Lochiometer after childbirth - what is it? Let's figure it out in this article.
A woman's body can begin to change after giving birth. The body thus gets rid of unnecessary tissue that has already fulfilled its function. The healing processes of the endometrium of the uterus primarily begin with the disintegration and alienation of placental particles. In addition, the remnants of glands and other elements are rejected. Lochiometer after childbirth is a rather serious complication. Such an ailment is characterized by a violation of the discharge.
What happens after childbirth?
After childbirth, cleansing of the body begins along with the restoration and healing of the uterine cavity. Thanks to special enzymes, unnecessary residues, together with blood clots and organic elements, are liquefied, and formed blood elements in the form of leukocytes and erythrocytes infiltrate into the area of the wound surface. Such processes are normally manifested by bloodybrown discharge in the first five days immediately after the birth of the child. Further, within a couple of weeks, the secret can become watery and light, and its amount is significantly reduced, and then completely reduced to zero. Such secretions are called lochia. Normally, their volume can range from 500 to 1500 milliliters.
Duration of selections
Depending on the option of generic permission, the duration of the discharge of lochia is different. For example, after a caesarean section, they can be approximately two months. If there were physiological births, then the duration is about five weeks. Lochiometer usually does not occur immediately after an abortion.
Provoking factors
There are the following factors that provoke the development of pathology.
- The presence of contractile weakness of the uterus, which occurs due to a significant amount of amniotic fluid, and in addition, against the background of a large fetus, discoordinated labor or caesarean section.
- The presence of kinks in the uterus, which is considered an anomaly of its location in the small pelvis.
- Presence of cervical blockage, due to which the outflow of lochia is disturbed (through decidua, blood clots, epithelial cells, and so on).
- The appearance of spasms of the internal pharynx. This happens due to the rough removal of the child in childbirth and as a result of a strong contraction of the muscles of the isthmus. In order for the lochia to stand out well, the uterine canal opens wide.
- Insufficient physical activity of the patient in the postpartum period.
Infection
The components of lochia serve as a completely comfortable environment for the reproduction of pathogenic microorganisms, often streptococci. In this regard, the delay in their release leads to infection, and in addition, to inflammation of the mucous membranes of the uterus. In such a case, endometritis may develop. In addition to this, organic tissues in the uterine cavity begin to break down, and putrefactive products, along with toxic decay substances and bacteria, can easily enter the lymph and bloodstream, contributing to the development of inflammation. Next, let's talk about the symptoms of this deviation and find out how the pathology can manifest itself.
Symptoms of the pathological process
The first symptom of lochiometers after childbirth is a sharp delay in the release of lochia. The patient's condition is gradually deteriorating. In the area of the projection of the uterus there are dull and pulling pains. An unpleasant odor may be felt from the groin area. During palpation, the uterus will be painful, enlarged in size with a doughy consistency.
On an ultrasound examination with a lochiometer after childbirth, the shape of the uterus is observed, in the cavity of which there is a liquid mass along with the remains of the placenta, and the cervical canal itself will be narrowed or filled with organic tissues.
Launched forms begin with chills and an increase in temperature to febrile levels. From the side of the cardiac system, tachycardia is observed. Women feel very severe pain in the lower abdomen. Fromarea of the vagina stand out purulent masses of green color with an unpleasant odor. At the same time, fibrinous plaque becomes visible on ultrasound. A similar condition may indicate inflammation of the surface layer of the endometrium, that is, endometritis. Now let's move on to the examination of methods for diagnosing lochiometers after childbirth.
Diagnostic Methods
In order to make a correct diagnosis, the attending physician carefully studies the woman's history and conducts a gynecological examination.
- Thanks to the results of a general analysis of urine and blood, it is possible to see a complete picture of the patient's well-being. So, an increased number of white blood cells indicates an inflammatory process, and a low level of red blood cells indicates the presence of anemia.
- Very important, and also valuable, is the information that is obtained as a result of performing an aspiration biopsy and cytological analysis. These are all considered minimally invasive techniques. They are performed to obtain a sample of the endometrium and conduct its microscopic examination.
- Performing an ultrasound of the pelvic organs is an affordable diagnostic method that can be used to examine the structure of surrounding tissues and genital organs.
- Hysteroscopy makes it possible to see the cavity along with the cervical canal. The optical system of the device makes it possible to assess the state of the endometrium, which allows you to choose the optimal treatment tactics.
