Why do they clean after childbirth? Further treatment tactics and possible complications

Cleaning the uterus after childbirth is a medical intervention that is done to free its mucous layer from blood clots or pieces of the placenta. It is performed manually or vacuum-assisted, using local anesthesia or general anesthesia. Every woman in labor should know all the moments associated with her.

Many pregnant women ask whether they cleanse after childbirth. Yes, such a procedure is possible when, after the baby is delivered, the placenta does not come out on its own or only part of it comes out, and then the rest has to be removed surgically.

Before discharge from the maternity hospital, doctors examine the woman in a gynecological chair or perform an ultrasound. abdominal cavity. If blood clots are detected during such a diagnosis, then vacuum or manual cleaning is prescribed after childbirth.

The reason for this phenomenon may be:

• insufficient activity of the uterus, associated with weak muscle contraction;
• excessive attachment of the child's place to the walls of the organ;
• an infection in the uterus that previously bothered the woman in labor;
• abortions, including complicated ones.

The doctor will offer the woman intravenous infusion oxytocin or hormone injections. The substance stimulates, and she throws everything out of herself. If such a procedure does not produce results, then an operation is prescribed.

Important! If you were not examined in the maternity hospital before discharge, then contact a gynecologist at the antenatal clinic in the first days. The remaining pieces of the placenta in the uterus will provoke inflammation of its inner layer. Endometritis is serious illness.

How to cleanse after childbirth

Cleaning after childbirth takes place through banal scraping. This is an operation in which the placenta is cleared from the wall of the uterus. This is done mechanically. Manual cleaning of the uterus after childbirth involves instrumental curettage, and vacuum cleaning of the uterus after childbirth is carried out using special equipment that operates on the principle of a vacuum cleaner.

This manipulation is carried out under general anesthesia, or use local anesthesia. Therefore, to the question of whether it is painful to cleanse after childbirth, we will answer that it is not.

Before the intervention, doctors lubricate the patient’s external organs with a 5% iodine solution. The cervix and vagina are disinfected ethyl alcohol, 50% of its solution. After this, the cervical canals are enlarged and special instruments are inserted to remove clots. The intervention takes little time, only 20 minutes.

Discharge after cleaning after childbirth

At the end of the intervention, the woman is monitored for some time by gynecologists. Special attention pay attention to discharge from the genital tract. Cleaning after childbirth involves removing the top layer of the endometrium. After this, a wound remains in the tissues, from which blood is released. This discharge is no different from menstruation, because every month women shed upper layer endometrium, if there is no fertilization.

Cleaning clots after childbirth provokes moderate bleeding, they do not have bad smell and ends in 5 days. During the normal course of recovery, blood is released with less intensity every day, gradually they stop. At this time, the stomach feels tight and the lower back hurts, this normal condition, reminiscent menstrual pain.

The following violations are considered deviations from the norm:

• discharge lasting more than 10 days;
• unpleasant odor, unnatural color;
• no blood departments.

Important! If any unusual phenomena you need to consult a doctor immediately.

Consequences of cleansing after childbirth

If the operation was successful and there was no infection during it, then after 5 days the blood will stop being released and the uterus will return to normal. But there are complications that arise under unfavorable circumstances, these are:

• hematometer;
• heavy bleeding;

Manual or vacuum cleaning after delivery may result in hematometra. This happens due to a spasm of the neck; as a result of this phenomenon, the blood does not come out, remaining in its cavity.

Collapse

Childbirth is a natural process of childbirth. To preserve the health of the mother and child, it is important that the expectant mother is delivered to the maternity ward in a timely manner. After the birth of a child, the woman’s body gradually recovers and returns to its previous mode of operation. For some time, the release of lochia is observed, the uterus is cleansed of remaining blood clots and remnants of the child's place. This process does not always go without complications; sometimes it may be necessary to clean the uterus after childbirth.

Why is cleaning done?

If the natural cleansing process is disrupted, then doctors have to intervene. Curettage of the uterus after childbirth will be required if:

• Lochia has stopped secreting due to cervical spasm, and blood accumulates inside. This leads to an increase in body temperature and pain during examination.
• Particles of the baby's place remain on the walls of the uterus or in its cavity. This usually happens if for some reason its integrity has been violated.
• They come out badly blood clots.

Remains of the placenta or blood clots can provoke an inflammatory process, and also lead to blood poisoning and tissue necrosis due to the onset of the rotting process. Any particles in the uterus are perceived by the body as foreign, which forces it to spend its precious energy, which is depleted after childbirth, to get rid of them.

