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Clots after childbirth in the uterus come out. Clots after operations. Menstruation after childbirth

The birth of a child is a joyful and exciting moment. But with the advent of the baby, one should not forget about one's own well-being. In the early days, a woman becomes more vulnerable. The body has experienced severe stress, and it needs strength to recover. Doctors pay special attention to the condition of the reproductive organ. The uterus for the first week decreases in weight from one kilogram to three hundred grams. By the end of the recovery period (in 1-2 months), it will have a mass of only 70 grams. But it doesn't always happen that way. There are cases when, after childbirth, they remained in the uterus. What to do in this case? You will learn about the methods of treatment in today's article.

Diagnosis and symptoms of clots in the uterus

In all newly-made mothers, before discharge, they are sent for ultrasound and gynecological examination. These manipulations are necessary to assess the condition of the woman. If a clot remains in the uterus after childbirth, then an increase in the organ is noted. A woman complains of pain in the lower abdomen, the temperature may rise and malaise may occur. All these symptoms indicate that the newly minted mother needs medical help. What to do if there are clots in the uterus after childbirth?

Manual separation of residues and massage

As you already know, every woman who has given birth is given an ultrasound. During the examination, the doctor can determine the location of the lumps of mucus. If there is a clot in the uterus, massage is performed after childbirth. Its purpose is to increase the contractility of the genital organ to expel mucus. Massage is carried out every 2-3 hours. The doctor presses on the lower abdomen, pushing the clots to the mouth of the uterus. The procedure is recognized as quite painful, but you can not do without it.

Gynecologists also use manual separation of clots. The mouth of the uterus in the first three days after birth is open by 8-12 centimeters. This distance allows you to easily manipulate without using dilators.

Medical treatment: drugs

If a clot is found in the uterus after childbirth, then the woman must be prescribed drugs that enhance the contraction of the muscular organ. Most often it is "Oxytocin", "Hyfototsin", "Dinoprost", "Ergotal" and others. Some practice the prophylactic use of the described means. But the attitude of physicians to this approach is ambiguous.

In addition to drugs that reduce the uterus, a woman is prescribed antibacterial drugs. At the same time, the question of the possibility of further breastfeeding is being resolved. Opinions of gynecologists differ here. Some experts are sure that it is necessary to take antibiotics in order to prevent the inflammatory process. Other doctors say that breastfeeding should be continued as it encourages the natural contraction of the uterus.

If a pathology is detected, it is forbidden to take antispasmodics that relax the muscles.

Cleaning of clots in the uterus after childbirth: surgical treatment

If the remains of the fetal membranes or placenta are determined in the cavity of the genital organ, then the woman is prescribed gynecological curettage. It is made under anesthesia. Depending on the complexity of the operation, it can be local or general.

During the procedure, the doctor introduces instruments into the uterine cavity, which cleans the mucous membrane. This operation obliges the woman to stay within the walls of the medical facility for another 1-2 days.

Folk remedies for reducing the reproductive organ

Is it permissible to use grandmother's recipes if there is a clot in the uterus? After childbirth, taking various herbs can be quite dangerous, since not all remedies are allowed during lactation. Many substances can cause an allergic reaction in a child. If you are not breastfeeding, then you can try to get rid of the pathology with the help of herbs. But remember that gynecologists do not advise self-medication. And prolonged presence of clots in the uterus can lead to infection or sepsis.

  • It is known that this plant helps to increase the contractility of the uterus. You need to brew nettles in the amount of 4 tablespoons per half liter of boiling water. Take an infusion of 100 ml three times a day.
  • Shepherd's bag. This herb also has the ability to activate the work of the muscular organ. Boil two glasses of water and dip 4 tablespoons of herbs into it. Leave to cool, strain. You need to drink this amount during the day.
  • Blood red geranium. Take 2 teaspoons of the herb and pour in 400 milliliters of chilled water. Leave the preparation overnight, and strain in the morning. Drink throughout the day.

