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Reduction of the uterus after childbirth: timing, pathology, causes


How does the uterus contract after delivery? How long after birth does the uterus contract? Why are there no abbreviations? Slow contraction of the uterus. Reasons for breach of contraction

During pregnancy, metamorphosis occurs throughout the body. Uterus, as one of the most important organs, is no exception. The fruit grows, and so does it.

Reduction of the uterus after childbirth: timing, pathology, causesThis body has its unique properties, because during pregnancy it increases significantly, and after the baby leaves it, it gradually returns to standard sizes.

How long does it take to return to previousSize is difficult to say, because the body of every woman is unique. There are several factors that can accelerate or, on the contrary, slow down this process.

How does the uterus contract after delivery?

After the fetus has left the womb, the uterus is similarOn a large wound. Especially large lesions are observed in the area of ​​attachment of the placenta, because there are many clogged vessels. In the cavity at this time are blood clots and parts of the membranes.

Purification occurs within 3 days afterDelivery. In this process, an important role is played by phagocytosis - the dissolution of leukocytes by bacteria, and extracellular proteolysis - the dissolution of bacteria by proteolytic enzymes.

These processes contribute to what is allocatedWounded secret - those same lochia. On the first day they resemble blood, and on 3-4 they become serous-sucronic with leukocytes. At the end of the third week in the norm they are light and liquid, and by the sixth and do end.

Restoration of the epithelium layer occurs for approximately 20 days, and the attachment site of the placenta heals by the end of the postpartum period.

How long does the uterus contract after delivery?

The average period is from 1.5 to 2.5 months. It is worth noting that the highest activity is observed in the first few days after delivery.

Immediately after the baby leaves the mother's womb, the size of the neck in diameter is 12 cm. If necessary, the doctor can insert his hand there to clean the cavity of the residues of the afterburn.

But at the end of the first days, the cervix narrows so that you can enter only a couple of fingers, on the third day - 1. Completely external sores close in the third week.

As for the weight of the organ, immediately after birthThe child on average equals 1 kg, after a week - 500 g, after two - 350 g, and at the end of the postpartum period, after 2-3 months - 50 g, that is, reaches its prenatal weight.

The process of reduction is always accompanied byMinor cramping pains in the lower abdomen. It is worth noting that they are most pronounced after repeated delivery. In some women, this phenomenon causes severe discomfort, so the doctor can prescribe certain pain medications or antispasmodics, but it is recommended to refrain from them, especially if there is a feeding of a newborn baby with crumbs.

However, sometimes it happens that after giving birthThere is an atony - the uterus does not shrink, or the process progresses very slowly. Both phenomena pose a great danger, because they can provoke postpartum bleeding and a number of other complications.

Why are there no abbreviations?

Reduction of the uterus after childbirth: timing, pathology, causesThe slowdown of the process can provoke:

  • Multiplicity;
  • Low attachment of the placenta;
  • Large fruit;
  • Complication in the process of childbirth (ave weak labor activity);
  • The state of health of the woman herself, for example, the body can be severely depleted.

Their complete absence arises in the case of an inflectionUterus, trauma of the birth canal, underdevelopment of the body, inflammatory processes in the uterine cavity or its appendages, including those in the history, fibroma (benign tumor), polyhydramnios or coagulation disorders.

Slow recovery of the uterus after childbirth

Even in the delivery room on the abdomen, women in labor are placedHot water bottle filled with cold water. This exercise allows you to stop bleeding and contribute to the process of reduction. While mother and child are in the hospital, doctors regularly check the status of the uterus and monitor the process of its recovery.

Establish a slow recovery of a gynecologistWill be able to normally inspect. In this case, the bottom of the organ will be soft. The woman is left in the walls of the hospital until the doctor makes sure that the contractions are at a normal pace.

In the case of independent reductionsObserved, prescribe special drugs that trigger the beginning of this process - prostaglandins or oxytocin. The complex therapy can include external massage of the bottom, which is carried out through the abdominal wall.

In addition, breastfeeding can be the trigger, so it is recommended to feed the baby as often as possible. A woman should move more, and rest and sleep is recommended on the stomach.

The reduction is affected by the emptying of the bladder,Which should occur regularly. This fact is often overlooked, especially if seams have been applied that cause soreness when urinating. But still it is worth visiting the toilet more often.

If the above methods did not work, andThe uterus does not contract, cleaning is carried out. The need for such an event arises due to the fact that the cavity of the body can remain lochia or parts of the placenta. In addition, the neck can be clogged with blood clots.

In the case of postpartum dischargeOr pathological clots, inflammation, which affects not only the organ itself, but also adjacent tissues, is inevitable. Sometimes even cleaning does not bring the expected result, then surgical intervention is needed, which, probably, will be to remove the uterus.

The delay in reduction in medicine is called a subinvolution. Usually this organ restores the previous size approximately in 5-7 weeks after delivery, and after 8 at those who do not breast-feed.

Normally, a rapid decline is observedImmediately after the birth of the baby. Only by the size of this organ can we judge the state of the mother. When the abbreviations occur normally, the process goes on smoothly. Otherwise, the postpartum period is fraught with immune disorders and hormonal imbalance.

It is worth noting that women who gave birthChild by caesarean section, this process is much slower than those who gave birth naturally, but in this situation it is considered the norm. But such mothers, despite the inconvenience, should get out of bed earlier and move more immediately after the side effects of anesthesia. Movements will help reduce, and passivity - to lethargic muscles.

The rate of muscle contraction

After the latter comes out, the bottom of the uterus shouldLocated at the level of the navel. Absence of the uterus after delivery without complications - about 2 cm per day. On the sixth day, when most women are discharged from the hospital, it is normally about 5 cm above the womb. Delay at least for a day is considered as a pathology.

Reasons for subinvolution:

  • Reduction of the uterus after childbirth: timing, pathology, causesLack of prolactin. The development of this hormone, responsible for the arrival of milk, provokes the release of oxytocin, which reduces muscle. Prolactin is produced by irritating the nipples, that is, reflexively, therefore, in women breastfeeding, recovery is faster. Accordingly, the lack of this hormone leads to violations;
  • The cervix, clogged after birth, and the placenta remains in the cavity impede the recovery of the body. If the placenta is not completely separated, the organ can not fully work;
  • Postpartum infection. Basically, this pathology is a continuation of the process, which began even during pregnancy. Postpartum endometritis is a complication after chorionitis - inflammation of the membranes. The inner surface of the organ is affected and can not respond to the production of oxytocin. Uterine tissues become flabby, and activity decreases.

The causes of subinvolution are defined in the maternity ward. Treatment in all cases involves being in a hospital.

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