Recovery after the birth of a baby is delayed and the risk of infection increases. To avoid all this, manual cleaning of the uterus is carried out.

Is cleaning required?

After the baby is born, the placenta comes out after some time. The doctor must examine it for integrity. If the baby's place is completely separated and the midwife is sure that there are no residues left in the uterus, then a heating pad with ice is placed on the woman's stomach to speed up the process of uterine contractions.

Over the course of several days, mothers are also given injections of Oxytocin to better contract the uterus and return it to its original prenatal state. Every day during the examination, the doctor feels the mother's abdomen and inquires about the pain of the uterus and the speed of its contraction.

Approximately 5 days after birth, an ultrasound is performed; if the results show that the process of contraction and cleansing is proceeding normally, then curettage of the uterus is not required.

Technique of the procedure

If a procedure for cleaning the uterus is required after childbirth, it is practically no different from that during an abortion. The operation is performed under local or general anesthesia, therefore painful sensations the woman does not experience it. How to clean the uterus after childbirth? The algorithm is as follows:

1. The external genital organs are treated with aseptic solutions; a solution of iodine or ethyl alcohol can be used.
2. A speculum is inserted into the vagina to expose the cervix.
3. The doctor fixes the neck by the front lip and expands the cervical canal if it has already closed.
4. A curette is used to remove blood clots and placental debris from the uterine cavity.

The duration of the procedure is 15-20 minutes.

In rare cases, during the procedure for separating the placenta from the walls of the uterus, bleeding occurs, and only complete removal of the uterus can save a woman’s life.

Recovery after cleaning

Rehabilitation after the operation takes about 2 weeks. But in the first days, the woman’s condition is necessarily monitored by doctors, who record body temperature so as not to miss the beginning inflammatory process, monitor the pulse rate, palpate the abdomen for tenderness of the uterus. All this allows us to determine her readiness to be discharged home.

Recovery involves:

• Taking medications.
• Compliance with all doctor's recommendations.

As a rule, after cleaning the uterus, antispasmodics are prescribed, for example, “No-shpa” or “Papaverine”. The duration and dosage of the medication is determined by the doctor. Considering that after childbirth a woman’s body is weakened and additional strength is still required to recover after surgery, it is recommended to take multivitamin preparations.

For the period of admission medicines breast-feeding It's better to stop the baby. To maintain lactation, milk will have to be expressed.

To speed up the recovery process, you must follow these tips:

• After discharge from the hospital, avoid swimming in open water.
• Do not visit the sauna or bathhouse.
• Carefully monitor the cleanliness of the genitals.
• Do not douche.
• Change gaskets frequently.
• Do not use tampons, they interfere with the flow of blood.
• For the first two weeks, avoid any physical activity.
• Avoid sexual intercourse.

With proper and timely cleaning after completion recovery period serious consequences For female body practically never happens.

Complications and consequences

Even high-quality cleaning does not exclude the development of complications. They can develop as early stage almost immediately after the operation, and at a later date. Early consequences may be:

• Bleeding.
• Damage to the walls of the uterus during cleaning. If it is small, it heals on its own; for large punctures, suturing is required.

Doctors eliminate these unforeseen complications practically on the operating table.

After a few days, other complications may develop:

• Development of an infectious-inflammatory process.
• Increase in body temperature.
• The appearance of discharge with an unpleasant odor.

To stop the inflammatory process, a course of antibiotics is prescribed.

Long-term complications also occur. These include:

• An adhesive process that leads to difficulties with conception.
• When adhesions appear inside the uterus, it is difficult for a woman to bear a child.
• Violation hormonal levels. This complication is fraught with the development of infertility, which is difficult to treat.

The speed of a woman’s recovery after surgery will depend on the timely procedure and skill of the doctor. If all recommendations are followed, the risk of complications can be minimized.

How much does the curettage procedure cost?

Many women don't trust state clinics and maternity hospitals and are sent to give birth in private medical centers. At the same time, you must be prepared that any procedures are carried out efficiently and in a timely manner, proper care is provided, but you will have to pay for everything.

If there is a need for curettage of the uterus, you need to pay a tidy sum, the amount of which depends on the clinic.

The table shows how much it can cost similar operation in some clinics in Moscow and St. Petersburg.

The cost of the procedure depends on the qualifications of the doctor who will perform the operation and on the accompanying necessary studies.

It should be noted that in maternity hospital Doctors are required to perform this procedure free of charge if such a need arises.

