The birth of a baby critical process during which the woman must be under the strict supervision of doctors. However, after giving birth, the mother should also not be left alone. Indeed, at first after this, a variety of complications may arise, which are easier to prevent than to deal with them later. For what reasons there is a temperature after childbirth and what this may indicate - this is what I want to talk about now.
What happens after childbirth
Initially, it should be noted that even if the birth process itself went well and without complications, this is not a reason to relax. After all, the most important are also the first 24 hours after the birth of a baby. During this time, many of the most various problems. And one of them is the temperature after childbirth. So, in the first couple of days, doctors closely monitor the health of not only the baby, but also the woman in labor. Periodically, doctors check the degree of uterine contraction, the condition of the breast, examine and clarify the nature of the discharge. If there were seams, they are in without fail processed periodically. And, of course, the body temperature is measured at least three times a day for a woman in labor. After all, this is the most important indicator that can signal a problem in time. Even by the speed and nature of the rise in temperature, it is already possible to make a preliminary diagnosis.
About the norm and deviations
What is she like after giving birth? The same as in healthy person, - 36.6-37°С. However, here it is also necessary to take into account the characteristics of each individual organism. After all, there are people who have a stable normal temperature- 37 ° C, but for someone it is already serious indicator problems.
True, situations when it can increase do not always indicate the appearance of complications:
In other cases, the temperature after childbirth may indicate various complications. It is worth remembering that the recovery postpartum period lasts approximately 5-8 weeks. Also, throughout this time, a young mother needs to carefully monitor changes in health and body temperature.
Causes of a slight increase in temperature
It happens that a woman has a temperature of 37 ° C for some time after childbirth. If the lady is completely tormented by nothing, and this condition itself does not bring any discomfort, do not worry. After all, such slight rise indicators can occur due to the following natural causes:
- which the body experiences immediately after childbirth.
- Stressful condition, which often occurs after the experience.
- Arrival breast milk. This process is almost always accompanied by an increase in temperature, which gradually subsides.
- An increase in body temperature can also respond to the large loss of fluid that a woman experiences in the period after childbirth.
Mastitis
If a lady has a fever certain time after childbirth, this may indicate a disease such as mastitis. It is, by the way, very common among young mothers. So, it is worth noting that mastitis is a pathology of breast tissue. It is caused by various microbes and bacteria, as well as other pathogenic microorganisms, which enter the breast through cracks in the nipple and are carried in the blood stream. The main symptoms in this case:
You also need to remember that the chest in this case will be a little swollen, the skin may turn red. The normal flow of milk is also disturbed. The problem can be treated with antibiotics, but in some of the most severe cases, surgery may be necessary.
Metroendometritis
Complications after childbirth in women can also cause inflammation of the uterine cavity. It occurs in the case of accumulation of secretions in the body of the woman in labor, blockage of the cervix with a blood clot, retention of a placenta particle, with an exacerbation of an old disease. In this case, the temperature occurs approximately 2-4 days after childbirth, it stays around 39 ° C. At the same time, the woman also feels chills, there is a loss of appetite, and sleep disturbances are observed. On palpation, pain is felt in the lower abdomen. The nature of the secretions changes: they become cloudy, smell bad, their number can significantly increase or decrease. The problem can be managed with antibiotics. Sometimes you need to wash the uterine cavity.
lactostasis
If a woman has a fever after childbirth, this may be evidence of a pathology such as lactostasis (affects the mammary glands of a lady). During it, the disease occurs in the chest. The causes of the problem are rather banal: skipping one or a couple of feedings. But at the same time, lactostasis can also occur with uneven decantation, as well as overheating or hypothermia of the breast. Temperature indicators do not exceed 39 ° C. Symptoms disappear almost immediately after emptying the chest. If this problem is not dealt with, it can develop into mastitis.
Other problems
If a woman has a temperature after childbirth of 38 ° C, this may indicate one of the following diseases:
- Thrombophlebitis. In this case, the woman's veins become inflamed, which leads to their blockage with blood clots. It is worth noting that this disease provokes the metroendometritis described above. Body temperature indicators can rise two weeks to a month after the baby is born. This phenomenon is accompanied by chills, as well as swelling of the legs.
