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How to stop uterine bleeding at home?

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Uterine bleeding after childbirth - this "term" puerperas refers to any spotting from the genital tract after delivery. And many of the women who gave birth begin to panic, not knowing how much bleeding after childbirth should last, what is its intensity and how to distinguish the norm from pathology.

In order to avoid such situations, the obstetrician conducts a conversation with a woman on the eve of discharge from the hospital, explaining all the features of the postpartum period, its duration and appoints an appearance in a antenatal clinic (usually after 10 days).

Causes of Uterine Bleeding

Causes of uterine bleeding are various factors. It also depends on age indicators, since at different periods of life, the factors that trigger the development of bleeding are diverse.

Common causes of uterine bleeding are:

  • Malfunctioning Thyroid - in the presence of hyperthyroidism and hypothyroidism, the likelihood of symptoms of uterine bleeding increases.
  • Hormonal disruption. The most common cause of bleeding in women at a young age and after 40. When the hormones are normal, progesterone and estrogen are in optimal balance, blood loss during menstruation is often negligible. If a violation occurs, uterine bleeding appears.
  • Circulatory system diseases. When platelet count decreases, and also during a blood disease, there is a risk of bleeding.
  • Uterine fibroids. Particularly severe bleeding begins with internal myoma, then the only way out is surgery.
  • Adenomyosis. The disease, in which there is a fusion of the inner and muscle layers of the uterus, menstruation during the disease is painful, long and strong, since the menstrual area grows significantly.
  • Polyps. They are benign formations, often occurring in women of childbearing age. When there are many and large sizes, they need to be removed, since they are the cause of uterine bleeding and pain during menstruation.
  • Ectopic pregnancymiscarriage, premature detachment of the placenta. Similar effects during pregnancy have become quite common. During any bloody discharge during pregnancy, a woman should immediately call a doctor, since bleeding threatens the health of the baby and mother.
  • Malignant tumors genitourinary system. The most serious cause of possible bleeding, regardless of the location of the tumor, during any bleeding, cancer must first be ruled out.
  • Breakthrough uterine bleeding. The reason is directly related to the use of intrauterine contraceptives. In particular, the likelihood of bleeding increases if you take contraceptives and anticoagulants at the same time. There are minor, at the beginning of the use of contraceptives.

In which cases are uterine bleeding considered normal?

  1. Physiological uterine bleeding is considered only menstruation. They last from 3 to 5 days, the interval between the old and new cycles is 21-35 days. Total blood loss in the process reaches 50-80 ml. If above the specified norm, then there is a risk that iron deficiency anemia appears.

Causes of Uterine Bleeding

Where does uterine bleeding come from and what is its cause, let's try to figure it out.

  1. One of the most common causes of uterine bleeding is a variety of gynecological diseases. These are endometriosis, adenomysis, fibroids, cyst ruptures, various uterine injuries, tumors of all kinds and other diseases of the uterus and appendages.
  2. Often, uterine bleeding is associated with the wrong course of pregnancy and childbirth. Blood is released in large quantities during ectopic pregnancy and various fetal pathologies. Uterine bleeding occurs with any injuries during labor, during placenta previa and its detachment, as well as during an incorrectly performed cesarean section. If parts of the fetus or placenta remain in the uterus after an abortion, this can lead to inflammation and bleeding.
  3. Uterine bleeding can also be a consequence of non-gynecological diseases. These include hypertension, atherosclerosis, thyroid dysfunction, diseases associated with blood coagulation. Uterine bleeding can also be caused by prolapse of the urethra.
  4. Some infectious diseases also cause uterine bleeding - measles, sepsis, typhoid fever, and flu.
  5. Inflammatory diseases - vaginitis, endometritis, erosion, cervicitis, endocervicosis can also cause heavy bleeding.

Symptoms of uterine bleeding

It is very important to understand whether the bleeding is normal or pathological. If the volume of secreted blood has increased dramatically and hygiene products simply can not cope - this is a good reason for immediately contacting a doctor. Normally, about 60-80 ml of blood is released during menstruation. If you have to change pads or tampons every one and a half to two hours, then the bleeding is quite plentiful.

If the bleeding lasts more than 6 days, this is also a deviation from the norm. Uterine bleeding after sex, several “periods” per month, bleeding after menopause, as well as thick and viscous discharge can be a symptom of a serious illness.

Side effects may occur due to bleeding in a woman - iron deficiency anemia, decreased hemoglobin, dizziness, fever, shortness of breath, pallor. Often the patient feels overwhelmed and weak, and her appetite is lost.

