Clots after childbirth in the uterus: causes. What to do? Cleaning after childbirth. Incomplete expulsion of the placenta Remnants of the placenta after childbirth causes

As long as the entire placenta is in connection with the uterus and has not been detached, bleeding does not occur even with a very long succession period. The severity of bleeding depends on the size of the detached part of the placenta and its location: the bleeding is more profuse, the lower the placenta is attached, the larger the exposed part of the placental area and the less contractility of the uterus. Bleeding is especially severe when the placenta is not fully born and some part of it is retained in the uterine cavity (lobules that have not separated from the uterine wall or only part of the lobule).
Sometimes there is no external bleeding, despite the fact that the uterus contains either the entire placenta, partially or completely detached, or a small part of it. In such cases, paleness of the skin, increased heart rate and respiration, a drop in blood pressure and other signs of increasing general anemia usually occur. The reservoir for lost blood is the uterus, which, due to overflow with blood, increases in volume, becomes tense and spherical. The causes of this condition are spasm of the internal pharynx, mechanical closure by dense tissues - a blood clot, a lobule of placenta blocking the pharynx, or membranes in the form of a hood covering it from the inside. Therefore, the degree of external bleeding cannot serve as a criterion for assessing the general condition of a woman in labor, which is determined not so much by the amount of blood lost as by the patient’s reactivity to blood loss, which largely depends on the course of labor. Thus, long, difficult and painful labor during the first two periods depletes the strength of the woman in labor, reduces the compensatory functions of the body, as a result of which the woman in labor often cannot cope with sudden blood loss, sometimes even minor. This is especially evident in diseases of the cardiovascular system, severe toxicosis of pregnancy and other serious conditions of the mother in labor.
Almost various tests to determine the integrity of the born placenta have not justified themselves: scalding the maternal surface with boiling water, filling the placenta vessels through the umbilical vessels with milk, some kind of coloring, non-diffusing substance, etc. All these tests do not give a convincing answer to the question posed, and at the same time At the same time, it takes a lot of time from the doctor, which he needs to provide quick and effective care to the woman in labor.

The appearance of signs of anemia in the absence of external bleeding, as well as a gradual enlargement of the uterus, taking on a spherical shape, indicates a spasm of the internal pharynx or blockage of its lumen with parts of the placenta.
Prevention of retained parts of the placenta consists of following the rules of labor management, especially the afterbirth period. These include emptying the bladder after the birth of the fetus, very careful monitoring of the general condition of the woman in labor; It is necessary to refrain at this time from palpating the abdomen and especially the uterus, from pulling the umbilical cord; the placenta should be rationally removed from the birth canal as soon as the placenta is completely detached; Before this, you cannot prescribe ergotine and other drugs that cause spastic contractions of the uterus, etc.
Of great importance is the fight against miscarriages and inflammatory gynecological diseases, the correct management of childbirth during multiple pregnancy and pathological childbirth, especially with placenta previa, polyhydramnios, weakness of labor, toxicosis of pregnancy, and the phenomena of a clinically narrow pelvis.

Treatment. Bleeding in the afterbirth period should be stopped as soon as possible. To do this, you must first try to strengthen the afterbirth contractions, which can be achieved by injecting 1 ml of pituitrin. Prescribing in such cases drugs that cause spastic contraction of the uterine muscles (ergot, ergotine, etc.) is an unacceptable medical error.
The separated placenta must be removed from the uterus using one of the well-known methods: Abuladze, Lazarevich-Crede, etc. If these methods do not give a quick effect, they should be used under anesthesia, after which the placenta is usually quickly released. If bleeding continues after the birth of the placenta, perform a control examination of the uterine cavity by hand. If a lobe of the placenta is retained in the uterine cavity, which can usually be determined by a defect in the tissue of the born placenta, an operation is performed to manually separate the retained lobules from the walls of the uterus and release them out. Even in cases where no placenta remains are found in the uterine cavity, entering the uterus with the hand is useful, as this stimulates uterine contractions and often stops bleeding. If small pieces are detected by palpation on the placental site after manual separation of the placenta, they should be removed instrumentally by scraping with a blunt curette, preferably a spoon-shaped one (A.I. Lebedev model). In all cases, after removing the placenta, the uterus is carefully stroked (but not massaged) to increase the tone of its muscles and remove blood clots from the cavity.
It is necessary to remove the entire placenta, because even the smallest pieces of placental tissue remaining in the uterine cavity can lead to bleeding from the uterus and postpartum infectious disease (including sepsis) in the postpartum period, and sometimes the development of chorionepithelioma.
After the uterus has completely emptied, in order to enhance its contractions, an injection of 1 ml of ergotine and cold applied to the lower abdomen are prescribed.
In each case of a hand entering the uterine cavity, measures must be taken to prevent postpartum infection (sulfonamides, penicillin, etc.). If there is significant blood loss, repeated blood transfusions are used.

