Ultrasound of the uterus after childbirth - one of the basic research in the presence of various pathologies in labor. It allows ultrasound objectively monitor the recovery process of the uterus after childbirth and to notice abnormalities. With ultrasound you can prevent the development of many obstetric complications.

Norma ultrasound of the uterus after childbirth

The uterus after childbirth is stretched bag with the inner surface of bleeding. During the first six weeks after birth (this period is called the postpartum) smooth muscle of the uterus is gradually reduced, and the end of the postnatal period uterine condition returns to normal.

Postpartum uterine weight is about 1 kg. During the first donned postpartum uterine weight was decreased to 500 g to the end of the second - to 350 g and the end of the sixth it is 70-80 g

On ultrasound of the uterus after childbirth contents of its cavity in the first days after birth normally presents a small amount of blood clots located in the upper part of the uterus. A week later, their number and the volume decreases, when they are in the lower uterine closer to the exit therefrom. Changes after birth and shape of the uterus. On the third day in a longitudinal section it has a spherical shape, on the fifth - ovoidnuyu, on the seventh - normal pear.

The height of standing uterus immediately after birth is 4 cm below the navel, on the second day of the bottom of the uterus rises to the level of the navel, on the fourth day of the fundus is located midway between the navel and the pubis, on the ninth - 2 cm above the pubis.

Possible complications in the postpartum period

The major complications in the postpartum period are inflammation and bleeding. Ultrasound of the uterus after childbirth can significantly reduce the number of complications. Thus, prevention of late postpartum hemorrhage is a normal process of uterine contractions.

All these small changes can signal the beginning of inflammatory processes and the risk of late bleeding.

In developing postpartum infectious-inflammatory process may also indicate a decrease uterine contractility. If you do not pay attention to this symptom, you can wait for the development of endometritis (inflammation of the uterus).

Ultrasound of the uterus after delivery must be conducted for all women at risk. This woman after heavy prolonged labor, have suffered significant blood loss during delivery, late toxicosis of pregnancy, first birth before the age of 19 and after 30 years, with different pathologies in labor (including the trauma of the birth canal), have suffered complications of previous births and abortions suffering from diabetes Diabetes - threatening and incurable disease , Obesity, cardiovascular disease, kidney disease, alcohol abuse, drugs, smoking and so on.

US appointed to oversee the treatment of postpartum infectious and inflammatory processes in the uterus.

Ultrasound of the uterus after cesarean section

Status of the uterus after cesarean section differs significantly from its independent status after birth. Thus, the reduction in length of the uterus is much slower than at birth appears thickened front wall of the uterus, particularly in the weld area. There's also determined area with inhomogeneous density, which defines the structure imposed by the joints.

A feature of the postpartum period after cesarean is that severe pain may mask the development of septic complications and bleeding.

The only sign of incipient endometritis after cesarean section can be a slow recovery of the uterus, particularly evident on the third day after surgery. After a Caesarean section is also possible the development of insolvency (divergence) sutures on the uterus. Only with constant monitoring of ultrasound may be time to notice the threat of complications and warn her by assigning adequate treatment.

In the normal recovery process in postpartum women in the fourth-fifth day discharged from the hospital. All women at risk in a week after discharge is recommended to repeat ultrasound for timely detection and treatment of late complications.

Ultrasound of the uterus after childbirth significantly reduce the number of infectious and inflammatory complications in the postpartum period, including women at risk.

Galina Romanenko

Adenomyosis - a serious disease that requires a serious approach is, treatment and relapse prevention. How dangerous adenomyosis? If you do not perform all doctor's appointments, then there is a risk of complications.

The risk of developing anemia

One of the main features of adenomyosis Symptoms of adenomyosis - characteristic and recognizable   (endometriosis, uterine body) is tsya uterine menstrual bleeding and vnemenstrualnye. Regular significant loss of blood very quickly lead to the development of iron deficiency anemia because the blood is lost, along with hemoglobin, which includes iron.

Since hemoglobin carries to tissues and organs of oxygen and picks up carbon dioxide from them, to bring it to light and removed from the body, from a lack of iron (aznachit, and hemoglobin) suffers the whole body. Woman becomes pale, lethargic, lethargy, reduced working capacity. Particularly affected by the lack of oxygen the brain - there are headaches, dizziness, fainting, impaired memory and ability to learn new skills. This is a very dangerous condition, which no treatment to cure the underlying disease (adenomyosis) is impossible.

Barrenness

Infertility is not always accompanied by adenomyosis. If adenomyosis are asymptomatic in most cases, it does not prevent a woman to have children. If there are hormonal disorders due to excess in the body of the female sex hormone estrogen, ovulation is disrupted Ovulation - How to determine as accurately as possible? , Menstrual cycles are anovulatory. In addition, no phase develops secretion in the mucosa of the uterus (the endometrium), which carries out the impossibility of introduction of the embryo into the uterine wall.

If pregnancy occurs, it may be interrupted by artificial abortion because of lack of progesterone Progesterone - norm and pathology   (a hormone that inhibits muscle contractions of the uterus) and dysfunction of the muscle layer of the uterus. Imperfection of the muscle layer of the uterus and can cause problems in childbirth - they can be complicated by the weakness of labor or discoordination reducing uterine muscles.

Adenomyosis is also often accompanied by endometriosis Endometriosis - a serious problem with serious consequences   fallopian tubes, making it impassable fallopian tubes for the egg. This results or tubal infertility, or to the development of an ectopic (tubal) pregnancy, as little sperm, unlike the egg may well take place in the fallopian tube - occurs conception and the embryo will develop in the fallopian tube.

Possible areas of degeneration of endometriosis cancer

Adenomyosis increases the risk of uterine cancer, as it increases the inclination of the organism to develop hyperplastic (with an increase in the volume of tissue) and neoplastic processes - the appearance of cells in tissues is not similar cells from which they are formed, they are called atypical.

Lots of endometriosis in the myometrium (muscle layer of the uterus) can also degenerate into a malignant tumor. The process of regeneration can occur in a young age with an excess of estrogen, as well as after menopause with a decrease in the amount of estrogen in the blood.

The spread to the adjacent and distant tissues and organs

Adenomyosis can grow through the myometrium to the serosa and move further to the adjacent organs - to the bladder, rectum, abdominal organs. This will cause severe pain and impaired function of the affected organs.

Cells endometrial tissue with blood and lymph can spread to any organs and tissues. The tissues around the areas of endometriosis, there inflammation, swelling, bleeding, sclerotherapy, which causes dysfunction of the affected organs and severe pain. Sometimes endometriosis areas subject to post-surgical scars on the stomach, and so on, making the skin becomes blue or purple-brown, it becomes painful.

Upon germination areas of endometriosis into nerve plexus developing neurological disorders - pelvic plexitis femoral and sciatic nerves, and so on. At the same time there are attacks of severe pain during menstruation.

What to do to avoid the complications of adenomyosis

The main thing - time to seek medical help - the only way to stop the spread of endometriosis. If adenomyosis proceeds with characteristic symptoms, women will be assigned to complex treatment. In the case where adenomyosis are asymptomatic and is a random finding, it requires regular (twice a year) examination of women.

Adenomyosis can produce complications, and about every woman should know.

Galina Romanenko