What are the sitting positions and precautions after natural childbirth?

After a vaginal delivery, attention should be paid to sitting posture selection, stability of the sitting position, lumbar and pelvic support, leg positioning, and controlling the duration of sitting. Additional considerations include rest and recovery, dietary regulation, medical monitoring, postpartum care, and psychological adjustment. A detailed analysis is as follows:

I. Sitting Posture

1. Posture Selection: The sitting posture after vaginal delivery is crucial for maternal recovery. Proper posture can promote the recovery of pelvic floor muscles and prevent complications such as pelvic organ prolapse. In the early postpartum period, it is recommended that mothers rest in a supine or semi-reclining position to reduce pressure and strain on the pelvic floor muscles. Once comfortable, they may gradually begin to sit up. An appropriate sitting posture should be chosen based on individual comfort—such as upright sitting, semi-reclining, or cross-legged sitting—while maintaining the spine’s natural physiological curvature and avoiding slouching or excessive reclining.

2. Stability of Sitting Position: When sitting, mothers should choose a stable seat and avoid prolonged sitting on soft beds or sofas, as these can lead to instability in the back and pelvis, increasing pressure on the pelvic organs. It is preferable to sit on a firm chair or use a cushion to enhance stability and reduce pelvic pressure.

3. Lumbar and Pelvic Support: While seated, mothers should maintain the natural curves of the lower back and pelvis. The lower back should remain naturally straight, avoiding excessive forward or backward tilting. Using a backrest or lumbar pillow can provide additional support, enhancing comfort and stability.

4. Leg Positioning: Leg posture is also important when sitting. Avoid crossing legs or placing them asymmetrically, as this may cause imbalance in the pelvic floor muscles and increase pelvic pressure. Feet should be placed flat on the floor, or a cushion can be used to elevate the legs slightly, keeping the knees and ankles at normal flexion angles and avoiding overextension or excessive bending.

5. Duration Control: Mothers should limit the amount of time spent sitting continuously. They should stand up periodically to move around and perform simple stretching exercises to relieve pelvic pressure and improve blood circulation.

II. General Considerations

1. Rest and Recovery: After vaginal delivery, adequate rest is essential for physical recovery. Sufficient rest helps restore energy and regulate bodily functions. Mothers should avoid overexertion and schedule appropriate rest periods. Maintaining good sleep quality is also important and can be supported by optimizing the sleep environment, establishing regular sleep routines, and minimizing exposure to stimulating factors.

2. Dietary Regulation: Postpartum nutrition plays a vital role in maternal recovery and milk production. Mothers should consume nutrient-rich foods to meet their body's needs. The diet should include sufficient protein, vitamins, minerals, and fiber. Increasing intake of fruits, vegetables, and whole grains, along with maintaining adequate hydration, is also essential.

3. Medical Monitoring: Timely medical follow-up after delivery is necessary, including postnatal checkups and gynecological examinations. These assessments help evaluate vaginal recovery, uterine involution, and wound healing. Gynecological exams allow healthcare providers to monitor recovery progress and promptly identify or manage potential complications. Mothers should follow their doctor’s recommendations for routine tests and screenings to ensure overall health.

4. Postpartum Care: Postpartum hygiene is an important aspect of recovery. Mothers should maintain personal cleanliness by bathing daily and keeping the perineal area clean. Lochia discharge is common after childbirth, so sanitary pads should be changed regularly, and the perineal area should be kept dry and clean. If there are episiotomy or tear wounds, proper cleaning, disinfection, and wound care should be performed according to medical advice.

5. Psychological Adjustment: After vaginal delivery, mothers may experience physical and emotional changes, potentially leading to mood disorders such as postpartum depression or anxiety. Both mothers and their families should pay attention to mental well-being, maintain a positive mindset, communicate openly with loved ones, and seek necessary support. If significant psychological symptoms arise, timely consultation with a physician or mental health professional is recommended.

It is advised that mothers maintain open communication with their healthcare providers, promptly consult on any concerns, and seek appropriate guidance to ensure a smooth postpartum recovery.