First aid for uterine bleeding

Uterine bleeding is not a broken knee or runny nose. In this case, self-medication is very dangerous. If you or your loved one has a uterine bleeding, you should immediately consult a doctor. If the patient’s condition does not allow him to go to a medical institution, it is necessary to call an ambulance and provide first aid to the patient.

No way!

  1. With uterine bleeding, you can not put a heating pad or other warming objects on the stomach. This can speed up inflammation.
  2. Do not douche the vagina - this can aggravate bleeding.
  3. You should not take a bath, especially hot. And also, you can not take any medicine without a doctor’s advice.

While the ambulance is on the way, the patient needs to lie down and not make sudden movements. Provide the patient with bed rest and complete rest. Under your feet you need to put a roller or pillow. Put something cold on your lower abdomen, such as ice from a freezer or frozen meat that has previously been wrapped in cloth. This will narrow the blood vessels and reduce bleeding slightly. It is necessary to provide the patient with a plentiful drink, because with blood a person loses a lot of fluid. Tea with sugar will replenish glucose stores in the body, and a rosehip decoction will increase blood coagulation.

Types and treatment of uterine bleeding relative to the age of the patient

  1. Bleeding from the uterus can be in a newborn girl in the first weeks of life. This is absolutely normal and is due to a change in the hormonal background. Such bleeding does not require treatment.
  2. Uterine bleeding can begin before puberty (in the first 10 years of life). Such bleeding is associated with inflammation and swelling of the ovaries, which begin to produce increased amounts of hormones. Often, the girl's parents take this for early puberty, but this is not so. In this case, you should contact a specialist and undergo an examination.
  3. Uterine bleeding that occurs during puberty of a girl (12-15 years old) is called juvenile. But this is not menstruation, but bleeding - you need to be able to distinguish it. The cause of uterine bleeding at this age can be infections, viral diseases, frequent colds, physical activity, improper and unbalanced nutrition, and nervous shocks. To treat such bleeding, it is important to identify the true cause of the imbalance.
  4. The most common uterine bleeding occurs in reproductive age. During puberty women uterine bleeding can be triggered by various causes. Bleeding can open due to infections, as well as due to the use of improperly selected oral contraceptives. Bleeding is a frequent consequence of abortion and miscarriage. During pregnancy, bleeding can open from placenta previa, cystic drift. Bleeding during the birth process is most dangerous, as a woman can lose a lot of blood. In the postpartum period, bleeding may open due to residues in the uterus of pieces of the placenta.
  5. Uterine bleeding can occur during menopause, and this is a fairly common occurrence. Bleeding at a young age can be a consequence of hormonal changes, but sometimes it is a symptom of various tumors, including malignant ones. Therefore, it is very important to consult a doctor on time - oncological diseases are perfectly treated in the early stages of development. This is especially true of the postmenopausal period, when menstruation has completely stopped.

How to stop uterine bleeding with medication

Only a doctor can prescribe medications that can stop bleeding. We describe the main medications that are used for heavy bleeding, and also consider the principles of their action.

  1. Ethamsylate or Dicinon. These drugs have similar exposure principles. This medicine promotes the production of thromboplastin and affects the permeability of blood vessels. This leads to increased blood coagulation and significantly reduces bleeding. The drug is administered intramuscularly.
  2. Aminocaproic acid. This drug prevents the spontaneous dissolution of blood clots, which helps to gradually reduce the intensity of bleeding. To stop uterine bleeding, the medicine can be used under strict medical supervision. Aminocaproic acid is taken orally or intravenously.
  3. Oxytocin. This is a well-known hormonal medicine that is used during childbirth to stimulate uterine muscle contractions. Oxytocin is administered intravenously with glucose, and bleeding stops due to reductions in muscle tone. However, taking this medication should be observed with extreme caution - he has many contraindications.
  4. Vikasol (Vitamin K). A lack of vitamin K leads to poor blood coagulation, so Vikasol is used as a replacement for the lack of this vitamin. But this medicine is difficult to use in emergency measures to stop bleeding, because the effect of taking the drug occurs no earlier than 10 hours. Vikasol is often prescribed for people who are prone to heavy bleeding.
  5. Calcium gluconate. If the body lacks calcium, vascular permeability increases, blood coagulation worsens. Calcium gluconate is not an emergency measure to stop uterine bleeding, but it can be used as a medicine to improve the condition of blood vessels.