There is an opinion that large doses of vitamin C cause contractions of the reproductive organ. Therefore, if there is a clot in the uterus after childbirth, women try to consume foods containing it. These are lemon, cabbage, parsley, oranges and so on.

What can a woman do on her own?

If clots are found in the uterus after childbirth, what should I do? By following simple tips, a woman can independently provoke the release of mucus. Ask your doctors about these ways. Here are some recommendations.

  • Breastfeed your baby more often. Stimulation of the nipples and sucking movements of the baby contribute to the production of natural oxytocin and uterine contraction. In the first days after childbirth, this is especially noticeable. As soon as the baby begins to suckle the breast, the genital muscular organ contracts.
  • Lie on your stomach. The abdominal wall and muscles after the birth of the baby do not immediately return to their original state. Therefore, an inflection of the uterus may occur, which is why clots form. To prevent this from happening, lie on your stomach more often.
  • Lead an active lifestyle. If you have no contraindications, then you need to move more. Walk, walk, carry your baby in your arms. The higher the motor activity, the faster the uterus will contract.
  • Use improvised means. After childbirth, in the absence of contraindications, tighten the stomach. To do this, you can purchase a special bandage or use a sheet.
  • Do Kegel exercises. Rhythmically squeeze and unclench the muscles of the vagina and anus. It might not work well at first. But such gymnastics not only contributes to the release of clots, but also accelerates the recovery process.
  • Watch your stool and empty your bladder more often. After childbirth, a woman practically does not feel the urge to urinate. But you need to urinate. Contractions of the bladder, intestines and increase uterine tone.

Special situations: caesarean section and artificial birth

What to do if a clot is found after a caesarean section? The uterine cavities after childbirth in this way are reduced a little differently. The fact is that the muscle layer is injured. Therefore, in the place where the incision is made, the tone will be reduced. As a result, clots appear. But cleaning after a C-section can be quite dangerous. What to do in this situation - only the doctor decides, based on the individual characteristics of the patient and the result of the operation.

Often, clots form after artificial childbirth in the early stages. In these cases, lactation is not getting better, and hormonal failure occurs in the body. Therefore, the uterus contracts badly. With artificial delivery, a woman must be prescribed drugs based on oxytocin for prevention. When clots are detected, one of the correction methods described above is selected.

Summarize

If a woman develops clots in the uterus after childbirth, treatment should only be carried out by a gynecologist. Never try to get rid of lumps of mucus on your own. If you are breastfeeding, it is strictly forbidden to take any medication without first consulting a doctor. Wishing you a speedy recovery!

The contraction of the uterus and the healing of its tissues is considered the main indicator of postpartum recovery. This process is directly related to the immune system and the hormonal background of the female body. During the return of the reproductive organs to their previous size, there is a simultaneous contraction of smooth muscles and the removal of waste organic material to the outside. The nature of bleeding and discharge allows you to notice alarming signals and prevent complications.

Causes of clots in the uterus after childbirth

The inner layer of the uterus is injured after the release of the fetal bladder and placenta, the vessels are exposed and bleeding begins, which stops after the restoration of the epithelium in an organ reduced by almost 5 times. The deepest wound is formed at the site of attachment of the placenta. The walls of the uterus heal on average in 7 days, the placental site - by the 4th week after birth. If for some reason the secretions do not come out, the blood begins to clot and, mixing with the mucous secretions, forms clots.

How many days after childbirth do clots come out on their own?

At the first stage, the uterine discharge consists of blood mixed with the remnants of the fetal membrane, dead organic particles and ichor, which remain after cell renewal. It is at this time that there may be blood clots in the discharge, which form on the surface of the wound and are pushed outward as the uterus contracts.

Over time, the blood component in the secretions decreases, the lochia acquires a yellowish-white color and a mucous structure. Approximately 40 days after delivery, the discharge stops.

