What to do if there are clots in the uterus after childbirth?

The postpartum period is very difficult for the female body. It requires special attention from the doctors and the puerperal itself, because some complications may not appear immediately and cause serious harm to the woman. Clots that do not want to leave the uterus - one of these complications.

The uterus, in which the baby grew, increased during pregnancy by more than 500 times, the ligaments stretched out, became thinner. As soon as the baby is born, a gradual reverse development (involution) of the reproductive organ begins. During the first day, the uterus does not leave the abdominal cavity, it is still large to fit in the pelvis.

After birth, myometrium gets rid of excess muscle fibers. And it happens in a very interesting way - fibers that are no longer needed simply block access to the blood supply - the vessels are closed, as a result, the excess fiber, which has fulfilled its natural purpose, dies off and leads to the outside in the form of the most ordinary blood clots. The placental wound is also bloodied (the place where the placenta was stuck), and already on the second day after birth, the natural processes of clotting will lead to the formation of a certain amount of blood clotswhich will also go out through the genital tract.

Sometimes under the influence of various situations, the clots do not go out or go out completely, and then the remaining inside the reproductive organ causes heavy processes in the woman’s body.

The first 2-3 days after birth, the release of clots is the absolute norm. The uterus gets rid of lochia (postpartum discharge consisting of dying uterine fibers, cervical mucus and blood from the disturbed vessels of the placental wound).

The fact that in the uterus remains foreign objects (in particular, blood clots), they say symptoms such as intense abdominal pain, impaired outflow of lochia because of a clot stuck in the cervix (the discharge is too scanty, and then abruptly - abundant, and then absent again), fever. On palpation of the abdomen, the bottom is tense, painful. Themselves discharge may have an unpleasant odor.

In the maternity hospital, before discharge, ultrasound is done to all puerperas - the rates of uterine involution are evaluated, as well as the degree of purification of her cavity. But the problem is insidious. It can manifest later when a woman leaves the maternity hospital, and in this case, a vigilant attitude to the above symptoms will help assess the situation in time and immediately consult a doctor for help, because there is no need to use herbal tea to get help.

The frequency of violation of uterine involution occurs in about 2% of cases. Myometrium behaves abnormally - it is reduced very slowly or too rapidly, or not at all.In all cases there is a risk that the outflow of lochia will be disturbed, and then the clots may linger in the uterus.

The most common violation of uterine contractility is found in women who:

• carried a large fetus (muscles overstretched);
• suffered high flow;
• suffer from infectious lesions of the uterus membranes (infection could occur during and after childbirth as an independent complication).

Clots that remain in the uterus may be particles of the placenta, if the obstetrician who delivered the child incorrectly or not carefully performed the so-called revision did not feel the uterus after the afterbirth, did not assemble all fragments of the placenta in a single unit on the obstetric table, was not convinced that the "baby seat" completely left the uterus. May remain in the uterus and particles of fetal membranes.

Clots, which, as we found out, come out for quite natural reasons, can create accumulation in the cavity of the reproductive organ, if contractility is impaired - there is a deficiency of the hormone oxytocin in the body, there are many births, the woman for some reason has no opportunity to breastfeed the baby . During nipple stimulation during breastfeeding, the production of oxytocin is stimulated, which increases the outflow of uterine cavity contents.

Recently, clots in the uterus after childbirth are not as common as 30 years ago, when ultrasounds did not have wide diagnostic distribution and whether there was something in the organ cavity or not, obstetricians could only guess.

If after all this happened to you, then it should be understood that The challenge is one - as soon as possible to remove blood clots from the cavity of the reproductive organbecause they contribute to the spread of the inflammatory process, subinvolution and deterioration. If there is no help, sepsis or massive uterine bleeding may begin, which may even be fatal.

If the reason is weak contractility, and the cervix is ​​free, not clogged, then use hormone-reducing drugs, for example, oxytocin. It stimulates contractility. At the same time, antibiotics may be prescribed.. In some cases, washing the uterus with antiseptic solutions is used. The treatment regimen also includes hormones and antibacterial drugs, anti-inflammatory drugs.

Cleaning, if it is shown, is also not to be afraid - it will not be painful, because the procedure is performed only after a woman is given an intravenous anesthetic, which plunges her into a deep sleep. Cleaned not for long - about 5-7 minutes. Then they immediately transfer the woman to the ward, where in another 15-30 minutes she will wake up.

When blood clots are found in the uterus in the maternity hospital, they are discharged not for 3-5 days, but laterwhen the woman will be helped. From the gynecological department, where a woman can get out of the house, if symptoms appear after discharge, they are usually discharged after 1.5-2 weeks.

So that the problem does not touch you, it is important to observe some rules in the first hours and days after delivery. Not everything in this list depends on the woman herself, but what depends on her exactly should be strictly followed.

• After the birth of an afterbirth, ice is applied on the woman's stomach. And although the benefit of this action in recent times, doctors are trying to challenge, long-term practice is precisely this - ice is needed to stop bleeding in the placental wound. Too much blood loss can lead to a wide variety of complications.

• Apply your baby to the chest more often, especially in the first few days after birth - each attachment stimulates the production of oxytocin.

• If the birth was natural, try to lie on your stomach at any free minute - this helps to reduce myometrium.
• Before getting up, do not lie down in bed - in the upright position of the body, the discharge of the lochies, according to the laws of gravity, proceeds better.
• Try to change the postpartum pads every 2-3 hours to reduce the likelihood of bacteria multiplication in lochia.

• Be attentive to your condition. With abnormal discharge, increased body temperature, pain in the lower abdomen, feeling of "bloated" abdomen (often with stagnation), with a sharp cessation of discharge in the early postpartum period, contact your doctor immediately.

The following video will tell about the peculiarities of postpartum discharge.