Folk recipes for stopping uterine bleeding

Home medicine recipes can be used as an additional measure to stop uterine bleeding. Many medicinal herbs have powerful anti-inflammatory and hemostatic properties. To prepare a decoction, you need to take a few tablespoons of the plant, pour them into a jar, pour cool boiling water and cover tightly.

Grass can be taken fresh or dried. If you are brewing berries or bark, you need to use a thermos to keep the broth longer longer. When the broth is sufficiently infused, it must be filtered and taken several times a day in half a glass. Here is a list of herbs and plants that can help with heavy uterine bleeding.

  • Leaves and stalks of nettle,
  • Viburnum bark,
  • Water pepper
  • Yarrow
  • Horsetail
  • Shepherd’s bag
  • Highlander
  • Rhodiola rosea,
  • Strawberry root root (tincture or liquid extract),
  • Peppermint,
  • Cucumber lashes,
  • Raspberry leaves

With uterine bleeding, it is recommended to drink rowan juice diluted with mint tea. You also need to cook unripe oranges and eat them with the peel. Unripe boiled orange has a pronounced astringent effect, which helps to stop uterine bleeding.

Prevention of uterine bleeding

Uterine bleeding is a serious symptom that you need to respond to immediately. In order not to encounter such a problem as uterine bleeding, you need to visit a gynecologist every six months. Such preventive measures by the doctor will help you detect the disease in its very embryo. After all, as you know, the treatment of any disease at an early stage of its development is most effective.

To improve the hormonal background, you need to improve the quality of your life. Eat right and balanced. Give preference to natural products - more vegetables and fruits, meat, cereals. Avoid fried, fatty, spicy, salty, and sugary foods.

Go in for sports and find any opportunities for physical activity. Avoid various stressful situations or try to treat them easier. Observe the regime of work and rest, do not overload your body.

As a drug prophylaxis after heavy bleeding, the doctor usually prescribes a complex of restorative drugs. It includes anti-inflammatory drugs, hemostatic drugs, vitamins, sedative, as well as long-term treatment with hormones.

Identifying the true cause of uterine bleeding, quick response and proper treatment will save you from this problem forever. Watch your body, and then your female health will respond with gratitude.

How much so-called bleeding lasts after childbirth, i.e. blood discharge

Normally, intense spotting continues no more than 2 - 3 days. This is a natural process and such secretions are called lochia.

As you know, after the birth of the fetus, separation occurs, or, roughly speaking, the separation of the child's place (placenta) from the inner lining of the uterus. In this case, a sufficiently large wound surface is formed, which takes time to heal. Lochia is nothing but a wound secret, which is represented by a detachment from the wound surface.

On the first day after delivery, the lochia consists of blood and pieces of the decidual membrane. Then, as the uterus contracts and returns to its normal “pre-pregnant” size, blood plasma and tissue fluid, as well as particles of the decidual membrane that continue to fall away, mucus with white blood cells join the secretion of the discharge. Therefore, after a couple of days, discharge after childbirth becomes bloody-serous, and then serous. Their color also changes, from bright red to brown, and at the end yellowish.

Along with the color of the secretions, their intensity also changes (decreases). The discharge process ends by 5-6 weeks. If the discharge is delayed, or becomes bloody and more intense, you should consult a doctor.

Uterus and cervical changes

The cervix and the uterus itself also go through a phase of change. In the postpartum period, which lasts on average about 6-8 weeks, that is, up to 42 days, the uterus decreases (contracts) in size, and its “internal wound” heals. In addition, the cervix is ​​formed.

The most pronounced stage of the reverse development or involution of the uterus occurs in the first 14 days after childbirth. By the end of the first postpartum day, the bottom of the uterus is palpated at the site of the navel, and then, subject to its normal contraction, the uterus drops by 2 cm or 1 transverse finger every day.

As the uterine fundus height decreases, other uterine sizes decrease. The uterus becomes flatter and narrower across. By about 10 days after delivery, the bottom of the uterus falls outside the pubic bones and is no longer felt through the anterior abdominal wall. When conducting a gynecological examination, you can determine the uterus with a size of 9 to 10 weeks of pregnancy.

In parallel, the cervix is ​​formed. The cervical canal is gradually narrowing. After 3 days, he passes for 1 finger. First, the internal pharynx closes, and then the external pharynx. Completely internal pharynx closes by day 10, while the external pharynx by 16-20 days.

Types of pathological uterine bleeding

Specialists divide these bleeding into a large number of varieties.

