Gradually shrink the uterus begins after the birth of the child and this process is purely individual for every woman, because each body needs & ldquo; its & rdquo; recovery time.
What is the uterus after giving birth?
Inside the uterus after childbirth is like a huge wound, which is maximally damaged in the place of attachment of the placenta. In addition, blood clots and fetal remains remain on its inner surface. The uterine cavity should normally be cleared within the first 3 days after delivery.
The uterus after delivery is stretched and increases in volume. From it stand out lochia (postpartum discharge), bloody in the early days, more light by the 4th day, by the end of the 3rd postnatal week they are becoming more and more liquid and light and pass completely at the 6th week.
About the restoration of the inner shell of the uterus after childbirth can be said no earlier than the third week, and the place of attachment of the placenta - at the end of the postpartum period.
The bottom of the uterus after birth is below the navel by 4-5 cm and, like its upper part, has the greatest thickness.
How long does it take to contract the uterus after giving birth?
Usually, this process requires 1, 5-2, 5 months, with the most active during the first postpartum days. For example, the diameter of the uterine throat immediately after childbirth is approximately 12 cm, as a result of which the gynecologist can insert a hand into the uterus in order to remove residual residues. But by the end of the first two days this & ldquo; input & rdquo; gradually narrowed due to which it is possible to enter only 2 fingers into the uterus and 1 - on the third day.
Complete closure of the external uterine throat occurs around the 3rd week.
The weight of the uterus after giving birth is 1 kg. On the 7th day, it weighs about 500 g, on the 21st - 350 g and already closer to the end of the postpartum period the uterus returns to its prenatal size (approximate weight 50 g).
In the process of contraction of the uterus after delivery, women feel small cramping pains in the lower abdomen, which are more intense and expressed after repeated childbirth. If these abbreviations are accompanied by severe pain, first of all you need to consult a doctor, then he can write down the necessary antispasmodic or pain medication to reduce pain. But if possible, it's better to endure everything and do without medication.
Atony and hypotonia of the uterus after childbirth
Unfortunately, not all mothers who are in labor give birth after birth. This condition is called atony of the uterus (in other words, it is a direct consequence of fatigue of its muscles), as a result of which it does not contract and there is uterine bleeding. Atonia is most often found in maternity females, also at the birth of a large fetus, with polyhydramnios or in multiple pregnancies.
In the case when the uterus after childbirth is reduced, but very slowly, the woman in labor is diagnosed with hypotension. This is a condition in which the contractility and tone of the uterus are sharply reduced.
Both these conditions of the uterus after giving birth are equally dangerous for the health of the mother in childbirth, as they can provoke massive bleeding or cause a number of other complications.
Causes of not contracting the uterus after childbirth
There are a number of factors that can hinder or contribute to a faster contraction of the uterus after childbirth.
The most common among them are:
- multiple birth;
- the location of the placenta;
- the general condition of the woman;
- difficulties encountered during pregnancy or after childbirth;
- The great weight of the fetus.
There is no independent reduction of the uterus after delivery in cases of its underdevelopment or inflection; with polyhydramnios; with injuries of the birth canal; inflammatory processes in the uterus itself or its appendages; in the presence of a benign tumor (fibroma); with violations of blood coagulability, etc.
What should I do in case of poor uterine contraction after childbirth?
Immediately after the child's birth, a cold water bottle should be applied to the mother's abdomen, which will accelerate the contraction of the uterus and stop the bleeding.
During the first days after childbirth, a young mother is in the maternity hospital under the constant supervision of doctors who must regularly check the status of the uterus, as well as the level of its reduction. The low ability of the uterus to contract can be diagnosed by a gynecologist as of the condition of its bottom, which in this case should be mild, during normal examination. A doctor can not prescribe a woman until the time when she is completely sure of the normal contraction of the uterus.
If the uterus can not shrink on its own, the gynecologist should prescribe the use of special drugs (oxytocin or prostaglandins) that enhance the contractile activity of her muscles. Massage of the uterine fundus (externally) can also be prescribed.
But the most important impetus to stimulate contraction of the uterus after birth is breastfeeding, so start breastfeeding as quickly as possible.
It is also recommended (if possible) to move a lot and lie on the stomach.
Do not neglect the rules of personal hygiene: regularly undergo washings and treat wounds.
In time empty the bladder, which also has a big impact on the degree of uterine contraction. Even if you have been given internal sutures and urination has become a painful process, try to go to the toilet as often as possible.
Better and faster the uterus after childbirth is reduced in those women who throughout the pregnancy did not avoid small physical exertion, so pregnant women are useful in outdoor walks. Do not avoid uncomplicated homework. Do not be superfluous and simple gymnastic exercises.
If there are lochia, part of the placenta in the uterus, or there was a clotting of the uterine throat with blood clots, it is necessary to resort to cleaning, without which the inflammatory process can begin.
But still, subject to all the recommendations of the doctor, as a rule, There are no serious problems in the process of contraction of the uterus after childbirth. You just need to monitor yourself and your health.