Allocations after the delivery - a compound and integral part of the general process of reproduction. Their profuseness, a look and duration depend on an organism and health of the woman. On them it is possible to understand, restoration process after the delivery how well proceeds.
Why there are allocations after the delivery
They appear regardless of which in the way the woman gave birth to the child - independently or by means of Cesarean section. Allocations begin after an exit of a placenta which was strong fixed in a uterus by blood vessels. The general vessels connecting a placenta and the surface of a uterus form a wound surface from which blood exudes. Uterine reductions press the broken-off vessels and the break with time is closed. But it occurs far not at once, and problems sometimes appear when healing a wound. For this reason it is necessary to listen to the feelings and in time to see a doctor.
For definition of a condition of the woman in labor after the delivery, the main diagnostic criterion for the attending physician is the smell and duration of postnatal allocations. Also their consistence and density, character and time when they become poor and transparent is estimated.
The postnatal period comes not after birth of the child and after the placenta separates. In obstetrics distinguish the early postnatal period lasting 2 hours, and the late period having individual character which duration can be from 6 to 8 weeks.
How many the late postnatal period will last, time necessary for this purpose depends on several interacting factors, and, it is possible to predict only approximately. The norm in medicine is the relative concept brought out of average indicators, and each patient can pass it differently, and not only in relation to others. Even at one woman after each pregnancy and childbirth the postnatal allocations can take place differently.
Postnatal restoration of an organism
The first two hours, during the early postnatal period which came right after office of a placenta bright red, moderate and plentiful substance will be emitted. Normal it can proceed about 2 hours, and the blood nature of allocations is explained by the expiration of blood from uterine vessels on which the wound surface was formed. The uterus which vessels are damaged by office of an afterbirth begins to be reduced naturally that vessels ceased to krovit.
It is considered that the normal level of blood loss – half-percent from the total weight of the woman in childbirth. At some obstetric schools of normal the figure which is not exceeding a quarter of liter will be considered.
The difference in duration of the late postnatal period is caused by several factors, the main of them:
- reduction of a uterus and its speed;
- lack of complications;
- the normal state of the curtailing system of blood;
- physiological patrimonial process;
- natural postnatal recovery of a female reproductive system.
At observance of all these conditions the postnatal allocations usually tend to come to an end in one and a half months (6 weeks) after the child's birth. If they continue to go much longer than the put term or stopped earlier, it is necessary to consult with the local gynecologist, it is obligatory to descend to it on reception even if there are no external signs of complications. Long release of externally harmless substance having watery character can demonstrate incomplete process of recovery of a uterus, bloody – to lead to development of the anemia especially harmful for the woman during breastfeeding, purulent – to signal about the begun inflammatory process.
Normal allocations after the delivery
The patient is in maternity hospital under vigilant attention of doctors. At favorable combination of circumstances, for 5-6 day she is written out home. The plentiful stream of allocations normal can last 2-3 days, and all this time a condition of an organism is attentively monitored. Due supervision is caused by huge loading which is transferred by the woman during childbirth.
The process lasting the first 2-3 days is caused by existence of a wound surface on uterus walls, and its intensity can increase or decrease, under the influence of physical activity or chest feeding. The liquids which are emitted at this time at gynecologists received the name of lokhiya, and their normal allocation is considered:
- bloody color in the first 2-3 days;
- smaller intensity and brown or meat, not so bright color for 5-6 day;
- since 6-7 in the afternoon – a white or yellow shade, already absolutely light is normal;
- from 9-10 in the afternoon have to look as almost transparent substrate having poor character.
Normal indicators, intensity and color of allocations can take a liquid form, but it is possible that they will last slightly. Emergence of blood clots, pains, longer period of reduction of a uterus is admissible. These are the key diagnostic indicators by which it is possible to judge, how successfully there is a process of involution or the return development of a uterus. Restoration of a physiological condition of the woman in childbirth proceeds more long if the sokratitelny ability of this body is weakened, but can take place and quickly enough if the organism of the woman is healthy, and childbirth took place without complications.
Pathological postnatal allocations
Subinvolution, or the slowed-down return of a uterus to the normal state, - the indicator arising under the influence of certain factors, not always pathological. It is dangerous if process of reduction of a uterus lasts longer than norm. Normal the uterus makes small volume, and not reduction can lead it to development of pyoinflammatory processes.
At first the doctor makes a palpation and probes a uterus and estimates the speed of its reduction. If its size changed a little though already on terms has to be small, it will insist on hardware and laboratory inspection. Otherwise the slowed-down restoration can lead to pathological consequences.
Both natural processes, and surgery, and pathological complications can be called the reasons of subinvolution:
- mnogoplody;
- rapid childbirth;
- oncological new growths (uterus myoma);
- abundance of water;
- gestosis;
- long childbirth;
- remains of fetal covers or placenta.
The musty smell of the allocations lasting more than a week over the put term can testify to a pathological state. Allocations bloody or white at which the uterus continues to hurt and also normal in appearance, but proceeding month and more, too have to cause concern. The palpation and the nature of allocations become a key indicator immediately to send on a research.
As for Cesarean section, the uterus after it is reduced more slowly and more weakly. The Kesarevy method assumes longer healing and lokhiya after it are observed more long and intensive, than after physiological childbirth.
Reasons of pathological allocations
If deviations from relative norm are followed by disturbing symptoms (temperature, a general malaise, long or early the reason for the immediate address to the doctor is the stopped lokhiya, sharp or dull aches), so.
Slime, curdled clots and sourish smell speak about the developed milkwoman.
The plentiful bleeding and clots reminding meat, an unpleasant smell, gradual transition from a coloring stage meat to the allocations reminding slops can indicate a sharp endometritis. This inflammation caused by the remains of fetal covers or blood clots at which mucous needs scraping, removal of the pathological remains and disinfection. Otherwise the most unpredictable consequences are possible.
What it is necessary to remember after the delivery
The absolute norm in medicine does not exist and how many women had to make sure of it on own example when they gave birth for the second and third time. Each recovery period proceeds on the, with a different duration and profuseness. Therefore it is worth being guided by the approximate range of norm.
The mucous nature of allocations can be both at normal, and at pathological change of process of recovery of a uterus in a former state. White substance - will appear after feeding by a breast, or as a result of not observance of rules of hygiene. Normal lokhiya can be shorter or longer, depending on a condition of an organism, the proceeding childbirth, contractility of a uterus.
Any actions should be begun only after medical inspection, consultation of the expert, laboratory analyses, to take any medicine from a permission and approval of the doctor. It will help fast restoration after the delivery.