Complications during the restoration of the uterus after delivery
How to cut the uterus after childbirth? What is uterine cleaning? Why the uterine bend? Mioma, polyps, inflammation and falling out of the uterus after delivery. When you need to remove the uterus?
After the childbirth is completed, the baby will appear on the light and will be released, the body’s restoration begins. The first process is to reduce the uterus to the previous sizes. This body has amazing properties, since when tooling, the baby increases significantly. The uterus after delivery has a weight within 1 kg, and by the end of the recovery period – only 50 g.
However, the recovery process may be complicated by a number of pathologies that arise only after delivery and before that it is impossible to foresee, respectively, to warn too. For example, can deform the neck.
Only the doctor can notice the violation when inspection. Normally, the outline of the external seva must be round, but in pathology they acquire the shape of the gap. At the same time, the neck will not be cone-shaped, as it should, but cylindrical. These and other disorders can affect the female female function and make it difficult to pregnancy.
How soon to cut the uterus after childbirth?
In the normal postpartum period, the body is fully cleaned from the remnants of the placenta and blood clots in 3 days. The activity of this process is evidenced by the discharge – bloody in the first days and serous-succinous in the following.
Epithelium fully recovered after 3 weeks. The process of abbreviations is accompanied by a minor grab-shaped pain. After repeated delivery, this phenomenon may be more pronounced and a woman in some cases are prescribed anesthetic drugs.
Lack of abbreviations (atony) or their weak intensity (hypotension) are pathologies and health.
The activity of abbreviations depends on several factors: the amount of fruits, the location of the placenta, complications during the generic process, the weight of the child, the health status of the Hoea itself.
Atony occurs in case of bending, injuries of generic channels, underdevelopment of the organ, inflammatory processes, the presence of fibromes, multi-frame, blood coagulation disorders.
To reduce the uterus, the doctor may appoint special drugs that will stimulate this process – oxytocin or prostaglandins.
The impulse can serve breastfeeding, so feeding the baby stands on his first requirement. Woman should move more, even if the cesarean operation was performed. Sleep and relax better on the stomach. It is worth noting that the bladder emptying can affect the speed of abbreviations, so if there are no edema, you need to drink more liquid and visiting the toilet more often.
The danger of atony consists in the fact that the body cannot free themselves from the remnants of the placenta and blood clots. If they remain, inflammation will arise. Therefore, the necessary procedure if the above methods did not help, there will be scraping, or cleaning. If you do not hold such a procedure, then you need hysterectomy.
When it is necessary to clean?
Cleaning the uterus is carried out after delivery if parts of the placenta remained in it or blood clots were accumulated. Detect residues on a planned ultrasound study, which is carried out after delivery.
Why the body is not cleared independently? The reason is the weak generic activity, when the doctor had to manually separate the placenta or in case the latter attached very tightly.
Cleaning is carried out both by medication and operational method. It is a mandatory procedure with the above pathologies. If you do not implement such an event, then complications will arise in the form of an inflammatory process and endometritis.
If the clots are found in the ultrasound ultrasound after childbirth, then the doctor prescribes the scraping, which is carried out under general anesthesia. Operation time – no more than 20 minutes.
The procedure, like any other intervention, may be accompanied by complications. Most often, a hematometome occurs – a delay in the cavity of the blood organ caused by a cervical spasm. If the selection from the vagina after the scraping quickly stopped, then this complication takes place. To relax the neck and prevent the hematometer, prescribe but-shp.
In women with a violation of blood coagulation, uterine bleeding may occur, but this is a rather rare phenomenon.
If the bacteria fell into the cavity during cleaning, endometrite occurs – inflammation of the mucous membrane.
What is fraught bending uterus?
Bending of the uterus, or offset, after delivery arises due to the weakness of the muscles of the pelvis and lowering the tone of the ligaments. These factors in combination with complicated childbirth provoke some deviation of the organ back. Movement is accompanied by a bend.
Such a disorder provokes a reduced activity of the genital organs, is characterized by pain syndrome and functional disabilities in this area. The bend is eliminated with the help of a special exercise complex that a woman can easily perform at home.
Myoma
This pathology, unfortunately, is one of the most common. It is characterized by the fact that in the muscular sheath of the organ forms benign tumors.
If you do not start the treatment in a timely manner, then high risk of developing early and late complications after the birth of a child, or rather:
- Abundant postpartum bleeding;
- The increment of the placenta;
- Low tone of the uterus;
- Excessively dense filthile placenta and its partial compartment;
- The uterus does not have the ability to restore the former size;
- Infecting the organ of organ.
Polyps
A distinctive feature of this disease is the difficulty in its diagnosis, because the initial stage falls on postpartum bleeding characteristic of this period. The main reason for polyps is an abortion or scanning in history. Detect a placental polyp can only be using ultrasound.
A woman needs hospitalization and procedure of scraping after a delivery, when remnants of the last and clots of blood are removed. In the rehabilitation period, it must take antielemic and antibacterial agents.
Removal operation
Hysterectomy – the operation to remove the uterus is carried out according to the testimony to which:
- Enemetriosis, the impossibility of stopping uterine bleeding;
- Failure of the uterus as a result of a pelvic bottom break;
- Children’s organ after displacement disrupts the functions of the gallbladder.
Inflammation
The reasons for the development of the pathological process are quite a lot: the operation of the cesarean section, protracted delivery, the prelation of the placenta, the absence or non-compliance with hygienic / sanitary standards and T. D. The symptoms of the disease includes an increase in body temperature, a rapid pulse, soreness and an increase in abdomen in size, fever, purulent discharge from the vagina.
If a woman is worried about the above phenomena, do not delay a visit to the doctor. Postpartum complications may occur even when a mother with a child is already discharged home.
To protect yourself from the development of pathology and prevent disruption of childbearing functions, it is necessary to contact a specialist who can put the correct diagnosis and appoint adequate treatment, or to calm the woman if diseases are not detected.
Why did the uterus fall out after the first birth?
Often this phenomenon is found in women who have repeatedly gave birth naturally. However, the primordinists are also not insured against such pathology. There are several reasons why falling out. For example, when relaxing muscles, which occurs with age due to reducing estrogen production.
For those who survived the first birth, significantly omitting is possible due to a large fetus. This condition is due to damage to the pubic-cleaned muscles and connective tissues. The weakness of the latter may occur with strong attempts or severe childbirth. As the fabric is significantly stretched, the uterus simply scruples down. Very rarely falling due to a tumor that energizes the organ outside.
Treatment directly depends on the stage of the disease. In the initial stages, conservative methods are used: gynecological massage, replacement therapy with estrogens to strengthen the ligament apparatus, the introduction of masses in the vagina with metabolites, special gymnastic exercises and other methods.
With more severe flow, surgical intervention is appointed. However, the whole process of treatment should be carried out under the direct observation of the gynecologist.