September 4, 2012
- Is it important to breastfeed?
- Treatment of cervical dysplasia
- Proper nutrition after birth
- Late childbirth protects against oncological diseases
After giving birth, all women still for a few weeks, the process of the emergence of discharge from the genitals. Such allocation will continue until such time as recovery takes postpartum uterine lining. Such discharge from the genital tract - it is a normal, natural process. However, there are some features of postpartum discharge, which should pay attention not to miss the beginning of the pathological process.
Features postpartum discharge
Discharge after childbirth from the genital tract called lohiyami . Initially, a day stands out quite a number of lochia. However, later, a gradual decrease in the volume of precipitates as heals a wound surface appeared on the endometrium after it was separated from placenta .
As part of the lochia detected blood cells, plasma, particles are dying epithelial and mucus from the cervical canal.
In view of the gradual healing of the wound over time, there are also changes the composition of lochia. Accordingly, changes and color selections. So if initially they are bright red, then some time later fuckers lighter. To determine whether the fine is in the process of wound healing, it is important to ensure that the character of lochia is fully consistent with certain days postpartum. And if the first few days after delivery a young mother can rely on a doctor's supervision, as it is in the nursing home, in the future the nature of the discharge already watching the woman. If it appears some concern for nature lochia, you should immediately seek medical advice. Some serious warning signs may be suspected, identifying the number and color of lochia.
Secretions in the first hours after birth
If the birth proceeds normally, the first two hours after the end of the process the woman stays in the maternity unit. At this time, selection should be abundant, bloody. Their volume is typically about 0 5% by weight of the woman's body. But if the amount of bleeding more than 400 ml, while the woman has just given birth to a marked change in their own state, then we can already go on a certain pathology.
To prevent Bleeding after childbirth , Women produce emptying the bladder via the catheter, and on the lower abdomen for a certain period of time ice is placed. Intravenous women after childbirth administered medicines that contribute to more intensive reduction of uterine muscles. In this case a Oxytocin or metilegrometril . During uterine contractions capable to block blood vessels in the place where the placenta was attached. Accordingly, a woman loses less blood.
Doctors provide careful observation of the woman in the first hours after birth, as at this time may occur a dangerous condition - hypotonic uterine bleeding . This condition occurs due to disturbances in the process of uterine contractions and relaxation of the strong muscles of the uterus. Resting after giving birth, a woman has yet to control their condition. When signs of severe bleeding should immediately inform your doctor. Such a state particularly dangerous because no pain, no discomfort suddenly appeared a woman does not feel. At the same time, bleeding in a short time cause extreme weakness and dizziness.
In the first hours after birth can also occur bleeding in women who are in the process of giving birth received strong discontinuities of the birth canal. Careful suturing of ruptures significantly reduces the risk of bleeding. Therefore, the physician should make a thorough inspection of the birth canal and, if necessary stitches immediately after birth. Suturing should be done professionally, as for closure of the gap does not appear until the end of may hematoma And as a result will accumulate in the tissues of the blood. In this situation, the doctor reveals the hematoma again and sutured incision.
Under normal condition of the woman who gave birth to about two hours later it is transferred to the ward
Secretions in the first days after birth
In the first two or three days a woman should appear bleeding after childbirth. In the first few days fuckers are abundant (they released about 300 ml in fact). Woman forced to change the pad or diaper every two hours. At the same time the smell of postpartum discharge can be musty, sometimes overlook small clots.
Gradually fuckers become less abundant and change color. Their tone was dark red, sometimes closer to brown. If a woman starts to move actively, strengthened isolation. All other features of secretions in the early days will be able to assess the doctor during rounds. He will consider allocation of the gasket or on the diaper and asks a young mother of their character. In particular, the doctor is important to know about what is the amount of bleeding occurs in a woman per day.
Sometimes the amount of bleeding may increase at a time when the doctor performs during the inspection palpation of the abdomen.
Prevention of bleeding in the first days after birth
To have just given birth to a baby woman did not appear bleeding, it is necessary to follow some important guidelines to facilitate the normal recovery process.
Bladder young mother should be emptied at the first urination. And on the first day after birth, regardless of the desire to visit the toilet, it should be done once every three hours. The fact that filling the bladder does not allow the uterus to contract fully.
Young mothers should practice breast-feeding your baby on demand. When irritated nipples, the hormone oxytocin is released, promoting intense uterine contractions. During feeding newborn woman may feel pain in the abdomen, similar to the sensations during labor. This activates the selection.
Recently, a woman gave birth to recommend, if possible, as much as possible to lie on his stomach. This posture helps the output intensity discharge from the uterus and prevents bleeding. In view of deteriorating during pregnancy tone the abdominal muscles of the uterus can be deflected backwards, and the outflow discharge deteriorates. Accordingly, in the prone position outflow becomes more active.