But there are those that are more common than others:

  • Characteristic for acyclic that it occurs in the midst of menstrual cycles. It is caused by symptoms such as fibroids, cysts, uterine endometriosis and other pathologies. If it happens all the time, you should consult your doctor.
  • Juvenile bleeding. Characteristic at the beginning of puberty.They are caused by a number of circumstances, for example, constant diseases, high physical load, inadequate diet. Depending on the blood loss, they lead to anemia of varying severity.
  • Profuse uterine bleeding quite dangerous when pain is associated with it. In such a situation, the amount of blood loss varies. The reasons may be abortion, and vaginal infections, and the use of hormonal drugs.
  • Anovulatory bleeding characteristic of women who have menopause and adolescents who are puberty. It is due to the fact that follicular maturation and progesterone production are impaired when ovulation is absent. If not treated, it provokes the occurrence of malignant neoplasms.
  • Dysfunctional uterine bleeding occurs with a malfunction of the ovaries. It differs in that it appears when the menstrual cycle has been absent for a long period, and the blood loss is quite strong.
  • Hypotonic bleeding occurs due to a weak tone of the myometrium, after an abortion. It often happens after childbirth.
  • Sometimes women may observe bleeding uterine clots. Specialists characterize their occurrence by the fact that the uterus undergoes certain abnormalities during intrauterine development. Because the blood stagnates inside, forming clots.

What is called postpartum hemorrhage

Postpartum hemorrhages include intense blood loss of up to 0.5% or more of the puerperal body weight and are directly related to childbirth.

  • If bleeding after childbirth occurs after 2 hours or more (in the next 42 days), it is called late.
  • If intense blood loss is recorded immediately after birth or within two hours, it is called early.

Postpartum hemorrhage is considered a formidable obstetric complication, and can lead to the death of the puerpera.

The severity of bleeding is determined by the volume of blood loss. In a healthy woman in labor, the estimated volume of blood loss in childbirth does not exceed 0.5% of body weight, while with gestosis, anemia, or coagulopathy, it decreases to 0.3%. If in the early postpartum period a woman lost more blood than calculated, then they speak of early postpartum hemorrhage, which requires immediate action, sometimes right up to surgery.

What is the risk of uterine bleeding?

Uterine bleeding is characterized by the ability to increase and not stop for a long period of time and they are difficult to stop.

Therefore, depending on the type of bleeding, it is dangerous with the following complications:

  • Moderate but persistent blood loss can cause anemia of varying severity. Occurs if the loss content reaches 80 ml. In this condition, there is no direct threat to health, but it is worth paying attention to it.
  • Severe blood loss caused by a one-time heavy bleeding, which is difficult to stop. In the vast majority of cases, surgery is needed to replenish blood and remove the uterus.
  • The danger of subsequent development of the disease. It refers to small blood losses that are not emphasized. At the same time, insignificant blood loss leads to profuse bleeding, or to the fact that the ailment that provoked it will go into a severe stage.
  • Uterine bleeding during pregnancy or for women who are in the postpartum period, it is quite dangerous and consists in the fact that there is a high risk of transformation into a shock state. The intensity and severity of this condition is due to the fact that the uterus cannot adequately contract and stop the bleeding itself.

First aid for bleeding

Emergency care for bleeding is to immediately call an ambulance. In particular, this is important when a woman is pregnant, her blood loss is strong, her condition worsens significantly. In such a situation, any minute is important. When there is no opportunity to call a doctor, you should bring the patient to the hospital on your own.

It is forbidden to apply a hot or warm heating pad to the abdomen during dysfunctional bleeding, do douching, take bath procedures, or use drugs that help to reduce the uterus.

On their own, at home before the arrival of doctors, a woman should carry out the following manipulations:

  1. Woman should be put to bed, on the back, feet should be elevated. For these purposes, lay a pillow or roller. This way you can maintain consciousness, in particular, if the loss of blood is significant.
  2. Something cold needs to be put on your stomach. When there is no heating pad nearby, ice turns into an ordinary rag.
    Cold lasts approximately 15-20 minutes, after - an interval of 5 minutes. Thus, it is possible to achieve that the vessels narrow and, therefore, bleeding will decrease.
  3. The patient should be given a drink. Since it is problematic to install a dropper at home, you should give her more fluid. For this purpose, ordinary water and sweet tea are suitable. This favors the release of fluid together with blood.

