It would seem that all the worst is over, the operation is over. You have given birth to a child. But the postpartum period is a difficult stage, which requires a lot of strength and energy.
One of the problems you will face is the swelling of your legs, almost immediately after a cesarean section.
Swelling – This is an excessive accumulation of fluid outside the vascular bed, in organs and tissues.
During pregnancy, the retention of physiological fluids occurs in the body. This is due to hormonal history.
A mild inflammation of the lower extremities at the end of pregnancy can be considered normal.
Legs after caesarean section often swell more than during pregnancy. Inflamed, especially the ankles, hurt and do not fit in the shoes.
Swelling of the legs after the cesarean. Which is the reason?
one. First the uterus has not yet diminished, and with its mass it tightens the veins and lymphatic vessels, through which the flow of blood and lymph is hindered (the lymph is an interstitial fluid.) As soon as the uterus is reduced, the Swelling of the legs after cesarean section will completely disappear or be significantly reduced.
This is if the cause is not only in the puerperal uterus. It will happen somewhere in 10-11 days.
two Secondly Hypodynamics after caesarean section. The fact is that the first day after surgery, the woman is forced to comply with bed rest. And the flow of blood and lymph from the lower extremities is produced not only by the work of the heart, but also by the contraction of the muscles.
Therefore, after 3-4 hours after the operation, start moving in the first few days. Turn your feet, bend your legs at the ankle and knee joints, turn it sideways.
3 Third Varicose veins of the lower extremities. Pregnancy is a huge hormonal load in the body. Progesterone, which preserves pregnancy, relaxes smooth muscles.
For the uterus it is good, it grows and stretches without pain. But for the intestines and veins is not very.
Therefore, during this interesting position, women often face problems such as constipation, varicose veins of the lower extremities and hemorrhoids, which are also varicose veins, only veins of the rectum.
How to help you?
- Even during pregnancy, wear compression stockings or bandages on your legs with elastic bandages.
- Do not wear high heels.
- If possible, give your feet several times a day in an elevated position.
- Do not cross your legs and do not twist them under you when you sit down. Avoid long loads – stand up, walk.
- Perform a massage
- During and after surgery, compression clothing is also required.
- Be sure to consult a surgeon.
4 Quarter preeclampsia This is a specific complication of pregnancy.
This affects the vessels and organs, first, the kidneys. It is manifested by a triad of symptoms: protein in the urine, high blood pressure and edema. In severe cases, not only the legs swell, but also the arms, face and abdomen.
After birth, preeclampsia usually heals easily, but changes in the body will go slowly. Depending on the severity of the condition – from several weeks to several months.
5 Fifth Thrombosis of the deep or superficial veins of the leg is a dangerous complication of any operation. The predisposing factors here will be:
- bed rest after surgery,
- physiological thickening of the blood of pregnant women at the end of the third trimester, as a protective reaction of the body, to stop the bleeding,
- varicose veins
Why are your legs still swollen?
- The feet can swell for other reasons.
- Heart disease causes swelling in the lower extremities, often at night.
- Kidney disease The edema is stronger in the morning. First the face swells, and then the legs.
- Deficiency of proteins in the body. In emaciated and oncological patients.
- Tumors in the pelvis. Mechanical blockage of blood flow from the lower extremities.
- Disease of hypothyroidism of the endocrine organs, Itsenko-Cushing’s disease, etc.
- Violation of lymphatic drainage – elephantiasis.
What to do
Ask the doctor. If he says that nothing is terrible, then you should not worry.
The edema will disappear in the next two weeks.
- Do not abuse the salty and spicy.
- If possible, raise your legs several times a day.
- Try to rest more and do not get all day upright.
- Foot massage. Iron the feet from the foot to the top.
- Gymnastics The rotation of the feet, standing and on tiptoe, on the external and internal part of the foot, moves the weight of your body from the socks to the heels and back. Lie, lift your leg, write the numbers from 1 to 20.
- Do contrast foot baths.
The swelling of the legs every day should decrease and the pain should be absent. Otherwise, consult a surgeon.