Vacuum cleaning is a modern effective method of removing the contents of the uterine cavity to release the mucous layer of the organ from blood clots or plaquette remains (pieces), carried out without damaging the cervix and its walls. There are many indications for this procedure. We will consider those cases when purging is prescribed in the postpartum period. Often, the cleaning of the uterus after childbirth is a complication associated with the lack of a natural outlet of the placenta and fruit tissue, which can not be left without attention, since it is dangerous for a woman's health. Many are afraid of this procedure, but it is not as terrible as it might seem. In any case, this is not worse than the genera themselves (and you have already experienced them). In addition, doctors prescribe cleaning only in extreme cases, when it comes to the possibility of more serious complications, the consequences of which can be quite complex, up to a lethal outcome. Therefore, you should not be afraid and refuse the procedure. You just need to figure out what you're going to do.
Indications for postpartum cleansing
As a rule, after the birth of the baby, the woman remains in the maternity hospital under the supervision of doctors for another 5 days, and this is necessary for the gynecologist to assess the state of the mother and determine:
- her body temperature;
- condition of the birth canal;
- discharge from the uterus;
- condition of sutures (if they had to be applied after cesarean section or as a result of ruptures);
- general well-being of a woman.
If on 2-3 days after giving birth to a woman with a visual examination and measuring the womb of the woman's uterus, there is a slight (or complete cessation) of her contraction, then the doctor may resort to instrumental examination on the gynecological chair or send the patient on ultrasound of the pelvic organs to examine it for possible presence in the uterus of particles of the placenta, membranes or large clots of blood. If these have been found, intravenous injections that stimulate uterine contraction and facilitate the removal of the placenta from the genital organ are first prescribed. There is such a complication in the case of a strong fusion of the afterbirth with the uterus, which prevents tissues from freely leaving the second phase of labor. And the presence of foreign tissues in the uterus becomes:
- first, a nutrient medium for microorganisms, and their active reproduction can cause purulent inflammation;
- Secondly, the cause of a significant decrease in the contractile capacity of the uterus, which ultimately leads to infection and the development of serious postpartum consequences.
If the droppers do not help, then this is an indication for carrying out the cleaning of the uterus, because further development of purulent processes and toxic poisoning of the organism as a whole immediately prohibit breastfeeding (as an infection with blood flow falls into the breast milk) and the patient's health is at risk.
How is the procedure performed?
The procedure for cleaning after childbirth is usually performed under anesthesia and technically resembles an abortion after an unwanted pregnancy. To avoid pain, shock can be applied as a general anesthesia, and local. However, when carrying out vacuum cleaning, a woman can not be afraid of getting microtraumas and other such complications, and therefore the procedure is performed under local anesthesia - the patient does not feel pain, but can experience characteristic unpleasant sensations.
The operation under this "scenario" takes place:
- Preoperative examination of the female genitalia - their external and internal treatment with antiseptics (ethyl alcohol and iodine)
- Gradual expansion of the cervix with expanders of different diameters.
- The cleaning procedure, during which all blood clots and residues of the ulcer are removed. Vacuum is done with the help of special equipment, the operating principle of which resembles the work of a vacuum cleaner. During the procedure of cleansing from the uterus, "all unnecessary" and the upper epithelial layer of the walls of the organ are removed.
The procedure lasts about half an hour.
After cleaning, the uterus resembles an open bleeding wound, and therefore the woman continues to be under the supervision of doctors for a few more days. At this time, she is prescribed an individual medication appropriate for her body:
- antibiotic therapy (injection) - to prevent the effects of previously existing clots in the uterus and possible infection;
- taking medications that stimulate uterine contraction;
- treatment of external (if necessary and internal) genitals with an antiseptic solution and preparations for the fastest recovery.
After the cleansing procedure, the woman has a discharge, which can last up to 10 days and resemble menstruation. The strongest are observed in the first hours after the operation, then they decrease, and after 5-6 days they change, becoming brown. By the end of the decade they completely pass.
While there are discharges, a woman is contraindicated:
- Using tampons.
- Excessive physical activity and any kind of sport.
- Breastfeeding. This is due to drug treatment, which can affect the composition of milk and harm the baby's health. In addition, a woman experiences malaise and may not be able to care for the child. Upon completion of the course of treatment, a woman can resume breastfeeding.
At first, after cleaning, a woman can feel a pulling pain in the lower abdomen, which decreases as the number of secretions decreases.
However, if the discharge lasts longer than 10 days, has an unpleasant odor and a strange color, there are none at all, then it is necessary to pay attention to the attending physician.
Despite the safety of the procedure itself, like any operation, vacuum cleaning of the uterus after delivery can cause some complications, which, unfortunately, can not be predicted:
In case of complications after the operation, doctors select the appropriate treatment.