Vaginal Deliveries

Recovery time from a vaginal delivery is usually shorter than the recovery time from a Cesarean section. But sometimes it can take a while, especially if you’ve experienced any lacerations or tears.

The perineum, or the region between the vagina and rectum, is vulnerable to tearing during delivery. Some studies show that women are more likely to tear during their first vaginal delivery, probably because this is the first time the area has been stretched to that degree. But whether it’s your first or your tenth, delivery technique can make a huge difference. One study revealed that if normal, spontaneous vaginal deliveries are unrushed and occur in a controlled setting with a nurse, doctor, or midwife guiding the pushing process, there is a lower risk of obstetrical trauma. Many health experts recommend perineal massage in the weeks prior to delivery as a way to lower the chances of tearing. Unfortunately, some women experience tears despite their own best efforts and the efforts of their health care professional.

Tears and Lacerations

Tears and lacerations vary in severity and are classified accordingly:

• First-degree tears are surface tears that involve the skin of the perineum and the vaginal connective tissue, usually near the vaginal opening. No muscles are involved. Healing time for first-degree tears is rapid, and women usually experience little discomfort. Stitches may or may not be required.

• Second-degree tears are deeper tears that involve the skin, connective tissue, and underlying muscles. Second-degree tears almost always require stitches, and healing time can vary. Most often, the stitches will dissolve on their own. Some women report feeling fine in a matter of weeks, others complain of experiencing pain for longer periods of time.

• Third-degree tears are more severe and involve the skin, connective tissue, and the external anal sphincter muscle, the muscle that you can squeeze to stop yourself from going to the bathroom.

• Fourth-degree tears are the most severe and can involve a tear through both the internal and external anal sphincter muscles and lining of the bowel. These tears often result in the loss of anal sphincter control, as well as fecal urgency and/or incontinence.

While third- and fourth-degree perineal tears are not common, they can happen to anyone. There are a few risk factors which may increase the chances:

• Larger babies

• Occiput posterior deliveries (baby is sunny-side up, or delivered faceup, instead of facedown)

• Nulliparity (delivery of first babies)

• Extended second stage of labor, or if the pushing stage lasts longer than an hour

• Midline episiotomies — unfortunately, some women end up tearing further than the controlled incision

• Forceps delivery

Third- and fourth-degree lacerations can be extremely painful and may interfere with all sorts of activities, including intercourse, for quite some time after delivery. Many women find going to the bathroom, especially having a bowel movement, a huge challenge. One woman with a third-degree tear told me that having bowel movements after her delivery was worse than the actual delivery itself.

The pain can persist for months after the baby arrives. A thorough follow-up is very important, so make sure that you see your health care professional several times after the delivery. Your doctor should examine the area and make sure the anorectal area is functioning properly. For many women, the pain and discomfort will subside within a few months and normal activities, including sex, can be resumed.

Some moms experience uncontrollable gas and/or fecal incontinence down the line. These problems should be brought to the attention of your physician immediately. In some cases, additional treatment may be necessary.

Episiotomies

An episiotomy is a controlled surgical incision made in the perineal area (between the vagina and rectum), prior to the delivery. In the past, the episiotomy was used routinely in order to lower the risk of vaginal tears during deliveries. But because newer studies have shown that these routine episiotomies have no real benefit for the mother, and may actually worsen the outcome and prolong healing time, episiotomies are becoming less common. In fact, several studies reveal that more severe lacerations were associated with the occurrence of an episiotomy.

Despite the new research about episiotomies, some women still get them. And it’s certainly true that in some cases, an episiotomy may be necessary, especially if the baby presents in an unusual position or is overly large; it may also be necessary if the doctor needs to speed up the delivery for health or medical reasons pertaining to the mom and/or the baby.

Recovery from an episiotomy is a lot like the recovery from a tear; it all depends on the extent of the cut or laceration. For most women, the pain and tenderness will subside significantly in one to two months. If a woman experiences a serious tear in addition to the surgical incision, recovery time may be prolonged.

C-section

The recovery from a Cesarean section, or the delivery of a baby through an abdominal incision, varies from woman to woman. In general, recovery time tends to be longer than the time it takes to recover from a normal, vaginal delivery, unless, of course, a severe tear or laceration is involved.

