Natural childbirth is a rather difficult and long physiological process that requires a lot of strength and patience from a woman. It can be divided into several stages: the beginning of contractions, the birth of a child and the birth of an afterbirth. The appearance of the shell in which the fetus has developed is the completion of generic processes: it depends on its integrity whether it will be cleaned after childbirth, or, to put it in medical terms, postpartum curettage.
You should not be frightened and, even more so, refuse this procedure: first of all, specialists will definitely examine the condition of the uterus and find out the validity of the curettage. To more accurately understand the meaning of such an action as cleaning after childbirth, a woman should have at least a general understanding of the reasons causing the need for curettage, as well as the consequences of abandoning it.
Scraping - cleaning help the body
It must be said that the well-known expression: “Man is a public animal” - is confirmed in all manifestations of human life, starting from the moment of conception, and ending with death. The process of childbirth is no exception: in the wild, the birth of any animal is governed by the principles of natural selection, and only human children are born under the supervision of medical specialists. It is thanks to the institute of obstetric care that many women retain their health, the possibility of re-conception, and sometimes life (not to mention the health and life of their child) - and therefore one should trust the professionalism of people designed to protect the life and health of their patients. Believe me: without proper reason, the uterus is not cleaned after childbirth, especially at this level of medical diagnostics, as it is today.
The fact is that the integrity of the afterbirth can be broken for some reasons: the exfoliation of the membranes and the placenta from the tissues of the uterus may be incomplete - parts of the afterbirth may remain on the walls of the uterus or in its cavity, causing many diseases.
First of all, tissue pieces (or blood clots) that linger in the uterus, rot, becoming an ideal breeding ground for bacteria and viruses - and this can lead to necrosis of surrounding tissues and blood infection, not to mention inflammatory processes of varying severity.
In addition, even microscopic particles of the afterbirth, being in the uterine cavity, are perceived by the body as foreign - and therefore the body seeks to get rid of them, wasting its (already depleted) protective resources. As a result, the postpartum recovery period is delayed, which increases the possibility of infection of the reproductive organs, and the woman’s return to the normal rhythm of life is postponed indefinitely.
In order to avoid such postpartum complications, vacuum or manual (curettage) brushing after delivery is performed.
If you allow yourself a figurative comparison, then the work of a gynecologist, in this case, can be compared with the services of a cleaning company. Any housewife is able to maintain order in the house, but sometimes it is difficult alone to cope with the elimination of the consequences of particularly stormy parties or visiting too “liberated” guests. Then professionals who come to the rescue will quickly and efficiently induce perfect order and sterile cleanliness: there will not be a trace of food debris stuck in the cracks, imprints of dirty shoes, and therefore the threat of cockroach invasion and harmful microorganisms will disappear. .
The process of postpartum cleansing and its consequences
It should be noted that in the case of cesarean section, curettage is performed much more frequently, and in some clinics is considered a mandatory procedure. This procedure is due to the fact that the clan activity at caesarean section is smoothed (or completely absent) - and therefore the natural separation of the placenta does not occur. Of course, in the uterus, after removing the child from it, there are multiple remnants of the fetal membranes - and they pose a threat to the health of the woman.
As for natural childbirth, the following statement is popular in the obstetric environment: the average woman gives birth twice in one visit to the hospital (and the multiple pregnancy does not have to do with it). In fact, the output of the afterbirth is comparable to the birth of another child - the mechanism of the process is the same.
However, if the delivery lasted for a long time, then the woman may simply not have enough strength for the final attempts - and this means that the intensity of uterine contractions may not be sufficient to fully separate the fetal membranes of the afterbirth from the uterine tissue. Complicating the situation may be too strong attachment of the tissues of the ovum to the walls of the uterus. In both cases, the doctor who takes delivery has to separate the placenta manually: the result of such an intervention may be pieces of fetal tissue, as well as blood clots remaining in the uterus.
To exclude the possibility of incomplete cleansing of the uterus from foreign debris, a woman is examined in the gynecological chair with the help of mirrors and also an ultrasound of the uterus is done - and in case of pathology, she is prescribed a curettage or vacuum cleaning of her inner layer.
A routine cleaning operation lasts about 20 minutes and is performed using local or general anesthesia, complying with all surgical standards, including aseptic and antiseptic rules.
Specialists, using obstetric devices, produce the expansion of the cervix, and then with a special curette scraped a functional layer of the uterine surface. The peculiarity of this tissue (endometrium) is its ability to regenerate: from the lower layers of the endometrium a new mucous membrane of the uterus is formed, which does not have the slightest damage - and the functionality of the uterus is restored.
Rapid rehabilitation guarantee
As a rule, cleaning after the COP and the usual birth practically do not differ in the method of implementation. The rehabilitation period in both cases is also practically the same - it lasts about 2 weeks (unless, of course, the birth canal was affected in the case of orthodox childbirth). The first days after the cleaning, the woman should be under strict medical supervision - the doctor observes the symptoms of the recovery process: body temperature, pulse rate, abdominal tenderness during palpation - according to these parameters a specialist can make a correct conclusion about the patient's condition and readiness for discharge.
Drugs prescribed during this period contribute to the speedy recovery and stop the development of inflammatory processes: as a rule, it is no-spa and antibiotics. Naturally, at this time should refrain from breastfeeding - and this will require pumping milk.
An important role in the rehabilitation period after cleansing is played by the observance of certain restrictions: at this time it is recommended to refrain from vaginal sex, bathing in any water reservoirs (including bathing), bath and sauna visits — the risk of penetration of pathogens into the uterus is too high. In addition, at this time you should avoid lifting more than 3 kg and limit the intensity of sports, as such actions can cause bleeding.
Having passed a 2-week rehabilitation without any disturbances, it will be possible to return with joy to normal activities, enjoying all the joys of motherhood and a healthy life without any restrictions.
When does the need for cleaning after childbirth arise?
Each woman gives birth twice (for one arrival at the maternity hospital): the baby and the placenta (afterbirth), with which he stayed all 9 months. Many women do not even notice the birth of the placenta, because at this time they are already busy looking at the baby, who buried his little nose in her mother's breast. But this is not always the case, unfortunately. Sometimes the placenta too tightly “fused” with the uterus and is born “partially” or does not come out at all, then a manual separation of the afterbirth should be performed, which is always carried out after a cesarean section.
Before discharge from the hospital (2-3 days), a woman is subjected to a diagnostic ultrasound in order to assess the condition of the uterus. If the doctor finds traces of the afterbirth or blood clots in the uterus, then the woman in childbirth is prescribed cleaning.
How to carry out cleaning after childbirth?
“Cleaning” in “medical language” means scraping. This procedure may be familiar to women who have had an abortion. Scraping the uterine mucosa is an operation that mechanically removes the functional layer of the endometrium. From the sprout layers of the endometrium, a new mucous membrane grows soon after curettage.
Usually, cleaning is carried out under general anesthesia in a gynecological chair. Before surgery, the external genitals are treated with 5% alcoholic iodine solution, and the vagina and cervix - with 50% ethyl alcohol. With the help of dilators of various diameters, the cervical canal is expanded and the remnants of placental tissue are removed using a special blunt curette or an obstetric curette with teeth. The operation lasts no more than 20 minutes.
How to behave after cleaning?
After cleaning, the woman should be under the supervision of doctors who monitor body temperature, pulse rate, secretions from the genitals. 2 times a day should be treated external genital antiseptic solutions.
After the operation for 2 weeks you can not use vaginal tampons, do douching, take a bath, go to the bath, lift weights, play sports. Vaginal sex is also contraindicated due to the fact that the cervix remains open and there is a lot of erosion on the uterine mucosa, which can be favorable conditions for the development of an infection that the sexual partner can "bring".
Antibiotics are prescribed to prevent inflammation and other complications after cleansing. The curettage procedure is painful, so pain may also be observed in the postoperative period. In this period, you may be prescribed no-shpy in order to prevent the development of hematometers (blood clots in the uterus).
What can be complications after cleansing?
A hematometer is just a frequent complication of scraping. It may occur due to severe compression (cramp) of the cervix, which will cause a delay in the uterine cavity of the blood. The rapid cessation of bleeding is the main symptom of hematometers. To support the cervix in a relaxed position and appoint No-shpu, as mentioned above.
Another complication of cleansing is uterine bleeding, but they are extremely rare (mostly only in women with bleeding disorders). But in the case of penetration into the uterine cavity after cleaning germs, endometritis can occur - infections and inflammation of the uterine mucosa.
All complications require a specific treatment, which can only be prescribed by the attending gynecologist. “Ideally,” after cleansing for several hours, copious bloody discharge with clots is observed, but soon they become less plentiful. After curettage for at least 10 days, scant spotting, brown or yellowish discharge should be observed.
As you can see, cleaning after childbirth is not so terrible, if you follow the simple rules of personal hygiene and doctor's instructions. Therefore, you should not worry! All will manage!
