home Audience 1 Vacuum cleaning of the uterus after childbirth in a month. How is postpartum cleansing performed? Vacuum cleaning of the uterus

Vacuum cleaning of the uterus after childbirth in a month. How is postpartum cleansing performed? Vacuum cleaning of the uterus

After all the horrors that a woman in labor has to go through during the birth of her baby, I really don’t want to think about what may well be required in the near future. cleaning the uterus. Unfortunately, the opinion that cleaning the uterus after childbirth They do it to almost all women who have recently given birth, it is very popular.

Such information is unreliable and unsubstantiated. Doctors make a decision on the need for additional cleansing of the uterus in accordance with the condition of each individual woman, only after a thorough examination in the chair and an ultrasound examination. There is an opinion that in some maternity hospitals cleaning after childbirth is preventive procedure- since doctors are responsible for the health of the woman in labor until discharge, they prefer not to risk the condition of their patients and prescribe cleaning for absolutely everyone.

It is quite difficult to confirm or refute this statement. If you hear stories like this about one of these, do everything possible so that you don't have to give birth there. Because the modern medicine allows you to choose the place where your child will be born based on your preferences, and not on your place of residence, then doing this in our time is more than possible.

So what is it cleaning the uterus after childbirth and when is it done? What is the real reason for performing it and how to prevent repeated surgery? This is exactly what we're talking about we'll talk in our article.

Why is there a need to conduct cleaning after childbirth?

It's no secret that for the entire nine months of intrauterine development, the baby is in the so-called child's place. One of its sides is attached to the uterine cavity. When labor begins, she will separate and follow the baby into the world. This is often what happens.

As soon as the mother sees her baby, doctors inform her that she needs to push again to remove the placenta from the body. Unfortunately, this process is not always so simple. There are cases when it has to be separated by surgical intervention, during which the doctor manually separates the uterus and the baby's place.

After such a procedure, there is a high risk of detecting remnants of excess tissue and blood clots in the uterine cavity. In order to prevent the development of inflammatory processes, doctors recommend that the woman in labor be examined by examination on a chair and. Only after the examination is a decision made on the need to use extreme measures, namely, about cleaning the uterus.

Cleaning the uterus after childbirth is a rather unpleasant procedure, during which doctors first dilate the cervix for easy access to the uterus itself, and then, using special instruments, scrape out all the excess from its internal cavity. Soon the inner layer will be restored and everything will fall into place.

More often cleaning after childbirth It is performed under general or local anesthesia, because although the operation itself is short (it lasts about twenty minutes), it feels very painful. The pain often remains after the anesthesia wears off.

The postoperative period is carried out under the supervision of specialists in order to be able to promptly respond to deviations in various indicators, for example, pulse, temperature and discharge. Over the next two weeks, it is very important to take all precautions, follow the established rules of personal hygiene, do not visit baths and saunas, do not swim in pools, rivers, or even in the bathroom. Vaginal sex is also prohibited, since it, along with all of the above, can lead to the development of infections, because after childbirth and cleaning the uterus and the birth canal is nothing more than a large wound that requires daily antiseptic treatment and careful care.

Consequences of cleaning the uterus after childbirth

After cleaning the uterus and a number of complications may arise that it is advisable to prevent or stop at early stages development. The most common side effect is hematometra, which is a collection of blood clots in the uterine cavity. Normally, they should leave the uterus unhindered, but if a muscle spasm occurs, the pharynx will become clogged and that’s it. bleeding will remain inside. To prevent this phenomenon, doctors prescribe no-shpa, which relaxes the muscles.

In case of poor blood clotting, bleeding is possible, but if an infection occurs, inflammatory processes will begin.

Thus, one single conclusion suggests itself. If your doctor tells you that a curettage is coming, it most likely just means that you really need it, and although the procedure is unpleasant, it can save you from a lot of problems. Therefore be afraid cleaning the uterus after childbirth It’s not worth it, because it is carried out under anesthesia, but it never hurts to make sure that everything is in order and the uterine cavity is absolutely clean. Therefore, be sure to check that the lack of cleaning is actually due to normal recovery your body, and not the negligence of the attending physician.

