Causes of remnants of placental tissue after childbirth. Placental polyp after childbirth: symptoms, treatment

Very often, after childbirth, a woman has clots in the uterus. During pregnancy and the birth of the crumbs, this organ undergoes serious changes. After the baby is born, he does represent one big wound.

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The uterus pushes the baby out with the help of muscle contractions, and then the umbilical cord, placenta, and fetal membranes come out of it. But sometimes after childbirth, blood clots, fragments of the placenta and mucus remain in the uterus. They continue to come out for about 1.5 months. Pro .

It is worse if, after childbirth, the formed blood clots remain in the organ. This situation should be addressed by a gynecologist, since it is quite dangerous. But, if you ask for help in time, there will be no problems.

Reasons for the appearance of neoplasms

Sometimes, after giving birth, some blood clots remain in a woman's uterus. This is quite common during the first days of menstruation. Neoplasms come out in the first few days and are similar to the usual abundant discharge of menstruation. Remnants of the placenta and other "products" that were formed during pregnancy come out of the organ. But sometimes this doesn't happen.

There are a number of causes of this disease associated with the work of the reproductive organ.

The following factors are to blame:

sluggish contraction of the organ;
a large number of placental remains;
spasm of the cervical canal.

This can happen at any age and does not depend on various problems during pregnancy. Usually large blood clots continue to come out for 5-7 days after delivery. After some time, the discharge becomes smearing.

When, after 2-3 weeks, blood clots continue to come out, most likely a placental polyp has formed. This happened because the placenta was not completely delivered. You need to be wary if the discharge was at first plentiful, and then almost completely disappeared.

At the same time, ultrasound shows that the uterus remains enlarged. This often indicates that there are few clots left in the female uterus after childbirth. If the diagnosis is confirmed, urgent action will have to be taken. Blood neoplasms need to be given a way out, since ignoring the problem threatens with serious diseases.

Sometimes there are situations when, after 2-3 days of "rest", the ill-fated clots that remain in the body reappear. In this case, you need to monitor the possible symptoms of the inflammatory process:

unpleasant odor from the vagina;
pain;
high temperature when measured not in the area of \u200b\u200bthe mammary glands, but on the elbow bend.

You should be very careful, because the inflammatory process (endometritis) can adversely affect the reproductive function of the body. If you ignore the problem, it can cause infertility.

What to do with the problem

After childbirth, all blood clots in the uterus come out of it on their own. If this does not happen, and the blood has stopped flowing, you need to urgently consult a doctor. Obstetrician-gynecologists know how to cope with this unpleasant phenomenon and will take all necessary measures. Often the trouble manifests itself during the first few days when a woman with her baby is in the hospital. Preventing pathology is simple, as doctors take a blood test from patients and check it for hemoglobin. This allows you to notice the development of the problem in time.

If you find this in yourself, consult your doctor.

It also happens that the pathology manifests itself a few days after discharge. Do not put off a visit to the gynecologist, even if you have no time catastrophically. Take the time, otherwise you will have to spend a lot of effort and money on treatment later. Such formations can be an excellent environment for the development of infection.

If you ignore the treatment, the pathology will cause the following diseases.

Inflammation of the mucous membrane (endometritis).
Subinvolution of the uterus (the organ stops contracting).
Inflammation due to infection in stagnant clots.
Blockage of the uterus.

If after childbirth a woman does not have clots, the gynecologist sends her for an ultrasound examination to confirm the diagnosis. Once the problem is confirmed, a cleanup is usually performed. This is the only way to remove stagnant blood.

After this procedure, neoplasms are transformed into the state in which they should be. If after childbirth the patient has blood clots, she is often prescribed antibiotic therapy. This is the only way to cope with a bacterial infection in the uterus.

In this case, the doctor focuses on the presence or absence of a lactation period. In any case, a woman is advised to feed the baby before taking the medicine. It doesn’t hurt to take bifidumbacteria for a baby to avoid side effects and support bowel function, which can be disrupted due to medications taken by the mother.

You do not need to decide on your own what to do if you have clots in the uterus after giving birth. If the cause is in the placenta that has not left the uterus, vacuum aspiration will have to be performed. Experts recommend performing it under optical control. This will allow you to be sure that the neoplasm is gone, and the procedure will not have to be repeated. Do not worry about discomfort during medical manipulations. Vacuum aspiration takes place under general anesthesia, so it is completely painless for a woman.