When you need to clean the uterus after childbirth
Cleaning the uterus after childbirth is a measure to clean the uterine ducts. As gynecologists themselves point out, a woman in her physiology gives birth twice in one visit to the hospital. So the first time she gives birth to her baby, and the second time - this is the placenta, in which all 9 months the fetus grew and developed.
It is the afterbirth, which did not leave the uterus in a timely manner, can cause many complications and cause for such a gynecological procedure as cleaning after uterus delivery.
According to many parturient women, they practically do not notice the exit of the placenta from it, because at this very moment they are already holding their baby in their arms and are carried away by the first minutes of communication with him. But as the practice of doctors shows, this is not always the case - in some cases, the placenta has grown so much to the uterus and partially left the woman’s body or not at all.
In the office at the gynecologist for surgery
In such cases, doctors prescribe the manual method of separating the placenta - cleaning after childbirth, helps to completely remove the afterbirth and is shown both after natural childbirth and after cesarean section.
First of all, to determine whether this procedure is necessary or not - a woman is checked with an ultrasound and if the results show remnants of blood and placenta in the uterus, then postpartum cleaning after delivery of the uterine cavity is prescribed.
How to clean after delivery
Cleaning after childbirth - for many women, this sounds scary, but the procedure itself is necessary and important. Suffice it to say that during cesarean section, cleaning of the uterus is even more frequent than after the natural delivery process.
Due to the fact that particles of the fetal membrane remain in the uterine cavity - they can decompose and rot, an inflammatory process develops, which is dangerous for the woman.
The procedure is similar to the birth of a baby and the mechanism in this case is almost the same. However, if the generic activity itself is dragged out and the woman does not have enough strength for the attempts, the intensity of uterine wall contraction decreases accordingly. As a result, the placenta does not fully withdraw after childbirth and doctors have to separate it manually. But as a consequence - the pieces of the placenta can still remain on the walls of the uterus.
Consequences of postpartum cleaning of the uterus
In order to eliminate the full negative effects and completely clean the uterus - doctors practice postpartum cleaning. First of all, the woman is examined by a gynecologist on a gynecological chair, using gynecological mirrors.
As necessary, an ultrasound scan of the uterus is performed, and when diagnosing pathology, a vacuum type of cleaning of the inner layer of the uterus is performed.
The very same planned surgery to clean the uterine cavity lasts about 15-20 minutes, when the doctor applies local or general type of anesthesia, observing all the norms of surgical intervention, rules and norms of asepsis, as well as antiseptics.
A gynecologist uses special tools to expand the uterus and then, using a special curette, to cure the placenta from the walls of the uterus. The functional layer of the uterus - the endometrium, will gradually be restored, as the subsequent reproductive function of the uterus itself will be restored.
Reviews of women about cleaning the sexarrow
After the gynecological cleaning, the woman should stay in the hospital for 2-3 days, under the supervision of doctors - these days the woman’s condition is monitored, her body temperature and pulse are checked, and what secretions come from the female genitals. Twice a day, in the morning and in the evening, the female's external genitals are treated with a special antiseptic.
After cleaning for at least 2 weeks, it is forbidden to use vaginal tampons and douche, to replace the bath at the shower, to refuse to visit the bath and sauna. It is also worth limiting weight lifting and not going to the gym, contraindicated vaginal type of sex. The cervix is still open, and its mucous is traumatized, and all this together creates favorable conditions for infection and therefore sex in the next 13-14 days is prohibited.
As preventive measures, doctors prescribe a course of antibiotics. The procedure of cleaning the uterine cavity from the remnants of the placenta is quite painful - for some time, the woman will feel pain in the lower abdomen and lumbar back. To relieve pain and prevent the formation of hematomas and blood clots, doctors may prescribe no-spy or aspirin.
Possible complications of postpartum clearance
First of all, such consequences are hematomeres - a rather frequent complication in the practice of gynecologists after cleaning. A similar condition occurs due to excessive compression, spasm of the cervix itself - there is a delay in blood clots in its cavity.
To prevent a similar phenomenon, compression of the cervix, and, accordingly, the delay of blood clots in its cavity - as noted earlier, doctors prescribe no-silos or aspirin. This is not a cleaning after childbirth, but relieves cramps and in general, treats.
Another complication after gynecological cleaning is uterine bleeding - this negative consequence is found in the practice of doctors rather rarely, and is typical for those women who suffer from problems with blood, its ability to coagulate normally.
При попадании в полость матки бактерий, микробов, негативного действия патогенной микрофлоры – может развиваться эндометрит. По своей сути эндометрит это инфекционной природы воспалительный процесс, поражающий слизистую матки.
Внезапная чистка матки после родов
При диагностировании любого осложнения, при проявлении негативной симптоматики в виде выделений с гноем из полости матки, повышении температуры тела – немедленно стоит посетить врача гинеколога. Only an experienced doctor can help - do not practice self-medication.
But during the normal procedure of uterine cleansing of the afterbirth remaining after delivery, the woman may experience pain in the lumbar region and lower abdomen, poor blood discharge, reminiscent of menstruation - such symptoms will be observed for 7-10 days. At home, it does not hurt to clear the blood and blood vessels to restore the body.
Summing up, we can summarize one thing - the cleaning procedure after childbirth itself is important and not so terrible as it may seem at the very beginning. If all the rules of her conduct are followed by the doctors, as well as the personal hygiene of the woman herself, there are no complications in the parturient woman, and her health will recover as soon as possible, unless it is the consequences of an ectopic pregnancy without complications.
Share the post "Cleaning after childbirth - what women should know"
Blood clots in the uterus after childbirth
During pregnancy and childbirth, the uterus is subjected to the greatest testing and stress. It is with the help of this organ that the child ripens, the process of its birth, after which it pushes the afterbirth (the fetal membrane, the umbilical cord that bound the baby to the mother and the placenta). But despite the fact that most of the residues (lohii) come out immediately after the completion of the birth process, some remain in the uterus. Therefore, if a clot comes out after delivery from the uterus, then do not panic. The rest of the afterbirth comes out gradually. The process can take up to six to eight weeks.
Isolation of lochia is similar to clots after delivery in the uterus. The first days they are quite abundant and have a bright scarlet color. Over time, they become lighter. As a result, lochia stands out almost transparent color.
It is possible to note several periods of enhancement of secretions:
- Lactation. At this moment, there is an active contraction of the muscles of the genital organ, which contributes to its purification from unnecessary elements.
- With a sharp rise from the bed. Perhaps even the occurrence of pulling pains.
The release of lochia diminishes gradually over several months. The most intensive process is the first week, then gradually becomes less noticeable. As a rule, after two months, the genital organ stops secreting clots after giving birth in the uterus, indicating that a complete cleansing has occurred.
The process of cleansing the uterus can be accompanied by nagging painful sensations that gradually pass. The reason for this is the reduction of the reproductive organ. Pain will stop when the uterus takes on its original size and shape.
Clots after delivery in the uterus - this is normal for women. At a time when lochia is especially abundant, the woman in labor is under the supervision of a doctor and medical staff.
The first few days after the long-awaited birth process, excreta is particularly abundant. At this time, you need to carefully monitor hygiene and use special medical pads. After the discharge becomes moderate, you can switch to the use of conventional pads, and after daily. Do not forget to regularly change the means of hygiene.
Discharging from maternity hospital
Before you send the woman to the house, they carry out an ultrasound examination. It examines the uterine cavity for the presence of large lohii. If you have not had an ultrasound examination, then contact the clinic at the place of residence or residence. The procedure can protect you from the occurrence of complications.
If any deviations are found, the statement is transferred to a later date. In the uterus should not be clots at all. Otherwise, women may be assigned to conduct such procedures as cleaning after childbirth. If clots are found in the first two or three days after the long-awaited moment, when the walls of the uterus have not yet declined, the procedure for cleansing the reproductive organ will be less unpleasant, because you will not have to expand the walls.
Scraping after childbirth
The procedure is an operation that is performed in the hospital. Postpartum cleaning is sometimes just a necessary procedure. During her doctor removes all the remains of the afterbirth, which remained in the uterus. This allows you to avoid pain and inflammation in the future. The process itself is performed under anesthesia, so the woman does not feel pain.
Causes of residual placenta
If there are lumps in the uterus after giving birth, then the possible reasons for this may be:
- Low activity of the uterus walls, which leads to its ineffective contractions. The cause of the problem is usually a decrease in the level of such a female hormone as prolactin. It promotes uterine contractions and removal of the amniotic membranes.
- The presence of a bend isthmus of the uterus. This may be a congenital feature of the body. During the period of active secretions, a passage blockage may occur, leading to an inflammatory reaction. The presence of such a feature is established by ultrasound. In its absence, a woman will be able to recognize the danger herself by the main symptom of the bend - an abrupt halt of discharge.