The intensity of secretions and shifts in the schedule may depend on the individual characteristics of the organism and complications of the birth process. The more tissues are injured, the longer the healing process takes. If the uterine discharge passes through damaged vessels and the epithelium of the cervix and vagina, additional foci of irritation are created in which accumulation of blood and mucus can occur.

Diagnostic measures

The identification of organic particles that remain in the organs occurs during the assessment of involution (reflex reduction) of the uterus and appendages. After childbirth, the following medical procedures are performed:

  • questioning the patient about the intensity, duration, consistency of discharge and other characteristic symptoms;
  • palpation of the uterus and examination of the birth canal on the gynecological chair;
  • ultrasound examination, including the method of echography;
  • laboratory analysis of smears and scrapings.

In the normal course of postpartum recovery, the first diagnostic study is carried out a week after the birth, the second - after the lochia has stopped (weeks 6-8). Reconciliation of standards for reducing the weight, volume and thickness of the walls of the uterus, as well as examining the cavities for accumulation of blood and other fluids, allows you to confirm normal involution or detect problems in time, avoiding complicated inflammatory processes and organ deformation.

In what cases can not do without medical help?

The reasons for the formation of clots in the uterus after childbirth:

  • subinvolution - incomplete reduction of the organ, the absence of full-fledged contractile movements lead to stagnation of blood and mucus in the cavity;
  • narrowing or closing of the canal leading to the vagina, deformation of the neck provoke the accumulation of secretions;
  • a neoplasm in the form of a polyp from the parts of the placenta remaining on the walls of the uterus creates a risk of additional injury and tissue deformation;
  • inflammatory processes in the uterus or abdominal organs lead to its compression and inhibit the healing process of birth injuries.

Violation of the normal dynamics and nature of the discharge, which consists in a gradual decrease in the blood component and intensity, is the reason for an urgent medical examination, it is impossible to independently determine the presence of clots. How long you need to wait before cleaning is determined by the doctor. Alarming signs of a violation of the process of cleansing the reproductive organs:

  • the absence of pain in the lower abdomen, which resemble contractions and should occur during contractions of the uterine myometrium;
  • abrupt cessation of discharge or their discontinuity, accompanied by an atypical color and smell of lochia;
  • problems with urination, intestinal obstruction;
  • increased body temperature, general weakness;
  • profuse bleeding, in which unusually large clots come out;
  • pain in the abdomen 7-10 days after birth.

Too rapid contraction of the uterus, which is accompanied by intense pain and the cessation of discharge within 3-4 weeks, is also fraught with stagnation of blood and dead tissues in the uterus. With rapid involution, a dissonance arises between a decrease in the size of the organ and the processes of regeneration of the endometrium.

How to get rid of clots in the uterus?

In order to get rid of clots in the uterus after childbirth with minimal discomfort, it is necessary to recognize this problem in time and conduct a comprehensive diagnosis in order to establish why stagnation has formed. Depending on the type of pathology that led to the contamination of the uterine cavity, a method is chosen to clean it and eliminate the cause in order to avoid relapses.

Cleansing of the cavity can be carried out by physiotherapeutic or surgical methods. Timely hormonal correction to raise the tone of the walls of the uterus, the elimination of cervical defects that have arisen due to a violation of the recovery process, the treatment of infections are therapeutic measures that help avoid the appearance of clots and facilitate their removal.

The best measure to prevent stagnation of waste materials in the uterus is moderate physical activity and good hygiene. It is necessary to coordinate with the doctor a plan of supporting measures for normal uterine involution: develop a schedule of physical activity, wearing a bandage, self-massage and doing exercises for the pelvic muscles.

Bladder overload and constipation should not be allowed. For the development of the contractile reflex of the myometrium, lactation support is important.

Manual clot separation and massage

Clots in the uterus can be detected during the first week of the postpartum period during an ultrasound scan. Their rapid mechanical removal avoids complications, so the doctor may suggest manual cleaning - this can be done while the uterus is dilated and the organ is within reach.

