On traces... Allocations after the delivery of
Within several weeks after the delivery while there is a restoration of a mucous membrane of a uterus (endometriya), at young mother remain allocations from a genital tract. What is represented by these allocations and in what case they can become a trouble sign?
of Allocation from a genital tract of the woman after the delivery is called lokhiya. Their quantity decreases eventually that is explained by gradual healing of a wound surface which is formed on an endometriya after office of a placenta.Lokhiya`s
plasmas, propotevayushchy of a wound surface of a uterus, the dying-off epithelium covering a uterus and slime from the cervical channel consist of blood cells (leukocytes, erythrocytes, platelets). Eventually the players of lokhiya are changed therefore also their color changes. Character of lokhiya has to correspond to days of the postnatal period. In the first days after the delivery (4 - 5 days after the delivery in natural patrimonial ways and 7 - 8 days after operation of Cesarean section) the woman is in maternity hospital in postnatal office under supervision of medical personnel. But after the woman is written out home, she controls the state, and her task - if necessary to see a doctor. The quantity and nature of allocations can speak about much, and it is important to notice disturbing symptoms in time.
of Allocation after the delivery in a rodbloka
the First 2 hours after the delivery the woman is in the maternity block - in the same boxing where there was childbirth, or on a wheelchair in a corridor.
It is good if allocations right after childbirth bloody, rather plentiful, make 0,5% of body weight, but no more than 400 ml, do not lead to violation of the general state.
For prevention of postnatal bleeding right after childbirth empty a bladder (remove urine on a catheter), put ice on a stomach bottom. At the same time intravenously inject the drugs reducing muscles of a uterus (Oxytocin or Metilegrometril). Being reduced, the uterus blocks open blood vessels in the place of an attachment of a placenta, preventing blood loss.
Pay attention! In the first two hours after the delivery the woman is in delivery room under supervision of medical personnel because this period is dangerous by developing of so-called hypotonic uterine bleeding which is caused by violation of sokratitelny function of a uterus and relaxation of its muscles. If you felt that bleeding too plentiful (the podkladny diaper got wet, the sheet became wet), it is necessary to tell immediately about it to someone from medical personnel. It is important to know that at the same time the woman does not feel any painful feelings, however bleeding quickly leads to emergence of weakness, dizziness.
Also in the first 2 hours bleeding from ruptures of fabrics of patrimonial ways if they were not taken in therefore it is important that the doctor attentively examined a vagina and a neck of a uterus after the delivery can arise. If any gap was taken in not up to the end, there can be a hematoma (a limited congestion of liquid blood in fabrics) crotches or vaginas. The woman at the same time can have feeling of raspiraniye in a crotch. In this case opening of a hematoma and a repeated ushivaniye of a gap is necessary. This operation is made under an intravenous anesthesia.If the first 2 hours after the delivery (the early postnatal period) passed
safely, the woman is transferred to postnatal chamber.
of Allocation in postnatal office
It is good if in the first 2 - 3 days of a lokhiya have blood character, they rather plentiful (about 300 ml for the first 3 - e days): laying or a diaper is completely filled within 1 - 2 hours, lokhiya can be with clots, have a rotten smell as menstrual allocations. Then the quantity of lokhiya decreases, they get darkly - red color with a brown shade. Strengthening of allocations at the movement - the normal phenomenon. In postnatal office the doctor daily does round on which among other indicators of a condition of the woman estimates character and the number of allocations - for this purpose he watches allocations on a podkladny diaper or laying. In a number of maternity hospitals insist on use of diapers since at the same time it is easier for doctor to estimate nature of allocations. Usually the doctor specifies at the woman the number of allocations within a day. Besides, in the first 2 - 3 days of allocation can appear at a palpation the doctor of a stomach. >
For prevention of postnatal bleedings it is important to p to observe the following recommendations: >
- it is timely to p to empty a bladder. In the first days it is necessary to go to a toilet at least each 3 hours even if desires to an urination are not felt. The crowded bladder interferes with normal reduction of a uterus.
- to Nurse the child on demand. During feeding the uterus is reduced as the irritation of nipples causes emission of oxytocin - hormone which is produced in a hypophysis - the endocrine gland located in a brain. Oxytocin has the reducing effect on a uterus. At the same time the woman can feel skhvatkoobrazny pains in the bottom of a stomach (at povtornorodyashchy they stronger). Allocations when feeding amplify.
- to Lie on a stomach. It is not only prevention of bleeding, but also interferes with a delay of allocations in a uterus cavity. After pregnancy and childbirth the tone of a belly wall is weakened therefore the uterus can deviate kzad that breaks outflow of allocations, and in situation on a stomach the uterus approaches a forward belly wall, the corner between a body of a uterus and a neck of a uterus is liquidated, outflow of allocations improves.
- 3 - 4 times a day to put on a stomach bottom a bubble with ice - this measure promotes improvement of reduction of muscles of a uterus, uterine vessels.
to Women who had a uterus a pererastyanuta during pregnancy (at pregnant with a large fruit, at polycarpous pregnancy, at the multigiving birth women) and also that at whom childbirth proceeded with complications (weakness of patrimonial activity, manual office of an afterbirth, early hypotonic bleeding) in the postnatal period appoints the preparation Oxytocin intramuscularly to 2 - 3 days that the uterus was well reduced.
Pay attention! If the number of allocations sharply increased, it is necessary to see a doctor as is to danger of late postnatal bleedings (those bleedings which arose later 2 and more than an hour after the end of childbirth belong to late postnatal bleedings). Their reasons can be different.