The birth of a baby is a great happiness for a woman, but it can be overshadowed by health problems. Modern features medicine allows you to quickly deal with them and provide the help you need woman. You should not be afraid of the uterine curettage procedure; it will speed up the recovery process and protect you from many complications.

After pregnancy, gestation and birth of a child, the mother’s body should return to normal. It takes a certain amount of time to reproductive organs cleared, the discharge stopped, blood clots and tissue debris came out. If this does not happen, rotting will begin in the uterine cavity, creating a favorable environment for the development of pathogenic flora.

Under certain conditions, there is a need for curettage. After childbirth, the uterus is cleaned if the following conditions exist: blood accumulates, particles of the baby’s place remain in the uterine cavity or on the walls of the organ, and blood clots do not come out. And then caesarean section this procedure necessary, since the placenta has to be removed mechanically. Even microscopic portions of the placenta are perceived by the reproductive organ as foreign, and the body is configured to remove them. Blockage of a vessel with a clot after some time can lead to severe bleeding.

Curettage after childbirth is performed using a vacuum or mechanical method. When enough long labor the mother's strength runs out, and the uterus does not contract intensely enough for the membranes of the placenta to be completely separated from it. Sometimes the fertilized egg is too tightly attached to the walls of the organ, and the placenta has to be separated manually.

After the baby is born, the mother remains in the maternity ward, where her condition, the presence or absence of blood loss, and the dynamics of uterine contractions are assessed. After examination in a chair using gynecological speculum and ultrasound of the uterus, doctors, having discovered pathology, decide on cleaning.

Sometimes curettage is done on the same day, in other cases the condition of the young mother is monitored and an ultrasound is performed on the 5th day after birth. Based on its results, it is determined whether the process of reduction and purification is proceeding normally or whether cleaning is required.

The manipulation lasts about half an hour. A woman is given local or general anesthesia, process the genitals, dilate the cervix and scrape out the functional layer of the endometrium with a curette. He is able to regenerate: through certain time a new, intact mucous membrane is formed from its lower layers, and the uterus is again ready “for work.”

The technique for performing the procedure is the same as curettage for unwanted pregnancy or curettage for diagnostic purposes.

During the operation, mechanical manual cleaning of the uterus from the functional layer of the endometrium, particles membranes and blood clots.

The cleansing of the woman in labor is supervised by doctors, and the postoperative period is under close supervision. They monitor the pulse, body temperature, secretions, and well-being, since curettage is a painful procedure, after which the uterus presents open wound. It needs antiseptic treatment and daily care. Completely clean birth canal Medicines prescribed by a specialist will help.

Vacuum cleaning of the uterus

For use special device– a vacuum pump equipped with aspiration tips. Negative pressure is created in the organ cavity and the contents are expelled.

The vacuum method involves manual and machine scraping. The first is the most common and includes:

1. Treatment of the external genitalia.
2. Inserting a speculum into the vagina.
3. Preparation of the cervix.
4. Insertion of aspiration tube.
5. Removal of tissue by rotating the tube or diagnostic sampling of material for research.

Vacuum cleaning is indicated:

• if after childbirth or caesarean section the placenta or part of it remains in the reproductive organ;
• as a result of spontaneous miscarriage with incomplete release of embryonic remains;
• after an abortion;
• for the study of biocenosis;
• with hydatidiform mole;
• severe uterine bleeding.

This method of curettage is more gentle than mechanical, since trauma to the uterus, cervical canal and endometrium can be minimized.

Cleaning after a caesarean section

If cleaning the uterus after childbirth is a common occurrence, then the doctor should prescribe curettage after a cesarean section with caution and taking into account the health status of the mother in labor. The body takes longer to recover after surgery; the incision made breaks the integrity of the muscle tissue, and the reproductive organ contracts worse. Only by the end of the second week after the baby is born, its size and shape are restored, and the stitches take even longer to heal.

Women who had to undergo a caesarean section have more postpartum complications in the uterine cavity.

On the 3rd day after the procedure, an ultrasound is performed to examine the integrity of the suture. If there intense pain, carry out unscheduled ultrasonography to assess the condition of the postoperative scar. Its swelling may indicate inflammation in the mucous layer of the uterus.

According to the doctor's indications, curettage is performed during the cesarean section itself, this helps to avoid complications. But sometimes parts of the placenta remain inside, which is a direct reason for cleaning.

