At the last stage of delivery woman gives birth to the last - indicate that births occurring.The process is accompanied by the release of a plurality of mucus and blood - as a result of damage to the surface of the uterus to produce a wound from placental attachment.Before the healing and recovery of the uterus mucous membrane will be the allocation of the contents of the wounds from the vagina, with a gradual change in color (with a reduction in the blood of impurities) and a reduction in the amount.Such separation after birth are called lochia.
After birth, requires the introduction of the drug to stimulate uterine contractions - usually chosen either Metilegrometril Oxytocin.Requires emptying the bladder through a catheter (not led to the pressure on the uterus, preventing its contraction).At the bottom of the stomach put ice water bottle.During this period, the danger of opening hypotonic uterine bleeding, so women need to be monitored in the delivery room for two hours after the birth.
happening now abundant spotting, but must remain within the normal range.At this time, the woman does not feel pain, but the bleeding is accompanied by dizziness and weakness.Therefore, if you experience heavy bleeding (when the diaper became completely wet), this should be reported to medical staff.
If the discharge during those hours will not exceed 0.5 liters and satisfactory condition puerperal woman is transferred to the postnatal ward.Now you have to be on their own to control their isolation - it must understand their type and duration.Should not be afraid - the nurse will also monitor this process.And the doctor will visit a woman after childbirth to evaluate the amount and type of emissions.But for sure it's better to know about the possibility of allocating after birth - in which case they will be treated to normal.
Types of postpartum discharge
lochia The structure consists of cells ichor, blood, plasma, fragments of the mucous membrane of the uterine cavity (dying epithelium), the mucus from the uterine cervical canal.Therefore, the lochia will contain clots and mucus, especially in the first days after birth.If the pressure on the stomach and during the movement, may increase the movement of origin of the contents of the wound.This feature should be considered in order to get out of bed - allocation will be abundant with you immediately rush.Therefore, under the feet better podstelit diaper.
There will be a permanent change in the nature lochia.First, they like secretions during the month, then become much more abundant.These changes are positive - cleaned the wound contents of the uterine cavity.Color lochia after a few days would be darker than the reduction amount.Allocation for the second week will get a brownish-yellow flower with mucous consistency.After the third week, the highlight color will be yellowish-white.But perhaps the appearance of all the impurities of blood during labor - is a normal process.
How to avoid bleeding after childbirth
When she moved to the postnatal ward, a high risk of bleeding.With a sharp increase in the number of discharges should immediately seek help from a specialist.
as prevention of bleeding can offer:
regular upheavals on the stomach - emptying the contents of the uterine cavity wounds.But the best possible longer lie on your stomach, as compared with the position on the side or back.
At regular opportunities to go to the toilet, even without the urge to do so.Optimally will go to the toilet every 2-3 hours due to the pressure on the uterus full bladder - become an obstacle to its reduction.
warmer ice several times a day is placed in the abdomen - stimulates contraction of blood vessels, thus avoiding bleeding.You should not raise too much - exercise provoke increase in the number of selections.
Isolation lochia will end in nursing mothers.Therefore, the baby needs to be fed at his request - sucking breast in the women's body is to reduce the production of oxytocin, uterine muscle.The process is accompanied by cramping pain with increased secretions.
How to avoid infections in the allocation of postpartum
worth noting that during the first days after birth copious become desirable phenomenon - for cleaning the uterine cavity.From the first days after birth revealed in lochia different microbial flora, which can cause inflammation.Like other injuries, uterine bleeding, and there is a high risk of infection because of the open access.
To eliminate this risk should strictly adhere to the rules of hygiene, without forgetting the important tips:
After each visit to the toilet should wash genitals with warm water.It is necessary to wash the outside rear direction - but not inside.
Requires daily shower.Avoid baths because of the likelihood of infection.
due to infection have to give up irrigation.During the first days after birth is to abandon sanitary napkins - instead they use sterile diapers.
change pads should be at least 8 times a day.It is better to use the already familiar, just designed for high number of drops.They should be worn under the disposable panties, fishnet.It should completely abandon the tampons - their use entails detention content within the wound, becoming an obstacle to its discharge of provoking the development of infections.
duration of postpartum discharge lochia
Isolation begins with the rejection of the placenta, the normal duration is 6-8 weeks.Over time there is a reduction of intensity discharge after childbirth - lochia lighter with time and stopped.
In women this time is different, because it is formed depending on a number of certain factors:
physiological characteristics of the organism.
intensity of uterine contractions.
The flow of labor.
selected mode of delivery.In particular, cesarean section assumes slightly longer lochia compared to natural childbirth.
postpartum complications, including infectious inflammation.
Breastfeeding.The more often a woman will breastfeed, the more intense is clean and uterine contractions.
But the average allocation continues for 1.5 months - recovering mother mucosal epithelium.In the case of the end of lochia much earlier or much longer they continue, please consult with a doctor.
When in the allocation after birth need help physician
After restoring the natural look of postpartum discharge, is necessary to address to the gynecologist.Although there are situations that require an earlier medical examination.In particular, the sudden cessation of lochia (far ahead of schedule), or very low levels during the first days - important advice gynecologist.Delayed wound content in the uterine cavity (lohiometra) can cause inflammation of the mucous membrane of uterine (endometritis).In this case, there is an accumulation of wound content, contributing to favorable conditions for bacteria - can cause the development of infections.Therefore, a pharmacological stimulation of uterine contractions.
But the situation may be the opposite: after a steady decline in the number of isolation and after childbirth, they are too heavy - indicate the coming bleeding.While in the hospital urgently need to call a doctor or call an ambulance when you are at home.
Particular attention should be yellow-green discharge accompanied by an unpleasant, sharp putrid odor, and pain in the abdomen with increasing temperature.Such changes suggest about endometriosis.Cheesy discharge and itching - signs of thrush (yeast vaginitis).
In other situations, the normal course of this period, the allocation of 1.5-2 months later, the same will doberemennym - the situation returned to normal.The usual recovery periods indicate prenatal condition of the body, which is ready for a new conception.Yet with a new pregnancy is better to wait - you should consider effective methods of contraception for at least the next two to three years.