As an alternative physiotherapeutic method, a push-out massage is used, which is performed by a doctor after establishing the localization of clots and stagnant mucus. The procedure is painful and lasts up to 3 hours, but allows you to completely remove clots and insure against the risk of inflammation and neoplasms in the uterus.

Medications

To relieve pain and reduce the intensity of contractions, antispasmodics are prescribed. Intramuscular injections of oxytocin and its analogues are used to increase the tone of the uterus in the presence of medical evidence confirming a hormonal imbalance. If the symptoms and laboratory data confirm the presence of an inflammatory process, antibacterial drugs are selected, the intake of which can be combined with breastfeeding.

Gynecological curettage

Surgical intervention is carried out, as a rule, in neglected conditions or ineffectiveness of alternative methods. Clots formed in the uterus have a mixed composition of blood, particles of the fetal bladder and placenta, which are perceived by the body as a foreign body. If nothing is done, the development of an inflammatory process is inevitable, which can turn into a chronic form, which poses a danger to the reproductive function and health of the woman as a whole.

The sooner the cleaning is carried out, the easier the rehabilitation process will be. The inconvenience associated with anesthesia and hospital stay is incomparable with the risk of complications in the absence of adequate treatment.

Will folk remedies help?

Early attachment to the breast will provide the best conditions for the rehabilitation of the mother's body. The use of herbal decoctions in the postpartum period is not approved by doctors. Many medicinal plants have a pronounced antiseptic, antispasmodic effect and affect blood clotting. Their uncontrolled or inappropriate reception of a woman is fraught with the opposite effect. Herbal remedies can become part of complex therapy only after a thorough diagnosis and consultation with a doctor.

Features of the formation of clots during natural childbirth and caesarean section

After a caesarean section, the risk of stagnation of residual products in the uterus increases due to a violation of the natural process of hormonal adjustment and the presence of incisions on the organ. Late breastfeeding, forced immobility in the first days after surgery are additional factors that interfere with the natural processes of cleansing.

childbirth- this is a difficult physiological process that is associated with a great physical and psychological burden on the body of a woman and a certain degree of risk to her health.

Full recovery of the body occurs no earlier than 6-8 weeks after the birth of the baby.

One of the natural manifestations of cleansing the body is bloody discharge from the uterus, which begins immediately after childbirth. Very often, the discharge is similar to heavy menstruation and comes out with clots. Many women, not knowing the causes of clots after childbirth, experience fear, considering them solely as a pathology. However, in most cases this is not the case. Consider how much discharge and clots is the norm and what to do with blood clots after childbirth, when they threaten the health of a young mother.

Causes of blood clots after childbirth in the uterus

During childbirth, the uterus is subjected to much greater stress and changes than all other organs. After the birth of the fetus, the placenta comes out - the membranes, placenta and umbilical cord. The remains of the placenta, mucus and blood clots continue to come out during the entire postpartum period. Blood clots are also called lochia. Normally, by the end of the first month after childbirth, they become scarce and transparent.

The cause of blood clots, especially when they become very intense, is breastfeeding the baby. During the process, the uterus contracts intensely. This contributes to its rapid cleansing and recovery. During feeding, many women, especially multiparous, feel moderate pain of a pulling nature in the abdomen, which is evidence of uterine contractions. In such cases, blood clots that are released from the uterus are considered as a natural physiological process of returning the uterus to its prenatal state.

After 2-3 days, women are usually prescribed an ultrasound examination of the uterus. It is necessary to make sure that the process of cleansing the genital organ takes place in accordance with the norm. It is not uncommon for a doctor to find remnants of membranes and large blood clots. In this case, clots are an alarming sign, since favorable conditions are created for the penetration and reproduction of pathogenic bacteria. In severe cases, this can lead to endometritis (inflammation of the inner lining of the uterus).

