Postpartum uterus into dozens of times the original. If the uterus recovery owe good, otherwise a blood clot in the womb probably residue of placenta, uterine will be blood clot, cause uterine contraction bad, it is possible to cause massive haemorrhage. So what are the factors that affect the postpartum uterine contraction?
One: the placenta or fetal membranes remain in the uterine cavity
The placenta is usually in the fetuses from vaginal delivery after 5 - 15 minutes or so, the latest no later than 30 minutes delivery in vitro. At this time if the placenta not completely excluded and departments to save signs inside the uterus is known for the residue of placenta. In the case of a large department, it is difficult to find a very small piece of placenta in the uterus, which is the so-called placenta residue.
If uterus still residue of placenta and fetal membrane structure, or bad contraction of the uterus, uterine effects in reply to the renewed rate, which can be from inspection lochia eduction of color, and odor in the differential diagnosis of uterine reply renewed state. Under normal circumstances, the amount of lochia will be getting fewer and fewer, color increasingly pale, about 3 weeks will be ended, many lochia is normal phenomenon.
Postpartum, must accurate disposal punishment placenta and fetal membranes of delivery, should carefully check the delivery of the placenta is complete, and a detailed examination of placental surface edge without vascular rupture, so you can probably discover seasonable accessory placenta. If there is suspicion of the sub placental Department of the placental residue or large department of fetal membrane residues should be in the precision of the control of the uterine cavity to remove all the residual structure.
Reason two: amalgamative endometritis or pelvic inflammation
Amalgamative endometritis or pelvic inflammation. If the baby nurse after wrong, causing uterine or pelvic infection, also lasting bleeding.
Under normal circumstances, the female vagina is acidic environment, cervical mucus plug, which is the body's physiological shield, can resist the invasion of bacteria. However, in special circumstances, such as menstruation, giving birth to a child, after abortion and all sorts of uterine cavity operation, the shielding effect to weaken or even disappear, can lead to bacterial invasion, causing endometritis.
Endometritis treatment methods: so still antibiotic therapy, treatment process, particularly careful to bacterial resistance to penicillin, such as clinical treatment result is ineffective, need consider multi antibiotic drug use in the bias.
Postpartum new mothers or miscarriage after weaker constitution, cervix after expansion has not been well off, at the vagina, Gong Jingzhong bacteria have probably uplink pelvic cavity infection; if otherwise intra uterine placenta and fetal membranes residue, the timing of infection. Quasi mother prenatal should be on a regular basis to specify held antenatal observation, then pregnant period health guidance and active treatment of malnutrition, anemia and chronic diseases, enhance a constitution. Gravid and inchoate restraint of survival. Meticulous diet and maintenance, easy to digest food, rich in protein nutrition food, maintain a good body condition.
After eight months pregnant due to the mouth of the uterus gradually relaxed, do not wash bath, do not have sexual life, lest cause infection, postpartum should pay more attention to health.
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