The birth of a child is a joyful and exciting moment. But with the birth of your baby, you shouldn’t forget about your own well-being. In the first days, a woman becomes more vulnerable. The body has experienced serious stress and needs strength to recover. Doctors pay special attention to the condition of the reproductive organ. During the first week, the uterus decreases in weight from one kilogram to three hundred grams. By the end of the recovery period (after 1-2 months) she will weigh only 70 grams. But things don't always happen like this. It is not uncommon for them to remain in the uterus after childbirth. What to do in this case? You will learn about treatment methods in today's article.

Diagnosis and symptoms of clots in the uterus

In all cases, new mothers undergo an ultrasound and gynecological examination before discharge. These manipulations are necessary to assess the woman’s condition. If a clot remains in the uterus after childbirth, then an enlargement of the organ is noted. The woman complains of pain in the lower abdomen, the temperature may rise and malaise may occur. All these symptoms indicate that the new mother needs medical attention. What to do if there are clots in the uterus after childbirth?

Manual removal of residues and massage

As you already know, every woman who gives birth undergoes an ultrasound. During the examination, the doctor can determine the location of the lumps of mucus. If there is a clot in the uterus, massage is performed after childbirth. Its purpose is to enhance the contractility of the reproductive organ to expel mucus. Massage is performed every 2-3 hours. The doctor presses on the lower abdomen, pushing the clots toward the mouth of the uterus. The procedure is considered quite painful, but it cannot be avoided.

Gynecologists also use manual separation of clots. The os of the uterus in the first three days after birth is open by 8-12 centimeters. This distance allows you to easily carry out manipulation without using expanders.

Drug treatment: drugs

If a clot is found in the uterus after childbirth, the woman must be prescribed drugs that enhance the contraction of the muscular organ. Most often these are Oxytocin, Hyfotocin, Dinoprost, Ergotal and others. Some practice prophylactic use of the described remedies. But the attitude of doctors towards this approach is ambiguous.

In addition to medications that contract the uterus, the woman is prescribed antibacterial drugs. At the same time, the issue of the possibility of further breastfeeding is resolved. The opinions of gynecologists differ here. Some experts believe that it is necessary to take antibiotics in order to prevent the inflammatory process. Other doctors say that breastfeeding should be continued because it helps the uterus contract naturally.

If a pathology is detected, it is prohibited to take antispasmodics that relax muscles.

Clearing clots in the uterus after childbirth: surgical treatment

If remains of the membranes or placenta are detected in the cavity of the reproductive organ, the woman is prescribed gynecological curettage. It is performed under anesthesia. Depending on the complexity of the operation, it can be local or general.

During the procedure, the doctor inserts instruments into the uterine cavity, which cleans the mucous membrane. This operation obliges the woman to stay within the walls of the medical institution for another 1-2 days.

Folk remedies for reducing the genital organ

Is it permissible to use grandma’s recipes if there is a clot in the uterus? After childbirth, taking various herbs can be quite dangerous, since not all drugs are allowed during lactation. Many substances can cause an allergic reaction in a child. If you are not breastfeeding, you can try to get rid of the pathology with the help of herbs. But remember that gynecologists do not advise self-medication. And prolonged presence of clots in the uterus can lead to infection or sepsis.

