Postnatal discharge, or what lochia
postpartum women for some time observed from the genital tract.Such selection is called postnatal lohiyami and associated with healing of the wound surface in the uterine cavity.At discharge after childbirth can determine whether normally occurs postpartum, and has not arisen whether any complications (eg, endometritis).But not all young mothers know what isolation considered normal, and when to seek medical attention.Often complicated by postpartum uterine bleeding, which is associated with the violation of the contractile ability of the uterus or the remains of part of the placenta.That is why a woman after childbirth should be observed by a doctor no less than in the period of pregnancy.
When there lochia
Postnatal discharge, or lochia, are connected with the process of involution (the inverse reduction) of the uterus, which begins immediately after the birth afterbirth (placenta).The composition of lochia are erythrocytes, leukocytes, platelets, plasma and moribund epithelium.There are early (the first two hours after birth) and late postpartum (lasts six to eight weeks) period.In the first two hours after delivery in women observed heavy bleeding, which should not exceed 400 ml, or 0.5% of body weight.More intense isolation, as a rule, indicate Is hypotonic bleeding (uterus does not contract) or unsutured breaks.To prevent hypotonic bleeding postpartum women immediately after separation of the placenta is administered oxytocin or metilergometrin (reducing agents), as well as empty the bladder with a catheter, and placed on the lower abdomen cold.
After the expiration of early postpartum period women into the ward, where there is an average of five - six days.At this time, postpartum discharge has bloody character, but their number is gradually decreasing.Often, while in the post-natal ward, the woman feels slight cramping in the lower abdomen Abdominal pain: when to sound the alarm? , which is associated with uterine contractions.It is also possible while driving increased discharge or abdominal palpation a doctor.Before discharge, postpartum discharge becomes brown and resemble menses.
Prevention of late postpartum hemorrhage
order to prevent late postpartum hemorrhage is necessary to observe a few rules:
- empty the bladder regularly (about every three hours) and intestines, as crowded bowel and bladder interferes with normal cutsuterus;
- child feeding produce on demand (sore nipples allows release of oxytocin);
- horizontal puerpera should increasingly be on the stomach that prevents postpartum discharge delay in the uterus;
- three - four times a day to put a heating pad on your stomach with ice (this measure enhances uterine contractions).
changing nature of secretions
If you change the nature of postpartum discharge, seek medical advice.Examples of these cases include:
Lohiometra - a cluster of postpartum discharge in the uterus, which is due to its bend and overstretching (large fruit, weak tribal forces, polyhydramnios and multiple pregnancy).Symptoms of the disease - is the sudden cessation of emissions.Treatment is lohiometry appointment shorten funds (oxytocin).In the absence of effect of conservative treatment resort to scraping the uterine cavity curettage - how dangerous it is? .
Endometritis Endometritis - an inflammation of the uterus Inflammation of the uterus : hospitalization , which is characterized by the appearance of purulent, foul-smelling discharge.With the development of endometriosis is assigned antibiotic therapy and reducing agents.Often endometriosis is a consequence of which developed lohiometry.
Postpartum hemorrhage can occur at any stage of the postpartum period, including a couple of weeks.The woman says increased bleeding Spotting - it is important to exclude pathology after they practically ceased.One reason for the late postpartum hemorrhage is the presence of slices of the placenta in the uterus.Treatment consists of surgical removal of the remnants of placenta.