Bleeding can be a consequence of a delay of parts of a placenta if it was not diagnosed in time (in the first 2 hours after the delivery). Such bleeding can arise in the first days or even weeks after the delivery. The placenta share in a uterus can be found at vaginal research (if it is located close to an internal pharynx and we pass the channel of a neck of a uterus) or by means of ultrasonography. In this case the placenta share from a uterus is deleted under an intravenous anesthesia. Infusional therapy (intravenous drop administration of liquids) which volume depends on extent of blood loss, and antibacterial therapy for prevention of infectious complications is in parallel carried out.
In 0,2 - 0,3% of cases bleeding is caused by violations in the curtailing system of blood. Various diseases of blood can be the reasons of these violations. Such bleedings give in to correction most difficultly therefore the preventive therapy begun even before childbirth is very important. Usually the woman knows of presence at it of these violations even before pregnancy.
Most often the hypotonic bleedings connected with insufficient reduction of muscles of a uterus arise. At the same time bleeding rather plentiful, painless. For elimination of hypotonic bleeding inject the reducing drugs, fill blood loss by means of intravenous administration of liquid, at severe bleeding - blood preparations (plasma, eritrotsitarny weight). If necessary surgery is possible.
At the termination of allocations also should see a doctor surely. The complication of the postnatal period which is characterized by a congestion of lokhiya in a uterus cavity is called a lokhiometra. This complication arises owing to restretching of a uterus and its bend of a kzada. If in time not to liquidate a lokhiometra, there can be an endometritis (an inflammation of a mucous membrane of a uterus) because postnatal allocations are a nutrient medium for pathogenic microorganisms. Treatment consists in purpose of the means reducing a uterus (Oxytocin). At the same time it is necessary to liquidate a uterus neck spasm for what in 20 minutes prior to Oxytocin enter But - to a shp.
Postnatal allocations of the house
It is good if postnatal allocations continue 6 - 8 weeks (so much time is required for the return development of a uterus after pregnancy and childbirth). Their general quantity during this time makes 500 - 1500 ml.after the delivery allocations are comparable
In the first week with usual monthly, only they are more plentiful and may contain clots. Every day the number of allocations decreases. Gradually they get zheltovato - white color from - for a large amount of slime, can be with blood impurity. Approximately to 4 - y to week the poor, “smearing“ allocations, and by the end 6 - 8 - y weeks they already same, as well as before pregnancy are observed.
At the women nursing postnatal allocations stop quicker as there takes place all process of the return development of a uterus quicker. At first there can be skhvatkoobrazny pains in the bottom of a stomach when feeding, but within several days they pass.
At the women who underwent an operation of Cesarean section everything occurs more slowly as, from - for existence of a seam on a uterus, it is reduced worse.
of the Rule of hygiene during the postnatal period. Observance of simple rules of hygiene will help to avoid infectious complications. From the very first days the postnatal period in lokhiya the various microbic flora which, breeding, can cause inflammatory process is found. Therefore it is important that lokhiya were not late in a cavity of a uterus and in a vagina.
During the entire period while allocations continue, needs to use laying or podkladny diapers. It is necessary to change laying at least each 3 hours. “Setochka“ because on them it is visible nature of allocations better is better to use laying with a soft surface, than with a surface. Laying with fragrances is not recommended - at their use the risk of emergence of allergic reactions increases. While you lie, it is better to use podkladny diapers not to interfere with allocation of lokhiya. It is possible to enclose a diaper that allocations freely came out, but did not soil linen. Tampons cannot be used as they interfere with removal of allocations from a vagina, instead absorbing them that can become the reason of reproduction of microorganisms and provoke development of inflammatory process.Several times a day needs to be washed away by
(after each visit of a toilet), it is Daily necessary to take a shower. Genitals need to be washed outside, but not inside, in the direction in front back, it is impossible to be syringed because thus it is possible to bring an infection. For the same reasons it is not recommended to take a bath.
At big physical activities the volume of allocations can increase therefore do not lift anything heavy.
- of of Allocation were got by an unpleasant, pungent smell, purulent character. All this demonstrates development of infectious process in a uterus - an endometritis. Most often the endometritis is followed also by pains in the bottom of a stomach and temperature increase,
- plentiful blood allocations Appeared after their quantity already began to decrease or blood allocations long do not stop. It can be a symptom of the fact that in a uterus there were not remote parts of an afterbirth which stir it to normal reduction,
- Emergence of curdled allocations demonstrates development of a barmy colpitis (milkwoman), at the same time also the itch in a vagina can develop, on genitalia sometimes there is a reddening. The risk of this complication increases at reception of antibiotics,
- Postnatal allocations sharply stopped . After operation of Cesarean section of complication happen more often than after natural childbirth.
- At severe bleeding (several laying within an hour) needs to call “ambulance“, but not to go to the doctor independently.
At emergence of complications after the delivery the woman can address not only in a maternity welfare unit, but also (anyway, at any time) to maternity hospital where there took place childbirth. This rule works within 40 days after the delivery.
Terms of restoration of a menstrual cycle at each woman are individual
. After the delivery in an organism of the woman Prolactinum which stimulates production of milk in a female organism is produced hormone. It suppresses formation of hormones in ovaries and consequently, interferes with an ovulation.
If the child is on natural feeding, then the regular menstrual cycle at his mother will be restored in 5 - 6 months after the delivery, and can be restored also after the termination of a lactation. Before periods can not be in general or they can come from time to time. At artificial feeding (the kid receives only dairy mix) periods are restored, as a rule, to 2 - 3 - mu to month after the delivery.
the Attentive relation to nature of postnatal allocations and to other indicators of a safe current of the postnatal period will help the woman to avoid many complications. It is important to follow all rules of hygiene and the recommendation of the doctor.