Bleeding

How is bleeding after childbirth (bleeding): days, lasts in the early postpartum period, how long must, time, duration, the end of the women, how many, reasons

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Bleeding after childbirth, or lochia - is a natural physiological process that does not require treatment. Medical assistance may be needed in the case when the vaginal discharge for a long time does not pass, or had other symptoms suggestive of development of the pathological process.

The duration of blood after childbirth

Women who are pregnant, should know how much is bleeding after childbirth, a daily volume of discharge is considered the norm, and what reasons should give rise to a reference to the doctor.

Why is the blood

Bleeding after childbirth is the result of uterine vascular damage in the place where it was attached to the placenta. Lochia contain:

  • scraps of the mucous tissue of the uterus;
  • residues of membranes;
  • ichor and mucus from the cervical canal.

With the reduction, purification cavity reproductive organ and healing of the wound surface bleeding intensity decreases. allocation also change color. Heavy bleeding in the early period can be triggered by:

  • poor blood clotting;
  • trauma of the birth canal;
  • rapid labor and delivery;
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  • remnants of placental tissue, which is not separated from the uterus;
  • myoma, fibroids and other gynecological diseases.

The cause of bleeding after childbirth may be poor uterine contractions caused by overstretching it. This pathology is often the result of multiple pregnancy, polyhydramnios or large fetus.

If a woman began to bleed in the late period (2 hours or 6 weeks after delivery), it causes the appearance might be:

  • placenta residues (this may be present in the body cavity, cleaning was carried out even if a woman);
  • spasm in the cervical region;
  • inflammation localized in the reproductive organs.
Bleeding after pregnancy

How long does the bleeding after childbirth

After birth, it is the blood that can be compared to heavy menstruation. Its volume to discharge should not exceed 400 ml. Otherwise, women may develop anemia. Intensive spotting lasts no more than 2-3 days. In the first 7-10 days is bleeding scarlet. Lochia gradually modified. They turn brown, yellow, white, and then transparent. Scarce Black allocation also did not refer to the pathological. Such changes point to the healing of the wound surface of the uterus.

If the patient selection are from 2 to 6 weeks, and their volume is gradually reduced - this is the norm. The duration of bleeding in mothers will depend on:

  • Mode of delivery. After cesarean section lochia lasts longer than after vaginal delivery. This process is due to the slow recovery of genitals. After cesarean should not keep the blood for longer than 60 days.
  • Uterine capacity. The weaker the muscle tissue of genital organ, the longer it persists lochia.
  • Physical activity. Exercise, lifting heavy objects, etc., Help to increase the volume of emissions. duration bleeding in womenWho are actively involved in sports, may exceed the generally accepted norm by 1-1.5 weeks.
  • Sexual intimacy. Intimate relationships are not recommended as long as the queen is no longer bleeding.
  • Breastfeeding. Forcing the child to the breast helps to reduce the uterine cavity and cleanse it from the lochia.
  • The presence of constipation. In case of violation of a chair intestines puts pressure on the uterus, which prevents its reduction.

Bleeding ends quickly, if the woman in due time to empty the bladder. To accelerate the process of purification can genitals if sleep on their stomachs (assuming no contraindications individual).

What is the deviation

The process of recovery of the body begins immediately after birth and continues until until the uterus will not return to the former size. When carrying out a caesarean section or damage to the birth canal must be time for the healing of joints.

Not only bleeding, which is longer than 2 months, it is considered pathological. If a woman lochia stop, for example, for 4-5 hours, then it is a cause for seeking medical attention. In most such cases, when the blood ceases to go in the first few days after labor, it accumulates in the uterus. If you do not remove the cause of disturbance of outflow, the inflammatory process begins.

The deterioration of women being

For deviations from the norm include:

  • Intensive bleeding sequence and the early postpartum period. Most often, the reason for its appearance - it breaks.
  • Lower abdominal pain, fever, dizziness, deterioration of health, and so forth. Requires immediate diagnosis, since There are many reasons that may cause such symptoms (endometriosis, pelvic inflammation, etc.).
  • Meager allocation, severe bleeding after childbirth, accompanied by an unpleasant odor.
  • Green, yellow-green, brown, or other color that is not characteristic of uterine secretions.
  • Prolonged bleeding. Even if a woman has a meager selection, there are no other symptoms suggestive of pathology, but lochia long run, it is necessary to pass a pelvic examination.
  • The sudden increase of uterine secretions.

If the bleeding is a young mother, lasting 4-6 weeks, stops and then restarts after a few days, then this is not the lochia. This symptom may indicate a resumption of the menstrual cycle. But there are pathological causes that are abnormal, for example, the difference of postoperative sutures.

What to do

If a woman is diagnosed postpartum hemorrhage, is not correct, for the treatment of pathological process is necessary to determine the cause of its occurrence. Set the source of the problem is possible by visual inspection of the patient or the method of ultrasonic scanning. A blood test and swab from the vagina may be appointed if there is suspicion of poor blood clotting or infection.

Poor blood clotting

3 When childbirth is complicated incremental placenta to prevent bleeding, performed manually removing it. The procedure is performed under anesthesia.

When the blood ceased to go, but accumulates in the uterus, the woman can be recommended to massage the abdomen, injection of oxytocin or scraping.

If lochia were no abnormalities, but in the late stage of labor began to bleed, you need to call an ambulance. Until the arrival of medical woman should lie on your back with a cushion under the buttocks.

How to stop

Stop postpartum hemorrhage, which was caused by pathological reasons, can only be in the hospital. At break female genital tract sutured. If remnants of placental tissue, the patient is carried out cleaning were found during ultrasound scan, ie scraping. For suspected infection of the assigned antibiotic therapy.

If a woman has weak blood vessels, it can be assigned to calcium gluconate. It is not an emergency measure to stop uterine bleeding. Its often used in combination with other drugs.

Prevent massive blood loss is possible by means of such medication:

  • Dicynone;
  • Aminocaproic acid;
  • Vitamin K.
Aminocaproic acid from blood

In order to reduce blood loss during uterine atony after childbirth, a woman may be conducted external, internal or combined massage.

The method of treatment is chosen individually for each woman based on the plurality of medical information about the patient. In critical situations, when all the previously conducted attempt to stop the bleeding did not bring positive results, it can be performed hysterectomy. The operation involves removal of the uterus. After the woman is deprived of reproductive abilities, but such surgery may save the life of the patient.

Try to shorten the duration of uterine discharge (lochia) alone is not recommended if postpartum recovery of the body takes place without complications.

When going to the doctor

The appearance of bleeding in the early postpartum period diagnosed at once since at this time a woman is under close medical supervision. If a woman in childbirth have already been transferred from the maternity ward to the ward, the reason for unscheduled inspection can be increase lochia, progressive deterioration of health, fever and pain in appearance abdominal area.

The woman must go to the doctor for any occurrence of suspected pathological process.

Undergo a planned inspection at the gynecologist should be after the termination of the uterine secretions, regardless of whether they were health problems after childbirth.

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