Atony or uterine hypotension

This is one of the leading factors that contributes to bleeding. Uterine hypotension is its condition in which both its tone and contractility are reduced. With atony of the uterus, tone and contractile activity are sharply reduced or completely absent, and the uterus is in a "paralyzed" state. Atony, fortunately, is extremely rare, but dangerous by massive bleeding that is not amenable to conservative treatment. Bleeding associated with impaired uterine tone develops in the early postpartum period. One of the following factors contributes to the reduction and loss of uterine tone:

  • excessive uterine overstretching, which is observed with polyhydramnios, multiple pregnancy or a large fetus,
  • severe fatigue of muscle fibers, which is facilitated by prolonged labor, irrational use of shortening, rapid or fast childbirth,
  • loss of myometrium ability to normally contract with its cicatricial, inflammatory or degenerative changes.

The following factors predispose to the development of hypo- or atony:

  • young age
  • pathological conditions of the uterus:
    • myomatous nodes
    • malformations
    • postoperative nodes on the uterus,
    • structural and dystrophic changes (inflammation, a large number of births),
    • overstretching of the uterus during gestation (polyhydramnios, multiple pregnancy)
  • pregnancy complications
  • anomalies of patrimonial forces,
  • placental abnormalities (presentation or detachment),
  • gestosis, chronic extragenital diseases,
  • DIC-syndrome of any origin (hemorrhagic shock, anaphylactic shock, amniotic fluid embolism.

Placental abnormalities

After a period of expulsion of the fetus, a third or subsequent period of labor occurs, during which the placenta is separated from the uterine wall and secreted out. As soon as the placenta is born, the early postpartum period begins (recall that it lasts 2 hours). This period most requires attention, both of the postpartum woman and the nursing staff. After the birth of the placenta, it is examined for integrity, if any lobule remains in the uterus, it can provoke a massive loss of blood, as a rule, such bleeding begins a month after the birth, against the background of the woman’s full health.

What I want to note. Unfortunately, such bleeding, which suddenly begins a month later or more after childbirth, is not uncommon. Of course, the doctor who took birth was to blame. I looked that there was not enough lobule on the placenta, but maybe it was an additional lobule (separately from the placenta), and did not take appropriate measures (manual control of the uterine cavity). But, as obstetricians say: "There is no placenta that cannot be folded." That is, the absence of a lobule, especially an additional one, is easily overlooked, and the doctor is a person, not an X-ray. In good maternity hospitals, at discharge, the mother gives an obligatory ultrasound of the uterus, but, as it is not sad, not all ultrasound machines are available. But bleeding sooner or later in this patient would still begin, only in a similar situation he was “spurred” by severe stress.

Birth injury

Far from the last role in the occurrence of postpartum hemorrhage (usually in the first 2 hours) is obstetric injuries. If there is abundant blood discharge from the genital tract, the obstetrician should, first of all, exclude damage to the birth canal. The broken integrity can be at:

Sometimes cervical ruptures are so long (3-4 degrees) that they go to the vaginal vaults and the lower segment of the uterus. Ruptures can occur both spontaneously, during the expulsion of the fetus (for example, rapid delivery), and due to medical procedures used to remove the fetus (the application of obstetric forceps, vacuum escoleator).

After a caesarean section, bleeding may be due to a violation of the suturing technique (for example, a missed, unreheated vessel and divergence of sutures on the uterus). In addition, in the postoperative period, it can be provoked by the appointment of antiplatelet agents (blood thinners) and anticoagulants (reduce its coagulability).

Predisposing factors contribute to uterine rupture:

  • scars on the uterus after previous surgical interventions,
  • curettage and abortion,
  • the use of intrauterine contraceptives,
  • obstetric manipulations (external rotation of the fetus or intrauterine rotation),
  • birth stimulation,
  • narrow basin.

Blood diseases

Various blood diseases associated with a violation of its coagulability should also be considered as a factor in possible bleeding. These include:

  • hemophilia,
  • von Willebrand disease
  • hypofibrinogenemia and others.

The development of bleeding in liver diseases is also not ruled out (as you know, many coagulation factors are synthesized in it).

Clinical picture

Early postpartum hemorrhage, as already noted, is associated with a violation of the tone and contractility of the uterus, so the woman remains under the supervision of medical staff in the delivery room 2 hours after delivery. Every woman who has just become a mother should remember that at these 2 hours she should not sleep. Severe bleeding can open suddenly, and it is likely that there will be no doctor or midwife near the puerperal. Hypo- and atonic bleeding can occur in two ways:

  • Bleeding immediately becomes massive, "pouring like a faucet." The uterus is very relaxed and flabby, its borders are not defined. There is no effect from external massage, manual control of the uterus and contractions. In view of the high risk of complications (DIC and hemorrhagic shock), the postpartum woman is immediately operated on.
  • Bleeding is wave-like. The uterus sometimes relaxes, then contracts, so the blood is released in portions of 150 - 300 ml. The positive effect of contractions and external massage of the uterus. But at a certain point, the bleeding intensifies, and the woman's condition deteriorates sharply, the above complications join.