• This plant is known to increase uterine contractility. You need to brew nettle in the amount of 4 tablespoons per half liter of boiling water. Take 100 ml infusion three times a day.
• Shepherd's purse. This herb also has the property of activating the muscle organ. Boil two glasses of water and add 4 tablespoons of herbs there. Leave until cool, strain. You need to drink this amount throughout the day.
• Blood red geranium. Take 2 teaspoons of herb and add 400 milliliters of chilled water. Leave the mixture overnight and strain in the morning. Drink throughout the day.

There is an opinion that large doses of vitamin C cause contractions of the reproductive organ. Therefore, if there is a clot in the uterus after childbirth, women try to eat foods that contain it. These are lemon, cabbage, parsley, oranges and so on.

What can a woman do on her own?

If clots are found in the uterus after childbirth, what should you do? By following simple tips, a woman can independently provoke the release of mucus. Ask your doctors about these methods. Here are some recommendations.

• Put your baby to your breast more often. Stimulation of the nipples and the baby's sucking movements promote the production of natural oxytocin and contractions of the uterus. This is especially noticeable in the first days after childbirth. As soon as the baby begins to suckle, the reproductive muscle organ contracts.
• Lie on your stomach. The abdominal wall and muscles do not immediately return to their original state after the baby is born. Therefore, a bend in the uterus may occur, which is why clots form. To prevent this from happening, lie on your stomach more often.
• Lead an active lifestyle. If you have no contraindications, then you need to move more. Walk, walk, carry your baby in your arms. The higher the physical activity, the faster the uterus will contract.
• Use available tools. After childbirth, if there are no contraindications, tighten your stomach. To do this, you can purchase a special bandage or use a sheet.
• Do Kegel exercises. Rhythmically squeeze and unclench the muscles of the vagina and anus. It may not work out well at first. But such gymnastics not only promotes the release of clots, but also accelerates the recovery process.
• Watch your stool and empty your bladder more often. After childbirth, a woman practically does not feel the urge to urinate. But it is necessary to urinate. Contractions of the bladder and intestines also increase uterine tone.

Special situations: caesarean section and induced birth

What to do if a clot is found after a cesarean section? The uterine cavities after childbirth contract in a slightly different way. The fact is that the muscle layer is injured. Therefore, in the place where the incision is made, the tone will be reduced. As a result, clots appear. But cleaning after a cesarean section can be quite dangerous. What to do in this situation is decided only by the doctor, based on the individual characteristics of the patient and the result of the operation.

Often, clots form after artificial birth in the early stages. In these cases, lactation does not improve, and a hormonal imbalance occurs in the body. Therefore, the uterus contracts poorly. During artificial delivery, a woman must be prescribed medications based on oxytocin for prevention purposes. If clots are detected, one of the correction methods described above is selected.

Summarize

If a woman develops clots in the uterus after childbirth, treatment should only be carried out by a gynecologist. Never try to get rid of mucus lumps on your own. If you are breastfeeding, it is strictly forbidden to take any medications without prior medical advice. Speedy recovery to you!

The birth process ends and the recovery period begins. The reproductive organ has the amazing ability to grow during pregnancy. Immediately after the baby is born, he weighs 1 kg; by the end of rehabilitation, the weight reaches 50 g. However, successful contraction can be complicated by a number of problems, one of which is the remains of the placenta in the uterus after childbirth. The obstetrician notices a violation during examination.

Stage 3 of labor is marked by the birth of the placenta. If it does not completely recede, you will need medical assistance, which will be provided right in the delivery room. According to the norm, the period lasts 15 – 20 minutes. Contractions and pushing help expulsion. When the procedure is delayed, stimulants are introduced. Their use protects the woman in labor from large blood loss.

Why does the placenta not come out after childbirth?

1. low uterine tone. The organ contracts weakly or completely immobilizes, separation from the walls does not occur;
2. completely detaches, but the cervix creates obstacles to final expulsion;
3. part of the organ has grown too close and cannot come off on its own.

Remnants of placental tissue are observed after childbirth when it is removed through the umbilical cord. The obstetrician gives an injection and the placenta is detached. The doctor places one hand on the stomach, the other pulls the umbilical cord. Once the separation has occurred, she comes out easily. Otherwise, part remains inside.