Fear is also caused by those cases when, a few days after the birth, the lochia is significantly reduced, or even completely stopped. The cause of this phenomenon may be a large blood clot, which prevents the free exit of secretions from the uterus. It also happens that clots do not appear immediately, but after several “clean” days.

If such phenomena are accompanied by pain, an unpleasant odor from the vagina and an increase in body temperature, this may indicate the onset of an inflammatory process. In such cases, you must immediately contact your doctor, who certainly knows what to do with blood clots in the body of the uterus, which are "in no hurry" to go outside.

What to do with blood clots after childbirth and poor uterine contraction

Normally, the uterus is at the level of the navel a day after birth and drops by 2 cm daily. There are cases when the presence of blood clots also indicates a poor contraction of the reproductive organ. Among the factors influencing the rate of contraction, it is customary to single out the age of the woman, the size of the fetus, the childbirth took place naturally or with the help of a caesarean section, how successfully the breastfeeding process is carried out.

The accumulation of blood clots stretches the lining of the uterus, throws it back, thereby preventing the release of secretions. The uterus contracts poorly if there are fibromyomas in its body, after a multiple pregnancy, if the born child weighs more than 4 kg. There are many ways that can improve uterine contractility:

Getting up and moving earlier after childbirth (in the event that they passed without complications);

Performing special postpartum gymnastics;

Attaching the baby to the breast in the first half hour after childbirth;

Feeding the child not by the hour, but on demand;

Frequent presence on the stomach;

Applying ice or a cold heating pad to the lower abdomen, which contracts smooth muscles;

Regular emptying of the bladder;

Eating foods that improve intestinal motility;

Combating constipation to reduce pressure on the uterus;

Administration of oxytocin intramuscularly.

For a healthy woman, whose childbirth took place on time and without pathologies, the mentioned measures are quite enough for the release of blood clots to gradually decrease. But even if after discharge, the young mother feels satisfactory, she should find time and visit an ultrasound in order to make sure that the discharge process is going well. It is especially important to do this if, for some reason, ultrasound was not performed in the maternity hospital. In case of detection of sluggish contraction of the uterus and a large number of clots, treatment is prescribed, and sometimes curettage of the uterus.

What to do with blood clots after childbirth: cleaning the uterus

As noted above, the presence of clots is not always the basis for curettage. If immediately after childbirth there are doubts about the complete exit of the placenta, manual cleaning of the uterus is carried out. It is also necessary after a caesarean section.

With pathological secretions of blood clots, women are prescribed antibiotic therapy. This takes into account the fact of lactation. In order not to disturb the process of natural feeding, women are advised to feed the baby before taking the medicine. Oxytocin is also prescribed through a dropper or intramuscularly. The drug is taken under the supervision of a doctor, who for several days will control the size of the uterus and the success of the contraction. Water pepper extract has good efficiency.

To cleanse the uterus, vacuum aspiration is performed. Many women are very afraid of this procedure, rightly considering it unpleasant and painful. In order to eliminate discomfort, vacuum aspiration is performed under general anesthesia. The duration of the procedure does not exceed 20 minutes. The postoperative period is under the supervision of a doctor. Within two weeks after scraping, certain precautions should be observed:

Strictly follow the rules of personal hygiene;

Do not take a bath, use a shower;

Do not swim in pools, river or sea;

Do not visit baths and saunas;

Do not use vaginal tampons;

Do not douche;

Avoid any heavy lifting;

Minimize physical activity and sports;

Exclude sexual relations (intimacy is not recommended earlier than three to four weeks after birth).

After cleaning the uterus from blood clots, the discharge may increase, which is not surprising, because the uterus turns into an open wound. But after a week, they become moderate, and then, in accordance with the norm, they become brown.

