Postpartum uterine recovery

Postpartum uterine recovery

Postpartum uterine recovery mainly includes three aspects, that is, the restoration of the uterus, the restoration of the cervix and the restoration of the endometrium. The main action of uterine recovery is continuous contraction, which squeezes the fetus out of the birth and then the placenta out. The blood in the womb is continuously discharged from the body, which is lochia. The uterus presses the opening of the blood vessel through constant and intense contractions, thus allowing clots to form and stopping bleeding. The uterus is further squeezed and the blood clots will expend. The volume of the uterus will gradually shrink. The uterus is the largest organ in the body during pregnancy and childbirth. It can grow from 50 grams to 1000 grams during pregnancy.

1. Restoration of uterine body

After the placenta is discharged, the uterus contracts immediately, and a very hard, spherical uterine body can be touched with the hand in the abdomen, the highest of which is at the same level as the navel. After the height of the uterine fundus, will drop 1-2 centimeters a day, about 10-14 days after delivery, the uterus smaller, into the small pelvic cavity. At this point, the bottom of the uterus can’t be touched in the abdomen.

2. Recovery of cervix

At the end of labor, the factor cervix congestion, edema, will become very soft, the wall of the cervix is also very thin, wrinkled like a cuff, 7 days later will be restored to the original shape. The internal jugular orifice will be closed after 7-10 days. Until the postpartum 4 weeks or so, the cervix will return to normal size.

3. Recovery of endometrium

The placenta and membranes are separated from the wall of the uterus, and a new layer of endometrium grows from the basal layer of the endometrium after being expelled from the mother. Around 10 days after delivery, all parts of the uterine cavity except the placental attachment are covered by neointima. Just after childbirth, the uterine wall area of the placenta attachment is about the palm of the hand. By about two weeks after childbirth, the diameter of the uterine wall can be reduced to 3-4 cm, but it can not be completely healed until 6-8 weeks after childbirth.

Postpartum uterus recovery size

Postpartum uterine recovery generally occurs after 7-10 days, the cervical orifice will be closed, as time goes on, the uterus will be further squeezed, the residual lochia will be continuously discharged, uterine volume will slowly shrink, until about 4 weeks after delivery, the cervix will gradually return to normal size, and cesarean section of the mother’s postpartum uterus The time needed for recovery is longer. Overall, postpartum uterine recovery takes 42 days.

The size of postnatal uterus was restored to normal: 5.0-8.0com long, 4.0-5.0cm wide and 2.0-3.0cm thick.

Postpartum uterine recovery time

The uterus is the largest organ in the body during pregnancy and childbirth. It can grow from 50 grams to 1000 grams during pregnancy. Generally speaking, the postpartum womb takes about 6-8 weeks to restore to its original size.

1, postpartum 42 days: lochia clean for the postpartum uterus to return to normal.

The placenta is also delivered after the birth of the fetus. Later, the vagina will discharge some brown-red fluid, which contains blood, necrotic decidual tissue, bacteria and mucus, etc., medically known as lochia. The duration of lochia is also an important reflection of normal uterine recovery.

Under normal circumstances, lochia will be clean after 4 weeks or 28 days. Some parturients drag a little longer, but under normal circumstances, the longest does not exceed 42 days. Because the puerperal period is from 2 hours after delivery to 6 weeks after delivery, during this period, the various functions of the maternal body will gradually recover, including the uterus, will return to normal, healthy state. This means that a period of 6 days or 42 days after birth is a normal period for the uterus to return to normal. Regardless of spontaneous labor, forceps delivery, cesarean section, breech delivery, lochia should be clean during this time period. Once more than 42 days, there is also a lochia, which is regarded as abnormal.

2 or 42 days later, lochia is not clean, suggesting that the uterus is recovering poorly.

After 42 days, lochia is not clean, suggesting that the uterus is recovering poorly. If accompanied by the above changes in quality and quantity, color and odor, we should first be alert to the existence of uterine diseases, such as placental residue caused by uterine contraction weakness, such as bacterial infection from the vagina or the presence of latent infection during childbirth and not eliminated after childbirth, and uterine cesarean section wound recovery is not good, need to be exhausted. Early to the hospital for symptomatic treatment.

Rapid recovery of postpartum uterus

The main action of uterine recovery is continuous contraction, which squeezes the fetus from the birth and then the placenta. The blood in the womb is continuously discharged from the body, which is lochia. The uterus presses the opening of the blood vessel through constant and intense contractions, thus allowing clots to form and stopping bleeding. The uterus is further squeezed and the blood clots will expend. The volume of the uterus will gradually shrink. What are the methods for rapid recovery of postpartum uterus? The following three methods can speed up the process of uterine involution.

1, post partum urination should be timely. Do not inflate or expand the bladder.

2, puerperium should avoid long lying position. Postpartum 6-8 hours, the mother can sit up after the elimination of fatigue, the next day should be out of bed activities, in order to facilitate the recovery of physical function and physical strength, help uterine recovery and lochia discharge. If the uterus has been tilted backward, it should be corrected by knee chest position.

3, postpartum should breastfeed. Because the baby’s sucking stimulation will reflex uterine contraction, thereby promoting uterine recovery.

How to determine postpartum uterine recovery

How to judge the recovery of postpartum uterus, you can generally observe the color of the uterine fundus and lochia to judge the recovery of postpartum uterus, the following are two indicators to judge the recovery of postpartum uterus:

1. If the uterus is well restored, the fundus of the newly born uterus can be touched from the navel, until about two weeks, the uterus can not be touched, unless it is suffering from uterine fibroids.

2, lochia color from bright red, dark red, deep black to light red, finally colorless.

In fact, most mothers’uterus is still contracting normally; but if you still feel a lump in the lower abdomen, it may be a dysfunctional uterus. But look at the decrease in lochia. Sometimes the size of the uterus doesn’t shrink because of a fibroid in the long uterus. All these need to go to the hospital to check, if it is true that the uterine contraction is poor, the main danger is to cause postpartum hemorrhage, this is really need to pay attention to the place.