If an ultrasound examination confirms the diagnosis, and there are indeed many lochia in the uterus, but there is no placental polyp, special preparations will have to be used. Medicines will "force" the uterus to contract. Specialists often use Oxytocin. The drug is administered through a dropper or intramuscularly. The drug is usually used for three days. In this case, you need to be examined daily by a doctor who will control the size and soreness of the uterus.

Period after pregnancy

Approximately nine days after delivery, blood should flow, but deviations often occur.

Previously, for most women, menstruation occurred only after the end of the lactation period, but now the female body works a little differently. Shortly after giving birth, the woman has her period again, but sometimes with clots.

Often this can be due to poor contraction of the uterus. To do this, you need to take special medications to normalize the condition and not harm the remaining clots. After taking medication, blood may begin to come out in large quantities for some time. Usually, this phenomenon is observed for about one month.

To avoid this pathology, it is necessary to follow a number of preventive rules.

If the problem recurs again, you should again consult a doctor for advice. When copious monthly discharge with clots is observed after childbirth, the cause may be the remnants of the placenta that did not come out during the very first bleeding. Sometimes this condition also requires curettage. This procedure will completely clean the uterine cavity and eliminate all clots.

Prevention of the development of the disease

In order not to decide what to do with clots after childbirth, it is best to carry out prevention. To avoid problems will help to comply with several conditions:

visit the toilet regularly;
do not lift weights;
limit strong physical activity;

Attention!

The information published on the site is for informational purposes only and is intended for informational purposes only. Site visitors should not use them as medical advice! The editors of the site do not recommend self-medication. Determining the diagnosis and choosing a treatment method remains the exclusive prerogative of your doctor! Remember that only a complete diagnosis and therapy under the supervision of a doctor will help to completely get rid of the disease!

The birth process ends, the recovery period begins. The reproductive organ has an amazing ability to increase in the course of carrying a baby. Immediately after the birth of the baby, 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 go away completely, medical assistance will be required, which will be provided right in the delivery room. According to the norm, the period lasts 15 - 20 minutes. Contractions, attempts help exile. When the procedure is delayed, stimulants are introduced. Their use protects the woman in labor from large blood loss.

Why the placenta does not come out after childbirth:

low tone of the uterus. The organ is weakly reduced or completely immobilized, separation from the walls does not occur;
completely detaches, but the neck creates obstacles for the final expulsion;
part of the organ is too attached, unable to peel off by itself.

There are remnants of placental tissue after childbirth, when it is removed through the umbilical cord. The obstetrician makes an injection, the placenta is detached. The doctor places one hand on the abdomen, the second pulls the umbilical cord. When separation has taken place, it comes out easily. Otherwise, the part remains inside.

A piece of the placenta in the uterus can get stuck due to too hasty action by the obstetrician or weakness of the organ. The doctor pulled, a thin thread and broke. For everything to go right at once successfully, the obstetrician asks to push in the fight. The genital organ sometimes contracts rapidly after the baby is released, preventing the expulsion of the remnants.

In some women, placental retention is due to a special structure. There is an additional part, which is attached to the main, separate vessel. It does not detach itself or, having peeled off, remains inside.

These reasons force the obstetrician to carefully examine the cavity of the reproductive organ. If vessel breaks are detected, causing concern, cleaning is carried out. Sometimes a piece of the placenta remains after childbirth, when the placenta catches on the scar from a previously performed cesarean, it will attach to the fibroma. A full bladder also prevents progress to the exit. The obstetrician places a catheter for emptying.

Symptoms and Diagnosis

When the time comes for attempts, the reproductive organ pushes the baby out with the help of muscle contractions. The labor activity does not end there. Ahead awaits another 3 stage - 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 alarming symptom is bleeding. You need to point out the deviation to the doctor. Then, on examination, the gynecologist will see the friability of the enlarged reproductive organ. The temperature rises to 37 - 37.5 degrees. It stays that way for as long as the disease persists.

What comes out of the uterus after childbirth:

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

They keep coming out for 1.5 months. Worse if the discharge remains inside. There is a risk of developing adverse consequences. The help of a doctor is simply necessary in such a situation.