But how to determine the pathology if the woman is already at home? First of all, it is worth remembering that the total volume of lochia for the entire recovery period (6 - 8 weeks) is 0.5 - 1.5 liters. Any deviations indicate pathology and require immediate medical attention:

Profuse blood discharge

The appearance of such secretions, especially after the lochia has become grayish or yellow, should alert the woman. Bleeding can be simultaneous, or repeated periodically, blood clots may or may not be present in the discharge. Blood itself can change color - from bright scarlet to dark. Mom’s general condition also suffers. Her pulse and breathing become quicker, weakness and dizziness appear, a woman can constantly freeze. Similar signs indicate the remnants of the placenta in the uterus.

Intense bleeding

If bleeding has begun, and is massive enough, you must urgently call an ambulance. It is not difficult for a young mother to determine the intensity of bleeding on her own - a change of several pads in an hour is required. You should not go to the doctor in such a condition yourself, since there is a high risk of losing consciousness on the street.

Termination of selections

Such an option as the sudden disappearance of secretions is not excluded, which is also not the norm and requires the provision of medical care.

Bleeding after childbirth lasts (normal) for no more than 7 days and is similar to heavy menstruation. If the period of spotting has been delayed, this should alert the young mother.

After the birth of the placenta, a series of measures are taken to prevent the occurrence of early postpartum hemorrhage:

The postpartum woman remains in the delivery room

The presence of a woman in the delivery room in the next 2 hours after delivery is necessary for emergency measures in case of possible bleeding. During this period of time, a woman is monitored by a medical staff who assesses blood pressure and pulse, skin color, and the amount of blood secreted. As already indicated, the allowable blood loss during childbirth should not exceed 0.5% of the woman's weight (on average up to 400 ml). Otherwise, blood loss is regarded as early postpartum hemorrhage, and measures are taken to stop it.

Inspection of the afterbirth

After the birth of a child’s place, the obstetrician, together with the midwife, inspect it and decide on the integrity of the placenta, the presence / absence of additional lobules, their separation and delay in the uterine cavity. In case of doubt on the integrity of the placenta, a manual examination of the uterus (under anesthesia) is performed. During the examination of the uterus, the doctor produces:

  • excludes uterine injury (rupture),
  • removes the remains of the placenta, membranes and blood clots,
  • conducts manual (with caution) massage of the uterus on the fist.

Inspection of the birth canal

In the recent past, examination of the birth canal after childbirth was carried out only in primiparous women. At the moment, this manipulation is performed for all puerperas, regardless of the number of births. During the inspection, the integrity of the cervix and vagina, soft tissue of the perineum and clitoris is established. If gaps are detected, they are sutured (under local anesthesia).

Measures for the development of early postpartum hemorrhage

In the case of increased bleeding in the first 2 hours after delivery (500 ml or more), doctors carry out the following activities:

  • Bladder emptying (if this has not been done before).
  • The introduction of uterotonics intravenously at an increased dosage.
  • Cold on the lower abdomen.
  • External massage of the uterus

Having set a hand on the bottom of the uterus, gently squeeze and unclench it until the uterus contracts completely. The procedure for a woman is not very pleasant, but quite bearable.

It is carried out, as indicated above, under general anesthesia. A hand is inserted into the uterus and, after examining its walls, the hand is clenched into a fist. With the other hand, massage the uterus from the outside.

  • Tamponade of the posterior vaginal fornix

A swab soaked in ether is inserted into the posterior vaginal vault, which causes a reflex contraction of the uterus.

If all of the above measures did not have a positive effect, and the bleeding intensified and reached 1 liter or more, the question of surgical intervention is resolved. At the same time, intravenous administration of solutions, blood and plasma preparations is carried out to replenish blood loss. Of the operations applied:

  • amputation or hysterectomy (depending on the situation),
  • ligation of the uterine arteries,
  • ligation of the arteries of the ovaries,
  • Iliac artery ligation.