To enhance and strengthen the uterine vessels woman several times a day is placed on the lower abdomen ice.
In some cases, it is advisable to appoint women to intramuscular injection of oxytocin for two or three days. This stimulates uterine contractions. Such a measure is necessary for women who have given birth to a large baby or multiple pregnancies carried. Accordingly, the uterus is subjected to a strong stretching. In addition, the drug is administered to women survivors of obstructed labor.
In order not to miss the development of bleeding, the woman should contact a doctor immediately, as soon as the postpartum highlight sharply become abundant.
So-called late postpartum hemorrhage (those that emerged after two hours or more after birth) occur due to various reasons.
Sometimes develop postpartum hemorrhage due to delay parts of the placenta. Discovered the remains of the placenta in the uterus can be during a vaginal examination with ultrasound. Upon detection of such parts are removed, previously producing intravenous anesthesia .
Less bleeding develops due to blood clotting disorders that arise due to various blood disorders. To correct such bleeding is very difficult. Therefore, information about the presence of these diseases the patient the physician should obtain long before birth.
Hypotonic bleeding - A consequence of too slow contraction of uterine muscle. Such bleeding is usually abundant, painless. This condition can be avoided by introducing shorten funds. And to restore blood loss usual intravenous fluid or blood products.
Another possible complication is the normal process of recovery - a complete cessation of lochia appearance ahead of time. This lochia will accumulate in the uterine cavity. This condition is called lohiometra and is manifested as a consequence of too much stretching of the uterus and the presence of bending backwards. Against the backdrop of not just liquidated lohiometry sometimes develops endometritis . The fact that the pathogenic microbes actively developed for such a nutrient medium as postnatal selection. At similar pathology is also assigned oxytocin, but prior to its introduction enter Nospanum to relieve spasm.
Secretions in the first weeks after birth
If the recovery period after the birth of the baby is going well, then release after childbirth last about 6-8 weeks. During this period it is allocated from 500 to 1500 ml of precipitates.
For the first week postpartum is characterized by the appearance of secretions that resemble menstruation. But they contain more bunches and are generally more abundant. Every day, a woman observes a decrease in the amount of lochia. Their color gradually changed to a whitish-yellow, but sometimes still appear pink highlight.
Already in the fourth week recovery period, the discharge becomes more scarce and acquire spreadable form. Later, about the sixth week, lochia gradually break, and the discharge becomes the same as before and during pregnancy.
Young mothers who feed the baby breast milk, say a quick cessation of discharges due to the accelerated process of reducing the uterus. Those women who have suffered cesarean section , Recover more slowly as the uterus, in which there is a seam is reduced less rapidly.
But the main thing - to treat their own condition very carefully and not to engage in self-treatment upon occurrence of the problems described above.
The correct approach to the post-natal hygiene
To prevent the occurrence of infectious complications, a woman must carefully comply with all rules of hygiene. It is important to ensure a normal outflow lochia from the uterus, as they can develop rapidly pathogenic microflora That is fraught with the development of inflammation.
Up until the lochia not cease completely, the young mother must always be used postpartum pads or diapers. Change pads needed every three hours to prevent reproduction of microorganisms. In the weeks postpartum women should not use scented pads, as they increase the risk of allergic reactions. Do not use tampons, because they will create obstacles to vaginal discharge. If a woman is in the supine position, you can just use a diaper for podkladyvaniem the surface.
A young mother to be tempted after every trip to the toilet. Baths do not need to take, but the daily shower is required. This genitals washed outside only. It is also forbidden douching.
It is desirable to comply with other recommendations that highlight after delivery were normal and stopped in time. A woman should not expose themselves to very heavy physical activities, as it provokes increased allocation.
There are some indications in which it is desirable to immediately seek medical advice. This must be done if the discharge has a very unpleasant smell, and thus similar to the purulent discharge. Such a sign - evidence of infection in the uterus (endometritis). In this disease also increases the temperature, there is pain in the abdomen.
Consult your doctor should be the sudden appearance of bleeding after the lochia has become more colorless and the slim. It may be necessary to purge the remnants of placenta from the uterus.
If a woman appear allocation cheesy type, then maybe she is sick thrush . Most often Thrush appears after treatment antibiotics .
The negative sign is the sudden cessation of emissions. This phenomenon often occurs in women who have had a caesarean section.
Sometimes to eliminate such complications require treatment in a hospital.
Recovery of menses
The monthly cycle each woman individually restored. Active postnatal hormone production prolactin a Which contributes to the development of milk also affects the suppression of hormones in the ovaries. Ovulation is not happening.
Given that breast-feeding restored menstruation in a woman about six months after birth. If your baby is eating artificial mixture, the menstrual cycle is restored at the second or third month after birth.
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