Bleeding after childbirth
Child Development / / March 27, 2016
Features postpartum hemorrhage
Bleeding after childbirth - a pathology that should not be overlooked given birth to a woman and her doctor.There are approximate blood loss rules in the postnatal period, for which you need to follow and at discharge from the hospital, if necessary.
Normally directly during childbirth a woman loses 250 grams of blood.This can be compared with the three heavy menstruation.Bleeding continues in the postpartum period.Within 2-3 days, a woman can still change an average of 1 hour in a sanitary napkin.Then the discharge should become less.Excessively profuse uterine bleeding after childbirth can be an occasion for an infusion of donor blood.Fortunately, such a need arises rarely.
With each passing day more and more reduced uterus returns to its non-pregnant size, allocation gradually moving in smearing.And the slim so they can stay up to 6-8 weeks.This is the period as last bleeding after childbirth is normal in women.
bad when allocating sharply increased in intensity.This can happen in 10-15 days after discharge from the hospital.This is an occasion to visit a gynecologist immediately.Of course, to return to the hospital did not work, but you can carry out diagnostics and outpatient.If profuse bleeding started a week after giving birth, the doctor must first conduct a pelvic examination of the patient, palpate her uterus to determine its approximate size, consistency, see if it is painful to see if the cervix is closed.Be sure to talk with the patient, there is an important point is the presence of an elevated body temperature.If such a woman worried about, then you need to know exactly how it measures the temperature, in any place.The axillary measurements may be uninformative, because this term is established lactation and small lactostasis, stagnation of breast milk in the milk ducts, can cause a local temperature increase.It will be correct to measure the temperature, for example, in the elbow.
And if there is not associated with breast fever, bleeding, pain - is often an indication for hospitalization in gynecology hospital.On ultrasound the doctor also examines the uterus.The main purpose - to determine the causes of bleeding after delivery, any remaining particles in the uterus placenta, whether placental polyp was formed.Despite the fact that, after delivery of the placenta it is always inspected for integrity and in which case an audit is carried out of the uterus ( "clean"), such cases happen frequently.Most often the diagnosis is confirmed, when it starts bleeding heavily month after childbirth.
If it is more or less in order for the results of US woman delivers blood and urine tests.This is done in order to determine whether there is an inflammatory process.And if so, then appointed antibiotics.Most gentle, so that you can not turn off breastfeeding.
Often long duration of postpartum hemorrhage is due to uterine subinvolution her bad motility.Doctors have a uterus is called "lazy".The main treatment in this case - the appointment of oxytocin to induce uterine contractions and hemostatic agents.For example, "menadione".If necessary, in parallel with this antibiotic.
After birth, the duration of bleeding is normal to 8 weeks, but the average allocation observed within the first 5-6.But sometimes reappear after spotting.Is this may be an early menstruation, when a woman is breastfeeding on demand?Yes, sometimes it happens that are bleeding within 2 months after delivery.In this case, the woman should look at the selection, their smell and plentiful.Normally a woman loses about 50 grams of blood during menstruation.With abundant - up to 80-100 grams.But if a woman is forced to change pads every two hours - this is the main criterion is to distinguish from the monthly bleeding after childbirth, but the bacterial infection can speak unpleasant odor emissions.In addition, bad symptom is the presence of large clots, it also speaks of a large blood loss and requires a doctor's advice.