Blood clots: folk remedies

With a weak contraction of the uterus, which is the cause of blood clots after childbirth, time-tested folk remedies have proven themselves well. They belong to:

Nettle - 3 tbsp. spoons brew 0.5 liters of boiling water, insist and drink 100 mg three times a day;

Flowers of white lamb - 2 tbsp. spoons pour 0.5 liters of boiled cooled water, insist overnight and take several times a day;

Shepherd's purse - 3-4 tablespoons of herbs are brewed in a glass of boiling water, the mixture is wrapped and infused for 3-4 hours;

Birch leaves - pour dried leaves with boiling water, add baking soda, insist in a warm place, drink a glass 3 times a day.

The release of blood clots after childbirth is a completely normal physiological phenomenon, which should not be scared. At the same time, throughout the entire postpartum period, you need to listen very carefully and look closely at your body so as not to miss the symptoms that may indicate negative processes in the uterus. Caring for a small child, which takes a lot of time and effort, should not be an excuse for a woman's indifferent attitude to her health, because a baby needs a healthy mother so much!

Many women who have given birth are frightened when blood clots come out after childbirth, and the discharge is very similar to menstruation. It lasts more than one day, and newly-made mothers ask doctors if this is normal or if it is worth sounding the alarm.

Blood clots after childbirth: why they appear

So the long-awaited moment of a date between mother and baby has come. It would seem that the difficult period of gestation - toxicosis, fatigue, constipation, excess weight, was left behind. But even after childbirth, a woman may face certain complications in the work of her body.

The uterus of a pregnant woman experiences enormous loads: at first it is strongly stretched under the influence of the growth of the fetus, then during childbirth it squeezes out the baby and the placenta.

Blood clots after childbirth are a fairly common occurrence that lasts the first few. The discharge is very similar to menstruation both in color and in volume. This means that the uterus is cleared of all unnecessary remnants of pregnancy, gradually restores its original state. Allocations can occasionally be accompanied by unpleasant painful sensations during uterine contraction. If the woman had no pathologies and the birth went without complications, the discharge lasts within 5-7 days.

After this, the discharge, which gynecologists call lochia, becomes brown and becomes episodic. The discharge becomes more intense after feeding the baby or after lying down for a long time. As a rule, lochia completely stops 5-6 weeks after birth.

In order for the uterus to contract faster and blood clots to come out, doctors recommend doing a simple bicycle exercise - in a prone position, raise your legs bent at the knees and simulate cycling.

Why do you need to do an ultrasound after childbirth

Regardless of the course of pregnancy, the complexity of childbirth and their type, a woman must undergo an ultrasound examination of the organs of the female reproductive system.

After normal delivery, ultrasound is prescribed no later than 5 days after the birth of the baby. Intravaginal ultrasound is performed according to indications - if the gynecologist needs to examine the cervix.

With the help of ultrasound, a specialist determines the condition of the uterus after the birth process. At this stage, the uterus is still slightly dilated, a small amount of blood is observed inside, and remnants of the placenta are possible. The contents of the uterus after a simple birth should come out after 5-7 days.

The most active contraction of the uterus occurs a day after childbirth. If the baby was born through a caesarean section, the contraction process is slower. To speed it up, doctors may prescribe a dropper with the drug Oxytocin.

Thanks to ultrasound diagnostics, complications that could happen during childbirth can be detected. In case of problematic childbirth and suspicion of uterine rupture, the leading obstetrician should send the woman in labor for examination a couple of hours after the birth of the child. Examination of a woman will reveal problems - cracks and tears in the uterine cavity.

Ultrasound of the uterus after childbirth by caesarean section

If a woman could not give birth on her own or there are indications for an operation, childbirth takes place through a caesarean section. This operation can give complications, so ultrasound is prescribed a couple of hours after childbirth. At the diagnosis, the specialist should fully examine the uterus for the absence of bleeding, examine the stitches. If certain pathologies are identified, the observing doctor should prescribe treatment - injections or a dropper may be needed.

Indications for repeat ultrasound:

  • Incessant bleeding;
  • A large blood clot came out a week (and later) after childbirth;
  • Fever accompanied by high fever;
  • Pain in the uterus;
  • Inflammation of the postoperative suture;
  • Unpleasant smell of discharge;
  • The appearance of blood or fluid from the seam on the abdomen.