- Pelvioperitonitis. It's inflammation in the pelvis abdominal wall. The temperature can rise even up to 41-42 °C. Other symptoms: nausea, vomiting, severe pain in the uterus, chills. The woman's condition is rapidly deteriorating.
- Parametritis. This is inflammation around the uterus of fatty tissue. Temperatures can also rise to around 40°C. Chills, nausea, vomiting, pain during defecation and urination.
In any case, we must remember that with the slightest doubt, it is best to immediately seek medical help. After all, if the problem is detected earlier, it can be dealt with in a shorter time.
During pregnancy, a woman has to deal with various diseases and difficulties. And after the baby is born, the woman thinks that all the troubles are over. But, unfortunately, sometimes there are various complications after childbirth.
Any woman should understand that during pregnancy various changes and disturbances occur in the body. internal organs. In order for everything to normalize after childbirth, it takes some time - a month or two. It is at this stage that a young mother may face various complications.
Condition of the uterus after childbirth
Immediately after the birth of the baby, the uterus begins to contract very intensively and becomes like a ball. On the first day after the birth of the baby, the weight of the uterus is about a kilogram. A week later, her weight is halved. And only after a month and a half, it returns to its previous size - approximately 50 grams.
All this time, uterine contractions give the young mother a lot of discomfort: very often there is pain in the lower abdomen. A woman experiences especially severe pain in the first few days. These pains intensify during breastfeeding. The thing is that when a child suckles the breast, a woman begins to actively produce the hormone oxytocin. This hormone is responsible for stimulating uterine contractions, so the pain gets worse when breastfeeding.
The cervix recovers its shape much longer - approximately fourteen weeks after birth. However, no matter how easy the birth is and no matter how much the baby weighs, the cervix will not fully recover to its previous size. But this does not affect the well-being of women.
If the body of a young mother lacks the hormone oxytocin, or if the uterus is too stretched (if the baby weighed too much at birth), then the uterus does not contract properly. So, the uterine cavity is cleaned poorly. Because of this, the risk of developing postpartum acute endometritis is greatly increased. Endometritis is an inflammation of the lining of the uterus. With this disease, a woman develops very strong pain in the lower back and lower abdomen, fever is possible, weakness and abundant vaginal discharge with an unpleasant odor appear.
Injuries of the external genital organs
Many women turn to gynecologists shortly after giving birth with complaints of severe pain in the vagina. Usually such sensations occur after sexual intercourse. This is not surprising, since the vagina is greatly deformed and stretched during childbirth. After some time, it is restored - after about one and a half to two months. By this time, the mucous membrane of the vagina is also restored. Even if the birth went without complications, the vaginal membrane is still injured - microcracks appear on it. And if the birth was difficult, then there may have been tears or incisions in the perineum. In such cases, recovery time will be much longer.
Gynecologists warn that after childbirth, it is necessary to refrain from sexual contact for some time. But not all girls follow these recommendations. But in vain, because the risk of re-injuring the vaginal mucosa with the penis is very high. Moreover, sometimes the injuries are very serious, and doctors have to re-sew them up.
Through unhealed microtraumas on the mucous membranes of the vagina during intercourse, various microorganisms can enter, which will provoke an inflammatory process. At inflammatory process there are also pain, deterioration, weakness, and the temperature rises. If a girl who has recently given birth notices such symptoms in herself, then she needs to contact a gynecologist as soon as possible. If treatment is not provided promptly, the symptoms may worsen, and serious complications may also occur.
Complications from the cardiovascular system
If a woman gave birth to a baby late, after 35 years, then she may have problems with the cardiovascular system. Of course, no one is immune from this, even young mothers. The thing is that during pregnancy, the volume of blood circulation increases. As soon as the baby is born, this volume begins to decrease and after about a week it returns to normal. But such drastic changes often affect the vessels and the heart. Therefore, if a woman has any problems with the cardiovascular system, then she should constantly be examined by a doctor and monitor her health. Very often, various complications begin in the postpartum period: an increase in heart rate, pain in the heart area, and the like.
