) hugs

When patients complained of acute fresh filling process. vaginal discharge, pain sometimes fickle deaf in the lower abdomen.

When you look in the mirrors of the vaginal portion of the cervix is ​​usually swollen mucosa, edematous cervical canal, red and even bleed easily when touched. Around the edge os bright red underlined (true erosion) leading to a muco-purulent secretion. In the chronic phase of the inflammatory reaction disappears or is much less pronounced, no complaint or refer to the vaginal secretion. In the vaginal portion of the cervix are often formed pseudo-brush, neck and compacted (cervicitis development) hypertrophy. Chronic cervicitis can go too long with alternating periods of acute and remission.

Gonorrhea is the upper genital tract. Gonorrhea is the top of the player, or increasing the device gonorrhea, is the most serious manifestation of gonorrhea in women. Spread of infection occurs in the mucosa or by direct transfer through the lymphatics.

menstruation, abortion, childbirth, sexual intercourse and intrauterine and hypothermia response, physical stress contribute to the spread of gonococcal infection in the upper genital tract .

According to the clinical manifestations of the increase in gonorrhea is not significantly different from inflammatory diseases of the uterus and appendages nonspecific etiology, but at the same time, there are typical clinical signs distinguish gonorrhea upper genital tract.

Gonorrheal. Gonococcal endometritis developed in the spread of the disease process of the cervix. The defeat of the endometrium may have different degrees of severity depending on the virulence of the pathogen, the state of immune reactivity in women and the phases of the menstrual cycle, which saw the introduction of the pathogen . By infecting cycle phase marked proliferation or secretion of epithelial desquamation in parts, in the concentration of gonococci subepithelial layer and a significant leukocyte infiltration.

When inflammation occurs immediately after menstruation, childbirth or abortion, affected the basal layer of the endometrium, resulting in failure of the recovery and the process of the subsequent cycle of endometrium, which can lead to secondary infertility.

so the next period may be delayed for 2-3 weeks, sometimes heavy, long and painful. If the lesion reaches the basal layer of high intensity and endometrial completely regenerated, there may be a very long period of gestation.

If you have an inflammatory process of the particularly virulent infection may make the muscle layer of the endometrium immediately.

The signs of endometritis gonorrhea is almost similar to the pathology of non-specific disease. In most patients, the infection of the uterus accompanied by severe symptoms. In the acute phase of the disease in some patients, most often in nulliparous women, there is pain in the abdomen, the temperature rises to 38-39 ° C, white blood cell count in the blood is normal.

However, many patients suffer from menstrual dysfunction seems purulent cervical discharge and serosuppurative, increased erythrocyte sedimentation rate. During the pelvic exam determined uterus flabby consistency painful and enlarged.

In chronic endometritis gonococcal clinical manifestations that resemble the acute period, but less pronounced. At this stage of endometriosis is often the cause of menstrual disorders, design, abortion, complications during childbirth and the postpartum period. Gonorrheal uterus process often goes into the fallopian tubes.

Gonorrheal salpingoovoforit. A difference salpingoophoritis tank occurs on both sides. Gonococcal infection leads to multiple changes in the fallopian tubes of the surface of the lining process to overcome all layers of the formation of saccular formations.