Leftover symptoms:

the temperature rises;
bleeding opens;
inflammation develops;
there is a general decline 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 seen 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 to 3 weeks no changes are observed, the blood continues to flow out, a polyp may have formed. When the placenta is not completely delivered after childbirth, an ultrasound shows an enlarged uterus. Therefore, abundant discharge should alert.

It happens that the blood flows out, then 2 - 3 days of rest come and the process resumes. Inflammation develops. It is indicated by an unpleasant "aroma", painful spasms, high temperature, the indicators of which are recorded on the elbow bend. Unnoticed in time, endometritis 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 assigned from the diagnosis, then the problem is fixed. Therapy is carried out according to the individual characteristics of the woman in labor, the stage of development of the consequences.

Why is the uterus cleaned after childbirth:

free the inside from the remnants of the placenta;
remove blood clots;
remove pathological neoplasms;
take histological material for research.

When cleaning is done:

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

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

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

Complications

Is it dangerous when the placenta remains after childbirth? With frequent attachment of the baby to the breast, oxytocin is produced. It contributes to a good contraction of the reproductive organ. If the placenta has not passed completely, small pieces remain, they will come out on their own. Otherwise, inflammation will develop. You will have to go through the scraping process.

The obstetrician always conducts a study of the placenta, even if the child's place was not completely born and a day after the birth, remnants were found. The birth canal is checked, the condition of the cervix is assessed, the amount of blood loss is determined.

Violation of the processes of separation of the placenta and the allocation of the placenta will require additional action. When, despite the use of such measures, at the last stage of labor, the organ leaves for more than 30 minutes, the risk of opening the uterine blood flow increases. When the fragments are not removed in time, infection of the organ can begin.

Consequences of manual separation:

large blood flow;
the appearance of problems due to inept mechanical intervention;
hemorrhagic shock;
inflammatory process;
sepsis;
fatal outcome.

When the child's place did not come out, after childbirth they take it out manually. Severe bleeding, incorrect actions can lead to the complete removal of the reproductive organ. If all the manipulations are performed in good faith, the woman in labor will quickly recover, and will be able to give birth later.

Where pain is given after manual cleaning:

in the region of the uterus. It shrinks, returns to its original parameters;
into the vagina. During the implementation of the surgical intervention, the muscle sections were stretched;
in my head. Associate unpleasant manifestations with the consequences of general anesthesia.

By observing hygiene, complications can be avoided by controlling well-being, taking medicines in a timely manner. When a woman notices dizziness, an increase in discharge, fainting occurs, you need to contact a gynecologist. It is forbidden to douche, use tampons. You can not go to the bath, take a bath. Until the recovery is completed, intimate relationships should be abandoned.

Rehabilitation

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

If labor activity took place with complications, it is better to coordinate the beginning of an intimate life with your doctor. There is no need to rush into sexual relations. The reproductive system of a woman should rest. It is necessary to carefully observe hygiene so that the infection does not penetrate into the cavity of the genital organ.

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

Restore the genital organ after cleansing with herbs. Plants enriched with phytoestrogens have a positive effect on the growth of epidometrium. Women drink a decoction of a boron uterus, a red brush. They are very indicated during the rehabilitation period.

When the placenta has not passed on its own after childbirth, 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: directly on the day of cleansing, the day before. Medicines have a goal: to prevent bacteria from getting inside.

During the rehabilitation period, nutrition should be balanced. You do not need to eat everything fatty, spicy, salty. It is recommended to have breakfast with yogurt, cottage cheese, egg. During the day, cereals, soups, low-fat varieties of fish are eaten. In the evening - vegetables, chicken. During the day, snacks are made with fruit products. It is useful to introduce yams, corn, soybeans into the diet. They are rich in phytoestrogens.

When the endometrium of the uterus is fully restored, pregnancy is possible. However, one should not rush into conception. Rest between births should be observed with an interval of 2 years. Before trying to conceive, it is better to consult a gynecologist.

When a piece of 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 directs her, it should not be avoided. Any deviation is fraught with unpleasant consequences. After a properly conducted recovery period, no complications should appear. Any repercussions are unlikely.

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

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

After the baby is born, after him, the placenta (afterbirth) should leave the woman’s body, namely from the uterus.

Sometimes, for some reason, for example, due to tight attachment, the placenta does not leave and remains inside the organ. Also, when the placenta leaves the uterus, its particles or the remains of other amniotic membranes and tissues may remain.

