Every puerpera needs pelvic repair? This market is too dark!

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Every puerpera needs pelvic repair? This market is too dark!

2019-04-25 21:30:43 338 ℃

Last week, Duma wrote an article about postpartum sweat: "postpartum sweat" is not sweat, but fate! Don't do it! So many mothers left messages to Duma to understand the problems related to pelvic repair after delivery. Before

, only pelvic floor muscle repair was heard. Pelvic floor muscle repair must be done, but what is pelvic floor muscle repair?

So Duma went online and was shocked instantly.

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According to the publicity of these institutions, the pelvis of postpartum mothers will be relaxed several times. If pelvic repair is not carried out, after a period of time, not only will the small warped buttocks become flat and big, but also the original straight thighs will become ugly O-shaped legs, more will have vaginal relaxation, uterine prolapse, and even urine and stool. Incontinence (

Is this really the case? <<<

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"Bare-handed repair, Before the restoration, no corresponding examinations were done, and the technicians only trained for 2 months. "

This makes Duma more questionable about the professionalism of these postpartum rehabilitation institutions.

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Video screenshots of unarmed pelvic repair on the internet:

Nail-fingered practitioners

Some scholars visited 20 postpartum rehabilitation institutions in Shanghai, Changsha, Nanning and Yueyang, and distributed questionnails to 380 practitioners. The results of the survey are shocking. <<<

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Investigation and Study on the Present Situation of Chinese Medicine Postpartum Rehabilitation Teachers in Postpartum Restoration Institutions

More than 70% of the relevant practitioners have their academic qualifications in senior high school and above. Under

, less than 20% of the employees have clinical or nursing-related professional background, mostly from domestic service industry and health massage industry;

Before entering the job, 56.5% of the employees said that they only need to train for 10-15 days, while after entering the job, up to 74% of the "Rehabilitation Teachers" will receive another professional skill training for 2 years or more.

< strong> low education, no professional background, quick training, has become a common phenomenon in the industry.

Some practitioners without professional level and service skills have transformed themselves into experienced postpartum rehabilitation masters through self-packaging.

According to the policy, postpartum rehabilitation practitioners of traditional Chinese medicine need to be certified. However, there is no provision for the "gold content" of the certificates held. "Health Massage" has become the "Shangfang Sword" of the health service industry. This certificate issuing institution is the development and employment center of the Ministry of Human Resources and Social Security. However, there is no entry for health masseuse in the list of professional qualification certification of the Ministry of Human Resources and Social Security.

A "rehabilitator" said:

"Usually we work in white coats, whether in the center or at the customer's home, white coats are not the symbols of doctors. Besides, they are easy to listen to what doctors say. If they are in another position, they don't believe it so much." What should a normal postpartum pelvis look like? Is it true that the pelvis of postpartum women will be as loose and deformed as they are advertised by these institutions?

Let's first look at the normal female pelvis. <<

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From the third month of pregnancy, the body secretes estrogen, progesterone and relaxin to prepare for the baby's delivery.

These hormones can act on the pubic ligament, making the pubic ligament soft and stretch (among which relaxin plays a key role) to help the baby pass smoothly.

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< p> Pictures are from the Internet

< p> because the ligaments are relaxed, the pelvis will become less stable during pregnancy. Some pregnant mothers will have different degrees of suprapubic pain, tenderness, swelling and edema, which will radiate to the legs, buttocks or back. It is aggravated by climbing stairs, getting up, coughing, etc.

These are what people at the postpartum rehabilitation center will tell you, and of course they are right.

But the most important thing is that they hide it. The enlarged and widened pelvis during pregnancy will return to normal 4-12 weeks after delivery, and all kinds of pain and discomfort will subside within one month.

p>No additional repair is required.

Pelvic repair is required only when the pubic symphysis is separated > 10mm, but the occurrence rate is less than 1%. < p > < p > < p > < p > < p > < p > is absolutely not the "everyone should do pelvic repair" propaganda of the repair center.

Of course, if the distance between the pubic symphysis has been extended to the extent shown in their posters, it will not be able to walk and can only be bedridden.

There is also a concept that is deliberately confused by these institutions: pelvic floor muscle repair and pelvic repair.

Pelvic floor muscle relaxation is the biggest culprit of urinary leakage and sexual disharmony. The specific repair method is to tell you at the end of the article.

detection and treatment of pubic separation

Generally speaking, the following four conditions may lead to pubic separation requiring treatment:

second stage of labor> 150 minutes

with three or four degrees of tear

improper delivery mode (e.g., the direction of force of rotation of fetal skull in the birth canal changes) If these conditions occur suddenly after delivery:

pain at pubic symphysis, pain when turning over and changing body position, pain radiation to the inner thigh, walking like a duck, or even lying in bed and unable to walk, then you must see a doctor in time!

Usually the doctor will let you take an X-ray (pubic syndesmosis gap>10mm) to confirm the distance of separation.

But some mothers will seek medical treatment because of severe pain during pregnancy. If they are worried that their babies will be harmed by X-ray, they can choose B-mode ultrasound (B-mode ultrasound measuring pubic syndesmosis gap > 10mm, or the degree of mismatch is more than 5mm). For mothers with pubic symphysis enlargement > 10mm but < 2.5cm, conservative treatment is the main treatment at present, mainly for short-term bed rest and pelvic band restraint, as well as customized hip braces, bilateral traction, glucocorticoids, glucocorticoids, glucocorticoids and corticoids. Chymotrypsin and lidocaine injection, transcutaneous electrical nerve stimulation, physiotherapy, acupuncture and moxibustion, etc.

can generally be relieved within 4 months.

If the width is wider than 2.5 cm, it is up to the doctor to decide whether to do the operation or not.

At present, there are many different kinds of postpartum institutions in the market, and they set up their names skillfully in order to make money. Mothers must shine their eyes. These institutions only serve as assistant health care. They do not have any treatment capacity. If serious pain and discomfort occur, they must seek medical treatment in time. They must not delay the illness because of their rhetoric.

If you just want to relax your tired body, then Mom is absolutely supportive of you, just don't be fooled by these "rehabilitation teachers" to spend more than expected.

References:

1.Bonnie L Bermas, MD.Maternal adaptations to pregnancy: Musculoskeletal changes and pain.uptodate, 2019.

<2.Zuoqin.Investigation and Study on the status of postpartum rehabilitation practitioners in postpartum rehabilitation institutions [D]. Guangxi University of Traditional Chinese Medicine, 2018.

3.Wang Yi, Wu Xinbao, Yang Minghui, et al. [J] Journal of Peking University (Medical Edition), 2015 (2).

4.Zhou Xiurong, Feng Huijuan. Clinical analysis of 31 cases of perinatal pubic symphysis separation [J].Journal of Guangdong Medical College, 2005, 23(2): 180-181.

<5.Ma Kunlong, Zhu Lei, Fang Yue.Treatment progress of pubic symphysis separation [D], 2014.