Generic activities are not an easy process, and not all women are equally prepared for it. Often the consequences of labor are ruptures of the cervix, perineum or even the uterus itself, of varying severity. Let's talk about how to avoid this problem, and what to do if the gaps still happen.
The main question: what are the causes of ruptures during childbirth. They can be divided into spontaneous, arising from ineptness and unpreparedness of mummy, and violent - damage, which resulted from medical intervention. The latter appear, for example, when midwives use forceps or otherwise provoke the acceleration of the birth process.
There are a number of factors that most often contribute to the formation of ruptures. These include infections and other inflammatory processes in the genitals, which reduce muscle elasticity. Paradoxically, the other extreme is also harmful: women with "pumped" uterus and pelvic floor muscles are at risk. For example, dancers, gymnasts, riders, who, as a result
Often the sources of the problem are either too sluggish or overly fast generic activities. If the danger of rapid delivery of mothers is clear, then what are the "slow" ones? It turns out that in this case, swelling of the perineum is common, and when stimulated with hormones, breaks occur in their place with heavy bleeding. Doctors, foreseeing this complication, suggest that the woman in labor take a surgical incision, which is much easier to transfer, easier to sew than spontaneous breaks, and, therefore, rather, it overgrows.
Too large fetus, a narrow pelvis of the mother or early attempts, against the backdrop of the incompletely opened cervix ñ quite frequent causes of ruptures. Adds trouble to physicians fatigue, nervous excitability of parturient women, and even panic moods on the eve of birth, provoking their inept, fussy actions.
The most severe form of ruptures is the uterine. They happen less often, but the consequences will be more serious. Their causes: childbirth after a previous cesarean section or operations on the uterus, recent abortions;combination of several of the above risk factors.
Tears of the cervix
In the classes in special schools for expectant mothers, they are taught to taut. If there are no such schools in your area, you can use the hints of online videos. But the main thing is to listen attentively to midwives in the very process of birth. If the cervical ruptures still occur, reach a length of not more than 2 cm, they are referred to the first degree of severity, they can not show themselves. The second degree is slightly longer, usually with bleeding. And if the ruptures have reached the connection with the body of the uterus or even moved into it, then this is the third degree.
In the case of joining inflammatory processes, after the delivery, the ruptures will be accompanied by a yellowish-greenish discharge that has an unpleasant odor. To avoid such complications, antibacterial drugs are prescribed. But first aid in case of tearing is the application of seams, necessarily, using absorbable materials, so these seams can not be removed.
This consequence of labor is sometimes determined visually by the appearance of bleeding. But there may be a hemorrhage in the walls of the vagina, under the mucous membrane. Then the doctor will be able to find out the problem on postnatal examination.
Sew up breaks also with materials that dissolve themselves. It is very important to avoid inflammation of the scar, otherwise there is a possibility of vaginal-rectal or vaginal fistula fistulas, that is, perforation of the inflamed tissue occurs, and the fistula connects the uterus cavity with the rectum or with the bladder. In this case, surgical intervention can not be avoided.
The probability of rupture of the perineum increases in case of premature birth, especially if fetal hypoxia is noted. The weakened little one is simply given the opportunity to be born sooner, without weakening him completely. With pelvic presentation, and if the fruit is large, too, one must resort to such help.
An experienced doctor promptly notices the threat of a perineal rupture: at this point the muscles tense and acquire a bluish tinge. In this case, it is better to make a surgical incision, it is less traumatic, and the doctor will do it in a convenient place, and sew it up easier than uneven ragged edges of ruptures. Stitching is done in a manner similar to that for other types of rupture.
How to maintain health after childbirth?
After birth, ruptures overgrow fast enough if the seams have been correctly applied and preventive measures have been taken. In the opposite case, it is possible to turn out( ectropion) of the cervix, in which the mucosa appears from the outside, undergoing negative external influences. The acidic environment of the vagina, in contact with the alkaline contents of the cervix, leads to the degeneration of cells. As a result, the process can become a base for the onset of oncological pathologies. Another likely deviation is iscystic-cervical insufficiency with a risk of miscarriage of the next pregnancy.
To ensure operative healing of joints, it is necessary to observe simple hygienic requirements: often to change gaskets, to wash, use ointments Bepanten and Solcoseryl. Sitting, as a rule, is not allowed days 5-7 or 10, depending on the severity of the ruptures.
Then, to strengthen the muscles, it is recommended to do special exercises, approximately the same that the doctors prescribe to perform during the period of bearing the baby for the preparation for childbirth. It is also useful to follow a diet so that there are no problems with constipation. It is necessary to exclude synthetic linen, it disrupts blood circulation, can deform seams.
It is worth consulting with a doctor about the timing of the resumption of intimate life. Hasty in this area can be fraught with serious consequences, will lead to even greater complications.
Gaps can be avoided by preparing for childbirth both physiologically and psychologically. But if they did happen, this is not a reason for panic. Following the recommendations of a doctor, it is easy to reduce the consequences of gaps to a minimum.