After delivery, after the hard work, the woman's body does not immediately bounce back. Gradually, over several months, the work of recovering all organs and systems. But most of all injured uterus to restore it takes time, proper care and supervision by the obstetrician-gynecologist.
Features postpartum period
Postpartum - this time starting after the birth of the placenta and lasts 6-8 weeks. During this period, changes occurred in women during pregnancy and labor, subjected to reverse recovery. But some characteristics that distinguish women giving birth by millipara remain for life. Since outer cervix (out of the cervical canal) in women giving birth becomes a slit (nulliparous it all).
The uterus after childbirth stretched and enlarged to the extent of her depart postnatal discharge - lochia.
Therefore, in this body there is the greatest reduction processes. Immediately after birth, the fundus (upper side) is 4-5 cm below the navel. The body of the uterus adjacent to the anterior abdominal wall, and retains much of the mobility due to stretching of the ligamentous apparatus and lowering his tone. The greatest thickness of the uterus is cut in its bottom and the top.
How quickly shrinking the uterus after childbirth
Reductions in the cervix immediately after birth are mild, they develop only at the end of the postnatal period. Immediately after the birth of the internal diameter of the uterine mouth (the entrance to the cervical canal) is 10-12 cm, which allows to enter the uterus out and remove the remnants of placenta. By the end of the first day of the inner cervix pass only two fingers and three days - for one. The outer cervix closes the third week after birth.
Restoration of the uterus after delivery is fast enough.
Immediately after birth, it is equal to the weight of an average of 1 kg, the cavity length - 15-20 cm, the transverse dimension of the body of the uterus - 12-13 cm. During the night the level of standing uterus is reduced by 2 cm, reaching the 5th day midway between the navel and the pubis. In the 9-10 day bottom of the uterus drops below the pubis. Uterine weight by the end of first week of 500 g, to the end of the second - 350 g, the end of the postpartum period - 50-60
The rate of recovery depends on the characteristics of the uterus during pregnancy and childbirth. When multiple pregnancy, polyhydramnios, large fruit, and the weakness of labor recovery of the uterus in the postpartum period has slowed somewhat. Negatively affect the process transferred earlier inflammation of the uterus and its appendages, with availability of nodes benign tumor
A benign tumor - is not always safe
Fibroid tumors (fibroids) - when necessary intervention of a doctor?
, Hypoplasia of the uterus and the restriction of motor activity puerperal due to some diseases.
What happens to the uterus during recovery
By reducing the uterine muscle squeezes blood and lymphatic vessels, some of them at the same obliterans (dry). The newly formed during pregnancy muscle cells die and are absorbed, the remaining muscle cells are significantly reduced in size.
The inner surface of the uterus after childbirth is an extensive wound surface, with the greatest change occurs in placental where many zatrombirovannyh vessels. The entire inner surface of the uterus is covered with remnants of fetal membranes and blood clots.
In the normal course of postnatal period uterine cavity during the first 3-4 days remain sterile. The purification of the uterus during this period played a major role phagocytosis (phagocytes - white blood cells is able to swallow and dissolve inside bacteria) and extracellular proteolysis (dissolution of bacteria by means of proteolytic enzymes, freed from the decay of white blood cells and bacteria).
Discharge from the uterus are the secret wound and called lohiyami. In the first days after birth fuckers bleeding due to a significant admixture of blood with a 3-4-day they are sero-sukrovichnymi and contain a lot of leukocytes
White blood cells as the basis of immunity
From 16-20 th day - liquid and light. By the sixth week of the release of the uterine lochia stops.
Restoration of the inner lining of the uterus (the epithelium) rejection occurs after fetal membrane fragments remaining after birth and ends at the 20th day, and in placental - until the end of the postnatal period.
Delay lochia uterus (lohiometra) may occur due to its inflection point in the isthmus, reducing uterine contractility and occlusion of the internal os uterine blood clots.
This is a dangerous condition, since it may contribute to the development of the uterus in the inflammatory process.
How to accelerate the reduction of the uterus
The uterus begins to decline immediately after birth, at which time the bottom of it should be dense if it has a soft consistency, it indicates a reduced contractility of the uterus. In this case, it helps to massage the uterus, which is carried out externally through the abdominal wall.
Painful uterine contractions occur, amplifying during feeding baby
Breastfeeding - a personal choice
feeding. To the uterus contracts more quickly during the first day on the belly put cold water bottle, appoint agents to facilitate their reduction. At very painful cuts possible use of painkillers and antispasmodics, but in most cases you can do without it. Great value in the first days after birth gets good hygiene (cleaning the processing of wounds, and so on), which prevents the complications of childbirth.
Starting from 4th day a woman starts to move more, it promotes a more active uterine contractions. The baby is fed "on demand", which also improves the contractile ability of the uterus.