HealthMedicine

What is the latter? After the birth

The woman's body is full of mysteries and mysteries. Surely everyone knows that only a representative of the weaker sex can give birth to their kind. In this case, you need to have an adjusted hormonal background and a menstrual cycle. During the birth, doctors can distinguish several periods. One of them involves the separation of the afterbirth. It is about him that will be discussed in this article. You will find out what is last and what it is for. Also, let's talk about the normal course of this period and its possible deviations.

Pregnancy and childbirth

Before you say what is the latter, it is worth getting acquainted with some of the features of the female body. Approximately once a month, the representative of the weaker sex breaks the follicle and, as a consequence, ovulation. The outgoing cell is sent to the side of the genital organ through the fallopian tubes. This is where conception often occurs. The fertilized egg descends into the uterine cavity and is securely attached to its wall. This is where pregnancy will develop. Every day the fetus grows in size and acquires new skills.

When the baby is ready for birth, the first period of labor begins. Most often this process takes place from 38 to 42 weeks. It is worth noting that the crumb may appear at an earlier time. In this case, he may need qualified medical help.

The first and second periods of childbirth

At this stage, the cervix is opened and the fetus is expelled from the cavity of the genital organ. Normally, such manipulation occurs naturally. However, in some cases, it may be necessary to use medications or even surgical intervention. The average duration of the first and second period in the aggregate is from 2-4 to 10-16 hours.

The third period of birth: what is the latter?

Immediately after the child has left the birth canal, the third stage of labor begins. It is characterized by the expulsion of the remaining shells from the uterine cavity. What is the latter? This formation, which is formed in the first third of pregnancy. It is the placenta that supplies the fetus with blood, oxygen and many other nutrients. Also, the latter during the stay of the baby in the womb is able to perform a protective function. The placenta reliably protects the baby from toxic substances and some medications.

The latter got its name because it leaves the cavity of the genital organ last. Nature is so intent to ensure that during the whole process the baby could get oxygen and the substances he needs from the mother's body.

How does the placenta expel?

The isolation of the afterbirth can occur in two ways: natural and compulsory. Much depends on the structure of the genital organ, the reproductive system of the woman, complications during pregnancy, and so on. Also important is the way in which the baby is born.

Natural childbirth

If a woman has no indications for surgery, then she passes through all periods of childbirth. When the baby leaves the uterine cavity, the discharge begins. This process can take 10 to 30 minutes.

The child after birth is placed next to the entrance to the vagina and wait for the moment when the umbilical cord stops pulsating. After this, the crumbs are separated from the mother. Uterus in the first minutes begins to actively contract and decrease in size. All this contributes to the separation of the placenta from its walls.

A few minutes after the separation of the baby from his mother, the doctor checks whether the placenta is ready to leave its place. To do this, the obstetrician or gynecologist puts his arm on the lower area of the peritoneum and lightly presses. If the hanging cord is not attracted back, then you can begin to spend the birth of the afterbirth.

All this time the uterus undergoes contractions. A newly mum can simply not feel it, since their intensity is much lower than during childbirth. The doctor pays attention to when the next fight begins, and asks the woman to exaggerate a little. It is enough for a woman to collect a full chest of air and strain the abdominal wall. The next minute, the uterus will leave the cavity of the uterus. Photos of this education you can find in the article.

Cesarean section

If a woman gives birth to a baby by caesarean section, then somewhat differently may be separated by the latter. The photo of the operation is presented to your attention.

During manipulation, the doctor cuts the uterine cavity and removes the baby from it. Immediately after this, the uterus may begin to decrease, but this does not always happen. Because of the injury of blood vessels and muscle walls, the contractility of the organ can be temporarily lost. In this case, the doctor has to separate the latter with the help of hands and special tools.

The doctor holds the uterine wall with one brush, and the other slowly and accurately separates the formation.

Follow-up examination

After the birth the child undergoes a thorough examination. If everything went well and there were no complications, then the doctors put the placenta on a large metal plate. At the same time, there must be a mother side at the top.

By careful examination, an assessment is made of the degree of maturity of the organ. Normally, the age of the placenta is 1 or 2 degrees. If during pregnancy the woman had to lead an incorrectly correct way of life and use many medications, then there may be a third degree of development of the afterbirth.