When should you seek medical help?
If blood clots come out that this can tell the doctor exactly. Even after confirming the doctor that everything is fine, and sending the woman home should pay particular attention to her discharge. As soon as some strange symptoms appear, you should not delay the visit to the doctor.
The reason to contact a gynecologist should be:
- If blood clots in the uterus after birth have a bright scarlet color and are accompanied by painful sensations.
- Very heavy bleeding.
- If the discharge continues after two months.
- If the lochia has a smell and is accompanied by itching.
- Increase in body temperature and cessation of lochia.
- If there are pauses in the discharge for several days.
Compliance with simple rules will help avoid the occurrence of complications and pathologies.
- Observe personal hygiene. Clean up the genitals several times a day. This helps reduce the risk of an inflammatory response.
- Refrain from active loads, as well as lifting a lot of weight.
- Take care of your chair. There should be no delays and constipation.
- Once or twice a day lie on your back. This posture stimulates the exit of lohii out.
- After delivery, it is recommended to put ice on the belly. This helps reduce blood loss.
Why and how to clean after delivery
After pregnancy, gestation and childbirth, the mother's body should return to normal. A certain period of time is needed for the reproductive organs to clear, stop the discharge, leave blood clots and tissue residues. If this does not happen, rotting will begin in the uterus, creating a favorable environment for the development of pathogenic flora.
In certain conditions, there is a need for scraping. After childbirth, the uterus is cleaned, if there are prerequisites: blood accumulates, parts of the baby’s seat remain in the uterine cavity or on the walls of the organ, blood clots do not come out.
And after cesarean section, this procedure is necessary, since the placenta must be removed mechanically. Even the microscopic parts of the afterbirth are perceived by the genital organ as foreign, and the body is set to remove them.
Closing the vessel with a clot after some time can lead to severe bleeding.
Scraping after childbirth is produced by vacuum or mechanically. With a sufficiently long birth, the mother's strength dries up, and the uterus contracts not sufficiently intensively so that the fetal membranes of the afterbirth completely separate from it. Sometimes the fertilized egg is too strongly attached to the walls of the organ, and the latter must be separated manually.
The mother after the birth of the baby into the world for two more hours remains in the delivery room, where they assess her condition, the presence or absence of blood loss, the dynamics of uterine contractions. After examination in the chair with the help of a gynecological mirror and an ultrasound of the uterus of the doctor, finding a pathology, they decide to clean it.
Sometimes, scraping is done on the same day, in other cases, the condition of the young mother is monitored and an ultrasound scan is performed on the 5th day after birth. According to its results, it is determined whether the process of contraction and purification is normal or if cleaning is required.
Manipulation lasts about half an hour. A woman is given local or general anesthesia, the genitals are treated, the cervix is dilated, and the functional layer of the endometrium is scraped out with a curette. It is able to regenerate: after a certain time a new intact mucosa is formed from its lower layers, and the uterus is again ready to “work”.
Technique of the procedure is the same as curettage during unwanted pregnancy or curettage with a diagnostic purpose.
During the operation, mechanical manual cleaning of the uterus from the functional layer of the endometrium, particles of fetal membranes and blood clots is performed.
Purification of the woman in labor is controlled by doctors, the postoperative period is under careful observation.
Watch for pulse, body temperature, secretions, well-being, because curettage is a painful procedure, after which the uterus is an open wound.
It needs antiseptic treatment and daily care. Finally, to clean the birth canal will help appointed by a specialist drugs.
Vacuum cleaning of the uterus
For vacuum cleaning of the uterus after childbirth, use a special device - a vacuum pump equipped with aspiration tips. Negative pressure is created in the organ cavity and the contents are brought out.
The vacuum method implies manual and machine-type curettage. The first is the most common and includes:
- Treatment of external genital organs.
- The introduction of the mirror into the vagina.
- Cervical preparation.
- Aspiration tube insertion.
- Removal of tissue by rotating the tube or diagnostic sampling of the material for the study.
Vacuum cleaning shown:
- if after delivery or cesarean section in the reproductive organ, the placenta or part of it remains,
- as a result of spontaneous miscarriage with incomplete yield of embryonic residues,
- after abortion,
- for biocenosis research,
- with a bubble skid
- severe uterine bleeding.
This method of curettage is more gentle than mechanical because injuries to the uterus, cervical canal and endometrium can be minimized.
Cesarean section cleaning
If cleaning the uterus after childbirth is a frequent occurrence, then the doctor should prescribe curettage after cesarean section with caution and taking into account the state of health of the woman in labor.
The body recovers longer after the operation, the incision makes the integrity of the muscle tissue broken, and the reproductive organ shrinks worse.
Only by the end of the second week after the birth of the baby, its size and shape are restored, and the stitches heal even longer.
Women who have had to undergo cesarean have more postpartum complications in the uterine cavity.
On the 3rd day after the procedure, an ultrasound scan is done, the integrity of the suture is studied. If there is intense pain, conduct an unscheduled ultrasound to assess the state of the postoperative scar. His edema may indicate postpartum endometritis - inflammation in the mucous membrane of the uterus.
According to the testimony of the doctor, the curettage is performed during the cesarean section itself, this helps to avoid complications. But sometimes parts of the placenta remain inside, which is a direct reason for cleaning.
To ensure that the next pregnancy after a cesarean section passes safely, experts recommend abstaining from conceiving for 3 years. During this time, the postoperative scar heals, and the uterus is again ready to bear the baby.
However, sometimes pregnancy occurs earlier, and you have to make a choice: to leave the baby or decide to terminate the pregnancy. Women who have had an abortion after a cesarean have noted that this is a great health risk, since an unformed scar can be damaged.
It should be remembered that the consequences of abortion can be infertility, infection, bleeding, hormonal disorders.
Complications after cleaning
After each surgery, there are possible complications. Scraping the uterus after childbirth is no exception. One of the side effects is the hematometer, when blood clots accumulate in the reproductive organ. When the spasm of the muscle is closed, they remain inside. To prevent the accumulation of blood in the uterus, doctors prescribe No-shpu to relax the muscles.
During the cleaning process, the surgeon may pierce the wall of the uterus with a sharp instrument, which will lead to its perforation. As a rule, the problem is fixed on the same day.
Late complications that develop within a few days after curettage can lead to infection and further unpleasant consequences. Poor disposal of placenta residues can provoke symptoms of acute endometritis, which is characterized by high fever, pain in the lower body, discharge with an unpleasant odor.
The state of the uterus after curettage does not differ from menstruation: normal discharge should be moderate, without an unpleasant smell, last for about a week. Then their intensity decreases, and the bleeding stops.
Rehabilitation after scraping should be aimed at restoring the function of childbirth, uterine bleeding still occurs, but this is a common phenomenon. Small pain in the lower back indicates that the organ has begun to contract. Selections become brown, and after a time - white, slimy, that is, come back to normal.
It is necessary to abstain from sexual activity until the surface, injured by curettage, heals completely. Both partners are at risk of getting an infection, and the woman will experience pain during sex. There may be severe bleeding due to irritation of the vagina.
It is necessary to adhere to a healthy lifestyle, follow medical prescriptions. You can not take a bath, douche, go to the bath and sauna, use tampons, lift weights.
If you follow the recommendations, within a month the menstrual cycle resumes, reproductive health is restored.
Therapy after curettage of the uterine cavity involves medication. They do not increase the endometrium, but prevent infection, improve the well-being of women. Antispasmodics are prescribed with caution, because they contribute to the reduction of the uterus, which is accompanied by severe pain, especially immediately after cleaning. In severe cases, no-shpa is shown.
Antibiotics are prescribed necessarily: they help to avoid the addition of infection. The vaginal microflora is restored with the help of antifungal agents in the form of tablets and suppositories. You can use herbal teas and infusions: shepherd's purse, nettle, pine forest uterus, viburnum, lemon balm.
Hormonal drugs help to restore balance in the body and prevent recurrence of the disease.
In addition to these drugs, take enzymes that prevent the formation of adhesions.
A prerequisite - a gynecologist examination and re-testing in order to avoid relapse. Planning a pregnancy in the next six months is not worth the treatment. Having curettage should have sex with a condom and only after a follow-up examination by a female doctor.
In what cases it is necessary to clean the uterus after giving birth
The most important organ responsible for successful pregnancy and childbirth is the uterus. It is on her that the greatest burden is placed during the course of these processes.
After giving birth, the uterus begins to clear of the membranes, the whole pregnancy surrounding the fetus. This is called the birth of the afterbirth. The placenta, which includes the umbilical cord and the fetal sheath, should come out completely.
If this does not happen, immediately after the birth process, an obstetrician-gynecologist can manually clean the uterus in order to reach the remaining remains.
Complete cleansing of the uterus occurs within 7–8 weeks and is a process similar to menstruation.