Ultrasound of the uterine cavity after cesarean can prevent many infectious and inflammatory processes, notice the threat of divergence of the uterine sutures and beginning endometritis. If the doctor noticed pieces of the placenta on ultrasound control, and the discharge is profuse, mechanical cleaning may be needed.

Dropper for contraction of the uterus after childbirth: the drug Oxytocin

Oxytocin is not just a drug that is prescribed to women after childbirth. In fact, it is a female hormone that is produced by the hypothalamus and accumulates in the pituitary gland.

What is its important role:

  1. Contraction of the uterus. Oxytocin directly affects the contraction of the uterus and its return to its previous state. If the uterus does not contract, then inflammation may occur or subsequently its prolapse, which in the future may lead to prolapse.
  2. Beginning of lactation. Although colostrum appears in the first hours after childbirth, oxytocin is necessary for the normal functioning of the mammary glands.
  3. Antidepressant. An integral part of normal feeding and the absence of interruptions in lactation is psychological peace. According to reviews, the drug enhances the mother's resistance to irritants, increases a sense of confidence, trust and security.

If the mother's natural production of this hormone is not enough, then doctors introduce its analogue. This helps a woman avoid further problems with reproductive function, and also helps to establish the process of breastfeeding.

The drug is administered as prescribed by a doctor and under the supervision of medical staff intramuscularly as an injection or intravenously as a dropper.

Oxytocin is also used to induce labor if the woman has been pregnant or if labor has suddenly stopped. Oxytocin is not prescribed for intolerance to the drug, if the child lies incorrectly or the woman in labor has an immature cervix.

What causes clots in the uterus after childbirth (video)

Childbirth is a complex process that can lead to complications. To prevent inflammation and other diseases, doctors strongly recommend doing an ultrasound after childbirth. On examination, you can see how the uterus contracts and whether blood clots remain inside it.

The birth of a child brings joy to a young mother, despite the pain she experienced. However, her body will have to be updated and restructured, in which problems sometimes arise. One of them is clots in the uterus. They can appear in the process of natural restoration. That is why you should be attentive to your health and notice the appearance of complications in a timely manner in order to take measures to correct the situation.

Having a baby is a difficult process for a woman. At the time of childbirth, simultaneously with the baby, the female organ gets rid of everything that contributed to the full growth of the fetus. That is why the postpartum period is characterized by spotting, which sometimes indicates a violation that requires urgent medical attention.

During birth and immediately after it, the uterus undergoes the most deformation, which at this moment looks like a continuous wound. Before recovering, she needs to remove excess tissues, which during the period of gestation ensured the successful existence of the fetus. Strengthened contractions are necessary to push out the fetus first, and then the umbilical cord with the placenta, which served to protect the baby. To help the woman, the midwife stimulates the process of expulsion of the placenta by pressing on her abdomen, thereby causing the uterus to contract.

The excess is not completely removed immediately, sometimes there may be blood clots in the uterus after childbirth, afterbirth particles and other fragments that need several days to completely eliminate. So it should be if the birth went perfectly, without consequences, and the woman's health is not at risk of painful changes. In this way, the cavity is cleared, from which all unnecessary comes out.

In the first few hours after giving birth, a woman loses almost half a liter of blood due to copious secretions. In the maternity hospital, doctors keep this process under control. After some time, the color of the discharge, which increases during breastfeeding, with the active movements of the mother and in the prone position, changes: it becomes first brown, and later yellow or transparent, watery. The uterus at these moments is also strenuously reduced.

The complete cessation of separation occurs only a month or even two after the birth of the child. However, the fluid in the uterus after childbirth can linger, and it must be removed. The problem arises when the resulting clots linger in the female organ. The situation is dangerous for a woman, and only a specialist can solve it.