A piece of placenta in the uterus can get stuck due to too hasty action by the obstetrician or weakness of the organ. The doctor pulled and the thin thread broke. For everything to go smoothly right away, the obstetrician asks you to push during contractions. The reproductive organ sometimes contracts quickly after the baby is released, preventing the expulsion of the remains.

In some women, retained placenta is explained by a special structure. There is an additional part that is attached to the main one, a separate vessel. It does not come off on its own or, once unstuck, remains inside.

These reasons force the obstetrician to carefully examine the cavity of the reproductive organ. If a vessel break that causes concern is detected, cleaning is carried out. Sometimes a piece of the placenta remains after childbirth, when the afterbirth gets caught in the scar from a previously performed cesarean section and attaches to the fibroma. A full bladder also hinders progress to the exit. The obstetrician places a catheter for emptying.

Symptoms and diagnosis

When the time comes to push, the reproductive organ pushes the baby out with the help of muscle contractions. The labor activity does not end there. There is another 3rd stage ahead - the birth of the placenta. If the organ does not come out completely, and the obstetrician did not notice this, subinvolution begins to develop.

The first warning symptom is bleeding. You need to point out the deviation to the doctor. Then, during the examination, the gynecologist will see the looseness of the enlarged reproductive organ. The temperature rises to 37 - 37.5 degrees. It remains like this for the entire time the disease lasts.

What comes out of the uterus after childbirth:

• umbilical cord;
• placenta;
• membranes;
• blood clots;
• slime;
• different fragments.

They continue to come out for 1.5 months. It's worse if the discharge remains inside. There is a danger of developing adverse consequences. A doctor's help is simply necessary in such a situation.

Symptoms of residues:

1. the temperature rises;
2. bleeding begins;
3. inflammation develops;
4. there is a general deterioration in health.

With such signs, you need to urgently contact the clinic. After the examination, the gynecologist will prescribe an ultrasound examination, during which it will be possible to see whether the placenta remains inside or not. To eliminate the consequences, cleaning is carried out under general anesthesia.

5 – 7 days after the end of labor, blood clots fall out. Then they take on a smearing character and completely disappear. If after 2–3 weeks no changes are observed, blood continues to flow out, a polyp may have formed. When the placenta does not completely come out after childbirth, an ultrasound shows an enlarged uterus. Therefore, heavy discharge should alert you.

It happens that the blood flows out, then 2-3 days of rest occur and the process resumes. Inflammation develops. It is indicated by an unpleasant “aroma”, painful spasms, high temperature, the readings of which are recorded on the elbow. Unnoticed endometritis in time will negatively affect the reproductive function of the body. Infertility will begin to develop.

Indications for cleaning

If the placenta remains after childbirth, surgical intervention is performed in the body. It is prescribed through diagnostics, and then the problem is eliminated. Therapy is carried out according to the individual characteristics of the woman in labor and the stage of development of the consequences.

Why do they clean the uterus after childbirth:

• free the inside from the remains of the placenta;
• remove blood clots;
• remove pathological neoplasms;
• Histological material is taken for research.

When cleaning:

• formation of myomatous nodular formations;
• the presence of placental polyps inside the reproductive organ;
• endometritis hyperplasia;
• unstoppable blood flow;
• suspicion of a low-quality tumor manifestation;
• miscarriage;
• stopped pregnancy;
• complications after abortions.

During curettage, stagnation of secretions from the upper layer of the mucosa is removed. The gynecologist carefully removes the endometrium from the inner walls, cleans the cervix, and rinses the tubes. If there are infectious diseases that can spread to the unprotected endometrium, cleaning is postponed.

How is the placenta removed after childbirth? The obstetrician does a light massage of the reproductive organ. Then he grabs the abdominal wall and asks the woman to push. This Abuladze method is quite simple and painless. If there are signs of blood stagnation in the uterus after childbirth or it leaks profusely, the doctor uses manual separation. The procedure is considered complex and anesthesia is prescribed.