In the first two weeks after childbirth, a young mother's blood contains a large number of platelets. This is due to the fact that the blood clotting system begins to work actively approximately a day before delivery, as the body prepares itself for bleeding. This natural process helps prevent excessive blood loss. But due to the increased content of platelets, there is a high risk of blood clots that can clog blood vessels. Thromboembolism is a very serious disease that can lead to serious complications and even to lethal outcome.
Bladder complications
Often after childbirth, a woman has problems with bladder. The tone of the smooth muscles of the bladder decreases, as a result of which the woman may not feel the urge to urinate. Therefore, in the first few days after childbirth, a woman should visit the toilet every two hours. If a bladder will be full, then it will prevent the uterus from fully contracting. Because of this, the uterus will not output postpartum discharge which can lead to inflammation.
Problems with the gastrointestinal tract
After childbirth, the tone of the gastrointestinal tract decreases. As a result, women often experience constipation. Every third woman in labor suffers from this problem. To get rid of this problem, doctors recommend:
- physical impact. This method is not only the easiest, but also the most effective. Direct a stream of warm shower to the lower abdomen. The pressure of water stimulates the receptors and enhances intestinal peristalsis. You can massage the abdomen. Just stroke your belly in a clockwise direction in a circular motion. Do this for ten minutes three times a day.
- Proper nutrition. It is very important to eat right. Include apples, prunes, zucchini and pumpkin in your diet.
In addition to constipation, there is another problem -. Approximately 75% of women in labor face this disease. In mild cases, hemorrhoids are small and disappear on their own in about a week. If the hemorrhoids are large, then they cause a lot of discomfort and they have to be removed surgically.
In what cases should you see a doctor?
Let's summarize the above. A young mother very often has to deal with postpartum complications. Some of them do not pose a threat to health, but some can lead to serious complications. And to avoid these complications, it is necessary to consult a doctor in time.
- Pain in the abdomen. Moderate pain is a normal physiological phenomenon, but if the pain is too strong and radiates to the lower back, then the woman needs to contact a gynecologist as soon as possible. Perhaps, inflammatory processes began to develop. The doctor will prescribe an examination and identify the cause, after which he will prescribe treatment.
- Seam condition. If a woman has had stitches, then they must be constantly monitored. If the stitches begin to bleed, turn red, or blood spots appear, you should immediately consult a doctor.
- Vaginal discharge. If vaginal discharge has changed after childbirth: it has become more abundant, has changed its texture, smell or color, then this should be a cause for concern. Therefore, it is necessary to consult a gynecologist.
The birth of a baby is such a long-awaited stage in the life of every mother, but not everything in it always goes smoothly. Sometimes this process has complications after childbirth in women. Much depends on the body and the state of health of the woman in labor.
The postpartum period usually lasts six to ten weeks. During this time, the female body is restored and the work of some individual bodies and functions are back to normal. But it happens during this period of time that pathologies appear and arise serious problems. What are the complications after childbirth? In this article, we will consider this issue in more detail.
Very often at this stage inflammation occurs:
- mammary glands (mastitis);
- membranes of the fetus and uterus (chorioamnionitis);
- urethra;
- kidneys (pyelonephritis);
- abdominal region (peritonitis);
- pelvic veins (thrombophlebitis).
Quite often, prolapse of the uterus (prolapse) also occurs. The prolapse of the uterus occurs due to stretching and injury of the muscles of the pelvic region. As a result, it leaves its place (between the bladder and the rectum).
Factors in the development of this disease:
- injuries and ruptures;
- physical labor immediately after the birth of children;
- weak muscles of the abdominal wall;
- stretching of the uterine ligaments;
- multiple, heavy delivery;
- large fetus during pregnancy.
Signs of prolapse:
- uncomfortable, pain lower abdomen;
- swelling and puffiness;
- chronic constipation;
- pain in the region of the sacrum, lower back;
- bloody, painful discharge.