Stopping late postpartum hemorrhage

Later postpartum hemorrhage, as already indicated, occurs due to the delay of parts of the placenta and membranes, less often blood clots in the uterine cavity. The assistance scheme is as follows:

  • immediate hospitalization of a woman in the gynecology department,
  • preparation for curettage of the uterine cavity (carrying out infusion therapy, the introduction of contractions),
  • performing emptying (curettage) of the uterine cavity and removal of the remains of the ovum and clots (under general anesthesia),
  • ice pack for 2 hours on the lower abdomen,
  • further infusion therapy, if necessary blood transfusion,
  • prescribing antibiotics
  • the appointment of uterotonics, iron preparations and vitamins.

Baby Feeding On Demand

Frequent attachment of the baby to the chest not only establishes and strengthens the physical and psychological contact between the mother and the baby. Irritation of the nipples causes the release of exogenous (intrinsic) oxytocin, which stimulates the contraction of the uterus, and also enhances the secretion (emptying of the uterus).

What are the features of stopping uterine bleeding?

The uterus is a completely unique organ, from which bleeding is of a specific nature. The spiral arteries supplying the uterus are almost completely devoid of the muscle layer, and therefore are not able to contract on their own. Instead of the muscle layer, the lumen of the arteries is pinched by the thick muscle layer of the uterus itself. Therefore, if the uterus is flabby and atonic for some reason, then bleeding cannot be stopped without contractions.

Endometrial arteries

The main source of bleeding in the uterus is its internal mucosa - the endometrium. Этот слой, отторгаясь каждый менструальный цикл, после беременности и родов, оголяет спиральные артерии и заставляет их кровоточить.The pathology of the endometrium itself or the hormonal background that supports it can cause extremely heavy bleeding, the stop of which can not do without hormonal drugs.

The structure of the female reproductive system. Click on photo to enlarge

A large role in the occurrence of uterine bleeding is played by various inflammatory processes of the female genital organs. The inflammatory process triggers special mechanisms that reduce blood coagulation and prevent uterine contractility.

Below we will try to highlight several blocks, in each of which we will talk about a possible cause of the problem and how to stop a specific type of uterine bleeding.

How to stop bleeding?

When the ambulance arrives, its actions are as follows:

  1. In the abdomen, you need to lay a bubble, which contains ice.
  2. When heavy bleeding begins, the woman should be brought to the car on a stretcher.
  3. Hospitalize the patient with subsequent transfer to the doctor.
  4. The introduction of a solution of magnesium sulfate, if there is a risk of miscarriage. If a miscarriage occurs, calcium chloride and ascorbic acid, which is diluted on glucose, are introduced into the woman’s body.

Experts in clinical settings recommend hormonal drugs for uterine bleeding in order to stop it, in a similar case when a woman had no pregnancy and there is no suspicion of oncology.

Hormonal drugs are Zhannin, Regulon, etc. On the first day an increased dose is given, then one tablet less, reaching 1 pc. There are cases when gestogens are used, but they are used only if there is no severe anemia.

Sometimes drugs that stop the blood are used, for example, Dicinon, Vikasol, Ascorutin, Aminocaproic acid.

There are situations when a surgical operation is necessary, for example, curettage of the uterus (a fairly effective way to stop bleeding), cryodestruction (a method where there are no warnings), laser removal of the endometrium (used in women who do not plan further pregnancy).

Heavy menstruation

In the life of every woman, a month happens in which menstrual bleeding is more profuse and longer than usual. The reason for this may be stress, hypothermia, colds, taking certain medications, a sharp change in time and temperature zones.

In medicine, profuse menstruation is called menometrorrhagia - the most common variant of uterine bleeding. This phenomenon is characterized by an increase in the duration of menstruation over 7 days and a loss of blood of more than 200 ml, however, the latter criterion is quite biased. More often, gynecologists use a more primitive criterion - the number of full pads per day. Five or more full pads used per day may indicate menometrorrhagia.

How to stop heavy menstruation?

Menometerorrhagia can be stopped at home, however, such attempts without the supervision of a doctor are extremely undesirable and should not last more than 5 days. We list the main methods of how to stop uterine bleeding at home:

  1. Complete rejection of sexual activity.
  2. Abstinence from a warm bath and any warming procedures such as heating pads on the lower abdomen or lower back.
  3. The “lying on your stomach” position can slightly reduce bleeding, since in this position the uterus contracts slightly better.
  4. The following medications are a good choice for “home” bleeding stop - etamsylate or dicinone, water pepper extract, decoction of nettle and shepherd’s bag. The duration of their intake should not exceed 4-5 days. If it is clear that the blood flow does not stop, you should immediately consult a gynecologist to correct the treatment.