Complications

Is it dangerous when the placenta remains after childbirth? When a baby is put to the breast frequently, oxytocin is produced. It promotes good contraction of the reproductive organ. If the placenta does not expel completely, small pieces remain, they will come out on their own. Otherwise, inflammation will develop. You'll have to undergo a curettage procedure.

The obstetrician always conducts an examination of the placenta, even if the baby's place was not fully delivered and remains are found a day after birth. The birth canal is checked, the condition of the cervix is ​​assessed, and the amount of blood loss is determined.

Violation of the processes of separation of the placenta and discharge of the placenta will require additional actions. When, despite the use of such measures, at the last stage of labor, the organ comes out for more than 30 minutes, the danger of opening the uterine blood flow increases. When the fragments are not removed in time, the organ may become infected.

Consequences of manual separation:

1. large blood flow;
2. the appearance of problems due to inept mechanical intervention;
3. hemorrhagic shock;
4. inflammatory process;
5. sepsis;
6. fatal outcome.

When the baby's place fails, after childbirth they take it out by hand. Severe bleeding and improper actions can lead to complete removal of the reproductive organ. If all manipulations are performed in good faith, the woman in labor will quickly recover and will be able to give birth again later.

Where does pain occur after manual cleaning:

• in the area of ​​the uterus. It contracts and returns to its original parameters;
• in the vagina. During the surgical intervention, the muscle sections were stretched;
• in my head. Unpleasant manifestations are associated with the consequences of general anesthesia.

By maintaining hygiene, you can avoid complications by monitoring your health and taking medications in a timely manner. When a woman notices dizziness, increased discharge, or fainting, she needs to contact a gynecologist. It is prohibited to douche or use tampons. You cannot visit the bathhouse or take a bath. You should avoid intimate relationships until recovery is complete.

Rehabilitation

For quick recovery, it is important to organize time taking into account work and rest. 8 hours should be allocated to sleep, the same amount to work, and the 3rd part should be devoted to relaxation. Return to sports is allowed a month after surgery, provided that this does not harm the recovery process.

If labor occurred with complications, it is better to coordinate the beginning of intimate life with the attending physician. There is no need to rush into sexual relations. The woman's reproductive system should rest. It is necessary to carefully observe hygiene so that infection does not penetrate into the cavity of the reproductive organ.

If the temperature rises after cleaning, the doctor prescribes anti-inflammatory drugs. They are necessary to stop inflammation that can develop inside. Medicines in this series also relieve painful spasms.

Restore the reproductive organ after cleaning with herbs. Vegetation enriched with phytoestrogens has a beneficial effect on the growth of the epidometrium. Women drink a decoction of boron uterus, red brush. They are very indicated during the rehabilitation period.

When the placenta does not move away on its own after birth, antibiotics are prescribed. Women in labor take them for 5–10 days, 1–2 tablets. The course depends on the prescribed remedy. The condition of the female body shows when to start taking it: directly on the day of cleansing, the day before. The goal of medications is to prevent bacteria from entering.

During the rehabilitation period, you should balance your diet. You don’t need to eat anything fatty, spicy, or salty. It is recommended to have breakfast with yogurt, cottage cheese, and eggs. During the day, people eat cereals, soups, and low-fat fish. In the evening - vegetables, chicken. During the day, snacks include fruit products. It is useful to introduce yams, corn, and soybeans into the diet. They are rich in phytoestrogens.

When the endometrium of the uterus is completely restored, pregnancy is possible. However, you should not rush to conceive. Rest between births should be observed at intervals of 2 years. Before trying to conceive, it is better to consult a gynecologist.

When a piece of the placenta is left in the uterus after childbirth, curettage becomes the only way to salvation. The procedure is considered traumatic, but necessary. If the gynecologist refers to it, it should not be avoided. Any evasion is fraught with unpleasant consequences. After a properly completed recovery period, no complications should appear. Any consequences are unlikely.

Curettage of the uterus (curettage) after childbirth is a gynecological procedure in which remnants of amniotic membranes and large blood clots are mechanically removed from the uterus.

In what cases is it necessary to carry out a cleaning procedure after childbirth?