Postpartum endometritis
Endometritis - the most frequent illness mucous membranes of the uterine cavity, which most women experience. According to statistics, 7% of puerperas develop this disease, mainly after a caesarean section. After birth, the uterus is a continuous wound. There are two stages of its healing: inflammation and restoration of the mucosa. At these stages, it is cleaned inside. But if it contains pathogenic microbes, inflammation can become chronic.
There is severe endometritis, which manifests itself on the second or fourth day. endometritis in mild form usually arrives a little later. At the same time, the temperature rises to 38 ° C, the pulse quickens, the body aches and shivering, weakness and pain appear in the lower abdomen and in the lumbar region, which sometimes intensifies when breastfeeding. A purulent-brown discharge comes out of the vagina. The uterine muscles begin to contract slowly.
Prevention and therapy lies in the fact that before conception, during the planning period of pregnancy, it is necessary to be examined and cured (if any) of infectious diseases. You need to take this seriously!
In some situations, experts prescribe antibiotic therapy.
Bleeding
After the birth of a baby, blood is released from the vagina. It is similar to a profuse menstruation. Provided there are no pathologies, the discharge for the first seven days is abundant, thick, bright red. After a while, they change color, their number decreases and after a month or two they completely stop.
If the fair sex is breastfeeding, then these discharges stop earlier. After a caesarean, they last longer. But it happens that the discharge turns into pathology.
How to diagnose?
If, after two weeks after the appearance of the crumbs, the bleeding is very profuse, has a bright red color, bad smell or has a purulent character, you should immediately contact a gynecologist. After all, these can be symptoms of a complication in which urgent medical care is needed.
Dangerous to health and delay postpartum hemorrhage. This may be due to a bend or a slow contraction. uterine muscles. In such a situation, the woman in labor has an elevated temperature, heaviness in the abdomen, chills are felt, a significant decrease in discharge is observed.
Prevention
It is imperative to follow the rules of hygiene of the genital organs: during the period of bleeding and when there are stitches on the perineum, it is advised to wash clean water with each process of urination and defecation (use soap once or twice a day).
It is necessary to change sanitary pads every two to three hours and avoid tight clothing for the first week.
Inflammatory diseases are caused by microorganisms from the vagina or from the site of a chronic infection inside the body.
- time to cure all possible infections, including gynecological;
- do not use tampons;
- go to the toilet on time;
- start moving as soon as possible if the birth was successful, without complications.
Inflammation of the membranes of the fetus and uterus
This ailment appears with premature rupture of the membranes of the fetus. And the longer the anhydrous period lasts, the greater the chance of infection of the fetus in the womb.
How to recognize? Symptoms of chorioamnionitis with a long anhydrous period (from six to twelve hours) in a woman:
- fever,
- heart palpitations,
- body aches and chills,
- purulent discharge from the vagina.
In every fifth woman in labor, chorioamnionitis turns into endometritis. Be careful.
When diagnosing this disease, the birth process is urgently stimulated, if it is impossible natural childbirth- prescribe a caesarean section with the help of antibacterial and infusion therapy.
Mastitis and lactostasis
These diseases can only overtake mothers who are breastfeeding. The reason is Staphylococcus aureus, which can be infected if there are cracks in the nipples. Those who give birth for the first time are most often at risk, the incidence rate in this case reaches 2-5%.
Postpartum mastitis is characterized by fever (up to 38.5 ° C, but sometimes higher), headache, general weakness, chills, characteristic pain and swelling in the chest, redness. If you conduct a manual examination, then painful seals are noticeable. Feeding a baby and pumping is very painful. With lactostasis, on the contrary: relief is felt.
Laktostasis must be able to distinguish from mastitis.
Lactostasis progresses without the presence of cracks. If this is lactostasis, then the process of expressing milk is free and after it comes relief (body temperature returns to normal, there are no redness and swelling, the pain disappears).
Preventive actions include:
- pumping breast milk to empty after each feeding, be sure to avoid stagnation;
- correct attachment of the child to the breast (the nipple and areola must be completely captured);
- treatment of cracks in the nipples, lactostasis;
- compliance with the rules of personal hygiene;
- wearing a loose bra;
- air baths for breasts (10-15 minutes after feeding).
