Cleaning after childbirth

In what cases and how is the uterus cleared after delivery?

In order to not be afraid of postpartum cleansing (after all, it does not mean that you will need it) you need to get about it as much as possible, but medical information, and not "from personal experience".

When does it become necessary to clean after delivery?

Each woman gives birth twice (for one arrival in the hospital): the baby and the placenta (the latter), with whom he stayed for 9 months. The birth of the placenta, many women do not even notice, because at this time they are already busy looking at the baby, who has buried a small spout in my mother's breast. But it does not always happen, unfortunately. Sometimes the placenta is too firmly "grown together" with the uterus and is born "partially" or does not come out at all, then it is necessary to hold a manual separation of the afterbirth, which is always performed after the caesarean section.

Before discharge from the hospital (on day 2-3), a woman undergoes a diagnostic ultrasound in order to assess the condition of the internal cavity of the uterus. If the doctor discovers traces of a postpartum or blood clots in the uterus, then the mother is given a purge.

How do you clean after delivery?

"Cleaning" in "medical language" means scraping. This procedure may be familiar to those women who have had an abortion. Scraping of the mucous membrane of the uterus is an operation in which a mechanical removal of the functional layer of the endometrium is performed. From the germ layers of the endometrium, a new mucous membrane grows soon after scraping.

Usually, the cleaning is done under general anesthesia in a gynecological chair. Before the operation, the external genitalia are treated with 5% alcohol solution of iodine, and the vagina and cervix - 50% with ethyl alcohol. With the help of inserted expanders of various diameters, the cervical canal is enlarged and the remains of placental tissue removed with the help of a special blunt curette or obstetric curette with denticles. The operation lasts no more than 20 minutes.

How to behave after cleaning?

After cleaning, a woman should be under the supervision of doctors who follow the temperature of the body, heart rate, secretions from the genitals. 2 times a day you should treat the external genitalia with antiseptic solutions.

After the operation for 2 weeks, you can not use vaginal tampons, do douching, take a bath, visit a bath, lift weights, play sports. Contraindicated also vaginal sex due to the fact that the cervix remains open and on the mucous membrane of the uterus is a great erosion, which can be favorable conditions for the development of infection, which can "enter" the sexual partner.

Antibiotics are prescribed to prevent inflammation and other complications after cleansing. The procedure for scraping is painful, and therefore in the postoperative period pain can be observed. You can in this period to appoint a reception no-shpy, to prevent the development of hematomas (blood clots in the uterine cavity).

What can be complications after cleaning?

The hematometer is just a frequent complication of curettage. It can occur because of a strong compression (spasm) of the cervix, which will cause a delay in the uterine cavity of the blood. Rapid cessation of bleeding is the main symptom of hematomas. To support the cervix in a relaxed position and appoint No-shpa, as mentioned above.

Uterine bleeding is another complication of cleansing, but they are extremely rare (mainly in women with coagulation disorders). But in the case of penetration into the uterine cavity after cleaning the microbes, endometritis - infection and inflammation of the mucous membrane of the uterus may occur.

All complications require certain treatment, which can be prescribed only by the attending physician-gynecologist. "Ideally" after cleaning for several hours, there are abundant spotting with clots, but soon they become less abundant. After scraping for at least 10 days, there should be scant spotting bloody, brown or yellowish discharge.

As you can see, cleaning after childbirth is not so terrible, if you follow simple rules of personal hygiene and doctor's instructions. So do not worry! All will manage!

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