Before discharge from the maternity hospital, every woman is checked with an ultrasound machine for the presence of blood clots in the uterus, and when they are found, cleaning is prescribed. A woman in no case should not refuse her.
Timely control of postpartum uterine cleansing is important and can prevent the development of complications:
- all residues in the uterus can begin to decompose, creating favorable conditions for the development of bacteria,
- the clot can grow to the uterus, causing the development of endometriosis.
Purification of the uterus, appointed by the newly-made mother, is likely to postpone discharge from the hospital for several days. The procedure in the next three days after birth makes it less painful, because the cervix has not yet had time to completely shrink and it is not necessary to expand it.
If the new mother in the maternity hospital is not checked for the presence of lumps in the uterus, then you should contact the clinic at the place of residence or in a paid clinic
If you have not been checked by an ultrasound scanner for clots in the maternity hospital, contact the clinic at your place of residence or a paid clinic to check the uterus.
How do uterine cleansing after childbirth
Чистку матки после родов обычно проводят по показаниям УЗИ в течение 3–5 дней после родов:
- Перед проведением процедуры женщине делают общий или местный наркоз.
- Затем обрабатывают наружные половые органы и внутреннюю поверхность бедра пациентки йодом или другим антисептиком, а влагалище и шейку матки — этанолом.
- With the help of dilators of different sizes, they open the cervix and cleanse the uterus itself.
The whole operation lasts no more than 25 minutes. After the cleaning, a second ultrasound of the uterus is prescribed to control its complete cleansing.
Depending on the type of tools used, cleaning the uterus is divided into several types:
- vacuum cleaning
- manual (mechanical) cleaning,
- washing (lavage).
Manual (mechanical) uterine cleaning
If a small amount of blood clots is found in the uterus after birth, the doctor may try to get rid of them without surgery, pressing his hands on the patient's abdomen. In other situations, manual (mechanical) cleaning of the uterus is prescribed.
The process of manual cleaning of the uterus is performed using a special obstetric instrument - curette
All preoperative manual uterine cleaning procedures are identical to vacuum cleaning activities. The very process of cleansing the body is performed using a special obstetric instrument - the curette.
Sometimes, an obstetric curette can have teeth. The procedure for manual cleaning of the uterus does not last long, usually not more than twenty minutes.
During the operation, blood clots are scraped out, after which a new healthy mucous layer grows in the uterus.
Three days after giving birth at the maternity hospital, I had an ultrasound scan, which also revealed the presence of a small amount of blood clots. The obstetrician-gynecologist and part-time uzist began brushing my clots with a hand, pressing the stomach down on the second. This manipulation did not last long - about 1–1.5 minutes. It was painful and unpleasant.
Immediately during the procedure came a few clots. I was left in the hospital for one more day. The next day, the procedure was repeated, after which several blood clots appeared again. Then I was checked again for an ultrasound, they said everything was fine, and they let me go home.
This mini-cleaning cost me in the hospital, glad that I did not have to endure a full operation.
Lavage (washing) of the uterus
Lavage (washing) of the uterus - a procedure performed after childbirth to cleanse the uterus from unreleased blood clots or particles of the fetal membranes.
A special thin tube is inserted into the uterus, through which an antiseptic solution is injected:
- The uterus is reduced and reduced in size due to the massage effect on it.
- Due to the treatment with antiseptics, the inflammatory process is eliminated or prevented.
- Mechanical action removes blood clots.
To achieve the maximum washing effect, the procedure should be performed 4–5 times.
Lavage of the uterus is carried out by two main methods:
- gravity rinsing. A rubber tube is inserted into the genital tract, through which antiseptic preparations are poured into the uterine cavity. The contents of the uterus spill out spontaneously. For the best effect of the procedure on the stomach can put a compress with ice,
- aspiration method. A silicone tube is attached to the intravenous injection complex, through which a disinfecting cold fluid flows into the body of the uterus. Removal of blood clots and fluids is performed using an electro-aspirator.
The washing itself goes through the main stages:
- The patient's genitals are treated with an antiseptic.
- A gynecological mirror is inserted into the vagina and the cervix is found.
- In order to achieve the best washing effect, a tube is introduced as deeply as possible into the uterine cavity.
- The cooled antiseptic solution is injected into the uterine cavity under a slight pressure to get a jet. This washing lasts no more than 25 minutes.
- The injection pressure of the solution is reduced and the procedure continues for another 100–120 minutes.
To achieve the maximum effect, it is necessary to conduct up to 4–5 washing sessions. It all depends on the degree of clogged uterus. With a small number of blood clots, one session may be enough.
For lavage, antiseptic preparations are used:
- Dimeksid.Furatsilin and Dioksidin use as antiseptic drugs
As an anesthetic used Novocain or Lidocaine. In one wash session, about three liters of fluid are poured into the uterine cavity. The antiseptic solution should be cooled to 5 ° C, which creates an additional effect of reducing sensitivity. After the procedure to prevent the development of complications, an antibiotic is prescribed to patients.
The consequences of uterine cleansing
If the doctor prescribed uterus cleaning, then the procedure is mandatory, because complications will occur not because of cleaning, but because of the refusal of its passage. After the operation, the endometrium (the inner mucous membrane of the uterus body) will gradually recover. The uterus is covered with a new healthy layer of epithelium.
However, it is impossible to completely exclude the consequences of cleaning the uterus. In some cases, it may occur:
- uterine bleeding. Such a phenomenon after cleaning occurs infrequently. It usually affects those women who previously had problems with blood clotting,
- hematometers - retention of liquid blood or blood clots in the genitals. Such a pathology after cleansing is quite rare and occurs due to the strong clamping or spasm of the muscles of the cervix or vagina. To avoid hematometers, obstetrician-gynecologists may prescribe Aspirin or No-silo. These drugs help relieve muscle spasm, providing a free cleansing of the female genital,
- endometritis - inflammation of the inner layer of the uterus. It may occur due to the penetration of bacteria and germs into the wounded surface of the uterus. To prevent the occurrence of endometritis, it is necessary to drink a course of antibiotics.
With proper and delicate cleaning, the risk of negative consequences after the procedure is reduced to zero. Therefore, do not be afraid of the operation and its consequences. Agree to the intervention of doctors.
Folk ways to clean the uterus after childbirth
It is possible to accelerate the recovery of the female genital organ with the help of herbs that contribute to the stabilization of the hormonal background and contractions of the uterus. The action of such herbs stimulates muscle tone and improves immunity.
Drinks that help cleanse the uterus include:
- nettle infusion. Nettle is very popular as a folk remedy because of its availability. To prepare the infusion, you must pour 5 tablespoons of dry nettle with 500 ml of boiling water and let it stand before cooling. You can drink half a glass up to 3-4 times a day. Nettle helps reduce uterus, and also has anti-inflammatory effects; Nettle infusion has anti-inflammatory effects.
- infusion of young leaves of birch. It must be prepared from young May birch leaves. The tool has an antiseptic effect, and also helps to improve the tone of the uterus. To prepare the infusion, pour 3 tablespoons of crushed leaves with 600 ml of boiling water and let it brew for about three hours. The cooled drink must be drained and taken 200 ml 3 times a day. You can start using such a remedy only two weeks after delivery,
- shepherd's bag infusion. It contributes to uterine contractions after childbirth, stimulates blood circulation and has an invigorating effect. It is necessary to fill in 30 grams of grass with 600 ml of boiling water and let it stand before cooling. After drinking a drink, drink half a cup 3-4 times a day,
- viburnum juice. For cooking means it is necessary to use only fresh berry. Juice should be drunk immediately after preparation, not leaving the next time. To improve the tone of the uterus, it is necessary to drink 3-4 tablespoons of fresh viburnum juice per day. It is not recommended to prepare viburnum juice for the future, but it should be consumed immediately after preparation
In addition to herbs, the tone of the uterus and the removal of clots contribute to:
- moderate physical activity
- frequent emptying of the bladder.
How to avoid cleaning the uterus after giving birth
When I was in the maternity hospital, to stimulate the removal of clots, I was recommended to often go to the toilet to urinate and perform acceptable physical exercises. To activate the contraction of the uterus, an oxytocin drip was placed.
After discharge, they appointed to drink a course of pepper water extract (peppermint grass), which increases the tone of the uterus, stimulating its reduction. She took inside 30 drops 4 times a day 30 minutes before meals.
The course of treatment was 5–7 days.
The release of blood clots after delivery is normal and even necessary. However, if there are few clots or, according to the results of an ultrasound examination, a woman has seen stagnation of blood clots, you can perform certain actions that contribute to the release of excess blood and help in some cases to avoid cleaning the uterus:
- apply cold or ice to the stomach,
- breastfeed more often and longer. It promotes the production of the hormone oxytocin, which leads to contractions of the uterus,
- actively move, perform acceptable physical exercises, allowed new mothers,
- lie on your stomach
- empty your bladder more often.
