Bleeding after cesarean delivery It is the title that we have chosen for this article from the Snap Market blog. These days, when cesarean section has become the dominant method of childbirth, dealing with the issue of postpartum care and Bleeding after cesarean section can provide the conditions for more comfort and health to mothers while informing them.
As mentioned, Caesarean section has become the most common delivery method today. A method that can be a way to avoid natural childbirth and its painful pains. Now, if the older people’s memories of the type of childbirth and its hardships are used as seasoning, it is unlikely that natural childbirth will be the priority of mothers of the new generation.
In addition to people’s mistaken and exaggerated ideas about natural childbirth, creating a luxurious birth date for children can be another reason for the spread of cesarean. Anyway, whatever the reason for cesarean section, it does not make a difference in the main story, i.e. the care after it. An important part of these cares Bleeding after cesarean delivery forms, which we will discuss in detail below.
Necessity of cesarean delivery
Before addressing the topic Bleeding after cesarean delivery It is necessary to take a brief look at the important factors that necessitate a cesarean section. Although cesarean section is not a suitable substitute for natural childbirth and it leads to complications such as bleeding; But in situations where the health of the mother and the baby are at risk, it is necessary to go for the caesarean section.
Having a history of uterine surgeries
Uterine surgeries lead to the creation of wounds in the uterus, which must be stitched after the surgery. Uterine pressures and contractions in natural childbirth can lead to the opening of sutures and rupture of the uterus.
Cervical cerclage
In situations where the uterus does not have the ability to hold the fetus, the doctor prevents premature birth and miscarriage by suturing the cervix, which is called cervical cerclage. In this situation, caesarean section will be the best way to give birth.
Placental disorders
A part of the pregnancy process is dedicated to the implantation of the placenta, which if it is not done correctly, it leads to disorders in the placenta. The presence of placental disorders makes natural childbirth difficult. At the same time, the health of the mother is endangered and the chance of pregnancy is lost again.
Heavy maternal bleeding
In situations where it is not possible to control severe bleeding of the mother, cesarean delivery will be the best way to preserve the health of the fetus.
Giving birth before the end of 9 months of pregnancy
In many cases, it is not possible for the mother to finish her pregnancy. Placental dysfunction or severe maternal illnesses are among the reasons that lead to premature birth for mothers. In this situation, the caesarean section will be the right choice to ensure the health of the mother and the fetus.
Intrauterine fetal growth retardation
Causing a delay in the natural growth process of the fetus in the womb is another important factor during pregnancy that leads to the necessity of a cesarean section. Low fetal weight, decreased oxygen level and low resistance to infection are among the complications of delay in normal fetal growth, which leads to the lack of resilience of the fetus against natural delivery.
placental abruption
If the placenta separates from the lining of the uterus, but there are no signs of approaching delivery in the mother, the doctor will recommend a cesarean section.
Abnormal presentation of the fetus
The best and most natural position in childbirth is for the fetus to enter the birth canal with its head. In the situation where this state of the fetus does not exist in childbirth, it is called an abnormal presentation of the fetus, and it is better to use the cesarean method to ensure the health of the mother and the fetus.
Causes of bleeding after cesarean section
If we accept cesarean section as a major surgery, of course Bleeding after cesarean delivery It is considered part of the healing process. the reason Bleeding after cesarean section We should consider the contents called lucia, which are actually the remnants of pregnancy, namely mucus, blood, and uterine tissue. It takes 4 to 6 weeks for these contents to leave the uterus; So Bleeding after cesarean delivery Up to 40 days is completely normal and common.
Rebleeding after cesarean section
Type, amount and intensity Bleeding after cesarean section It is different in different people; But no matter how long the cesarean section passes, the amount of bleeding will also decrease along with the reduction of lucia in the uterus. One of the important reasons that lead to continuity and repetition Bleeding after cesarean delivery It is possible, the following should be mentioned:
- Low birth weight of the baby
- The length of the birthing process
- uterine rupture
- Placental adhesions
- Oxytocin drug injection before delivery to induce pain
- Increased blood pressure and protein during pregnancy
- An increase in the mother’s body temperature during childbirth
- Vaginal incisions in childbirth
- Taking contraceptives after delivery
- Antony of the uterus or not contracting the muscles of the uterus after childbirth
Dangerous symptoms after cesarean section
Bleeding after cesarean delivery In the first days, it is intense and red; But as time passes after the cesarean section, the bleeding becomes less and less until it becomes a white discharge. However, if in Bleeding after cesarean section If you experience the following symptoms, you should see a doctor:
- blurred vision
- increase of heart rate
- feeling dizzy
- nausea
- Enlargement of blood clots
- Itching, burning and unpleasant smell Bleeding after cesarean section
- increase in intensity Bleeding after cesarean delivery (Until you need more than one sanitary pad every hour.)