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

But if the placenta has not come out, particles of tissue remain in the uterus or large blood clots have formed that block the passage of lochia, there is a threat 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 scraping procedure is carried out.

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

How is the procedure for cleaning the uterus?

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

If the placenta has not departed immediately after childbirth, the doctor performs manual curettage: while the cervix is still sufficiently open, it allows you to manually remove excess tissue and blood clots.

If the need for cleaning was discovered later during an ultrasound scan, special tools are used to scrape the endometrial mucosa.

Before the procedure, the genitals are treated with an iodine solution and an alcohol solution. Sterility plays a big role in cleansing, since the inside 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 wife should pay attention to hygiene, treat the genitals with an antiseptic.

At this time, it is forbidden to use tampons and douching. It is also impossible to take a hot bath, go to the baths - during the recovery period you will have to limit yourself to a shower.

Sexual intercourse is also prohibited until the end of the recovery period.

After the curettage, antibiotics, antispasmodics and drugs that promote the process of uterine contraction can be prescribed. While taking medication, breastfeeding is usually prohibited, so milk will have to be expressed so as not to disrupt the lactation process.

For two weeks after cleansing, you can not lift weights, expose the body to physical exertion.

Complications after cleansing

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

With bleeding, a hematomera can develop - the 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 they are small and gradually decrease. If you have no discharge or a lot of bright red blood, see a doctor.

After giving birth, it often seems to a woman that all the worries are over. But, alas, sometimes the first, happiest days or weeks of the life together of mother and baby are overshadowed by various complications, not least among which are postpartum purulent-septic diseases of the mother.

Causes

Postpartum inflammatory diseases are often caused by opportunistic microbes that inhabit the body of any person. They constantly live on the skin, mucous membranes, in the intestines, without disturbing their "owner", but under certain conditions they can cause a disease. And childbirth, especially if they are accompanied by a large blood loss, leading to anemia and, accordingly, to a decrease in the body's defenses, can become this favorable condition for the activation of microbes. The cause of inflammatory processes in the postpartum period can also be sexually transmitted infections (gonococci, chlamydia, mycoplasmas, etc.). There are also associations of 2-3 microbes that enhance the pathogenic properties of each other.

Blood loss during childbirth, anemia, beriberi, disorders in the blood coagulation system, remnants of placental tissue or membranes in the uterine cavity, surgical interventions during childbirth, cracked nipples, severe pregnancy and childbirth, a long anhydrous period in childbirth - these are the main conditions that support infection.

Currently, the most common are postpartum endometritis (inflammation of the uterus), chorioamnionitis (inflammation of the membranes and uterus during childbirth), mastitis (inflammation of the breast), pyelonephritis (inflammation of the kidneys) and, much less often, pelvic vein thrombophlebitis (inflammation of the pelvic veins, often complicated by their thrombosis), peritonitis (inflammation of the peritoneum) and sepsis (general blood poisoning).

In order to avoid the development of severe complications, early diagnosis of these diseases at the first symptoms is very important; it is even better to prevent them through preventive measures in a high-risk group of women.

Let us dwell on the most common postpartum complications of an inflammatory nature.

Postpartum endometritis (inflammation of the uterus)

Most often occurs after caesarean section, manual examination of the postpartum uterus, manual separation of the placenta and separation of the placenta (if independent separation of the placenta is difficult due to a violation of the contractile function of the uterus), with a long anhydrous interval (more than 12 hours), in women admitted to childbirth with inflammatory diseases of the genital tract (for example, against the background of sexually transmitted infections), in patients with a large number of abortions in the past.

A pure form of endometritis is distinguished, which is much less common (in 15% of cases) and develops without remnants of placental tissue, and endometritis against the background of remnants of placental tissue, retention of the fetal membrane, blood clots, sutures applied with catgut (one of the types of suture material made from tendons of animals, and therefore often causes inflammatory reactions (now rarely used) after caesarean section.

Allocate endometritis mild, moderate and severe. As a rule, these forms differ from each other in the degree of severity, the degree of general intoxication (from the Greek. toxikon - poison) - a painful condition caused by the action of bacteria, viruses, harmful substances on the body) of the body and the necessary duration of treatment.