Inflammation of the urinary tract
The first days after the appearance of a newborn, the fair sex feel burning sensations and pain during urination. If this lasts for the first few days, then this is normal. But if a woman feels these painful sensations even after all the tears and incisions have healed, then this may indicate the presence of some kind of infection or an inflammatory process.
How to understand that you have this deviation?
Symptoms:
- painful and difficult urination;
- increased body temperature;
- cloudy urine;
- the presence of pain in the lumbar region.
Causes of occurrence:
- use of a catheter during childbirth;
- bladder injury during childbirth;
- the presence of low tone of the bladder ();
- wounds after application obstetric forceps.
Preventive procedures
With this problem, experts recommend drinking plenty of fluids. For example, not very sweet cranberry juice. It contains tannin in its composition, which prevents the development of microorganisms in the bladder. It is strictly forbidden to consume black coffee and sweet carbonated drinks. Empty your bladder completely and regularly. Washing more often is good for cleanliness and will stimulate urination.
Inflammation in the pelvic area
- infections genitourinary system(if not cured during pregnancy);
- weak immunity;
- non-compliance with the rules of intimate hygiene;
- blood loss during childbirth,
- blood incoagulability;
- avitaminosis;
- remnants of the placenta in the uterus;
- pathologies during pregnancy and with the appearance of crumbs;
- long time without amniotic fluid during childbirth;
- abnormal bleeding or blood poisoning (sepsis).
Other
Sometimes "young" mothers notice other failures and violations:
- From the side gastrointestinal tract: decrease, lack of appetite, loose stools, bloating.
- From the side nervous system. Sleep disturbance, anxiety, nervousness, worries, or, conversely, euphoria, when an exhausted patient assures that everything is fine with her and you should not worry about her.
Any woman after such "hard work" can feel weak and feeling unwell, drowsiness. After all, this is a very serious burden on the entire body and its organs.
But if you notice yourself elevated temperature, deterioration in well-being, severe pain, then be sure to contact the health workers, do not joke with it!
Be healthy! Take care of your health, take care of it! Your baby needs a healthy mom!
After childbirth, a woman has not only the joy of motherhood, but also a mass postpartum problems which may arise as a result of labor activity. There are a lot of them and a woman just needs to cope with them when medical care, support and proper care behind you.
Complications after childbirth
The uterus after childbirth always begins intense contractions, taking its former shape, for further normal functioning. An ultrasound will show you how this process goes, but the functions of the uterus do not always work according to plan. There are very often pathologies and complications.Subinvolution. This is when the uterus contracts too slowly.
Causes:
- remnants of the placenta that did not come out during childbirth
- hematomas and ruptures that were not properly processed, filed or not followed at all.
- blood clots
- remains of the ovum.
- introduced special preparations to contract the uterus
- antibiotics are prescribed (be sure to consult a doctor about breastfeeding during this period)
- do vacuum cleaning
Endometritis. On our website there is a separate detailed article about this serious complication (even a disease), but in short
Causes:
- inflammation of the endometrium (the lining of the uterus)
- violation of the outflow of blood in the uterus
- STD infections
- abortions
- negligent examination by a gynecologist (carelessness, unsterilized instruments)
- non-compliance with personal hygiene.
- at a severe stage of the disease - a hospital
- suction vacuum (cleaning)
- antibiotics
- lavage of the uterine cavity
- candles
Bleeding after childbirth. This is usually normal. It is due to the fact that the placenta exfoliates and comes out. It stops on the 7th-10th day, reducing the amount and acquiring an increasingly dull brownish color.