Treatment
The therapy of lochiometers after childbirth is based on the emptying of the uterine cavity. For this, first of all, women are recommended to turn to conservative methods of treatment and physical therapy, which will be extremely useful. Women in labor should lie on their stomach three times for one hour. Medical treatment of lochiometers after childbirth in a hospital includes:
- Performing injections of uterotonic drugs (usually used are Oxytocin, Methylergometrine and Ergotamine). They stimulate the myometrium, increase the contraction of the uterus, which contributes to a rather rapid extraction of lochia.
- The use of antispasmodics ("No-shpy" and "Papaverine") well eliminates spasms of the cervix of the uterus.
- The use of antibacterial drugs is prescribed for preventive and therapeutic purposes at high risks of infection and further spread of infections.
- Painkillers are used for severe pain (Ibuprofen is used along with Paracetamol and Analgin).
In order to eliminate the causes of lochiometers, digital expansion techniques are used, thanks to which they eliminate spasms of the uterine os. The uterus can be extended through the anterior abdominal wall using the two-handed examination method.
If the desired effect has not been achieved, then instrumental technologies are used. For example, the use of a curved forceps, which is inserted into the cervical canal to extract organic tissue. Exceptthis, you can use a vacuum apparatus.
Treatment of lochiometers after childbirth with folk remedies
No matter how far science and technology have advanced, people still love to turn to traditional medicine treatments. After childbirth, herbal therapy is primarily aimed at improving the contractile functions of the uterus and its fastest recovery. But self-medication with the help of folk remedies, as well as traditional medicines, is not at all safe. In this regard, before you start taking decoctions and herbal infusions, you must always consult with your doctor.
Infusions based on medicinal herbs
Treatment of lochiometers after childbirth should be comprehensive. In addition to the medicines prescribed by the doctor, you can resort to herbal medicine.
To make a nettle infusion, you need to take six teaspoons of crushed dry nettle leaves and a liter of boiling water. All components are mixed and cooled. Take the received medicine for half a cup three times.
White Lamb Flowers are widely known for their therapeutic properties and help to increase uterine contractions immediately after childbirth. To make an infusion, you will need two tablespoons of dry inflorescences and half a glass of chilled water, which must first be boiled. All ingredients are mixed and left to infuse overnight. Take half a cup four times.
White Lamb Flowers lower blood pressure and should therefore not be taken by women suffering from hypotension. In such a case, it is better to usean infusion of the leaves of this plant, which is prepared in absolutely the same proportion as the flowers. Lamb infusions are taken to improve uterine contractions.
What else is used in the treatment of lochiometers after childbirth?
For this purpose, tincture of dry birch leaves is also used. But it is allowed to take it only twelve days after the birth. In order to prepare a tincture from the leaves of this tree, you will need three tablespoons of dry crushed leaves and two to four cups of boiling water. All ingredients are mixed in a thermos and infused for two hours. Next add a pinch of baking soda. Take the resulting remedy in a warm form, one glass three times.
How to treat a lochiometer after childbirth, we told. Next, we will learn about preventive measures.
Prevention
Prevention of certain complications in the postpartum period involves compliance with the following rules:
- Preparing for childbirth.
- Good pregnancy management.
- Timely emptying of the bladder.
- Remedial gymnastics and physical activity.
- Monitoring the amount of discharge.
- Monitoring the contraction, size, consistency and sensitivity of the uterus immediately after delivery.
- Performing ice packs on the area of the anterior abdominal wall.
- Strict hygiene. It is necessary to change pads frequently while performing external genital hygiene with warm running water.
- It is advisable to often lie onstomach.
- Intimate relationships should be started only eight weeks after birth (this is required to restore the reproductive system, and in addition, to prevent bleeding).
- Full nutrition.
Symptoms and treatment of lochiometers after childbirth are interrelated.
Possible Complications
Mostly problematic outcomes of the disease are observed only in advanced cases. This is mainly due to inflammation of the uterine tissue (with endometritis, metroendometritis, pyometra) and the emergence of bacterial flora, which can later enter the bloodstream, and in addition, into the lymph, which provokes general and local inflammatory reactions in the form of peritonitis and sepsis.
To fully enjoy the birth of a child and devote more time to it, young mothers need to carefully monitor their he alth, following all the recommendations of a gynecologist. Lochiometer is considered a serious complication of the postpartum period, which is treated quite well. But this does not mean at all that this pathological process can be neglected. So, be sure to listen to your body.
The article described the symptoms of lochiometers after childbirth. What should be done with this pathology is now clear.