After pregnancy, gestation and birth of a child, the mother’s body should return to normal. It takes a certain amount of time to reproductive organs cleared, the discharge stopped, blood clots and tissue debris came out. If this does not happen, rotting will begin in the uterine cavity, creating a favorable environment for the development of pathogenic flora.

Under certain conditions, there is a need for curettage. After childbirth, the uterus is cleaned if the following conditions exist: blood accumulates, particles of the baby’s place remain in the uterine cavity or on the walls of the organ and do not come out blood clots. And then caesarean section this procedure necessary, since the placenta has to be removed mechanically. Even microscopic lobes of the placenta are perceived by the reproductive organ as foreign, and the body is configured to remove them. Blockage of a vessel with a clot after some time can lead to severe bleeding.

Curettage after childbirth is performed using a vacuum or mechanical method. When enough long labor the mother's strength runs out, and the uterus does not contract intensely enough for the membranes of the placenta to be completely separated from it. Sometimes ovum is too tightly attached to the walls of the organ, and the afterbirth has to be separated manually.

After the baby is born, the woman remains in the delivery room for another two hours, where her condition, the presence or absence of blood loss, and the dynamics of uterine contractions are assessed. After examining in a chair using a gynecological speculum and ultrasound of the uterus, doctors, having discovered pathology, decide on cleaning.

Sometimes curettage is done on the same day, in other cases the condition of the young mother is monitored and an ultrasound is performed on the 5th day after birth. Based on its results, it is determined whether the process of reduction and purification is proceeding normally or whether cleaning is required.

The manipulation lasts about half an hour. A woman is given local or general anesthesia, process the genitals, dilate the cervix and scrape it with a curette functional layer endometrium. It is capable of regenerating: after a certain time, a new, intact mucous membrane is formed from its lower layers, and the uterus is again ready “for work.”

The technique for performing the procedure is the same as curettage for unwanted pregnancy or curettage for diagnostic purposes.

During the operation, mechanical manual cleaning of the uterus from the functional layer of the endometrium, particles of membranes and blood clots is performed.

The cleansing of the woman in labor is supervised by doctors, and the postoperative period is under close supervision. They monitor the pulse, body temperature, secretions, and well-being, since curettage is a painful procedure, after which the uterus presents open wound. It needs antiseptic treatment and daily care. Medicines prescribed by a specialist will help to completely cleanse the birth canal.

Vacuum cleaning of the uterus

For use special device– a vacuum pump equipped with aspiration tips. Negative pressure is created in the organ cavity and the contents are expelled.

The vacuum method involves manual and machine scraping. The first is the most common and includes:

Treatment of the external genitalia.
Inserting a speculum into the vagina.
Preparation of the cervix.
Insertion of aspiration tube.
Removal of tissue by rotating the tube or diagnostic sampling of material for research.

Vacuum cleaning shown:

if after childbirth or caesarean section in reproductive organ the placenta or part of it remains;
as a result spontaneous miscarriage with incomplete release of embryonic remains;
after an abortion;
for the study of biocenosis;
with hydatidiform mole;
severe uterine bleeding.

This method of curettage is more gentle than mechanical, since trauma to the uterus, cervical canal and endometrium can be minimized.

Cleaning after a caesarean section

If cleaning the uterus after childbirth - common occurrence, then the doctor should prescribe curettage after a cesarean section with caution and taking into account the health status of the woman in labor. The body takes longer to recover after surgery; the incision made breaks the integrity of the muscle tissue, and the reproductive organ contracts worse. Only by the end of the second week after the baby is born, its size and shape are restored, and the stitches take even longer to heal.

Women who had to undergo a caesarean section have more postpartum complications in the uterine cavity.

On the 3rd day after the procedure, an ultrasound is performed to examine the integrity of the suture. If there intense pain, carry out unscheduled ultrasonography to assess the condition postoperative scar. Its swelling may indicate inflammation in the mucous layer of the uterus.