After cesarean section with the removal of blood clots from the uterus, there can also be problems, since:
- physical activity is contraindicated,
- breast milk may arrive slowly.
Therefore, young mothers who have undergone CS, are still given injections or droppers of oxytocin in the maternity hospital.
Reviews of women who have undergone cleaning of the uterus
Do not be afraid of cleaning the uterus. When prescribing a doctor it is necessary to undergo this procedure.
If there are not very many clots in the uterus and they come out on their own, a number of measures can be taken to stimulate the activity of the uterus and its purification.
Using traditional methods or by going through the cleaning procedure, you will get rid of the risk of complications and in the future you will be able to plan a new pregnancy without any problems.
Clots after delivery in the uterus: causes. What to do? Cleaning after childbirth
Childbirth is a complex process for the body. The woman is experiencing a large load, which can lead to complications. Which secretions from the uterus are normal and which ones should be feared? What symptoms should cause hospital anxiety and treatment?
Cleansing the uterus after childbirth: consequences and complications
Births occur in three periods: contractions, birth of the fetus and the birth of the afterbirth. The placenta is the placenta and fetal membranes in which the fetus is located.
After the birth of the afterbirth in the uterus, there should be no remains of it, as well as blood clots attached to its walls or closing secretions outflow, the purification should be complete.
All these tissues will rot in the uterine cavity after childbirth, and create a nutrient medium for numerous conditionally pathogenic and pathogenic microflora that live on the surface of the body.
Blood clots remaining in the cavity may interfere with its cleansing after childbirth - removal of lochia from its cavity - postpartum discharge. A blood clot can also block the vessel in the wall, and then after some time come off, which will cause severe bleeding. Such bleeding may begin suddenly, even one month after delivery.
In order to prevent such consequences, make cleaning (curettage, curettage) of the uterus after childbirth. If parts of the placenta and fetal membranes remain in its cavity, curettage is carried out immediately after delivery or during the day after it.
If there are blood clots in the uterus that interfere with the cleansing of its cavity, curettage is performed according to indications, depending on the state of the woman, but not later than the first week of the field of labor.
The presence of indications for curettage in modern clinics is confirmed by ultrasound studies (ultrasound).
The operation is simple, but painful, so it is performed under anesthesia. The doctor with a medical instrument (curette) scrapes the uterine mucosa, removing its upper functional layer along with the remnants of the generic tissues. Sometimes vacuum cleaning with the subsequent ultrasound control is performed.
Important! If the doctor considers it necessary to carry out cleaning, the woman should not refuse it!
The main criteria for the success of the cleaning of the uterus
The success of the curettage operation after childbirth testify (it is worth remembering!):
- the absence of a significant increase in the body temperature of the puerperal (the norm is up to 37.5˚),
- no bleeding, moderate bleeding is considered normal for several days (sometimes up to a week), they gradually turn brown and then brighten, the discharge does not have an unpleasant odor,
- pain in the lower abdomen - it gradually decreases, but persists until the uterus is completely reduced,
- The general condition of the woman is satisfactory, but slight dizziness can disturb, all these symptoms indicate that the cleansing is going right.
It is important to pay attention to the following symptoms and report them to the doctor:
- increased bleeding,
- complete lack of discharge in the first days after cleansing with a simultaneous increase in pain, this indicates a violation of cleansing,
- discharge acquires an unpleasant putrid odor - a sign of infection
- temperature rises to 38˚ and above.
How is the rehabilitation and recovery
Some time (4-6 days) after cleaning the puerperal is in the hospital under the supervision of a doctor. He conducts daily inspection for the timely detection of possible complications. Prescribed medication:
- drugs to reduce the uterus - this is the prevention of recurrent bleeding,
- antibiotics - to prevent the development of infections.
If the rehabilitation period passes normally, the woman is discharged 5-6 days after the cleaning, and the woman’s doctor will continue to monitor her condition. Selection after curettage (as well as after childbirth) lasts about 6 weeks, gradually lightening and decreasing in volume. Two months after birth, there is a complete cleansing and restoration.
Complications and effects after curettage of the uterus
As with any other surgery, complications are possible. Complications can be early and late. Early complications include:
- bleeding in case of damage to a vessel located in the uterus wall, in this case abundant bleeding may be from the genital tract, and may manifest as hemometers - accumulations of blood in the uterus due to the closure of the exit of the cavity; relieving smooth muscle spasm,
- perforation (violation of integrity) of the uterus wall with a sharp instrument - a small puncture can build up on its own, and a large one is sewn up, there are usually no unpleasant consequences.
These effects are eliminated on the operating table or when re-operation during the first day. In modern clinics there are all possibilities to cope with such consequences.
Late complications that may develop in a few days after the operation and last for a long time include infection and its consequences.
In violation of the uterus cleansing, an infectious-inflammatory process develops - acute endometritis, which proceeds with high fever, lower abdominal pain, a change in the nature of lochia (they become smelly, the cleansing is disturbed).
In time prescribed antibiotic therapy allows you to quickly stop this process and prevent serious consequences.
Important! Purification is more difficult and endometritis is treated in women suffering from some kind of hidden infections - chlamydia, ureaplasmosis, etc.
Therefore, obstetricians and gynecologists always insist on a full examination and treatment of infection during pregnancy planning. In such cases, endometritis becomes chronic and is accompanied by the development of adhesions.
The inflammatory process moves to the fallopian tubes and pelvic organs, where the effects of inflammation, adhesions, are also gradually developing.
Adhesions in the uterus and fallopian tubes are the main cause of infertility. Adhesions in the fallopian tubes can interfere with conception, and in the uterus cavity - childbearing and childbirth. The treatment of such processes is long. It begins with the identification and treatment of infections, which, as a rule, with long-lasting inflammation is mixed, caused by various pathogens.
After elimination of the infection, the dissection of adhesions is performed, which is most often carried out by endoscopic (without large incisions, using special endoscopic instruments) methods. And only after this, the effects of the infection are eliminated, and the woman may again become pregnant.
Hormonal disorders and failure of the menstrual cycle can be a consequence of too deep curettage of the walls, when not only the upper functional (recovering) layer of the endometrium is removed, but also the lower, basal, which cannot be restored. This complication is treatable with great difficulty and most often it causes infertility.
How to speed up the healing process after cleansing
For this you need to follow all the recommendations of the doctor. Tips:
- keep your genitals clean, take a warm shower twice a day, you can not wash in a bath, bath or sauna,
- no douching should be done, all cleansing procedures should be superficial,
- change pads as they are filled, but at least 6-8 times a day, in the first days it is better to use diapers (as well as after childbirth),
- даже при небольших выделениях не использовать вагинальные тампоны – это мешает очищению,
- любые физические нагрузки и состояние напряжения должны быть исключены в первые две недели после чистки,
- половые контакты возможны только после полного прекращения лохий.
With a successful cleaning after childbirth and compliance with all necessary requirements in the postoperative period, there are usually no negative consequences for women. Much more serious consequences are if cleaning was not carried out in a timely manner.
Cleaning the uterus after childbirth - prerequisites for
The most well-known prerequisites and reasons for carrying out manual cleaning immediately after childbirth are:
- doubts about the integrity of the afterbirth (the planet),
- if the afterbirth has not moved,
- tight attachment of the placenta.
If such a situation arises, the doctor performs the manipulation immediately after the appearance of the baby. An anesthesia is given to the parturient woman, cleaning of the remaining clots is performed through the opened cervix. For caesarean section (natural childbirth), manipulation is similar.
Before discharge to the maternity hospital, mothers are sent to the gynecologist for examination, an ultrasound scan. It takes place two days before sending home to further check the situation, to avoid afterwords. If during the examination the doctor revealed the remains of the afterbirth (blood clots), he prescribes cleaning after delivery.
The reasons for the occurrence of this phenomenon are more often previous abortions, infections in the uterus and insufficient activity (poor contraction).
How is the procedure of cleaning the uterus?
Cleaning has a parallel and fairly common name - curettage of the uterus. Girls who resort to abortion or those who have experienced a miscarriage have an idea of the procedure.
If a problem such as poor or partial discharge of the placenta is detected, a specialist performs manual cleaning after delivery. With the help of special tools obstetrician-gynecologist scrapes the remnants.
Depending on the situation, vacuum cleaning can be performed after delivery. Here, to get rid of the afterbirth residues, special equipment is used (the action is similar to the principle of a vacuum cleaner).
Girls are actively interested in vacuuming after childbirth. Does it hurt? It should be noted that manual (vacuum) cleaning is carried out by local or general anesthesia. This ensures no pain during curettage.
Before making any manipulations, the specialist lubricates the external genitals with 5% iodine solution. The cervix, the vagina is disinfected with ethyl alcohol (solution - 50%). Only after this, the cervical canals increase and proceed to the removal of clots (placenta residues). By the time the manipulation takes about 20 minutes.