After the baby is born, the placenta (afterbirth) must leave the woman’s body, namely the uterus.

Sometimes, for some reason, for example, due to a tight attachment, the placenta does not come out and remains inside the organ. Also, when the placenta is expelled, parts of it or remnants of other amniotic membranes and tissues may remain in the uterus.

Normally, all this, together with blood clots formed during postpartum healing of the uterus, should pass away in the form of lochia - postpartum discharge.

But if the placenta does not come out, pieces of tissue remain in the uterus, or large blood clots have formed that block the discharge of lochia, there is a risk of infection. The remains of the placenta and amniotic membranes will begin to decompose, which will become a favorable area for the development of bacteria and lead to inflammation and purulent processes.

To prevent this from happening, a curettage procedure is performed.

By the way, after a cesarean section, the placenta always has to be removed mechanically.

How is the uterine cleansing procedure performed?

Curettage of the uterus is performed on a gynecological chair. In this case, the woman is under general anesthesia.

If the placenta does not pass immediately after birth, the doctor performs manual curettage: while the cervix is ​​still sufficiently dilated, it allows you to remove excess tissue and blood clots manually.

If the need for cleaning was discovered later during an ultrasound, special instruments are used to perform curettage, which are used to “scrape off” the endometrial mucosa.

Before the procedure, the genitals are treated with an iodine solution and an alcohol solution. Sterility plays a big role in cleaning, since the inner surface of the uterus at this time is a large wound, prone to infection.

Postoperative period. How to behave and what not to do?

After the scraping procedure, the woman should pay attention to hygiene and treat the genitals with an antiseptic.

At this time, it is prohibited to use tampons and douching. You should also not take a hot bath or visit the saunas - during recovery you will have to limit yourself to a shower.

Sexual intercourse is also prohibited until the recovery period is completed.

After curettage, antibiotics, antispasmodics and drugs that promote the process of uterine contraction may be prescribed. Breastfeeding is usually prohibited while taking medications, so milk will have to be expressed so as not to disrupt the lactation process.

For two weeks after cleansing, you should not lift heavy objects or subject your body to physical activity.

Complications after cleaning

If an infection is introduced during curettage, this can lead to endometritis - an inflammatory process.

When bleeding, a hematomera may develop - an accumulation of blood in the uterine cavity, which appears due to problems with its outflow. If a woman has problems with blood clotting, then on the contrary, severe bleeding and loss of large volumes of blood are possible.

Normally, there is bleeding after the procedure, but it is small and gradually decreases. If you have no discharge or a lot of bright red blood, consult a doctor.

After the birth is over, the baby is born and the placenta comes out, the restoration of the body begins. The first process is the reduction of the uterus to its previous size. This organ has amazing properties, as it increases significantly during pregnancy. The uterus after birth weighs within 1 kg, and by the end of the recovery period it weighs only 50 g.

However, the recovery process can be complicated by a number of pathologies that arise only after childbirth and cannot be foreseen before, and therefore cannot be prevented. For example, the neck may become deformed.

Only a doctor can notice the violation during examination. Normally, the outlines of the external pharynx should be round, but with pathology they take the form of a slit. In this case, the neck itself will not be cone-shaped, as expected, but cylindrical. This and other disorders can affect a woman's fertility and make subsequent pregnancies difficult.

How to contract the uterus as quickly as possible after childbirth?

In the normal postpartum period, the organ is completely cleared of the remains of the placenta and blood clots within 3 days. The activity of this process is evidenced by discharge - bloody in the first days and serous-sanguineous in the subsequent days.

The epithelium will completely recover after 3 weeks. The contraction process is accompanied by slight cramping pain. After repeated births, this phenomenon may be more pronounced and in some cases the woman is prescribed painkillers.

The absence of contractions (atony) or their weak intensity (hypotonia) are pathological and dangerous to health.

The activity of contractions depends on several factors: the number of fetuses, the location of the placenta, complications during the birth process, the weight of the child, and the state of health of the woman in labor.

Atony occurs in the case of bending, trauma of the birth canal, underdevelopment of the organ, inflammatory processes, the presence of fibroids, polyhydramnios, and blood clotting disorders.