Symptoms

An increase in body temperature, usually from 1 to 7 days after birth, depending on the severity of the disease. With a mild form of endometritis, usually the body temperature rises only on the 5-7th day after childbirth, more often up to 38 ° C; in severe form, the first symptoms appear already on the 2-4th day, the body temperature can reach 40 ° C.
Pain in the lower abdomen. They can be insignificant and unstable in the lower abdomen with mild endometritis and intense, constant, spreading throughout the abdomen and in the lower back with a severe form of the disease.
Lochia (postpartum discharge from the genital tract) for a long time (more than 14 days after birth) remain bright, then become brown-brown, with an unpleasant odor.
The uterus contracts poorly, the height of the fundus of the uterus does not correspond to the day of the postpartum period.
Phenomena of general intoxication: chills, weakness, loss of appetite, headaches.

Diagnostics

In the general blood test, an increased number of leukocytes is detected, i.e. leukocytosis, sometimes - a decrease in the level of hemoglobin. An ultrasound examination in the uterine cavity reveals the remains of placental tissue, fetal membranes, blood clots, subinvolution of the uterus (the uterus is poorly reduced, its size does not correspond to the day of the postpartum period).

Treatment

When a subinvolution of the uterus is detected, a careful expansion of the cervical canal is carried out in order to create conditions for the outflow of the contents of the uterine cavity; if the contents of MHOGO, vacuum aspiration or curettage is performed (Vacuum aspiration is the suction of the contents of the uterine cavity using a special apparatus. Curettage is the removal of the contents of the uterine cavity and the surface layer of the endometrium using a special tool - a curette).
Currently, in many clinics and maternity hospitals, the uterine cavity is washed with cooled solutions of antiseptics.
Antibacterial therapy is the main method of treatment. Broad-spectrum antibiotics are used, as many infections are caused by the association of several microbes. When choosing an antibiotic, they proceed from which microbe most often causes this or that inflammation, whether the antibiotic is excreted in milk, whether it affects the child. If the antibiotic does not give a sufficient effect within 2-3 days, it is changed to another. The method of taking antibacterial drugs depends on the severity of endometritis: with a mild form of the disease, you can limit yourself to tableted antibacterial drugs; in severe endometritis, antibiotics are administered intramuscularly or intravenously.
Infusion (detoxification) therapy (intravenous administration of drugs) is carried out in order to eliminate the phenomena of intoxication, improve blood circulation. Infusion therapy should be carried out for both mild and severe endometritis. For its implementation, glucose solutions (5, 10, 20%), saline solution (0.9% sodium chloride solution), etc. are used.
With all forms of the course of endometritis, immunocorrective therapy is carried out, which helps to strengthen the body's defenses, increases immunity (drugs such as viferon, kipferon, etc. are used).
HBO (Hyperbaric Oxygen Therapy) is a type of therapy that promotes the saturation of body cells with oxygen. In infectious diseases of any nature, cells suffer from hypoxia - a lack of oxygen. The therapy process consists in the fact that the woman is allowed to breathe a mixture with a high oxygen content through a mask. This therapy is very effective in the initial manifestations of endometritis, enhances the body's defenses.

Prevention

The frequency of postpartum endometritis can be significantly reduced by prophylactic antibiotics at a relatively high risk of its development (after caesarean section, manual entry into the uterine cavity, with an anhydrous interval of more than 12 hours). Also, before childbirth (ideally before pregnancy), it is necessary to conduct an examination and eliminate the infection of the birth canal.

Chorioamnionitis (inflammation of the amniotic membranes)

Most often occurs with premature rupture of the membranes. As the anhydrous interval increases during childbirth, the risk of intrauterine infection of the fetus increases.

Symptoms

In a pregnant or parturient woman, against the background of a relatively long anhydrous period (6-12 hours), the body temperature rises, chills, purulent discharge from the genital tract appear, and the heart rate increases. In every fifth woman, chorioamnionitis progresses to postpartum endometritis.

Treatment

When signs of chorioamnionitis appear, intensive delivery is carried out (rhodostimulation, and in case of persistent weakness of the birth forces - caesarean section) against the background of antibacterial and infusion therapy.

Prevention

During childbirth or surgery, it is imperative to monitor the state of the function of the vital organs of a woman, especially the state of the blood coagulation system, because due to poor contraction of the uterus and/or a decrease in blood coagulation, severe bleeding may develop, which sometimes leads to the need to remove the uterus .

