What should I do if uterine contractions are poor after childbirth?

Patient's question:

Detailed medical condition and consultation purpose:
Ten months ago, I underwent a cesarean section and took Yi Mu Cao (Chinese herbal medicine), but it was ineffective. It took 45 days for the lochia to completely stop. Now I am scheduled for an IUD insertion, and the doctor put a large-sized IUD in the uterus on the first try. Previously, I had no history of miscarriage or other adverse medical conditions. I gave birth to my first child, and to this day, my abdomen still looks like I am five months pregnant. How can the uterus be effectively contracted?
Duration: January 2005 to present
First follow-up question: On January 6, 2005, I had a cesarean birth and did postpartum exercises, but it was ineffective, and my abdomen remained large. On November 21, during the IUD insertion, the doctor

Doctor's answer:

Hello: Based on your situation, it is unlikely to be a problem of uterine contractions. If you want to regain your original body shape after childbirth, you should start doing exercises on the second day after delivery (with the doctor's consent). When starting exercises, you can begin lying down (the first four sections), and then progress to standing once your body becomes stronger (the last four sections).
1. Contract your abdomen forcefully, feeling your stomach almost touching your back, and take a deep breath. Then completely relax and exhale.
2. Tense your gluteal muscles to the maximum extent, then relax.
3. Place both hands on your chest, and press them firmly against each other with even breathing.
4. Slowly tilt your head backward, raise both hands, and take a deep breath. Then slowly lower your hands while bending your head forward to touch your chest, exhaling.
Initially, limit yourself to 3 sets per day, repeating each exercise 2–6 times. Gradually increase to 10 sets per day.
5. Stand upright with your feet shoulder-width apart and your hands touching your thighs. Slowly bend forward, lower your head, and lean your shoulders forward while extending your elbows outward. Rise on your toes, open your shoulders, lift your head, and bring your elbows in.
6. Stand upright with your arms hanging down, your fingers crossed, and your palms facing downward. Slowly raise both hands, turning your palms upward, while bending your body to the left and stepping your left foot out to the side. Return to the starting position. Repeat in the opposite direction.
7. Stand with your feet together and your arms hanging naturally. Step one foot to the side to form a lunge, lean your upper body to the left, raise your arms sideways, point your hands upward, and look straight ahead or at your extended hands.
8. Stand upright with your feet shoulder-width apart, your arms extended forward and backward with your palms facing downward, and lean your upper body forward. Return to the starting position. Alternate arms and repeat.

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