Bleeding after 40 days
One of the common questions of mothers, the reason Bleeding after cesarean delivery After 40 days have passed. Generally Bleeding after cesarean delivery lasts up to 6 weeks; But if you are still bleeding after 40 days, there is no need to worry. This bleeding is the beginning of your menstrual cycle after pregnancy, which stops after seven to ten days.
It is important to mention that the process of breastfeeding a baby can delay the adjustment of the menstrual cycle; Therefore, occasional spotting is associated with Bleeding after cesarean delivery After 40 days, it is completely normal and possible.
Stopping and stopping bleeding after delivery
As mentioned, Bleeding after cesarean section Up to 6 weeks is a completely normal and common process that is sometimes accompanied by frequent spotting. In the meantime, if by disconnecting and connecting Bleeding Face-to-face, the foot is one of the following reasons:
Uterine infection
After giving birth, the mother’s body becomes more vulnerable to infections. Uterine infections are one of the types of infections in the postpartum period that can lead to an increase in the intensity of bleeding or cause a rupture in the process. Bleeding after cesarean delivery to be There are different types of uterine infections, which include:
- Endometritis or cervical infection
- Myometritis or uterine muscle infection
- Parametritis or periuterine infection
Usually, uterine infections can only be identified by a doctor’s examination and diagnosis; But the following signs and symptoms can help diagnose infection in mothers:
- Pain in the lower abdomen
- high fever
- Increased heart rate and breathing
- Uterine swelling
- Muscle aches and having flu-like symptoms
Insufficient contraction of the uterus
Lack of sufficient contraction of the uterus during childbirth after the removal of the placenta can be another common reason Bleeding after cesarean delivery and create discontinuity in this process. In medical science, this phenomenon is known as Antony uterus. Uterine contractions prevent vaginal bleeding by closing the blood vessels in the uterus. In the condition where uterine antony occurs, the uterus is unable to contract. Due to this education, the cervix remains open and leads to bleeding.
Remnants of pregnancy
The last possibility of disconnecting and connecting Bleeding after cesarean Leaving pregnancy remains in the uterus, which is usually more common in mothers with a history of cesarean section. Keep in mind that bleeding will continue as long as the remnants of the placenta and pregnancy remain in the uterus.
Natural childbirth after caesarean section
If you gave birth to your child by caesarean section and now you are pregnant again, it might be interesting for you to record the experience of natural birth in your memories. In the past, there was a misconception that a history of caesarean section prevented mothers from having a natural birth experience.
Today, progress in medical science has proven that having a natural birth after a cesarean section is not so far-fetched or impossible. In the meantime, the only important factor in determining the possibility of natural childbirth after cesarean section will be the safety of the mother and the baby, the approval or disapproval of which is in the field of expertise of the attending physician. Among the common problems that can deny mothers the possibility of natural childbirth after cesarean, include the following:
- Increased weight gain
- High blood pressure during pregnancy
- old age of the mother
- High fetal weight (over 4 kg)
- Having experienced uterine rupture in a previous cesarean section
- Vertical incisions of the uterus in caesarean section
- Having a history of uterine surgery such as fibroid removal
- Short interval between the current delivery and the previous cesarean section (19 months)
Post-cesarean care
Caesarean section is a heavy and painful procedure that usually brings countless and sometimes long-term complications for mothers. The following are among the important factors in the list of post-cesarean care, which while reducing Bleeding after cesarean deliveryIt speeds up the mother’s recovery process:
- Having enough sleep and rest
- Avoid lifting heavy objects
- Avoid doing difficult work at home
- Use sanitary pads for control Bleeding after cesarean section
- Not having sex until the end of bleeding (after 8 weeks)
- Having a proper diet containing vitamins and proteins
- Consuming watery and low-fat foods
- Drink plenty of fluids
- Avoid consuming flatulent foods
- Wearing cotton and loose clothes
- Not manipulating the cesarean wound and not opening and closing the dressing continuously
- Not using ointments and lotions for caesarean section wounds without a doctor’s prescription
last word
For almost all mothers, the moment of giving birth is one of the best and most unrepeatable pure moments of life, which ends the suffering and hardship of nine months of pregnancy. In the meantime, paying attention to postpartum complications such as Bleeding after cesarean section It can continue the pleasure of this happiness for mothers.