Right off the bat, the incision site will most likely be sore, although some women report that their incision feels numb and tingly. The pain will gradually subside and the numbness should lessen as well (although I’ve spoken to a few women who never fully regained total sensation in that area). Many women also complain of itchiness around the scar during the healing process. If the itchiness becomes intolerable, speak with your health care provider for options. Some doctors will recommend soothing creams, but others do not, so it’s important to get his/her opinion.

Some women who have had a C-section complain of cramps caused by the buildup of gas in the abdomen after surgery. Walking around or light exercise can help. This will usually go away within the first few days post-surgery, but it can linger, especially if you are not moving at all. Speak with your health care professional if it becomes a problem.

Don’t be shocked by the way the incision looks! For many women, seeing a dark red scar on the abdomen can be upsetting. But remember, it fades with time (and will likely look a whole lot better in six to eight weeks) and most doctors make the incision low enough that your pubic hair will eventually cover it.

Certain activities may be difficult right after a C-section; even coughing, sneezing, and laughing can be uncomfortable. Lifting anything heavy is out of the question, and it will be a while before you can have sex again. You also may need to wait to drive a car, especially if you experience pain buckling your seat belt or getting in and out of the car. Getting up and moving are important parts of the healing process, but you shouldn’t expect to run a marathon.

Here’s a good piece of advice: Don’t overdo it! Oftentimes, women don’t seem to realize that they have just had major abdominal surgery and they feel frustrated that they are unable to move around freely or lift heavy things. One woman I spoke to complained that the stairs in her house posed a major challenge. Another woman was upset that she was in too much pain to be able to cook for her older child. It normally takes an average of six to eight weeks to recover completely from a Cesarean, and for some women it can take several months.

Here are a few more tips to help speed your recovery from a C-section:

• Accept help. As simple as it sounds, it can make a world of difference. Many women are used to doing everything themselves. But this is not the time to be superwoman. Husbands, siblings, parents, friends, and even in-laws make great helpers. If they offer, take them up on it!

• Take it nice and slowly. Many women feel okay by that six-to-eight-week mark, but if you’re not among them, don’t do anything that makes you uncomfortable. Overexerting yourself can actually prolong the healing process.

• Don’t neglect your bowels. If you’re taking pain medications, be aware that certain types can cause constipation, which in itself can become a serious problem. Make sure that your bowel movements are regular, and if this starts to become an issue, speak with your health care provider. Stool softeners and laxatives might be necessary.

• Accept the mess. With tons of foot traffic through your home and visits from your extended family, your house may get messy. But you’re recovering, so leave it. This is a great opportunity to ask your mother-in-law to help clean up. Even if the mess causes you stress, it’s better to leave it for someone else to handle than for you to overexert yourself. Believe me, there will be many messes in the future you can dirty your hands with!

The above excerpt is a digitally scanned reproduction of text from print. Although this excerpt has been proofread, occasional errors may appear due to the scanning process. Please refer to the finished book for accuracy.

Reductil For Weight Loss

Reductil is a well established medical solution to obesity problems in people who have trouble losing weight using normal forms of dieting and exercise.

Weight Loss Drugs

The healthiest way to lose weight is by having a healthy diet and doing regular exercise, however, there is a percentage of people who find that these means still do not decrease there overall BMI. If this is the case, weight-loss drugs such as Reductil can help you.

Taking drugs on there own will not assist you in losing weight. If you, however, combine the use of Reductil with regular exercise and a healthy eating plan then you should be able to lose 5-10% of your body weight in a year. Lots of people won’t see this as a great amount, but losing this percentage of weight can significantly boost your health. Dropping this percentage of your weight can decrease:

• Blood glucose levels
• Blood triglyceride levels
• Blood pressure
• Insulin levels

Weight-loss medication doesn’t get rid of the need for a healthy diet and exercise, but in combination with these activities it can produce real results. The most successful drug on the market today for weight loss is Reductil. This medicine is on prescription alone and has been clinically revealed to effectively treat people with obesity problems. Reductil’s main active ingredient is sibutramine. Sibutramine hydrochloride monohydrate, its full title, is a neurotransmitter reuptake inhibitor that makes sure that the body has strong levels of serotonin and norepinephrine. The drug Reductil produces a satisfied sensation making sure that the user does not need to eat a lot to feel full.

