Pregnancy And Childbirth / / May 13, 2016
What happens after the birth?
postpartum period - is the period during which the mothers at the opposite end development (involution) of the organs and systems, which have undergone changes due to pregnancy and childbirth.
duration postpartum period after the birth of the placenta (placenta with membranes) is about 6-8 weeks, taking into account the individual characteristics of pregnancy and childbirth.
Normally after birth the uterus weighs about 1000 grams, and its bottom is at 15-16 cm above the pubis.During the postpartum period, the size and weight of the uterus is gradually reduced, changed its form.By the end of the second week postpartum uterine weight is reduced by half and is already about 500 g, and after 6-8 weeks, ieto the end of post-natal period, reverse uterine development ceases.
uterine weight postpartum is decreased due to the continuous reduction of the muscle fibers, thereby reducing the blood supply and, consequently, reduce their size.The uterus of women giving birth has amass of 75 grams, while the weight of the uterus prior to pregnancy is about 40-50 g
In a study of women during normal postnatal period reveals the following: the height of the state of uterus immediately after separation of the placenta is located 4 cm below the navelthe next day due to the restoration of the perineal muscle tone of the uterus and the bottom number is raised to the level of the navel.
On the 4th day after birth bottom of the uterus is usually determined in the middle of the distance from the navel to the womb.At 8-9 days after birth the bottom of the uterus is the womb or at the level of a couple of centimeters above it.Thus, the average daily fundal lowered to 2 cm.
uterine involution in the form and undergoes a series of changes.Immediately after birth, there is a significant reduction in the uterus, resulting in spherical uterus becomes somewhat flattened in the anteroposterior direction.
In the study of the shape of the uterus body longitudinal uterine incision on the third day after birth is approaching spherical, to the fifth day - to the oval, and by the end of the week after giving birth, most women have a uterus takes a characteristic pear shape.
Such detailed information about the postpartum uterus, in addition to external examination, ultrasound provides.The data are evaluated by the attending physician, and if there are any deviations from the norm assigned treatment.
In the normal course of postpartum period, the contents of the uterus during ultrasound presented a small amount of blood clots, which are 1-3-th day defined in the upper part of the uterus.For 5-7-th day their number is reduced, and they are determined closer to the inner zevu - uterine exit.At the same time the uterus has slit-like shape.
In the absence of obstetric complications, as well as under normal ultrasound studies of uterine parameters woman discharged from the hospital under the supervision of a physician to further women's clinic.
But, unfortunately, in the postpartum period may be various complications.And ultrasonic indicators characterizing uterine capacity and the pace of its involution, are of great importance for the early detection of postpartum infectious complications, as well as reduce the risk of occurrence.
complications after delivery and diagnostics
most common obstetric complications are :
- uterus subinvoljutcija (slow reverse development of the uterus);
- postpartum hemorrhage;
- postpartum endometritis - inflammation of the lining of the uterus;
- insolvency (divergence) sutures on the uterus (after surgical delivery).
holding ultrasound studies to reduce the risk of complications posslerodovyh several times.