According to the doctor's indications, curettage is performed during the cesarean section itself, this helps to avoid complications. But sometimes parts of the placenta remain inside, which is a direct reason for cleaning.

To ensure that the next pregnancy after a cesarean section goes well, experts recommend abstaining from conception for 3 years. During this time, the postoperative scar heals, and the uterus is again ready to bear a baby.

However, sometimes pregnancy occurs earlier, and you have to make a choice: keep the baby or decide to terminate the pregnancy. Women who have had an abortion after a cesarean section note that this is a big health risk, since the unformed scar can be damaged.

It should be remembered that the consequences of an abortion can be infertility, infection, bleeding, and hormonal disorders.

Complications after cleaning

After each surgical intervention there are possible complications. Curettage of the uterus after childbirth is no exception. One of side effects– when blood clots accumulate in the reproductive organ. At muscle spasm the pharynx closes, they remain inside. To prevent blood from accumulating in the uterine cavity, doctors prescribe No-shpa to relax the muscles.

During the cleaning process, the surgeon may puncture the wall of the uterus with a sharp instrument, causing it to perforate. As a rule, the problem is fixed on the same day.

Late complications that develop a few days after curettage can lead to infection and further unpleasant consequences. Poor disposal of placenta remnants can provoke symptoms, which are characterized by heat, pain in the lower part of the body, discharge with an unpleasant odor.

The condition of the uterus after curettage is no different from menstruation: normal discharge should be moderate, without unpleasant odor, last about a week. Then their intensity decreases and the bleeding stops.

Recovery

Rehabilitation after curettage should be aimed at restoring fertility function, uterine bleeding still occur, but this common occurrence. Small painful sensations radiating to the lower back indicate that the organ has begun to contract. The discharge becomes brown, and after a while - white, mucous, that is, it returns to normal.

It is necessary to abstain from sexual activity until the surface injured by curettage is completely healed. Both partners risk getting an infection, and the woman will experience pain during sex. Maybe heavy bleeding due to vaginal irritation.

Should be adhered to healthy image life, follow medical instructions. You cannot take baths, douche, go to the bathhouse or sauna, use tampons, or lift weights.

Treatment

Therapy after curettage of the uterine cavity involves taking medications. They do not build up the endometrium, but prevent infection and improve a woman’s well-being. Antispasmodics are prescribed with caution because they promote uterine contraction, which is accompanied by severe pain, especially immediately after cleaning. IN severe cases No-shpa is shown.

Antibiotics are required to be prescribed: they help avoid infection. The vaginal microflora is restored with the help of antifungal agents in the form of tablets and suppositories. Can be used herbal infusions and infusions: shepherd's purse, nettle, boron uterus, viburnum, lemon balm.

Hormonal medications help restore balance in the body and prevent recurrence of the disease.

In addition to the medications listed, they take enzymes that prevent the formation of adhesions.

A prerequisite is an examination by a gynecologist and repeated tests to avoid relapse. There is no point in planning pregnancy within the next six months of treatment. should be with a condom and only after a follow-up examination by a female doctor.

Childbirth takes place in two stages - the birth of the child and the release of the placenta. If the baby's place does not come out on its own, there is a suspicion that parts of the placenta and membranes remain in the uterus, so curettage or vacuum cleaning is indicated. This is a simple but rather painful procedure, as a result of which it is carried out after preliminary anesthesia immediately after childbirth, over the next 24 hours, the first or second postpartum months. Why can’t you do without cleaning, and what are the possible complications after it?

In what cases is cleaning necessary after childbirth?

It happens that during childbirth the placenta comes out partially or remains completely in the uterus. In this case, the obstetrician immediately decides to manually scrape the uterine cavity or perform vacuum aspiration to clean the muscular organ. Before being discharged from the maternity hospital (on days 3-5), young mothers undergo a control ultrasound.

The reasons why parts of the placenta remain in the uterus are low activity of the walls and bending of the muscular organ. When the examination shows the presence of blood clots and placental remnants, signs inflammatory process, cleaning is also carried out. The young mother remains in the hospital for another 1-2 days.