Also after the birth, the patient is examined for damage. When they are detected, there may be some complications. The doctor measures the placenta with a special tape and records its dimensions in a generic card. All this plays a big role in the description of the process.

What does the majority of women look like? It is a large disk that is permeated with a multitude of vessels and veins. The color of this formation can be from blue to bright red. All this is considered a variant of the norm. Also, the umbilical cord leaves the placenta, which normally has three main vessels. It is examined in a similar manner and all the received data is recorded.

Possible problems

The post-partum birth (photo of the education presented in the article) does not always go the way it's intended. In some cases, there are problems or complications. One of the most common pathologies is the detention of the afterbirth. Also, the placenta may grow into the cavity of the genital organ or it may prematurely peel off. Let's consider the basic variants of complications and ways of their elimination.

Retention of the placenta

If half an hour after the birth of the child there was no separation of the afterbirth, then it may be about its tight attachment. In this case, one part of the organ often departs and bleeding occurs. A woman at the same time can complain about the weak pain that an inexperienced doctor takes for contractions of the uterus.

If the latter was delayed in the cavity of the genital organ, the obstetrician or gynecologist attempts to separate it manually. It should be noted that during manipulation it is forbidden to pull or pull on the umbilical cord. The doctor enters his hand into the uterus and slowly tries to separate the placenta. Such manipulation can be carried out under general or local anesthesia. However, some medical institutions do not provide such services, therefore manual extraction of the afterburn happens "in profit". When the placenta is separated, a thorough examination of the genital organ and the vaginal wall is made for the presence of residues or trauma.

Aftergrowth

This pathology most often occurs in women who have previously had a cesarean section or any other surgery that left scars on the uterine region. If the placenta is attached in the seam area, then the fusion of the walls may occur. It is worth noting that this pathology arises quite rarely (in about 5 cases out of 1000).

The complication is characterized by the fact that the doctor can not separate the placenta region even with the help of hands. If the latter did not come out, what to do in this case? The woman needs an urgent operation. It is produced under anesthesia. During the procedure, the doctor removes the entire uterus from the placenta, since there is no other treatment option. Otherwise, a woman may die from excessive blood loss.

Premature detachment of the afterburn

During labor or immediately after birth, this complication may occur. In this case, the woman experiences severe pain, which resembles a long, endless struggle. If the complication occurred in the first or second stage of labor, the pathology can lead to the death of the baby. Also, a woman runs the risk of losing a lot of blood. That is why in case of premature detachment of the aftereffect, an emergency cesarean section is performed . Exceptions are only those cases when the fetus has already entered the birth canal of a woman.

If the placenta is removed prematurely, a damaged area appears between the uterine wall and the posterior. This leads to the accumulation of blood in this area. With prolonged delay, the liquid can permeate through the wall of the genital organ and seep into the abdominal cavity. In this case, there is only one way out of the situation: removal of the placenta together with the uterus.

Delayed parts of the afterbirth in the uterus

Quite a lot of women are faced with the fact that the placenta does not come out completely. Detect pathology can the doctor on the next examination by an ultrasound transducer. Symptoms of the disease include the following symptoms: fever, abdominal pain and heavy bleeding.

Correction in this case provides for scraping. It is carried out under general or local anesthesia in the hospital.

How to contribute to the proper separation of the afterburn

In order to avoid any complications during childbirth, you need to deal with their prevention during pregnancy. The future mother is recommended to lead an active lifestyle (if there is no threat of abortion), and also eat right. If a woman has scars on the uterus or any formations in her cavity, then you need to closely monitor the attached afterburn. During diagnostic ultrasound manipulation, the specialist pays attention to where the placenta is located.

Also, after the fetus is ejected from the genital organ, the doctor can massage the walls of the uterus. In this case, its contractile function will increase, and the latter will quickly and easily leave its place of residence.

Summarizing

So, now you know what the outcome is. After childbirth (photo process is presented in the article), some formations are sent for additional analysis, which is called histology. Most often it is necessary in the event that at birth the baby died. Also, the histology is assigned to those women in labor who have neoplasms in the form of cysts, polyps or knots of unknown character.

The placenta is a vital component for the baby at a time when it is in the womb of the mother. Every woman in childbirth must have an idea of what is the latter and when it leaves the female body. Give birth easily and on time. Health to you and your kids!

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