Thursday, July 2, 2020

Whether the uterus recovers after childbirth depends on this place

Today I will talk about the most important uterine examination.

The uterus, which was enlarged several times during pregnancy in October, cannot be retracted at once, but takes time to recover slowly.

When the baby was just born, the uterus was still very round and hard. On the first day after childbirth, the bottom of the uterus (the top of the uterus) can be touched on the belly button. After that, the uterus will contract a little every day, and the bottom of the uterus will drop by 1 to 2 cm every day.

After about 10 days postpartum, it almost retracted into the pelvic cavity, and it could not be touched; after 6 weeks after birth, it almost returned to the size before pregnancy.

At 1-2 days after childbirth, because the uterus is contracting, the numbness will feel severe pain, and it will increase when feeding. Generally it will be much better after 2~3 days, no special medication is needed. If the pain is really bad, you can ask your doctor to prescribe some painkillers.

So, postpartum contractions are not terrible, at least it shows that the uterus is contracting. What is really scary is poor uterine contraction. How can I know if the uterus is contracting? Then it depends on the lochia.

As the uterus retracts, some things in the uterus will fall off and discharge, which is what we often call lochia.

In the first few days, lochia contains a lot of blood, which is bright red, and sometimes there may be small blood clots. After 3 to 4 days, the bright red lochia will slowly turn into reddish, and then turn into a white viscous sample.

Normally, lochia will slowly clean up in about 4-6 weeks.

If the lochia suddenly increases, the bright red lochia lasts for a long time, and the lochia has a smell, then you need to go to the hospital for treatment immediately.

The mother of cesarean section should pay special attention to the recovery of the uterine blade. Many mothers did not find a diverticulum next to the uterine blade during the physical examination until they were about to have a second child, which almost delayed the treatment.

Simply put, a cesarean section diverticulum refers to a small depression formed next to the wound on the uterus after a cesarean section.

Don't underestimate this small depression, a lighter one may cause excessive vaginal bleeding, prolonged menstrual periods, and dripping; severe or even lead to infertility, or the risk of uterine rupture during pregnancy.

Therefore, for the treasure mothers of cesarean section, when doing post-natal physical examination for B-ultrasound (not necessarily 42 days after delivery), you must pay attention to check the status of the uterine incision. If you find a diverticulum at the incision of the cesarean section, you should go to the gynecology clinic immediately.

According to the size of the diverticulum and the severity of symptoms, the hospital will give different treatment options. As long as the diverticulum heals well and the uterus is thick enough, you can still try to get pregnant again, but even then there is still a risk of uterine rupture. Therefore, if you have a uterine diverticulum, you must communicate with the doctor when you are pregnant again, and have regular obstetric examinations. Ask the doctor to help you develop a suitable birth plan.

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