To ensure that the next pregnancy after a cesarean section goes well, experts recommend abstaining from conception for 3 years. During this time it heals postoperative scar, and the uterus is again ready to bear the baby.

However, sometimes pregnancy occurs earlier, and you have to make a choice: keep the baby or decide to terminate the pregnancy. Women who have had an abortion after cesarean section note that this big risk for health, since an unformed scar can be damaged.

It should be remembered that the consequences of an abortion can be infertility, infection, bleeding, and hormonal disorders.

Complications after cleaning

After each surgical intervention take place possible complications. Curettage of the uterus after childbirth is no exception. One of side effects– when blood clots accumulate in the reproductive organ. During a muscle spasm, the pharynx closes and they remain inside. To prevent blood from accumulating in the uterine cavity, doctors prescribe No-shpa to relax the muscles.

During the cleaning process, the surgeon may puncture the wall of the uterus with a sharp instrument, causing it to perforate. As a rule, the problem is fixed on the same day.

Late complications that develop a few days after curettage can lead to infection and further unpleasant consequences. Poor disposal of placenta remnants can provoke symptoms, which are characterized by heat, pain in the lower part of the body, discharge with an unpleasant odor.

The condition of the uterus after curettage is no different from menstruation: normal discharge should be moderate, without unpleasant odor, last about a week. Then their intensity decreases and the bleeding stops.

Recovery

Rehabilitation after curettage should be aimed at restoring the function of childbearing; uterine bleeding still occurs, but this is a common occurrence. Slight pain radiating to the lower back indicates that the organ has begun to contract. The discharge becomes brown, and after a while - white, mucous, that is, it returns to normal.

It is necessary to abstain from sexual activity until the surface injured by curettage is completely healed. Both partners risk getting an infection, and the woman will experience pain during sex. There may be heavy bleeding due to vaginal irritation.

Should be adhered to healthy image life, follow medical instructions. You cannot take baths, douche, go to the bathhouse or sauna, use tampons, or lift weights.

Treatment

Therapy after curettage of the uterine cavity involves taking medications. They do not build up the endometrium, but prevent infection and improve a woman’s well-being. Antispasmodics are prescribed with caution because they promote uterine contraction, which is accompanied by severe pain, especially immediately after cleaning. IN severe cases No-shpa is shown.

Antibiotics are required to be prescribed: they help avoid infection. The vaginal microflora is restored with the help of antifungal agents in the form of tablets and suppositories. Can be used herbal infusions and infusions: shepherd's purse, nettle, boron uterus, viburnum, lemon balm.

Hormonal medications help restore balance in the body and prevent recurrence of the disease.

In addition to the medications listed, they take enzymes that prevent the formation of adhesions.

A prerequisite is an examination by a gynecologist and repeated tests to avoid relapse. There is no point in planning pregnancy within the next six months of treatment. should be with a condom and only after a follow-up examination by a female doctor.

Nowadays, cleaning the uterus of a woman is prescribed quite often. Almost always this type surgery causes in a woman: fear, panic attacks, unreasonable worries. Connected negative state with many different rumors that are circulating about this type of surgery in gynecology, which is prescribed to cleanse the uterus from an unplanned pregnancy or from medical pathologies. Fear is a consequence of not knowing what the given gynecological procedure. This is an operation, which is otherwise called curettage of the uterine cavity and is prescribed for many medical reasons, and we will talk about this in more detail.

What is cleansing in gynecology?

Gynecological cleansing of the uterine cavity is a mini operation that is performed under anesthesia, since the procedure is not very pleasant and causes pain syndrome. Cleaning the uterus can be of 2 types: therapeutic and diagnostic. Therapeutic cleansing is prescribed for medical reasons.

It's running:

• During an abortion;
• Ectopic pregnancy;
• Miscarriage;
• Endometritis;
• Uterine fibroids;
• Removal of polyps.

Women are always cleaned only in a good hospital or maternity hospital. Diagnostic cleansing is used when it is precisely necessary to identify the causes negative symptoms, which reports that reproductive system the patient is not functioning properly. The material collected after diagnosis is sent to the laboratory for examination.

The procedure is performed mainly before menstruation is due to begin.

However, sometimes the procedure can be carried out in in case of emergency, for example, with bleeding. This is required in order not to damage the biorhythm of the women’s body with the intervention. In addition, a procedure such as hysteroscopy is prescribed, which allows the doctor, after completing the manipulations using a hysteroscope, to examine the results of the work. This device also improves control over the specialist’s actions during the operation.