Failure to perform timely curettage will sooner or later lead to hospitalization. This is fraught with the following consequences:

uterine bleeding with a drop in hemoglobin levels, weakness, inability to care for the baby;
inflammation of the endometrium;
sepsis - general infection blood, which leads to infection of the uterus.

The best time to cleanse is immediately after giving birth. However, it also happens that it is prescribed 6-8 weeks after natural delivery or cesarean section due to the appearance of spotting or bleeding.

Cleaning technique

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Cleaning the uterus after childbirth, while its throat is open, is the optimal period for intervention. In this case, manual cleaning is possible, which involves instrumental curettage under anesthesia. In some cases it is carried out vacuum aspiration. After such a procedure, the young mother stays in the maternity hospital for 1-2 days.
If the obstetrician is sure that after birth the baby's place is completely out, a heating pad with ice is placed on the stomach. Then every day at the clinic they do intramuscular injections oxytocin. The substance provokes active contractions of the uterus, allowing the organ to quickly return to its prenatal state. In this case, the doctor feels the abdomen every day and inquires about the volume. postpartum discharge. A control ultrasound before discharge shows whether curettage is necessary.

If, according to the results of a control ultrasound, cleaning after childbirth is necessary, the woman will stay in the maternity hospital for a couple of days. The procedure algorithm is no different from an abortion:
use of general or local anesthesia;
treatment of the external genitalia with antiseptics;
mechanical expansion of the cervical canal;
carefully removing clots and parts of the placenta from the uterine cavity using a sterile curette.

The uterus is cleaned for no more than 15-30 minutes; the young mother recovers gradually from modern anesthesia, without headaches or other side effects. To enhance uterine contractility, injections of oxytocin or similar drugs. Normally there should be no bleeding, only lochia. The volume of discharge will gradually decrease, and over time it will turn pale.
In a state maternity hospital, the cost of cleaning is covered by compulsory medical insurance. In a private hospital you will have to pay from 7 to 20 thousand rubles for the procedure. (depending on the level of the institution, the anesthesia used and drug treatment during the recovery period).
Cleaning the uterus can be replaced by lavage, which begins the day after delivery. The course includes 3-5 procedures. The task is to remove the remaining clots and carry out antiseptic treatment cavity of the muscular organ. The manipulation is carried out under local anesthesia after exposure of the cervix using speculum. Lavage is carried out in two ways:
Aspiration. A silicone tube is connected to the intravenous infusion system, through which a washing solution (antiseptic, enzyme, antibiotic, anesthetic) is pumped into the cavity. The contents are extracted using an electric aspirator through an expanded channel.
By gravity. Instead of a silicone tube, a rubber catheter is used. The contents of the uterine cavity come out by gravity.

Rehabilitation period and ways to speed up recovery
The recovery period after curettage is about 2 weeks and coincides with rehabilitation period after delivery. The condition of the young mother is monitored by a doctor; his task is not to miss the onset of the inflammatory process.
During recovery, the use of anti-inflammatory, painkillers, antispasmodics and other drugs is indicated. The doctor selects the type of medications, their dosage and course of administration individually. The weakened condition of the patient after childbirth, the level of hemoglobin in the blood, general health. During therapy breast-feeding temporarily stopped. Lactation is stimulated through breast massage and pumping. This will help quickly establish feeding the baby after discharge from the hospital.

In order for the recovery process to be successful, the young mother should take into account the following recommendations:
do not visit the sauna, bathhouse, or take a bath for 3 months;
observe the rules of intimate hygiene;
exclude swimming in open waters;
do not use tampons, only pads, which need to be changed regularly;
exclude intimacy and physical activity for 1.5 months.

If cleaning is carried out correctly and in a timely manner, there is no need to be afraid of complications. The main thing is to follow the doctor’s recommendations and be sure to undergo a follow-up examination.

Possible complications after curettage
The main criteria for a successful curettage:
absence of inflammatory process. what the ultrasound results confirm;
normal body temperature, which does not rise above subfebrile values (37.5);
the general satisfactory condition of the young mother, slight dizziness and weakness are possible as a result of the interventions performed;
a nagging, mild pain in the lower abdomen that gradually goes away;
absence of scarlet bloody discharge; normally, lochia may be present - slight discharge, which become paler over time and completely disappear within 6 weeks.