To contract the uterus, the doctor may prescribe special drugs that will stimulate this process - oxytocin or prostaglandins.

Breastfeeding can serve as an impulse, so you should feed your baby at his first request. A woman should move more, even if she had a caesarean section. It is better to sleep and rest on your stomach. It is worth noting that emptying the bladder can affect the rate of contractions, so if there is no swelling, you need to drink more fluids and visit the toilet more often.

The danger of atony lies in the fact that the body cannot get rid of the remnants of the placenta and blood clots. If they remain, inflammation will occur. Therefore, the necessary procedure, if the above methods do not help, will be scraping or cleaning. If this procedure is not performed, a hysterectomy will be required in the future.

When is it necessary to clean?

Cleaning the uterus is carried out after childbirth if parts of the placenta remain in it or blood clots have accumulated. Residues can be detected during a routine ultrasound examination, which is carried out after childbirth.

Why doesn't the body cleanse itself? The reason is weak labor, when the doctor had to manually separate the placenta or if the latter is very tightly attached.

Cleaning is carried out using both medicinal and surgical methods. It is a mandatory procedure for the above pathologies. If such an event is not carried out, complications will arise in the form of an inflammatory process and endometritis.

If clots are detected in the uterus on an ultrasound after childbirth, the doctor prescribes curettage, which is performed under general anesthesia. The operation time is no more than 20 minutes.

The procedure, like any other intervention, may be accompanied by complications. Most often, hematometra occurs - a delay in the cavity of the blood organ caused by cervical spasm. If vaginal discharge quickly stops after curettage, then this complication occurs. To relax the cervix and prevent hematometra, No-shpa is prescribed.

Women with bleeding disorders may experience uterine bleeding, but this is quite rare.

If bacteria enter the cavity during cleaning, endometritis occurs - inflammation of the mucous membrane.

What are the consequences of a bent uterus?

Bend of the uterus, or displacement, after childbirth occurs due to weakness of the pelvic muscles and decreased tone of the ligaments. These factors, in combination with complicated childbirth, provoke some deviation of the organ back. The movement is accompanied by a bend.

This disorder provokes decreased activity of the genital organs and is characterized by pain and functional abnormalities in this area. The bend is eliminated with the help of a set of special exercises that a woman can easily perform at home.

Myoma

This pathology, unfortunately, is one of the most common. It is characterized by the formation of benign tumors in the muscular layer of the organ.

If treatment is not started in a timely manner, then there is a high risk of developing early and late complications after the birth of a child, or more precisely:

• Heavy postpartum bleeding;
• Placenta accreta;
• Low uterine tone;
• Excessively tight attachment of the placenta and its partial separation;
• The uterus does not have the ability to restore its previous size;
• Infection of the organ cavity.

Polyps

A distinctive feature of this disease is the difficulty in diagnosing it, because the initial stage occurs during postpartum hemorrhage, which is characteristic of this period. The main cause of polyps is considered to be a history of abortion or curettage. A placental polyp can only be detected using ultrasound.

A woman needs hospitalization and a curettage procedure after delivery, when the remnants of the placenta and blood clots are removed. During the rehabilitation period, she must take antianemic and antibacterial agents.

Removal operation

Hysterectomy - surgery to remove the uterus is performed for indications that include:

• Enometriosis, inability to stop uterine bleeding;
• Uterine prolapse due to pelvic floor rupture;
• After displacement, the reproductive organ disrupts the functions of the gallbladder.

Inflammation

There are many reasons for the development of the pathological process: cesarean section, prolonged labor, placenta previa, lack or non-compliance with hygienic/sanitary standards, etc. Symptoms of the disease include increased body temperature, rapid pulse, pain and enlarged abdomen, fever, purulent vaginal discharge.

If a woman is concerned about the above phenomena, she should not delay her visit to the doctor. Postpartum complications can occur even when the mother and baby have already been discharged home.

To protect yourself from the development of pathology and prevent disruption of reproductive functions, you need to contact a specialist who can make the correct diagnosis and prescribe adequate treatment, or reassure the woman if no disease is detected.