How to reduce the uterus after childbirth? What is the cleansing of the uterus? Why is the bending of the uterus? Fibroids, polyps, inflammation and loss of the uterus after childbirth. When you need to remove the uterus?
After the birth is over, the baby will appear on theLight and come out later, the body begins to recover. The first process is the reduction of the uterus to its former size. This body has amazing properties, as when the baby is born, it increases significantly. Uterus after childbirth has a weight within 1 kg, and by the end of the recovery period - only 50 g.
However, the recovery process can be complicatedA number of pathologies that occur only after delivery and before that it is impossible to foresee them, respectively, to warn, too. For example, the neck may be deformed.
Only the doctor will be able to notice the violation upon examination. Normally, the outlines of the external pharynx should be round, but in pathology they take the form of a slit. In this case, the neck itself will not be conical, as is supposed, but cylindrical. This and other disorders can affect the childbearing function of women and complicate subsequent pregnancies.
How soon to cut the uterus after giving birth?
In the normal postpartum period, the organ completelyIt is cleared from the remnants of the placenta and blood clots in 3 days. The activity of this process is evidenced by discharge - bloody in the early days and serous-sacred in the subsequent.
Epithelium completely restored after 3 weeks. The process of contractions is accompanied by a slight cramping soreness. After repeated delivery, this phenomenon can be more pronounced and a woman in some cases prescribe pain medication.
The absence of contractions (atony) or their weak intensity (hypotension) are pathologies and are dangerous to health.
The activity of contractions depends on several factors: the number of fetuses, the location of the placenta, complications during the birth process, the weight of the child, the health status of the woman in labor.
Atony occurs in the case of bending, traumas of birth canals, organ maldevelopment, inflammatory processes, presence of fibroma, polyhydramnios, and clotting disorders.
To reduce the uterus, the doctor can prescribe special drugs that will stimulate this process - oxytocin or prostaglandins.
Impulse can serve as breastfeeding,So that the baby is at his first request. A woman should move more, even if a caesarean section has been performed. Sleep and rest better on the stomach. It is worth noting that it is possible to affect the rate of contractions by emptying the bladder, so if there is no edema, it is necessary to drink more liquid and visit the toilet more often.
The danger of atony consists in the fact that the body does notCan be released from the remnants of the placenta and blood clots. If they stay, there will be inflammation. Therefore, the necessary procedure, if the above methods did not help, will be scraping, or cleaning. If you do not do this, then you will need a hysterectomy.
When do I need to clean?
Cleaning of the uterus is performed after childbirth, if in it remained parts of the placenta or accumulated blood clots. Detect the remnants of a planned ultrasound study, which is carried out after childbirth.
Why the body is not cleaned by yourself? The reason is a weak labor activity, when the doctor had to manually separate the placenta or in case the latter was very tightly attached.
Cleaning is carried out both medicamentous, andOperative method. It is an obligatory procedure for the above pathologies. If this exercise is not carried out, complications will occur in the form of an inflammatory process and endometritis.
If clots are found in the uterus on ultrasound after childbirth, the doctor prescribes a scraping, which is carried out under general anesthesia. Operation time - no more than 20 minutes.
The procedure, like any other intervention,Can be accompanied by complications. Most often there is a hematometer - a delay in the cavity of the organ of the blood, caused by cervical spasm. If discharge from the vagina after curettage quickly stopped, then this complication occurs. To relax the cervix and prevent the hematometer, appoint No-shpu.
Women with a bleeding disorder may experience uterine bleeding, but this is a rare occurrence.
If during the cleaning in the cavity bacteria hit, endometritis - inflammation of the mucosa occurs.
What is fraught with the bend of the uterus?
Bending of the uterus, or displacement, after childbirth occursDue to the weakness of the pelvic muscles and lowering the tone of the ligaments. These factors in combination with complicated births cause some deviation of the organ back. The movement is accompanied by a bend.
Such a violation provokes a decreased activityGenitals, characterized by pain syndrome and functional abnormalities in this area. The bend is eliminated with the help of a set of special exercises that a woman can easily perform at home.
This pathology, unfortunately, is one of the most common. It is characterized by the fact that benign tumors are formed in the muscular membrane of the organ.
If you do not start treatment in time, then the risk of developing early and late complications after childbirth is high, or rather:
- Abundant postpartum hemorrhage;
- Increment of the placenta;
- Low uterine tone;
- Excessively dense fixation of the placenta and its partial separation;
- The uterus does not have the ability to restore the former size;
- Infection of the body cavity.
A distinctive feature of this disease isDifficulty in diagnosing it, because the initial stage is due to postpartum haemorrhage, characteristic for this period. The main cause of polyps is abortion or scraping in an anamnesis. Detecting the placental polyp is possible only with the help of ultrasound.
A woman needs hospitalization and a procedureCurettage after delivery, when the remnants of the afterbirth and blood clots are removed. In the rehabilitation period, she must take anti-anemic and antibacterial drugs.
Hysterectomy - surgery to remove the uterus is carried out according to the indications to which the:
- Enometriosis, inability to stop uterine bleeding;
- Uterine prolapse due to rupture of the pelvic floor;
- The genital organ after dislocation disrupts the function of the gallbladder.
Causes of pathological process developmentA lot: cesarean section, prolonged labor, placenta previa, absence or non-compliance with hygiene / sanitary standards, etc. Symptoms include increased body temperature, rapid heart rate, soreness and abdominal enlargement, fever, purulent discharge from the vagina.
If a woman is concerned about the above phenomena, do not delay the visit to the doctor. Postpartum complications can occur even when the mother and child have already been discharged home.
To protect yourself from the development of pathology and notTo allow violations of childbearing functions, it is necessary to consult a specialist who can correctly diagnose and prescribe adequate treatment, or to calm a woman if no diseases are detected.
Why did the uterus fall after the first birth?
Often this phenomenon occurs in women,Which repeatedly gave birth naturally. However, the primipara are also not immune from this pathology. There are several reasons why fallout occurs. For example, in the relaxation of muscles, which occurs with age due to a decrease in the production of estrogen.
Those who survived the first birth significantlyOmission is possible because of a large fetus. This condition is caused by damage to the pubic-coccygeal muscles and connective tissues. The weakness of the latter can arise with strong attempts or heavy births. Since the tissues are significantly stretched, the uterus simply slides down. Very rarely, loss occurs due to a tumor that pushes the organ outward.
Treatment directly depends on the stage of the disease. In the initial stages, conservative methods are used: gynecological massage, estrogen replacement therapy to strengthen the ligament apparatus, the introduction of ointments with metabolites in the vagina, special gymnastic exercises and other methods.
In more severe course, surgical intervention is prescribed. However, the entire treatment process should be carried out under the direct supervision of a gynecologist.