About the discharge dates
The term of discharge from the hospital usually depends on the condition of the crumb and his mother, the method of delivery and the absence of complications in childbirth. If they went well, the baby and mom are healthy, then usually you can go home on the 3rd day after the birth of the crumbs. When a woman gave birth with caesarean section, she was discharged home on the 7th-9th day after birth. Everything depends on the rate of recovery of the body, the course of the postoperative period, the healing of the joints.
During the period of the woman's stay in the maternity hospital, an obstetrician-gynecologist and a neonatologist, that is, a pediatrician, follow her and the baby. If she has complications after childbirth, the baby with her mother is left in a medical institution until she recovers. And when, on the contrary, she is healthy, but the baby needs an additional examination or treatment in the hospital, then she is discharged. The child is left in a specialized children's department.
On the observation of midwives
The expert assesses the overall well-being of a woman, then, as her womb shrinks, the character of lousy (postpartum discharge). He also watches how the seams heal, examines the woman's mammary glands for cracks, inflammation.
The doctor before discharge sends the patient to the ultrasound diagnosis of internal reproductive organs. Yes, this is not the case today in all maternity hospitals. But in most clinics such a study is conducted by women after natural delivery and by cesarean section. It is ultrasound that makes it possible to make sure that no part of the placenta is left in the mother's womb, that there are no blood clots.
And before the discharge from the maternity hospital, the doctor appoints the patient a general blood test. It allows you to identify anemia, inflammation and evaluate the general condition of the newly mummy. The analysis of urine is appointed in order to exclude the ailments of the urinary system or gestosis. If, according to the results of the examination and analysis, there are no obstacles to discharge, the woman recovers home.
What is delaying the discharge from the hospital? Deviations in childbirth and in the postpartum period. For example, the imposition of sutures on the perineum, cervix. In this case, the discharge is carried out on the 4th-5th day after delivery, if the doctor believes that the patient should still watch. When the gaps were insignificant, they heal well, then the standard release time of the parturient does not change.
On the 5th-7th day she is dropped home then, when there were bleedings, manual removal of the placenta was carried out. Sometimes after the birth of crumbs a woman has inflammatory processes, for example, endometritis, or poorly heal scar after cesarean section. In such cases, it is mandatory to carry out antibiotic therapy, and often surgical intervention.
On the observation of pediatricians
Every day the neonatologist examines the baby's umbilical remains, his skin, evaluates the urination of crumbs, stool, muscle tone and reflexes.
The kid is taking blood for the presence of congenital diseases: phenylketonuria, galactosemia, hypothyroidism, cystic fibrosis and adrenogenital syndrome. Before discharge, crumbs are first vaccinated against hepatitis B and tuberculosis.
To delay the discharge of a newborn such conditions are:
- Weight loss. It is normal to reduce it by the 3-4th day of life, when it does not exceed 6-8% of the index with which the baby was born. If the loss is greater, the neonatologist looks for the cause, and then prescribes the baby.
- Severe jaundice. For treatment, infusion therapy, phototherapy is performed.
- Prematurity of the child. Such a kid is predisposed to a large loss of weight, heat and needs to be placed in a kuvez for nursing.
- Impaired nervous system. They can be a consequence of hypoxia.
- Infectious diseases. Skin infection, detected cytomegalovirus require a course of antibacterial, antiviral therapy.
All of the above is a rare exception to the rules. Most births in women, observed during gestation in the women's consultation, are favorable, and therefore, they are discharged from the hospital without delay.