Complications and the need for additional medical intervention are indicated by:
severe uterine bleeding, in which sometimes it is necessary to make a decision about hysterectomy;
hematometer - absence of lochia after cleaning (indicates a poorly performed operation and accumulation of secretions in the organ cavity);
decreased contractility of the uterus;
an unpleasant odor of discharge is a sign of tissue infection;
high body temperature, feverish condition.

The doctor performs curettage after a cesarean section with particular care, taking into account the fact that the integrity of the muscular organ is compromised. For this reason, the uterus recovers more slowly and contracts worse. It returns to its previous state 2 weeks after birth, and the stitches take a little longer to heal.

Ultrasound on the 3rd day after surgery allows you to assess the condition of the muscle organ. Swelling of the postoperative scar may indicate endometritis, which is treated with medication. Despite the fact that during a cesarean section, doctors carefully clean the uterine cavity, sometimes an ultrasound shows the presence of clots. If placenta particles or endometrial growth are detected, cleaning is performed under anesthesia. Next pregnancy It is recommended to plan after 3 years.
Poor scraping can lead to health problems in the future. It negatively affects future fertility and leads to adhesive processes in the pelvic area. Subsequently, difficulties with conceiving and bearing a baby are possible, disorders hormonal levels, which lead to fibroids, cysts and other gynecological pathologies.
No one is immune from complications during manipulation. Surgery can reduce the risk of their occurrence an experienced doctor using modern equipment. In this case, the endometrium will quickly recover, and new pregnancy possible in the next ovulatory cycle. During lactation it is difficult to miss, and if the spouses do not plan to have children, it is better to take care of contraception.

Nowadays, cleaning the uterus of a woman is prescribed quite often. Almost always this type surgery causes in a woman: fear, panic attacks, unreasonable worries. A negative state is associated with many various rumors who talk about this type of surgery in gynecology, which is prescribed to cleanse the uterus from an unplanned pregnancy or from medical pathologies. Fear is a consequence of ignorance of what this gynecological procedure is. This is an operation, which is otherwise called curettage of the uterine cavity and is prescribed for a variety of reasons. medical indicators, and we will talk about this in more detail.

What is cleansing in gynecology?

Gynecological cleansing of the uterine cavity is a mini operation that is performed under anesthesia, since the procedure is not very pleasant and causes pain syndrome. Cleaning the uterus can be of 2 types: therapeutic and diagnostic. Therapeutic cleansing is prescribed for medical reasons.

It's running:

Women are always cleaned only in a good hospital or maternity hospital. Diagnostic cleansing is used when it is precisely necessary to identify the causes of negative symptoms, which indicate that reproductive system the patient is not functioning properly. The material collected after diagnosis is sent to the laboratory for examination.

The procedure is performed mainly before menstruation is due to begin.

However, sometimes the procedure can be carried out in in case of emergency, for example, with bleeding. This is required in order not to damage the biorhythm of the women’s body with the intervention. In addition, a procedure such as hysteroscopy is prescribed, which allows the doctor, after completing the manipulations using a hysteroscope, to examine the results of the work. This device also improves control over the specialist’s actions during the operation.

The operation goes like this:

It begins with dilatation of the cervix using instruments or medications.
As soon as cervical canal able to pass the curette, they clean the uterine mucosa.
At the final stage, the expanders are removed and the entire surgical field is processed antiseptic. The doctor selects the drug.

To avoid pain, anesthesia is given. Ice must be placed on the stomach to stop the bleeding. While bleeding occurs, the woman should lie down. When the anesthesia wears off, the patient can begin usual image life with little ones physical limitations. She can go home. But for control, the postoperative period requires the supervision of a doctor, because the cervix will remain slightly open for about 30 days. How long does uterine lavage last? The operation does not take long; in general, the procedure takes no more than half an hour.

