Reduction of the uterus after delivery: deadlines, pathology, reasons

How does the uterus cut after childbirth? How long after childbirth decreases the uterus? Why there are no abbreviations? Slow cut in the uterus. Causes of abbreviation disorders

During pregnancy, metamorphoses occur throughout the body. The uterus, as one of the most important organs, is no exception. Grows the fruit, respectively, increases and she.

This body is distinguished by its unique properties, because during pregnancy it increases significantly, and after the kid leaves it, gradually returns to standard sizes.

How much time goes to return to the same sizes to say hard, because the body of each woman is unique. There are several factors capable of accelerating or, on the contrary, slow down this process.

How does the uterus cut after childbirth?

After the fruit left the womb, the uterus looks like a big wound. Especially great damage are observed in the placenta fastening area, because there are many closed vessels there. In the cavity at this time there are clots of blood and part of the fetal shell.

Cleaning occurs for 3 days after the delivery. In this process, phagocytosis plays an important role – dissolving leukocytes of bacteria, and extracellular proteolysis – dissolving bacteria with proteolytic enzymes.

These processes contribute to the fact that the wound secret is allocated – the very lochy. In the first day, they are more reminiscent of blood, and 3-4 become serous-succained with leukocytes. At the end of the third of the week, they normally, they are light and liquid, but to the sixth and end.

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

How long does the uterus decrease after childbirth?

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

Immediately after the child leaves the mother’s womb, the neck size in diameter is 12 cm. If necessary, the doctor can enter his hand there to clean the cavity from the rest of the last.

But at the end of the first day, the neck narrows so that you can only enter a couple of fingers, on the third day – 1. Fully outdoor zev closes on the third week.

As for the weight of the body, then immediately after the birth of the baby, he is on average 1 kg equals, in a week – 500 g, in two – 350 g, and at the end of the postpartum period, after 2-3 months – 50 g, that is, it reaches its prenatal weight.

The reduction process is always accompanied by insignificant gravity pain at the bottom of the abdomen. It is worth noting that they are most pronounced after repeated delivery. In some women, this phenomenon causes the strongest discomfort, so the doctor may prescribe certain painkillers or antispasmodics, but it is recommended to refrain from them, especially if there is a feeding of newborn breast crumbs.

However, sometimes it happens that after childbirth there is a atony – the uterus is not reduced, or the process is moving very slowly. Both phenomena are of great danger, because there can be provoked postpartum bleeding and a number of other complications.

Why there are no abbreviations?

The slowdown in the process can provoke:

• Multiply;
• Low attachment placenta;
• Large fruit;
• Complication in the process of childbirth (etc. weak generic activity);
• The state of health of the woman itself, for example, the body can be very exhausted.

Full of their absence occurs in the case of the inflection of the uterus, injuries of the generic paths, underdevelopment of the organ, inflammatory processes in the uterine cavity itself or its appendages, including those in history, fibromes (benign tumor), multi-frame, or blood coagulation disorders.

Slow recovery of the uterus after childbirth

Even in the maternity hospital on the belly of the women in labor, the heating was placed filled with cold water. This event allows you to stop bleeding and contribute to the reduction process. While mother and child are in the hospital, doctors regularly check the state of the uterus and follow the process of its recovery.

Install the slow recovery gynecologist can usually examine. In this case, the bottom of the body will be soft. A woman is left in the walls of the maternity hospital until the doctor make sure that the abbreviations go a normal pace.

If independent contractions are not observed, special drugs are prescribed, which provoke the beginning of this process – prostaglandins or oxytocin. The set of therapy may include the outer massage of the bottom, which is carried out through the abdominal wall.

In addition, the impetus can serve breastfeeding, so feeding the child is recommended as often as possible. 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 be regularly. Very often this fact is overlooked, especially if there were seds that cause soreness when urine. But still worth visiting the toilet more often.

If the methods described above did not give results, and the uterus is not reduced, cleaning. The need for such an event arises due to the fact that the body or part of the placenta may remain in the organ cavity. In addition, the neck may be clogged by the formed blood clots.

In the case when postpartum discharges or pathological clots remain, inflammation necessarily occurs, which affects not only the organ itself, but also adjacent tissues. Sometimes even cleaning does not bring the expected result, then a surgical intervention is necessary, which may be to conclusted in the removal of the uterus.

Delay in abbreviation in medicine is called subbate. Usually, this body restores the former size in about 5-7 weeks after the delivery, and after 8 who do not breastfeed.

Normally, the rapid reduction is observed immediately after the birth of the baby. Only in the size of this body can be judged by the state of the mother. When reductions occur normally, the process goes without failures. Otherwise, the postpartum period is fraught with immune disorders and hormonal imbalance.

It is worth noting that women who gave birth to a child by cesarean sections, this process is much slower than those who gave birth to a natural way, but in such a situation it is considered the norm. But such mothers, despite the inconvenience, should earlier get up from bed and move more immediately after the side effects of anesthesia will be held. Movements contribute to the reduction, and passivity – to the fatness of the muscles.

Muscle Reduction Dynamics

After the last, the bottom of the uterus should be located at the navel level. Ollowing the uterus after delivery without the presence of complications – about 2 cm per day. For the sixth day, when most women are discharged from the maternity hospital, it is normally about 5 cm above the wing. Delay at least per day is considered as pathology.

Causes of Subinvolution:

• Lack of prolactin. The development of this hormone responsible for the arrival of milk, provokes an oxytocin emission that reduces the muscles. Prolactin is produced in irritation of the nipples, that is, reflexively, so in women, nursing breasts, the restoration passes faster. Accordingly, the lack of this hormone leads to violations;
• The cervix, clogged after childbirth, and the remnants of the placenta in cavity prevent the restoration of the body. If the placenta is not completely separated, the body cannot fully work;
• Postpartum infection. Mainly this pathology is a continuation of the process, which began even during pregnancy. Postpartum endometritis – complication after chorionite – inflammation of the fetal shells. The inner surface of the organ is amazed and cannot respond to the production of oxytocin. Fabrics of the uterus become flabbles, and activity decreases.

The reasons for suburbituities are still determined in the maternity department. Treatment in all cases involves finding in the hospital.