In order to ensure the safety of women and her uterus, a couple of days later, an ultrasound is being performed, which is the test.
Contraindications to conduct, as well as recommendations for further action
Sometimes the inflammatory process in the body and the cervix can be not a causal, but a contraindication of such a procedure as vacuum cleaning of the uterus after childbirth (manual cleaning of the uterus). But most often the remnants of clots in the uterus after childbirth require the intervention of a specialist.
If, after the woman has been cleaned, she will correctly follow the doctor’s recommendations, she will be able to avoid many consequences.
The first time the state of a woman is controlled by specialists. Particular attention is drawn to the discharge, which resemble menstrual. This is normal if the duration does not exceed 10 days.
Lack of bleeding, strange odor are the reasons for re-examination by a specialist. It is worth remembering that the cervix remains open, so be sure to follow certain rules (frequent changes of gaskets, the exclusion of tampons, washing away with clean water, refraining from intimate connections).
When and how is the uterus cleaned after delivery?
After reading the stories of mummies about cleaning after childbirth in "inetov" forums, I came to the conclusion: the less you know, you sleep better. But then, having thought it over, I realized that the information from the forum is not enough for sound sleep. Naturally, cleaning after childbirth is an unpleasant ending to the most important moment in a woman’s life, and those who have experienced this condition are sometimes unable to hold back emotions, so their stories may be listed as “not for the faint of heart.” And we add: not for pregnant women.
In order not to be afraid of postnatal cleansing (after all, it doesn’t mean that you will need it) you need to get as much about it as possible, but with medical information, and not “from personal experience”.
Childbirth - the physiological process
Knowledge of the physiology of childbirth, the sequence of their stages in many ways reduces the feeling of fear and anxiety before the upcoming visit to the hospital. The hour will come X, and childbirth will begin, regardless of your emotions. Of course, they will be much more comfortable if the fear of the unknown is replaced by the expected situations.
Childbirth consists of three stages:
- Period of disclosure. The period of cervical dilatation is the longest - approximately 8–12 hours. Usually, primiparous are somewhat longer than those of multiparous ones. It begins with the first regular contraction and ends with the complete opening of the cervix. The fetus at this time falls its presenting part (and in 95% of the genera is the head) to the pelvic floor. With the end of this period, the fetal bladder bursts and light amniotic fluid flows.
- The period of expulsion of the fetus, or potezhny period. The muscles of the pelvic floor are rich in nerve endings, so irritation with their head causes strikes - involuntary contractions of the striated musculature of the body. Duration of attempts does not exceed 2 hours. From the moment they start, the midwife will ask you to go to bed, and during the cutting of the head, she will offer you to go to the birth table. From now on, dressed in sterile clothes, it will be at your feet. Listen carefully to the commands of the midwife - it is she who now controls the birth. It was she who was destined not only to see the birth of your baby first, but also to provide him with some help in this difficult process and to protect your birth canal from ruptures that the baby can cause to you. She will cut the umbilical cord, show your long-awaited baby, and put it on you for closer acquaintance and first attachment to the breast. The second period is over.
- Sequential period. The third stage of labor has begun. It seemed that everything was over, but it was during this period that complications could occur that would require that same uterine cleansing. The last period lasts up to 30 minutes. The midwife deals with your baby, performing the first toilet of the newborn for him, informs you of his height and weight, puts bracelets on you and the baby. Not gold or silver - just pieces of oilcloth with the date, time of birth, sex, weight and height. Childbirth continues to lead the doctor. In the third period, by means of contractions, the placenta should be separated from the uterine wall and the last (child's place) should stand out along with all the membranes. It is strictly forbidden to force this process by pressing on the uterus. The doctor stands nearby and observes the signs of separation of the placenta. Seeing them, he allocates the afterbirth by stifling the umbilical cord. Childbirth is over.
Complications 3 periods
30 minutes had not yet passed, but copious bloody discharge appeared from the uterus, indicating that the process of separation of the placenta was disturbed. Only one way out - you need a manual separation of the placenta. It is performed by the doctor under inhalation or intravenous anesthesia by inserting his hand into the uterine cavity. Do not be afraid of this - if the child has already passed, the hand of the doctor will pass.
Manual separation of the placenta is performed even when 30 minutes have passed, and there are no signs of separation of the placenta. But all these 30 minutes, the doctor should not touch the uterus, press on it in order to speed up the 3 period. Just wait for the appearance of signs of separation, and then select the aftermath by gently sipping the umbilical cord.
The placenta should be carefully examined to establish the integrity of the lobes of the placenta and membranes.
In case of a defect of the placenta or suspicion of it, the doctor is obliged to carry out a manual examination of the uterus. Torn fruit membranes are not indications for this operation.
Early postpartum period
Yes, the birth is over, but you have to make sure that there are no tears, that is, you will have to inspect the birth canal in the mirrors. It is carefully examined with the use of special tools of the cervix, its ruptures are immediately sutured. The tears of the soft tissues of the vagina are also sutured by self-dissolving threads, and silk sutures are applied to the breaks of the skin, which are removed for 5 days.
Within 2 hours after childbirth, the puerperal woman remains in the delivery room under observation:
- The state of health, pulse rate, blood pressure and uterus condition are monitored.
- On her stomach is a hot-water bottle with ice to ensure uterine hypothermia and prevent uterine bleeding.
This period is dangerous hypotonic bleeding, which may require surgery to enter the abdominal cavity and possibly even remove the uterus.
If you are among the “lucky women” who have been cleaned after childbirth (and as you can see, this procedure is far from being given to all puerperas, but only if the above complications are present), you will be required to strictly follow the hygiene rules of the postpartum period. They are:
- Rinse with warm clean water at least 2 times a day.
- Change gaskets as needed.
- No tampons and douching.
- There are no saunas, hamam, baths, steam rooms and baths. Only a shower is allowed.
- Vaginal sex is prohibited.
- Avoid drafts and hypothermia.
- Set aside heavy physical activities and intense sports for at least 2 months.
- Perform a daily set of gymnastic exercises for giving birth.
- Swimming pool, swimming in the river and the sea is also not for you.
- Eat balanced. Preference protein foods, vegetables and fruits, limiting fatty and simple carbohydrates.
- Use vitamin-mineral complexes for lactating.
I want to believe that you have got rid of the habit of drinking and smoking at least six months before the planned pregnancy. If not, do it immediately.
After 5–6 weeks after delivery, visit your obstetrician-gynecologist to check for abnormalities. Discuss future contraception at the same time.
As a rule, even the cleaning of the uterus cavity, which has come to a difficult share of the woman, does not overshadow the memories of the wonderful days spent in the hospital and associated with the arrival of the baby into this world. And many then want to go back there again and again. And there are no obstacles to this. Yes, even if you cleaned the uterus after childbirth, but if you followed all the doctor's recommendations, there should be no further problems.
Cleaning the uterus after childbirth. In what cases is this manipulation necessary?
Most women who wait for the last weeks of pregnancy from “good” counselors or girlfriends who have recently been in the maternity hospital, of course, know that in some cases, cleaning after childbirth is necessary.
Therefore, a young mommy after childbirth tries by all means to hide from the doctor the true state of affairs, if she thinks that something “went wrong” in the secret hope of avoiding such an unpleasant procedure.
Should I avoid this procedure?
Avoid cleaning after childbirth, and it can succeed, but the complications arising from the untimely execution of this procedure, it is possible, at best, only one woman out of a thousand.
And it is not a fact that long-term complications will not arise, the most dangerous of which is infertility in the future.
Many “well-read” contemporaries do not like the fact that, after this manipulation, it is necessary to prescribe antibiotics and temporarily stop breastfeeding.
Now, if she herself begins to take antibacterial drugs for a cold, then this is great, and the doctor's prescriptions and the need to manually milk the milk to maintain lactation can be ignored.
Only the majority of such young mummies forgets that the surface of the uterus after childbirth is a continuous open wound surface, and any blood clot or a piece of afterbirth that remains in the uterus is a foreign body.
It should not be there by definition - firstly, it is an ideal nutrient medium for microorganisms, which can cause purulent complications, which will still have to be treated, secondly, it prevents the normal uterus from contracting, which increases the risk of infection.
No need to try to hide the increased body temperature, because this symptom occurs not only with stagnation in the uterus, but also with inflammation of the stitches (if they overlap), and with an increase in the amount of breast milk produced, in any situation only a qualified doctor should assess the condition of the woman.
And if during the examination or the results of an ultrasound examination, the doctor finds indications for cleaning, it is better to agree with him and carry out the necessary treatment.
Otherwise, it is likely that the young mom will still have to return to the hospital and treat endometritis, but in this case the baby will have to stay at home, because in the gynecological departments of hospitals there are no conditions for the child to stay.
When the normal biological mechanism is disrupted, the separation of the placenta and fetal membranes is disturbed when the uterus is large (over stretching during multiple pregnancies), when the placenta increases due to a wound of existing inflammatory diseases of the uterus and internal genital organs or against previously performed abortions.