Mandatory cleaning after childbirth

What could be these prerequisites for cleaning after childbirth? Immediately after the baby is born, manual cleansing of the uterus in the department may be prescribed. The procedure is prescribed if, upon examination of the delivered placenta (placenta), the doctor doubts that it is intact. That is, the doctor suspects that not all of the afterbirth came out, that there were pieces left in the uterine cavity.

In this situation, the woman is given anesthesia, and the doctor, without any problems, cleanses the organ from the remains of the placenta.

By the way, this operation is also performed if the placenta does not come out. This happens when it is tightly attached. And again, the doctor helps the woman in labor complete the birth. The placenta is also removed manually during a caesarean section. What complications can there be after cleaning an organ, since the operation is traumatic? In fact, when carrying it out in maternity ward any negative symptoms, severe consequences do not occur often. Usually, the hospital performs an ultrasound before the woman is discharged. And sometimes, if necessary, regular or vacuum cleaning of the uterus is performed.

This is quite standard operation, but it must take place in compliance with all sterility conditions. Considered least dangerous until internal os open, perform the procedure for cleansing the organ manually. This makes it more accurate. And the blood does not flow as much as it happens when instrumental cleansing of the uterus is performed after delivery. But all women have residues and blood clots in the uterus after childbirth, but not everyone does postpartum cleansing manually or using instruments. And it is right. In most maternity hospitals, absolutely all women who have given birth are given intramuscular oxytocin within 3 days after delivery.

This is such a medicine:

Provokes strong contractions of the uterus;
Helps her to quickly get rid of the remnants;
Every clot comes out.

Sometimes therapy with this medication is extended. But simply strong discharge after delivery is not always an indication for such a serious procedure as washing an organ; a vacuum is prescribed as a last resort. Fine heavy discharge from the vagina occur a week after birth. And then they calm down. However, rarely, discharge can persist for 8 weeks. As a woman, it is correct to contact a gynecologist and be observed by him.

Vacuum cleaning of the uterus: a reminder for women

Cleaning, which is carried out according to plan and not urgently, requires the woman to comply with a number of important rules.

Namely:

It is imperative to examine the pelvic organs in order to detect any contraindications, and you must also pass all the necessary tests.
The groin area must be thoroughly shaved. You should shave your perineum and pubis not in the hospital, but in advance in the evening, at home.
You need to wear a long T-shirt under your robe, and some clinics also require you to wear socks.
We must not forget about comfortable underwear, which you will need after surgical intervention, and also about sanitary pads. Tampons are strictly prohibited.
On the day of cleaning, you should not eat in the morning.
After the operation, it is necessary to follow all the instructions of the attending physician.

Sexual relations should be avoided for approximately 30 days after surgery. And there is no need to be afraid of infertility, which supposedly occurs after cleansing, this is a misconception. If the operation is performed professionally, there will be no complications in the uterine cavity. A woman can become pregnant within 30 days, and the pregnancy will proceed without pathologies.

Cleaning after a caesarean section

The rules of conduct for a woman in labor after cleansing include taking her health seriously and following the advice of the attending doctor.

Means and methods for treating the vagina;
Prohibition on the use of vaginal tampons;
Ban on douching.

You should temporarily avoid taking very hot baths. It is not recommended to go to the bathhouse and sauna. Doctors also advise avoiding excessive physical activity(lifting heavy loads, fitness). It is also prohibited to drive sex life– vaginal intercourse can cause recurrent uterine bleeding or infection in the woman’s genitals.

To avoid large stagnation of content in the main female organ short course anyone can be assigned drug antispasmodic action.

Attention! If a woman takes No-shpa, Papaverine, and any other similar medicine, then breastfeeding is prohibited. This is done because otherwise the toxic effects of this group will occur medications on the baby's body.

The duration of medication is always prescribed by the doctor - to assess the woman’s condition, follow-up examinations are used, with a mandatory ultrasound of the pelvic organs. When recovery is underway, the doctor may prescribe light exercises to train the uterus. After a cesarean section, an inspection of the uterine cavity is performed to make sure that the placenta has come out and not a single piece of placenta remains in the organ. reproductive system. All this will help avoid any complications.