With the exception of:
- copious dark scarlet discharge constantly
- pads are changed 10-12 times a day
- large blood clots in secretions
- aching pains in the abdomen
- sudden drop in pressure
- weakness and dizziness
- Treatment and prevention:
- if bleeding occurs after being discharged at home, call an ambulance immediately
- you can not live sexually (especially if there was cervical insufficiency or episiotomy)
- exclude any load (up to cleaning the house or raising a three-liter jar for at least two weeks)
doctor's check
Seams. If you have had an episiotomy, cesarean section or sutured before childbirth (isthmic-cervical insufficiency), there may be problems with their healing
Causes:
- lack of seam hygiene
- breaks during bowel movements
- divergence of seams during physical labor
- proper stitch care
- no physical activity
- bathe strictly according to the doctor's recommendation
- wear loose clothing
- taking a laxative to facilitate bowel movements (so that the body does not strain)
- try to move a lot, but slowly (sutures heal faster with good blood circulation, the main thing is not to overdo it)
Causes:
- infrequent breastfeeding if present a good amount milk
- improper care behind the breast
- no massage
- not feeding the baby at all in the presence of milk
- improper attachment of the baby to the breast
- antibiotics
- suppression of lactation
- Prevention:
- correctly attach the baby to the breast
- hygiene
- heal cracked nipples
Treatment and prevention:
- see a doctor as soon as possible before giving birth (6-7 months)
- candles
- the main thing is to move more
- laxative
- in case of complications, surgery can be performed
Childbirth is the final stage of pregnancy. We can say that one of the most crucial stages when a baby should be born. Yes, the female body is preparing for this process. But because of individual features sometimes there are complications.
Complications of childbirth in most cases depend on general condition woman's health (for example, the presence of chronic diseases), from the course of her pregnancy. Often, even the preparatory period when planning a pregnancy can adversely affect a woman's health during and after childbirth. It is important when planning to cure everything inflammatory diseases genitourinary system, treat chronic diseases, drink vitamins and change your lifestyle by giving up bad habits. All this will reduce the risk of complications during childbirth and after them.
Complications during childbirth
AT medical practice many options for childbirth are considered complicated by doctors in advance. This category includes:
- childbirth in women with late toxicosis;
- childbirth in women who have chronic diseases of the kidneys, heart and other organs, diabetes mellitus;
- childbirth of HIV-infected women;
- premature birth (before 37 weeks of pregnancy);
- childbirth in women who bear more than one fetus, that is, multiple births;
However, doctors prepare for all these situations in advance, if the woman was registered in gynecology, she was observed until the very beginning of labor. Often this category of women is offered to go to the hospital for 37-38 weeks under the full supervision of doctors in order to avoid negative consequences(this does not apply to premature birth, they happen suddenly if there were no precursors).
Childbirth in women at risk will not necessarily be accompanied by complications. This danger is potential.
But there is a whole group of situations that could not be foreseen in advance.
1. Pathological preliminary period. Preliminary period is preparation female body to childbirth. At this time, the cervix becomes soft. This helps her stretch easily during contractions. Normal flow preliminary period is painless and is characterized by irregular uterine contractions.
In most cases, this period falls at night, when a woman sleeps peacefully and wakes up already from constant contractions. If a woman is set up for terrible pain and is afraid of the birth itself, then the preliminary period can also be painful.
Normally it lasts 6-8 hours. But it also happens that, for unknown reasons, these preparatory contractions do not turn into labor for a long time. Then they talk about such a complication of childbirth in women as a pathological preliminary period. You can recognize it by the following signs:
- irregular contractions that cause pain not only at night, but during the day and do not go into labor;
- in the presence of preparatory contractions, the uterus does not change, remaining long and dense (this can be seen by the doctor during examination);
- the fetus during the preliminary period is not pressed against the entrance to the small pelvis (determined by the gynecologist);
- increased tone of the uterus;
- for a long period of preparatory bouts.
This complication of childbirth is easily amenable to drug treatment. In this case, the woman is offered rest ( medical sleep), analgesics, prescribe sedatives, vitamins, antispasmodics. All treatment takes no more than 5 days. As a result of treatment, the contractions stop and appear again after a while, when the uterus is ripe and the body is ready for childbirth. If the treatment is ineffective, then resort to operative childbirth.
2. Weakness of labor activity. The complication is connected with the lack of a woman's body of its own strength to complete the birth. Weak labor activity is primary and secondary:
- primary is characterized by weak contractions at the very beginning. The contractions that have appeared do not intensify to push the baby out;
- secondary weakness is observed when normal strong contractions begin to weaken.
As a result of such a complication, the child may develop oxygen starvation.