Postpartum mastitis (breast inflammation) and lactostasis (milk stasis)

Postpartum mastitis occurs in 2-5% of cases, more often in primiparas. 9 out of 10 women with purulent mastitis come to the surgical hospital from home, since this disease often begins at the end of the 2nd and during the 3rd week, and sometimes a month after childbirth.

This is a disease of nursing mothers: if there is no lactation, there is no postpartum. In 80-90% of cases, it is caused by Staphylococcus aureus. Infection occurs when the microorganism penetrates through the nipple crack in the lactating gland. This is the main difference between mastitis and lactostasis (accumulation and "stagnation" of milk in the mammary gland), since lactostasis develops without the presence of nipple cracks. Mastitis is usually unilateral, but may be bilateral.

Symptoms

An increase in body temperature to 38.5-39 ° C and above.
- Pain in the mammary gland, having a local character.
- Redness of the mammary gland in the affected area (most often in the area of the upper outer quadrant of the mammary gland. The mammary gland is conditionally divided into 4 quadrants: upper and lower outer and upper and lower rear), swelling.
On palpation (manual examination) of this area of the mammary gland, painful, compacted areas are determined. Expressing milk is extremely painful and, unlike lactostasis, does not bring relief.
- Phenomena of general intoxication: chills, headaches, weakness, etc.

Diagnostics

Inspection, palpation of the mammary glands.
Ultrasound of the mammary glands.
Bacteriological examination of milk.

The initial stage of mastitis should be distinguished from lactostasis. With lactostasis, there is a feeling of heaviness and tension in the mammary gland, there is no redness and swelling of the skin, milk is released freely, pumping, unlike mastitis, brings relief. The general condition of women with lactostasis suffers little, after decanting, the body temperature returns to normal, the pain stops.

Treatment of lactostasis

With lactostasis, you can massage your breasts under the shower with a stream of warm water, after which pumping is greatly facilitated. Physiotherapy is also used (for example, warming up, exposure to high-frequency current - the Ultraton, Vityaz devices, etc.), without inhibition of lactation, milk is expressed (20-30 minutes before this, 2 ml of No-shpa is injected intramuscularly, immediately before pumping - intramuscularly). In the absence of the effect of physiotherapeutic procedures in combination with milk expression, lactation is inhibited with parlodel or similar drugs.

Mastitis treatment

Treatment should be started at the first symptoms of the disease, which significantly reduces the possibility of developing purulent inflammation of the breast and surrounding tissues. Previously, in the treatment of mastitis, the amount of liquid drunk was limited, which is now considered a gross mistake: to combat intoxication, a woman should drink up to 2 liters of liquid per day. Nutrition should be complete, aimed at increasing the body's resistance.

Antibacterial therapy is quite effective in the 1st and 2nd stages of mastitis
With purulent mastitis (when an abscess develops - limited inflammation of the mammary gland - or phlegmon - diffuse purulent inflammation of the mammary gland), surgical treatment is performed (opening the abscess, removing dead tissue within healthy tissue) against the background of antibiotic therapy.
Suppression of lactation with drugs increases the effectiveness of treatment several times. No type of mastitis can be treated without suppression or inhibition of lactation. In modern conditions, complete suppression of lactation is rarely used, only with purulent mastitis, more often they resort to inhibition of lactation. When inhibiting or suppressing lactation with drugs, pumping should not be used, since this stimulates the production of prolactin by the pituitary gland and, accordingly, lactation is stimulated. Even at the initial stage of mastitis, it is impossible to breastfeed a child, due to the high risk of infection, as well as the intake of antibiotics and other drugs into the child's body, and the deficiency of milk. The issue of resuming breastfeeding is decided individually and only after the control sowing of milk after treatment.

Prevention

It starts from the period of pregnancy, includes rational nutrition, familiarizing women with the rules and techniques of breastfeeding, timely treatment of nipple cracks, lactostasis, wearing a bra that does not squeeze the mammary glands, washing hands before feeding, air baths for 10-15 minutes after feeding.

High risk factors for the development of postpartum mastitis:

hereditary predisposition;
foci of purulent infection in the body;
mastopathy (the presence of seals and small nodules in the mammary gland);
anatomical features of the nipples (inverted or flat nipples);
existing chronic diseases of internal organs, especially in the acute stage.