The operation goes like this:

1. It begins with dilatation of the cervix using instruments or medications.
2. As soon as cervical canal able to pass the curette, they clean the uterine mucosa.
3. At the final stage, the expanders are removed and the entire surgical field is processed antiseptic. The doctor selects the drug.

To avoid pain, anesthesia is given. On the stomach in mandatory Ice is placed to stop the bleeding. While they're walking bleeding the woman must lie down. When the effects of anesthesia wear off, the patient can begin a normal lifestyle with few physical restrictions. She can go home. But for control, the postoperative period requires the supervision of a doctor, because the cervix will remain slightly open for about 30 days. How long does uterine lavage last? The operation does not take long; in general, the procedure takes no more than half an hour.

Mandatory cleaning after childbirth

What could be these prerequisites for cleaning after childbirth? Immediately after the baby is born, manual cleansing of the uterus in the department may be prescribed. The procedure is prescribed if, upon examination of the delivered placenta (placenta), the doctor doubts that it is intact. That is, the doctor suspects that not all of the afterbirth came out, that there were pieces left in the uterine cavity.

In this situation, the woman is given anesthesia, and the doctor, without any problems, cleanses the organ from the remains of the placenta.

By the way, this operation is also performed if the placenta does not come out. This happens when it is tightly attached. And again, the doctor helps the woman in labor complete the birth. The placenta is also removed manually during a caesarean section. What complications can there be after cleaning an organ, since the operation is traumatic? In fact, when it is carried out in the maternity ward, any negative symptoms, severe consequences do not occur often. Usually, the hospital performs an ultrasound before the woman is discharged. And sometimes, if necessary, regular or vacuum cleaning of the uterus is performed.

This is a completely standard operation, but it must be carried out in compliance with all sterility conditions. It is considered the least dangerous, while the internal pharynx is open, perform the procedure for cleansing the organ manually. This makes it more accurate. And the blood does not flow as much as it happens when instrumental cleansing of the uterus is performed after delivery. But all women have residues and blood clots in the uterus after childbirth, but not everyone does postpartum cleansing manually or using instruments. And it is right. In most maternity hospitals, absolutely all women who have given birth are given intramuscular oxytocin within 3 days after delivery.

This is such a medicine:

• Provokes strong contractions of the uterus;
• Helps her to quickly get rid of the remnants;
• Every clot comes out.

Sometimes therapy with this medication is extended. But simply strong discharge after delivery is not always an indication for such a serious procedure as washing an organ; a vacuum is prescribed, in as a last resort. Fine heavy discharge from the vagina occur a week after birth. And then they calm down. However, rarely, discharge can persist for 8 weeks. As a woman, it is correct to contact a gynecologist and be observed by him.

Vacuum cleaning of the uterus: a reminder for women

Cleaning, which is carried out according to plan and not urgently, requires the woman to comply with a number of important rules.

Namely:

1. It is imperative to examine the pelvic organs in order to detect any contraindications, and you must also pass all the necessary tests.
2. The groin area must be thoroughly shaved. You should shave your perineum and pubis not in the hospital, but in advance in the evening, at home.
3. You need to wear a long T-shirt under your robe, and some clinics also require you to wear socks.
4. We must not forget about comfortable underwear, which you will need after surgical intervention, as well as sanitary pads. Tampons are strictly prohibited.
5. On the day of cleaning, you should not eat in the morning.
6. After the operation, it is necessary to follow all the instructions of the attending physician.

Sexual relations should be avoided for approximately 30 days after surgery. And there is no need to be afraid of infertility, which supposedly occurs after cleansing, this is a misconception. If the operation is performed professionally, there will be no complications in the uterine cavity. A woman can become pregnant within 30 days, and the pregnancy will proceed without pathologies.

Cleaning after a caesarean section

The rules of conduct for a woman in labor after cleaning include: serious attitude to your health, following the advice of your doctor.

• Means and methods for treating the vagina;
• Prohibition on the use of vaginal tampons;
• Ban on douching.

You should temporarily avoid taking very hot baths. It is not recommended to go to the bathhouse and sauna. Doctors also advise avoiding excessive physical activity(lifting heavy loads, fitness). It is also prohibited to drive sex life– vaginal intercourse can cause recurrent uterine bleeding or infection in the woman’s genitals.

To avoid large stagnation of content in the main female organ a short course can be prescribed to anyone drug antispasmodic action.

Attention! If a woman takes No-shpa, Papaverine, and any other similar medicine, then breastfeeding is prohibited. This is done because it would otherwise happen toxic effects this group medications on the baby's body.