Depending on the cause of the problem and the period when it manifests itself, a medical intervention (administration of oxytocin) may be prescribed to stimulate labor. In case of primary generic weakness, time may be allotted for the rest of the woman in labor.
In severe cases, a caesarean section is performed.
3. Stormy generic activity. This is the complete opposite of weak labor activity. In this case, childbirth proceeds rapidly. This can lead to breaks in the mother and injury to the baby. Also, with this complication, a woman may experience premature detachment of the placenta. Violent labor activity is particularly painful, but it is easily amenable to medical intervention, which reduces the tone of the uterus, reduces pain.
4. Earlier rupture of amniotic fluid. Normally, the water leaves after the full opening of the cervix. Between the outpouring of water and the birth of the baby, no more than 18 hours should pass, otherwise the child may become infected, the umbilical cord or pen may fall out of the uterus. With outflow, even before the opening of the cervix, they resort to stimulation of labor activity or surgical intervention.
5. Premature detachment of the placenta. Normally, the placenta exfoliates after the baby is born. Childbirth is not even considered complete until the birth of the placenta occurs. Premature exfoliation can occur with very strong contractions or in cases where blood clotting is impaired in such a situation. With such a complication, bleeding in the mother and hypoxia in the fetus may occur. Almost always, such a situation is resorted to caesarean section.
6. Narrow pelvis. This diagnosis can be made on the last ultrasound before childbirth, or it can already be directly during childbirth. This is due to the fact that normal pelvis for some reason, the woman does not allow the head of the child to pass through it. Maybe the fetus is very large, or maybe the head turned incorrectly at the entrance to the pelvis. Childbirth is delayed, which leads to oxygen starvation of the fetus. Here resort to emergency operation caesarean section.
7. Breaks in a woman. Small tears are treated but are not considered a complication. Complications include deep gaps at the birth of a large fetus or violent labor activity. The doctor, foreshadowing such a possibility, usually makes an artificial incision, which is then sewn up and which heals much easier and faster than a natural one.
8. Fetal hypoxia. In fact, each contraction is a short-term hypoxia of the fetus - a lack of oxygen. Therefore, they say that proper breathing is very important during childbirth. Your breath is oxygen for the baby. Hypoxia, which in severe cases can be fatal, is associated with violent labor activity, cord entanglement, and early placental abruption. In this case, it is important to eliminate its cause and speedy delivery.
9. Prenatal trauma. This is an injury to a newborn during childbirth. Such a complication can occur with a rapid course of labor and with premature birth when the child is still immature and weak. It is also possible for a child to get injured if the head enters the pelvis incorrectly and with unskilled actions of obstetricians.
Any complication during childbirth can lead to serious consequences for the health of the baby. Therefore, throughout the process, doctors carefully monitor the condition of the fetus. Not only the well-being of the woman in labor, but also the child of the child can become an indicator for surgical intervention. Before the operation, doctors eliminate the cause of the deterioration of the condition, improve the blood supply to the fetus. Only if there is no field improvement conservative methods proceed to caesarean section.
Postpartum complications
The recovery period after childbirth depends on the individual characteristics of the body of each woman. It lasts from 6 to 10 weeks. During this time, the woman's body should return to the prenatal state. This period is not always painless.
Quite often, the joy of the onset of motherhood is overshadowed by the complications of the mother's health.
Causes
- low immunity or non-compliance with personal hygiene measures;
- large blood loss during childbirth;
- beriberi, poor blood clotting;
- childbirth interventions;
- remnants of the placenta or membranes of the fetus in the uterus;
- long waterless period;
- problems during pregnancy;
- cracked nipples.
If you experience any ailments after childbirth, it is important to consult a doctor in time if you have already been discharged from the hospital. The time to recovery depends on how quickly you start treatment.
Postpartum complications in women can be as follows.
1. Pathological bleeding. Bleeding after childbirth is quite normal. Allocations are not the same as during menstruation, they are much more abundant. Normally, for a week and a half, these discharges have a bright red color. Further, they become scarcer and acquire a less bright color. This bleeding stops after 6-8 weeks.