Where to buy Reductil?

Only a few suppliers have the correct authority from the Government to distribute Reductil, but BuyReductil.co.uk and MyReductil.co.uk are two such companies. It is important before you consider buying Reductil that you consult your GP as treatment is only available on a prescription basis. Once you have the appropriate permission from the necessary medical authorities you can purchase Reductil online at BuyReductil.co.uk or MyReductil.co.uk.

How to take Reductil

It is recommended that Reductil be only taken by adults aged 18 to 65. The procedure is to take one tablet every morning and swallow it whole with a full glass of water. This dose is the correct dose and you should keep taking this Reductil dosage unless told differently by your GP. You can however take Reductil with or without food, but Reductil is not to be given to children.
Reductil should only be taken as part of your weight loss program and you will be seen regularly by your GP to have checkups about how you are doing. If you find you or someone else has taken too many tablets then you should consult your GP immediately with the box that Reductil came in. If you forget to take a particular dose on one day, just carry on with the next does as usual, don’t double up a dose to make up for a missed one. When you think it’s time to stop taking Reductil you should have no problems with withdrawal symptoms. Occasionally people may get headaches when coming of Reductil, but apart from that no other withdrawal symptoms have been noted.

Clinical trials on Reductil

In two 12-month studies, the maximum level of weight loss was achieved after 6 months and significant weight loss was sustained across the 12 month studies. 11 double-blind, placebo-controlled obesity tests were carried out on weight loss using Reductil. Study length went from 12 to 52 weeks and the doses varied from 1 to 30 mg once daily. Weight was significantly lessened when doses varied from 5-20mg in Reductil patients as opposed to those treated with a placebo.

Assessment of the content presented in three 6 month long obesity trials indicates that Reductil users who drop a bare minimum of 4 pounds in the first 4 weeks of Reductil use are doubtless to accomplish significant long-term weight loss on that dose of Reductil. Approximately 60% of these consumers went on to realize a weight loss of 5% of their original body weight by the end of month 6.

6 Vegetables That Cure Diabetes

A vegetarian diet can be a healthy choice for people with diabetes. There are several types of vegetarian diets. Vegetarian diets are based on fruits, vegetables, grains, beans lentils, soybeans, nuts and seeds. As a result they are low in fat, cholesterol and calories. Decreasing your use of animal products offers you several diabetes health advantages. Vegetarians are less likely to be overweight, have high cholesterol levels, or to have high blood pressure. They are also less likely to suffer from heart and blood vessel disease and certain cancers. If you have type 1 diabetes, becoming a vegetarian may enable you to use less insulin. If you have type 2 diabetes, the weight loss from a vegetarian diet may improve your blood glucose control.

The vegetables in general are healthy for diabetes but there are some vegetables that help to heal the pancreatic function thus controlling the glucose levels in blood. These are listed below

Bitter Gourd The bitter gourd is distinctively employed like folk medicine for the diabetes. The bitter gourd due to its quality of being rich in all the essential vitamins and ores, particularly the vitamins B1, B2, C and iron, is salutary for the diabetics who are undernourished. It increases the resistance of the body against the infection.

Bengal Gram The experiments proved that the extract of the water of the gram of Bengal increases the use of glucose not only in diabetic persons but also in the normal ones. The germinated black gram taken with half cup of fresh bitter gourd juice and a spoonful with honey is strongly salutary in the treatment of a softer type of diabetes.

Groundnut By eating a daily groundnut handle being of the diabetics will prevent not only malnutrition, in particular the insufficiency, but also checks the developments of the vascular complication

Lettuce, Soya and Tomato The lettuce, soya, tomato are also salutary.

So now when you are cooking it is important to add some of these vegetables in cooking. They will not only improve your glucose levels but are also equally good for your general health. So start eating more green leafy vegetables for a healthier diabetes free life