In this case, a manual separation of the placenta (manual cleaning after childbirth) is carried out, after which the doctor (not a midwife, as in a normal course of labor) determines the integrity of the fetal membranes and the afterbirth as a whole.
In addition, manual separation of the placenta, but already under visual control, like dilation of the cervix, is necessarily performed during a cesarean section operation - without this, it is impossible to avoid purulent complications in the late postpartum period or in the early recovery period after childbirth.
That is why the woman stays in the delivery room for the first two hours after the completion of labor - not only her general condition, but also the degree of blood loss through the birth canal, as well as the dynamics of uterine contraction are evaluated.
causes and consequences how to avoid it
After pregnancy, gestation and childbirth, the mother's body should return to normal. A certain period of time is needed for the reproductive organs to clear, stop the discharge, leave blood clots and tissue residues. If this does not happen, rotting will begin in the uterus, creating a favorable environment for the development of pathogenic flora.
In certain conditions, there is a need for scraping. After childbirth, the uterus is cleaned, if there are prerequisites: blood accumulates, parts of the baby’s seat remain in the uterine cavity or on the walls of the organ, blood clots do not come out. And after cesarean section, this procedure is necessary, since the placenta must be removed mechanically. Even the microscopic parts of the afterbirth are perceived by the genital organ as foreign, and the body is set to remove them. Closing the vessel with a clot after some time can lead to severe bleeding.
Cleaning after giving birth from A to Z
Once after reading the scary stories of experienced mummies about special cleaning up after childbirth on “inetov” forums, I myself came to a disappointing conclusion: the less you know, the stronger you sleep. However, then, having thought a bit, I realized that such information received simply from the forum is catastrophically insufficient for my sound and restful sleep. It is quite natural that the cleaning necessary after childbirth is an unpleasant manipulation, and it also touches the fact that this is the kind of ending for the most important and tremulous moment in the life of any woman. And actually all those women who once lived through such a state are sometimes not able to hold back their emotions, which is precisely why their stories may well be regarded as “horror stories” called “just not for the faint of heart”. At the same time, we add: these are not stories for pregnant women.
But in order for such a postpartum cleaning not to be completely afraid and not even think about it (after all, reading this article doesn’t mean exactly what you need) you should try to get as much qualitative and reliable medical information as possible about such cleaning, and not at all information "from the personal experience of a seasoned and already frightened mommy."
When may there be a need for cleaning after childbirth?
Physicians, jokingly, say that every woman always gives birth twice (meaning during one visit to her maternity hospital): first a baby, and then the placenta itself (or afterbirth), in which the baby stayed all nine long months of pregnancy. The birth of the placenta, many of the women do not even notice, because at this very time they are already busy looking at their baby, who quietly buried his little nose in her warm mother's breast. Однако так бывает далеко не всегда, и, конечно же, это к огромному нашему сожалению. Иногда бывает и так что плацента уж слишком крепко «приросла» к матке и рождается, как говорится «частично» или же вообще совсем не может выйти. А вот собственно в таких случаях медикам и следует произвести ручное отделение плаценты или последа, которое кроме прочего всегда должны проводить и после процедуры кесарева сечения.
As a rule, immediately before discharge from the maternity hospital (and this is for 2 or 3 days), a routine diagnostic ultrasound scan is performed for each woman who has given birth. This is necessary in order to assess in time the condition of the entire internal cavity of the uterus after childbirth. And if, in such a study, the doctor finds traces of the placenta or afterbirth in the uterus, and it can be simple blood clots, then such a parturient is prescribed postnatal cleansing.
How to carry out postnatal cleaning?
“Cleaning” in the modern “medical language” means banal scraping as during an abortion. This procedure may well be familiar to the feelings of all those women who have had an abortion at least once in their lives. As you understand, curettage from the mucous membrane of the uterus of a woman is a special operation, in which a purely mechanical removal of a specific functional layer of the uterine endometrium is usually performed. And from the germ layers of the same endometrium, quite soon after such curettage, a completely new healthy mucous membrane will grow.
Most often, such cleaning is performed only under general anesthesia and, of course, in a standard gynecological chair. Immediately before such an operation, all external genitalia must be treated with an ordinary alcoholic solution of iodine, but only 5%, but the vagina and the cervix are treated with a 50% solution of ethyl alcohol. Then, with the help of pre-dilators of various diameters, directly in the cervical canal, they try to expand and remove all remnants of the so-called placental tissue. Moreover, such removal is usually carried out with the help of a special blunt curette, and sometimes with the help of an obstetric curette with special teeth. This operation lasts, as a rule, no more than twenty minutes.
How to behave immediately after cleaning?
Immediately, we note that immediately after such cleansing, a woman must be under the strict supervision of doctors who will monitor her body temperature, pulse rate, and, of course, secretions that appear from the genitals. In addition, the woman should process her external genitals with special antiseptic solutions at least twice a day.
Immediately after such an operation, you will not be able to use ordinary vaginal tampons, perform douching, take a hot bath, go to saunas or baths, lift some weights, and even play sports, and this ban will last for two weeks. Vaginal sex will also be contraindicated for this time, and this prohibition has been imposed only because the woman’s cervix itself will remain open all this time, and a sufficiently large erosion will be observed directly on the mucous membrane of the uterus. And this, as you know, can be truly favorable conditions for the acute development of any infections that your sexual partner can “bring” to you.
But for the prevention of inflammation, and other real complications possible after such cleansing, a woman is prescribed antibiotics. It should be noted that the curettage procedure itself is quite painful, and it is for this very reason that even in the postoperative period, a woman may experience some pain, and, always, of varying intensity. In this period, you may well be prescribed such a drug as no-shpa, this is only necessary to prevent the sudden development of hematometers (a condition when blood clots linger in the uterus).
What complications can occur after cleansing?
Actually hematometer - this is exactly the same and is the most frequent complication after not quite successful curettage. This condition may well arise due to too much compression (or spasm) of the very cervix of the woman, which later becomes the cause of such a delay of blood clots directly in the uterine cavity. And it is worth remembering that too rapid cessation of any bleeding after childbirth is the most important symptom of the occurrence of hematometers. But in order to be able to support your cervix in its fully relaxed position, the doctors and prescribe the usual No-shpu, as already mentioned a little earlier.
We go further, another common complication of such postpartum cleansing is abundant uterine bleeding, but we rush to calm you down, they are really extremely rare (mostly only for those women who have some disorders of normal blood clotting). In cases of penetration of any germs directly into the uterine cavity after such postpartum cleaning, such a dangerous disease like endometritis may well arise - this is an infectious inflammation of the entire mucous membrane of the uterus itself.
It is worth noting that all of the above complications, of course, require from the woman strictly defined adequate and timely treatment, which, by the way, can only be assigned to you by an experienced gynecologist who is treating you. And “ideally” it would be after such a cleansing for literally several hours that sufficiently heavy spotting would be observed, which would be with blood clots, and that soon they would become less and less abundant. In addition, after such a curettage, for at least ten days, a rather scanty, seemingly bloody, perhaps brown or even yellowish discharge from the vagina should be observed.
As we see, the procedure of cleaning after childbirth is not at all so terrible, especially if you follow some fairly simple rules of your personal hygiene and strictly follow the instructions of your doctor. Therefore, unequivocally worry about this procedure is not worth it! After all, it is quite possible that in your particular case everything will go without it!
Cleaning after childbirth: how to proceed, possible complications
When it is necessary to clean the uterus after childbirth, how does it happen and why is it necessary? It is a well-known medical procedure for many women. Absolutely similar is performed to remove the ovum during a frozen pregnancy, abortion, for diagnostic purposes, if, for example, endometrial cancer is suspected. And cleaning the uterus after childbirth, most often, is an attempt to avoid a severe inflammatory process, if there are prerequisites for it.
What could be these prerequisites? Immediately after the birth of the child, manual cleaning of the uterus can be carried out, if during the examination of the placenta (afterbirth) born there are doubts about its integrity. That is, the doctor suspects that partly afterbirth remained in the uterus. In this case, a woman is given full anesthesia, and the doctor, without any problems, cleans her from the remnants of the placenta through a fully open cervix. By the way, such cleaning after childbirth is necessary even if the last does not leave at all. It happens with its tight attachment. And again, the doctor helps the woman finish the labor. A postpartum separation is also performed manually during a cesarean section.
What are the possible complications after cleaning the uterus, because it is known that this is a rather traumatic procedure? In fact, when conducting it in the hospital, any problems are extremely rare. Usually in maternity hospitals before discharge an ultrasound is performed. And sometimes, if necessary, a regular or vacuum cleaning of the uterus is performed. It is not dangerous if all conditions of sterility are met.