But, if even after 2 weeks the discharge is as plentiful as immediately after childbirth, acquire a pungent odor and become purulent, then contacting a doctor should be immediate. Such a complication after childbirth does not go away on its own.
The opposite problem may also arise: poor postpartum discharge with a delay. There is no need to be glad that everything ended earlier for you than for others. This difference in the timing of the end of the discharge can be 1-2 weeks, but not 4-5. The absence of discharge may indicate the bending of the uterus. The problem should be fixed by a gynecologist.
2. Postpartum endometritis - the most common complication after childbirth in women. Endometritis is an inflammation of the lining of the uterus. Most often, it occurs due to microbes entering the uterus. Its manifestations can disturb a woman already on the 3rd day after childbirth (severe endometritis), and may appear only on days 5-12 (mild endometritis). With such a complication, a woman feels weak, her temperature rises, and the discharge acquires a purulent smell. In this case, antibiotic treatment is prescribed.
Prevention of endometritis is getting rid of any infectious diseases before childbirth, and preferably before pregnancy.
3. Inflammation urinary tract. May occur as a result of trauma due to the imposition of obstetric forceps, bladder trauma during childbirth, the introduction of a catheter during childbirth. Inflammation of the urinary tract is indicated by discomfort during urination for more than 4 days after childbirth. If such a problem occurs, it is recommended to drink more fluids (by the way, there will be not very sweet cranberry juice, which has a good antimicrobial effect on the entire body), wash more often and empty the bladder every two hours. When referring to a gynecologist, he can limit himself to such treatment only, in the absence of serious consequences.
Prevention
A good prevention of all of the above complications after childbirth is the observance of personal hygiene measures in a special order:
- wash with clean and cool water (not cold) after each trip to the toilet;
- change sanitary napkins every 3 hours at least. Do not allow them to fit tightly for the first week.
4. Postpartum recovery period may be complicated by mastitis. This complication occurs due to the penetration of staphylococcus into the mammary gland. The chest thickens and becomes hot. To avoid this problem, it is important to observe the norms and hygiene of breastfeeding:
- correctly apply the baby to the breast;
- express the remaining milk after each feeding;
- heal cracked nipples in time.
A good prevention is air baths for 15 minutes after each feeding.
5. Peritonitis. This is the most common complication after a caesarean section. Postpartum peritonitis can occur when an infection enters the suture on the uterus, with a disease of the appendages. A woman has a fever, bloating occurs and pain appears in its lower part. This postpartum complication is treated by surgical removal of the cause of the infection.
Complications after epidural anesthesia
Separately, it is worth paying attention to complications after anesthesia of childbirth with the help of epidural anesthesia. To date, this is the safest type of anesthesia for childbirth, both for the mother and the fetus. It is considered the most effective and convenient.
The method involves the introduction of medicines through a flexible catheter into the area at the level of 3-4 vertebrae. The positive is that the woman is fully conscious and childbirth takes place naturally.
With epidural anesthesia, a complication may occur, which is associated with intervention in human body. The outcome and reaction of the body to anesthesia depends on the accuracy of the needle insertion and on the individual characteristics of the spine.
The most common complications are damage to the ligaments of the spine and inflammation of the membranes. spinal cord. They are accompanied by back pain, sometimes a violation of sensitivity lower extremities, headaches.
Yes, complications after epidural anesthesia are treatable, but it is undesirable to require anesthesia in the absence of indicators. Let the doctors themselves make this decision if the health of the baby or yours is at risk.
Remember that labor pain is not so scary. In most cases, anesthesia can be avoided if for 9 months you set yourself up in a positive way, and not think that childbirth is painful. Everyone goes through this.
It has long been known that a positive attitude is half the success. And this applies to pregnancy more than ever. Pregnancy is 9 months of waiting. These days should be filled with only positive emotions and thoughts about the future baby. In order for the birth to be successful, you need:
- lead healthy lifestyle life;
- if possible, plan childbirth;
- tune in to a good outcome and the appearance of a healthy child;
- strictly observe all prescriptions of a gynecologist during pregnancy, during childbirth and after the birth of a child.
Let the birth be easy, and you will have a healthy baby.
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