The birth of a child is a joyful and exciting moment. But with the advent of the baby, one should not forget about one's own well-being. In the early days, a woman becomes more vulnerable. The body has experienced severe stress, and it needs strength to recover. Doctors pay special attention to the condition of the reproductive organ. The uterus for the first week decreases in weight from one kilogram to three hundred grams. By the end of the recovery period (in 1-2 months), it will have a mass of only 70 grams. But it doesn't always happen that way. There are cases when, after childbirth, they remained in the uterus. What to do in this case? You will learn about the methods of treatment in today's article.

Diagnosis and symptoms of clots in the uterus

In all newly-made mothers, before discharge, they are sent for ultrasound and gynecological examination. These manipulations are necessary to assess the condition of the woman. If a clot remains in the uterus after childbirth, then an increase in the organ is noted. A woman complains of pain in the lower abdomen, the temperature may rise and malaise may occur. All these symptoms indicate that the newly minted mother needs medical help. What to do if there are clots in the uterus after childbirth?

Manual separation of residues and massage

As you already know, every woman who has given birth is given 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 increase the contractility of the genital organ to expel mucus. Massage is carried out every 2-3 hours. The doctor presses on the lower abdomen, pushing the clots to the mouth of the uterus. The procedure is recognized as quite painful, but you can not do without it.

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

Medical treatment: drugs

If a clot is found in the uterus after childbirth, then the woman must be prescribed drugs that enhance the contraction of the muscular organ. Most often it is "Oxytocin", "Hyfototsin", "Dinoprost", "Ergotal" and others. Some practice the prophylactic use of the described remedies. But the attitude of physicians to this approach is ambiguous.

In addition to drugs that reduce the uterus, a woman is prescribed antibacterial drugs. At the same time, the question of the possibility of further breastfeeding is being resolved. Opinions of gynecologists differ here. Some experts are sure that it is necessary to take antibiotics in order to prevent the inflammatory process. Other doctors say that breastfeeding should be continued as it encourages the natural contraction of the uterus.

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

Cleaning of clots in the uterus after childbirth: surgical treatment

If the remains of the fetal membranes or placenta are determined in the cavity of the genital organ, then the woman is prescribed gynecological curettage. It is made under anesthesia. Depending on the complexity of the operation, it can be local or general.

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

Folk remedies for reducing the reproductive organ

Is it permissible to use grandmother's recipes if there is a clot in the uterus? After childbirth, taking various herbs can be quite dangerous, since not all remedies are allowed during lactation. Many substances can cause an allergic reaction in a child. If you are not breastfeeding, then 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.

It is known that this plant helps to increase the contractility of the uterus. You need to brew nettles in the amount of 4 tablespoons per half liter of boiling water. Take an infusion of 100 ml three times a day.
Shepherd's bag. This herb also has the ability to activate the work of the muscular organ. Boil two glasses of water and dip 4 tablespoons of herbs into it. Leave to cool, strain. You need to drink this amount during the day.
Blood red geranium. Take 2 teaspoons of the herb and pour in 400 milliliters of chilled water. Leave the preparation 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 consume foods containing 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 I do? By following simple tips, a woman can independently provoke the release of mucus. Ask your doctors about these methods. Here are some recommendations.

Breastfeed your baby more often. Stimulation of the nipples and sucking movements of the baby contribute to the production of natural oxytocin and uterine contraction. In the first days after childbirth, this is especially noticeable. As soon as the baby begins to suckle the breast, the genital muscular organ contracts.
Lie on your stomach. The abdominal wall and muscles after the birth of the baby do not immediately return to their original state. Therefore, an inflection of 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 motor activity, the faster the uterus will contract.
Use improvised means. After childbirth, in the absence of contraindications, tighten the 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 might not work well at first. But such gymnastics not only contributes to 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 you need to urinate. Contractions of the bladder, intestines and increase uterine tone.

Special situations: caesarean section and artificial birth

What to do if a clot is found after a caesarean section? The uterine cavities after childbirth in this way are reduced a little differently. 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 C-section can be quite dangerous. What to do in this situation - only the doctor decides, based on the individual characteristics of the patient and the result of the operation.

Often, clots form after artificial childbirth in the early stages. In these cases, lactation is not getting better, and hormonal failure occurs in the body. Therefore, the uterus contracts badly. With artificial delivery, a woman must be prescribed drugs based on oxytocin for prevention. When 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 lumps of mucus on your own. If you are breastfeeding, it is strictly forbidden to take any medication without first consulting a doctor. Wishing you a speedy recovery!