What are blood clots

Most women are concerned about the discharge in the form of lumps passing through the vagina. In fact, there is nothing wrong with this: this is how the cavity is cleaned. You just have to be especially careful about personal hygiene. It is recommended to be especially careful after a caesarean section.

On the eve of discharge from the hospital, a woman is prescribed an ultrasound, which determines whether everything is normal with uterine contractions and whether there is a lump inside. Such a check allows the doctor to decide whether the woman in labor can be discharged. When what is left, and sluggish uterine contraction of the mother, it is necessary to spend some more time under the supervision of specialists.

The woman herself should monitor the nature of the discharge during the postpartum period. Instead of thick lumps, postpartum bleeding is considered abnormal, which poses a threat to women's health. If the uterus voluntarily cannot get rid of excess residues, it is necessary to carry out their mechanical removal. The intervention of specialists is necessary if unfavorable signs are revealed:

  • severe pain in the abdomen;
  • profuse bleeding, requiring the replacement of the pad hourly;
  • prolonged discharge with blood lasting more than 4 weeks;
  • the duration of dark discharge is more than 2 months;
  • the presence of an unpleasant odor or irritation;
  • change in overall health status with increasing temperature;
  • sudden completion of discharges ahead of schedule, which may indicate that a very voluminous clot has clogged the neck, or a narrowing or bending of the uterine body.

All these signs indicate that there are clots in the uterus after childbirth, the symptoms of which will require the participation of a gynecologist in the treatment. Any of these consequences causes tangible pain in the lower abdomen.

After discharge from the maternity hospital, there will no longer be regular medical monitoring, the woman must independently assess her condition.

How can you help recovery

So that the process of clotting does not drag on for an infinitely long time, the woman herself can help this. In the maternity hospital, while still in the chair, the midwife puts ice on the young mother’s stomach to prevent the destruction of blood vessels. At the same time, medications can be prescribed to stimulate uterine recovery and healing of injured surfaces. A woman certainly needs to know how to remove blood clots from the uterus after childbirth. Obstacles to the formation of large blood clots and their delay in the female organ are created by the mother's motor skills. This is facilitated by an exercise in which a woman repeatedly lies on her stomach every day.

Such simple folk methods help to cause contractions of the internal organ, remove lumps and excess fluid. It is important not to lift weights, which can worsen the situation, not to make the discharge more intense. In addition, it is recommended to wear a bandage or bandage around the waist with a wide belt to facilitate movement and support the abdominal muscles. Such prevention contributes to the fact that the uterus will be forced to take the correct position.

Frequent attachment to the breast also helps the faster regeneration of the female body. The work of the mammary glands regulates the natural restoration of hormonal balance, which affects the health of a woman. And attachment to the breast and feeding enhances the contraction of the female organ and its disposal of unnecessary residues. It is also necessary to regulate the work of the intestines and the bladder so that they do not press on the uterus, do not pinch the vessels and do not allow blood to stagnate in them.

Need for medical help

If, despite all the measures taken, blood clots in the uterus after childbirth continue, home methods are ineffective, it becomes necessary to consult a doctor and find out the reasons for the delay in recovery. With the formation of inflammation of the mucous membrane, which is evidenced by the abundance of secretions and the appearance of an unpleasant odor, conservative therapeutic treatment with antibiotics, vitamins, immunostimulants prescribed by a doctor can help. If a decreased uterine tone is diagnosed, hormonal therapy is performed to stimulate it.

More serious problems arise when a polyp is formed from the remnants of the placenta on the wall of the reproductive organ, which is very dangerous. Such a complication can only be cured surgically using a manipulation called vacuum aspiration or cleaning, which often worries women. Worried about not only causing pain, but also the possible complications after surgery. However, a more serious threat to health may be the refusal of treatment, which will lead to neglected female diseases, for example, advanced endometritis and the spread of the inflammatory process to adjacent organs. The doctor in charge should choose a method of treatment - conservative or surgical - so as not to start the problem and not aggravate it when you have to resort to more radical intervention.