The duration of medication is always prescribed by the doctor - to assess the woman’s condition, follow-up examinations are used, with a mandatory ultrasound of the pelvic organs. When recovery is underway, the doctor may prescribe light exercises to train the uterus. After a cesarean section, an inspection of the uterine cavity is performed to make sure that the placenta has come out and not a single piece of placenta remains in the organ. reproductive system. All this will help avoid any complications.

Manual examination of the uterine cavity (video)

In general, reviews of the procedure are positive. However, lest it happen negative consequences, it would be correct to turn to professional doctor. The specialist will determine why the uterus contracts poorly, whether there are any traces of placenta or clots, and will perform high-quality cleaning of the uterus and the necessary examination.

After reading mothers’ stories about cleaning after childbirth in Internet forums, I came to the conclusion: the less you know, the better you sleep. But then, on reflection, I realized that the information from the forum was not enough to good sleep. Naturally, cleaning after childbirth is an unpleasant ending to the important moment in the lives of women, and those who have experienced this condition are sometimes unable to contain their emotions, so their stories may be classified as “not for the faint of heart.” And we will add: not for pregnant women.

In order not to be afraid of postpartum cleansing (after all, it does not mean at all that you will need it), you need to get as much information about it as possible, but medical information, and not “from personal experience.”

When does it become necessary to cleanse after childbirth?

Each woman gives birth twice (in one visit to the maternity hospital): a baby and (afterbirth), with whom he was kept for all 9 months. Many women do not even notice the birth of the placenta, since at this time they are already busy looking at the baby, who has buried his small nose in mother's breast. But this does not always happen, unfortunately. Sometimes the placenta is too tightly “fused” with the uterus and is born “partially” or does not come out at all, then a manual release placenta, which is always carried out after cesarean section.

Before being discharged from the maternity hospital (on days 2-3), the woman is given diagnostic ultrasound in order to assess the condition internal cavity uterus If the doctor finds traces of placenta or blood clots in the uterus, then the woman in labor is prescribed a cleaning.

How to cleanse after childbirth?

"Cleaning" to " medical language" means . This procedure may be familiar to women who have had an abortion. Curettage of the uterine mucosa is an operation in which mechanical removal functional layer. A new mucous membrane grows from the germinal layers of the endometrium soon after curettage.

Typically, cleaning is carried out under general anesthesia in a gynecological chair. Before surgery, the external genitalia are treated with 5% alcohol solution iodine, and the vagina and cervix - 50% ethyl alcohol. With the help of inserted dilators of various diameters, the cervical canal is expanded and residues are removed placental tissue using a special blunt curette or an obstetric curette with teeth. The operation lasts no more than 20 minutes.

How to behave after cleaning?

After cleaning, a woman should be under the supervision of doctors who monitor body temperature, pulse rate, and discharge from the genitals. The external genitalia should be treated with antiseptic solutions 2 times a day.

After the operation, you cannot use vaginal tampons, douche, take a bath, go to the sauna, lift weights, or play sports for 2 weeks. Vaginal sex is also contraindicated due to the fact that the cervix remains open and there is large erosion on the uterine mucosa, which can become favorable conditions for the development of an infection that can be “introduced” by a sexual partner.

To prevent inflammation and other complications after cleaning, antibiotics are prescribed. The curettage procedure is painful, which is why postoperative period pain may be experienced. During this period, you may be prescribed no-spa to prevent the development of hematotra (blood clots in the uterine cavity).

What complications can there be after cleaning?

The hematometra is precisely a common complication scraping. It can occur due to strong compression (spasm) of the cervix, which will cause blood to be retained in the uterine cavity. Quick cessation of bleeding - main symptom hematometers. To support the cervix in a relaxed position, No-shpa is prescribed, as mentioned above.

Another complication of cleansing is uterine bleeding, but this is extremely rare (mainly only in women with bleeding disorders). But if microbes penetrate into the uterine cavity after cleaning, endometritis may occur - infections and inflammation of the uterine mucosa.

All complications require specific treatment, which can only be prescribed by the attending gynecologist. “Ideally” after cleaning, abundant bloody issues with clots, but soon they become less abundant. After curettage, scanty spotting, bloody, brown or yellowish discharge should be observed for at least 10 days.

As you can see, cleaning after childbirth is not so scary if you follow simple rules personal hygiene and doctor's instructions. Therefore, there is no need to worry! Everything will be okay!

Especially for- Tanya Kivezhdiy