last stage of labor is accompanied by a rejection of the placenta from the uterus, resulting in a wound on the surface of the endometrium.The resulting wound to his complete healing will continue to bleed, resulting in a release of postpartum lochia - bleeding.Women often think that the beginning of menstruation, but in fact this phenomenon with an entirely different nature, occurs for other reasons.
Isolation lochia for the female body becomes normal, physiological bleeding continues after birth.But there is a risk of pathological conditions that are hazardous to health and life of the woman, at which violated the norms of blood loss.Prevention of these pathologies become warmer in the imposition of an ice woman's abdomen immediately after birth, and a range of other possible measures, if the need arises (including the implementation of the external uterine massage, introduction of hemostatic drugs and so on.).
«Normal» bleeding after childbirth
until complete healing wounded in the uterus where
The normal duration of lochia after childbirth should be up to 6 weeks.In total, this time allocated about 1.5 liters.blood.Importantly - the body for such losses has been prepared, taking into account the significant increase in blood volume during pregnancy.So afraid of the normal process of lochia discharge is not necessary.
important factor in the duration of postpartum lochia discharge becomes breastfeeding.After breastfeeding in the female body produces "milk" hormone prolactin promotes better uterine contractions, therefore reducing and time selections.Contractions of the uterus after giving birth by caesarean section could be worse, considering the cash seam.Therefore, in most cases, a period of such discharge lochia is greater.
Once again it should be recalled - lochia gradually be changed substantially reduced.When the amount of bleeding has decreased recently, but over time the amount of lochia increases again, a woman needs to think about the proper rest, spend more time on recovery of the organism.
«bad» bleeding after childbirth
But not always postpartum processes occur in the normal manner.Sometimes a woman needs urgent specialist advice.Including the following alarming signs for which medical attention is important:
Bright scarlet lochia is stored for more than 4 days after birth.
There is a need to change sanitary pads every hour.
appearance on the background bleeding chill or heat.
In such situations, a high probability of pathological problems which needed to eliminate the competent medical attention.
reasons for this 'bad' postpartum hemorrhage may be different:
- weak contractions of the uterus - hypotension or atony due to attenuation, sagging or excessive stretching of the uterus.In such a case will be a continuous outflow of the blood stream or in batches.The situation is one of the critical, urgent medical assistance becomes necessary.In this case, there is a rapid deterioration of general condition, in extreme cases, no timely assistance physician, creating a risk of death.
- Remains of membranes and placenta.When the placenta comes broken capillaries, connects it to the uterus.The capillaries are delayed muscle layer of the uterus, rumen.The remaining fragments of placental membranes or stop this process, which is accompanied by painless, but a sudden profuse bleeding.To avoid risks and problems can be due to the passage of ultrasound of the uterus on the day after delivery.
- Weak blood clotting - a problem or afibrinogenemia gipofibrinogenemia.There is copious discharge of blood from the vagina without clots.This situation requires an urgent analysis of blood from a vein.
risk of abnormal bleeding persists later than one month after birth, although often arise for early postpartum period.
When a suspected pathological bleeding need expert help.Its consultation allows you to set what causes led to bleeding that can be done to eliminate it.Postpartum hemorrhage treatment is possible only in stationary conditions.