By the way, regarding the use of various gynecological instruments in this procedure. There are cases from medical practice where the consequences of uterine cleansing were deadly. It is considered much more secure, while the inner pharynx is open, to carry out medical manipulations on cleaning the uterus manually. So it turns out much more carefully. And such heavy bleeding, which happens when instrumental curettage of the uterus is performed after delivery, is not observed.
But all women have lumps in the uterus after the birth of the child, but not all make curettage, manual or instrumental, of the uterus. And it is right. In most maternity hospitals, absolutely all parturients give intramuscular oxytocin intramuscularly for three days after delivery. This is a drug that leads to a strong contraction of the uterus, helps it to empty faster. Sometimes therapy with this drug needs to be extended. But just abundant discharge after childbirth is not always an indication for such a traumatic procedure as cleaning the uterus, it should be performed only as a last resort. Normally, heavy discharge in women occurs in the first 5-7 days after the birth of a child. And then go down. But can persist for 6, and sometimes even 8 weeks.
Cleaning the uterus with a vacuum after childbirth is less dangerous, since during it the uterine cavity itself is not directly affected. The tubule itself is easily inserted into the uterus, due to its small diameter. And for this, the doctor does not even need to use cervical dilators, it is already ajar. And the cleaning of the uterus after childbirth in this way is very rarely carried out under general anesthesia, since painful sensations are minimal. A woman feels about the same as during menstruation, when the doctor removes clots from the uterus with a vacuum.
Blood clots in the uterus after childbirth do not always "guarantee" cleaning, in addition to oxytocin, there are folk remedies to help their reproductive system. For example, you can drink tincture of water pepper. Also a good effect has a sleep on the abdomen and the wearing of postpartum brace.
But if the discharge after cleaning the uterus does not end because of the placental polyp formed there, then there is no place to go, you need to do curettage, and even better, hysteroscopy, because in this way the doctor will be able to remove the polyp without injuring the entire uterus. Does it hurt to clean the uterus a few weeks after the baby is born? Yes, this is not done without good anesthesia, since the cervix has time to close. But it is precisely its instrumental expansion that is most painful.
How do uterus cleaning after childbirth, what should a woman do? Go through an ultrasound and get a referral from a doctor for this procedure. Take blood tests and swabs. And on the appointed day to arrive at the hospital. The procedure itself lasts no more than 20-30 minutes, they do general or local anesthesia. After the woman is recommended to lie down for about 2 hours and you can go home.
Reasons for cleaning the uterus after childbirth
Cleaning, which is called scraping in medical terminology, is not such a rare phenomenon as we would like. The fact is that every woman gives birth “twice” - a baby and a placenta. The placenta, or as it is called - the placenta, should separate by itself and leave some time after the birth of the baby. But there are cases when the placenta does not move away, and the doctor has to manually remove the placenta. This happens most often due to the tight fit of the placenta to the walls of the uterus, with a weak contraction of the organ, as well as during cesarean section.
Vacuum or manual cleaning after childbirth is prescribed in the case when during the control examination the doctor notices in the uterus residues of the placenta or blood clots. An unpleasant and even painful procedure is obligatory, because otherwise you will experience persistent severe pain in the lower abdomen, and serious inflammation will begin in the uterus itself.
According to experts, cleaning after childbirth can be avoided. Sometimes the doctor prescribes a drip or injections with a substance that stimulates the activity of the uterus, during which all the "surplus" will come out. But if such a method turns out to be ineffective, then more drastic measures will be needed - scraping.
Recommendations after cleaning
The cleaning itself is carried out under local anesthesia or general anesthesia and takes about 20 minutes. After the procedure, the woman should remain under the supervision of doctors, because there is a risk of bleeding, which will require surgical intervention of specialists.
Further throughout the week it is necessary to process
the outer surface of the perineum antiseptics. For 2 weeks, the use of tampons, visiting the bath, taking a bath and any physical activity is prohibited. As for discharge after childbirth for this period, they will be especially intense in the first few hours, and you will notice blood clots. Further, the selection will be less, will get a brown or yellowish tint, and after 10 days they will finally stop.
Despite the fact that cleaning is a rather unpleasant procedure, it is better to carry it out on time. Therefore, if you were not examined by a doctor at discharge from the hospital, try to visit the gynecologist as soon as possible.
vacuum after childbirth, what is scraping in gynecology, as they do after cesarean section
Quite often, women after childbirth are assigned to clean the uterus. Nowadays, uterus cleaning is prescribed to a woman quite often. Almost always, this type of operation causes a woman to: fear, panic attacks, unreasonable experiences. Negative condition is associated with many different rumors that go about this type of surgery in gynecology, which is appointed in order to clear the uterus from not planned pregnancy or from medical pathologies. Fright is a consequence of not knowing what a given gynecological procedure is. This is an operation that is otherwise called curettage of the uterus and is prescribed for a variety of medical indicators, and we'll talk about this in more detail.
What is cleaning in gynecology
Gynecological cleaning of the uterine cavity is a mini operation that is performed under general anesthesia, since the procedure is not very pleasant and causes pain. Uterine cleaning can be of 2 types: therapeutic and diagnostic. Medical cleansing is prescribed for medical reasons.
- Ectopic pregnancy,
- Uterine fibroids,
- Removal of polyps.
Women are always cleaned only in a good hospital or maternity hospital. Diagnostic cleansing is used when it is necessary to accurately identify the causes of negative symptoms, which indicate that the patient's reproductive system is not functioning properly. Collected after diagnosis, the material is sent to the laboratory for examination.
The procedure is performed mainly before menstruation should begin.
However, sometimes the procedure can be carried out in emergency cases, for example, with bleeding. This is required in order not to damage the biorhythm of the body of women by interference. In addition, a procedure such as hysteroscopy is prescribed, which allows the doctor to complete an examination of the results of the work upon completion of the manipulations using a hysteroscope. This device also improves the control over the actions of a specialist in the period of the operation being performed.
There is an operation like this:
- It begins with the expansion of the cervix when using instruments or drugs.
- As soon as the cervical canal is capable of passing the curette, the uterine mucosa is cleaned.
- At the final stage, the expanders are removed, and the entire operating field is treated with an antiseptic. The drug is selected by the doctor.
To avoid pain - make anesthesia. On the stomach necessarily fits the ice, which stops the bleeding. While there are bleeding woman should lie. When the effects of anesthesia are over, the patient can begin a normal life with little physical disabilities. She can go home. But for control, the postoperative period requires the supervision of a doctor, because the cervix will be slightly open for about 30 days. How long does uterine lavage last? The operation takes not long, in general, the procedure takes no more than half an hour.
Mandatory cleaning after delivery
What could be the prerequisites for cleaning after childbirth? Immediately after the baby was born, manual uterine cleansing can be assigned to the ward. The procedure is prescribed if, when examining the placenta (afterbirth), the doctor doubts that it is intact. That is, the doctor suspects that the afterbirth did not come out all that remained pieces in the uterus.
In this situation, the woman is given anesthesia, and the doctor, without any problems, performs a cleansing of the body of the placenta residues.
By the way, such an operation is also performed if the afterbirth has not left. This happens when it is tightly attached. And again, the doctor helps the woman in labor to complete the labor. Also manually performed the separation of the placenta during cesarean section. What can be complications after cleaning the body, because the operation is traumatic? In fact, when it is carried out in the maternity ward, there are any negative symptoms, serious consequences do not occur often. Usually in the hospital, before discharging the woman perform an ultrasound. And sometimes, if necessary, a normal or vacuum cleaning of the uterus is performed.
Special cleaning allows you to perform a complete cleansing of the uterus from the remnants of the placenta
This is quite a standard operation, but it must pass in compliance with all conditions of sterility. Считается наиболее не опасным, пока внутренний зев открыт, выполнить процедуру по очищению органа вручную. Так получается аккуратнее. И так сильно кровь не течет, как бывает, когда выполняется инструментальное очищение матки после родоразрешения. Но остатки, сгустки крови в матке после родов есть у всех женщин, однако не всем делается послеродовая очистка вручную или при помощи инструментов. And it is right.In most maternity hospitals, oxytocin is intramuscularly injected intramuscularly to all women who give birth within 3 days after delivery.
This is a medicine:
- Provokes the strongest uterine contractions,
- Helps her, quickly get rid of the remnants,
- Every clot comes out.
Sometimes therapy with this medication is prolonged. But just the strongest discharge after delivery is not always an indication for such a serious procedure as washing the organ, a vacuum is appointed, as a last resort. Normally, a strong vaginal discharge occurs a week after delivery. And then subside. However, rarely excretions can persist for 8 weeks. For women correctly refer to a gynecologist and be observed with him.
Manual examination of the uterus (video)
In general, the feedback on the procedure is positive. However, in order to avoid negative consequences, it will be right to consult a professional doctor. The specialist will determine why the uterus is badly reduced, whether there are remains of the afterbirth or clots, perform a high-quality uterus cleaning and necessary examination.