Manual examination of the uterine cavity (video)

In general, reviews of the procedure are positive. However, lest it happen negative consequences, it would be correct to turn to professional doctor. The specialist will determine why the uterus contracts poorly, whether there are any traces of placenta or clots, and will perform high-quality cleaning of the uterus and the necessary examination.

After reading mothers’ stories about cleaning after childbirth in Internet forums, I came to the conclusion: the less you know, the better you sleep. But then, on reflection, I realized that the information from the forum was not enough to good sleep. Naturally, cleaning after childbirth is an unpleasant ending to the important moment in the lives of women, and those who have experienced this condition are sometimes unable to contain their emotions, so their stories may be classified as “not for the faint of heart.” And we will add: not for pregnant women.

In order not to be afraid of postpartum cleansing (after all, it does not mean at all that you will need it), you need to learn as much as possible about it, but medical information, and not “from personal experience.”

When does it become necessary to cleanse after childbirth?

Each woman gives birth twice (in one visit to the maternity hospital): a baby and (afterbirth), with whom he was kept for all 9 months. Many women do not even notice the birth of the placenta, since at this time they are already busy looking at the baby, who has buried his small nose in the mother’s breast. But this does not always happen, unfortunately. Sometimes the placenta is too tightly “fused” with the uterus and is born “partially” or does not come out at all, then a manual release placenta, which is always carried out after cesarean section.

Before discharge from the maternity hospital (on days 2-3), the woman undergoes a diagnostic ultrasound to assess the condition of the internal cavity of the uterus. If the doctor finds traces of placenta or blood clots in the uterus, then the woman in labor is prescribed a cleaning.

How to cleanse after childbirth?

“Cleaning” in “medical language” means. This procedure may be familiar to women who have had an abortion. Curettage of the uterine mucosa is an operation in which mechanical removal functional layer. A new mucous membrane grows from the germinal layers of the endometrium soon after curettage.

Usually cleaning is carried out under general anesthesia in a gynecological chair. Before surgery, the external genitalia are treated with 5% alcohol solution iodine, and the vagina and cervix - 50% ethyl alcohol. With the help of inserted dilators of various diameters, the cervical canal is expanded and residues are removed placental tissue using a special blunt curette or an obstetric curette with teeth. The operation lasts no more than 20 minutes.

How to behave after cleaning?

After cleaning, a woman should be under the supervision of doctors who monitor body temperature, pulse rate, and discharge from the genitals. The external genitalia should be treated with antiseptic solutions 2 times a day.

After the operation, you cannot use vaginal tampons, douche, take a bath, go to the sauna, lift weights, or play sports for 2 weeks. Vaginal sex is also contraindicated due to the fact that the cervix remains open and there is large erosion on the uterine mucosa, which can become favorable conditions for the development of an infection that can be “introduced” by a sexual partner.

To prevent inflammation and other complications after cleaning, antibiotics are prescribed. The curettage procedure is painful, which is why postoperative period pain may be experienced. During this period, you may be prescribed no-spa to prevent the development of hematotra (blood clots in the uterine cavity).

What complications can there be after cleaning?

The hematometra is precisely a common complication scraping. It can occur due to strong compression (spasm) of the cervix, which will cause blood to be retained in the uterine cavity. Quick cessation of bleeding - main symptom hematometers. To support the cervix in a relaxed position, No-shpa is prescribed, as mentioned above.

Another complication of cleansing is uterine bleeding, but this is extremely rare (mainly only in women with bleeding disorders). But if microbes penetrate into the uterine cavity after cleaning, endometritis may occur - infections and inflammation of the uterine mucosa.

All complications require specific treatment, which can only be prescribed by the attending gynecologist. “Ideally” after cleaning, abundant bloody issues with clots, but soon they become less abundant. After curettage, scanty spotting, bloody, brown or yellowish discharge should be observed for at least 10 days.

As you can see, cleaning after childbirth is not so scary if you follow simple rules personal hygiene and doctor's instructions. Therefore, there is no need to worry! Everything will be okay!

Especially for- Tanya Kivezhdiy