Scraping after childbirth
Child Development / / March 27, 2016
How and why do curettage of the uterus after delivery
procedure curettage of the uterus after childbirth in the early postpartum period - quite dangerous.But usually a woman by that name mean uterine manual cleaning doctor or vacuum aspiration - less dangerous manipulation.Instrumental uterine curettage performed in exceptional circumstances and usually later, when the cervix is closed.Scraping after childbirth is more characteristic for the late postpartum period and it is carried out to remove the placenta from the uterine polyp.But first things first.
Genera consist of three periods: when the cervix dilates during labor, the baby is born and the third - the placenta.Normally, the third stage of labor is the fastest and painless.The placenta, together with the remnants of fetal membranes and umbilical cord often born after 15-20 minutes after the child.Less common in 30-40 minutes.If this process has slowed down, scraping or cleaning of the uterus immediately after delivery is not provided.Womencan put oxytocin to induce uterine contractions and the birth of the placenta.It is even easier - put the baby to the breast, or if this is impossible - postimulirovat nipples.It will also improve uterine capacity.If all else fails, the doctor has to intervene.
How do curettage after delivery - with or without anesthesia?As we have mentioned earlier, we are talking about manually cleaning the uterus, or more precisely, of the manual removal of firmly attached to the wall of the uterus placenta.In this case, usually do general anesthesia - intravenous or a mask.Rarely manipulations carried out without anesthesia.Doctor through the fully open cervix comes into its cavity and gently separates the placenta.If all else fails, start bleeding heavily - may be an emergency situation where you will need to do hysterectomy - that is, surgically remove the body.
consequences of scraping the uterus after childbirth can be tragic, if there is severe bleeding, which can not be stopped.Therefore, doctors and try to do everything most carefully and without the use of medical instruments.
Immediately after delivery of the placenta, the doctor and the midwife examining it for integrity.If there are suspicions that it is not completely separated, not enough segments, the doctor usually decides immediately to manually explore the uterus and its doochischat.
After delivery of the placenta, natural or with help of a doctor, the woman put the ice pack on his stomach to shrink the uterus went well, and the bleeding has decreased slightly.And then for 3 days at oxytocin injections 2 times a day.In the hospital, doctors carefully monitor the status of tummy pregnant women.They are interested in whether the uterus is painful, how fast it decreases (shrinks).On the 3-5 th day after vaginal delivery can be carried ultrasound.And if its results can be seen that the uterus has accumulated a lot of selections, and they are likely to interfere with good shrink the uterus and serve as a breeding ground for disease-causing bacteria, appointed by scraping clots after from the uterus birth, but most vacuum aspiration, which canbe performed in a small operating room, it does not require in this case the presence of an anesthesiologist and analgesia.
It should be noted that this problem often occurs after the birth of a large baby, after a multiple pregnancy, if a woman gave birth to a lot, because the uterus is overstretched and unable to recover quickly enough that threatens endometritis - an inflammatory process.If it was scraping after birth, length of time, as are separation, it can be reduced, which has a positive impact on women's health.
But there are times when a woman is discharged from the hospital healthy, with a good result ultrasound, and a few weeks later her body temperature rises, uterine bleeding begins.This usually indicates that the uterus formed placental polyp.Does it hurt to do curettage of the uterus through the already quite a long time after the birth?Yes, because the cervix has already been closed and the necessary tools to expand it.Usually in this case, do the total intravenous anesthesia.Less commonly, local anesthesia, general anesthesia if for some reason does not fit.