Disorders while taking hormonal drugs

This is also a fairly common cause of uterine bleeding, because modern women use this or that hormonal drug more often. The reason for such dishormonal disorders can be the stage of "getting used to" the drug, an improperly selected drug, its incorrect intake by the patient, or unauthorized withdrawal. Bleeding of this kind can be either profuse - with scarlet blood, or prolonged - brown and spotting.

What to do with "hormonal" bleeding?

The basic principle for stopping such bleeding is an attempt to take a “double” dose of the usual drug for 2-3 days. For example, a patient developed bleeding while taking a combined oral contraceptive. You can try to take not one, but two tablets from a pack at intervals of an hour or two, that is, a regular and the next numbering tablet from a pack.

If the blood flow has not stopped, then the "double" dose should immediately be returned to the usual one, and the pack of tablets should be finished in the usual way - that is, up to 21 or 28 days. To do this, the missing tablets must be taken from the next pack. Further, the contraceptive should be canceled or continued according to the usual scheme - it is important to understand that there is a high probability of repeated menstrual bleeding in the usual mode of taking contraceptive pills. Such actions are permissible for no more than 3 days, otherwise it is dangerous to take an increased dose of hormones.

Uterine bleeding with an intrauterine device

The intrauterine system, or contraceptive, the IUD or IUD, called “spiral” by patients, is the second most popular contraceptive that is located in the uterine cavity and prevents the implantation of a fertilized egg.

Intrauterine system

How to help with bleeding on the background of the IUD?

The most common side effect of such a contraceptive is more abundant menstruation, this phenomenon is reflected in the official instructions for the tool. However, sometimes this side effect exceeds acceptable expectations.

  • As an option of "getting used" to the IUD during the first 2-3 months after administration, this option can be considered conditionally normal. The treatment in this case is symptomatic - its scheme is similar to that for heavy periods.
  • However, with systematic bleeding, it is important to find out if the system is correctly entered. This is easily done using ultrasound examination of the pelvic organs. If the IUD is improperly located in the uterus, pain and abnormal uterine bleeding may appear. In this case, the “spiral” must be removed.

Uterine bleeding due to inflammatory diseases

Various kinds of inflammatory processes of the female genital area - adnexitis, salpingoophoritis, endometritis, cervicitis - are often accompanied by various kinds and profusion of blood flow. They can complicate both the acute process and the exacerbation of the chronic.

Such bleeding can be profuse or spotting, often accompanied by pain in the lower abdomen and lower back, an unpleasant smell of vaginal discharge and menstrual blood, fever, inflammatory changes in the general analysis of blood.

Adnexitis

How to stop bleeding against the background of the inflammatory process?

  • First of all, you need to contact a gynecologist, who will conduct an examination and establish the fact of the inflammatory process.
  • In this case, the first-line remedy will be precisely antibacterial and anti-inflammatory drugs that will suppress the root cause of the problem. The doctor will advise specific drugs and the mode of admission, taking into account the clinic, complaints and medical history of the patient.
  • Considering the influence of inflammatory factors and anti-inflammatory drugs themselves on the blood coagulation system, it would be useful to add to the treatment regimen drugs that affect the blood coagulation system - etamsylate and its analogues, tranexam, aminocaproic acid.
  • It is important to understand that with purulent processes (especially endometritis - inflammation of the uterine cavity) it is almost impossible to do without surgical procedures. Such interventions are necessary to empty the purulent foci and remove the inflamed endometrium, preventing the uterus from contracting. Gynecological manipulations are carried out in a hospital, under general anesthesia, and they take relatively little time.
  • At the recovery stage, physiotherapeutic procedures have a good effect - magnetotherapy, electrophoresis, ultrasound.

Blood flow on the background of gynecological diseases

This section will focus on non-inflammatory diseases of the female genital area. These include pathological conditions of the uterine cavity and endometrium: endometrial hyperplasia, endometrial polyps, intracavitary myomatous nodes, as well as other conditions of the uterus and cervix: uterine fibroids, endometriosis, cervical polyps. These diseases can manifest as profuse menstruation, and intermenstrual bleeding from the genital tract.

Varieties of uterine fibroids

How to stop this variant of uterine bleeding?

  1. It is important to understand the basic truth in this case - as long as there is a root cause, uterine bleeding is only a symptom. That is why the treatment at this stage is symptomatic, that is, temporary. All available methods can be used - herbal preparations (water pepper, nettle, shepherd’s bag), etamsylate and its analogues, tranexam, uterus-contaminating agents like oxytocin or methylergometrine.
  2. In some cases, hormonal drugs are extremely effective - combined oral contraceptives (COCs), pure estrogens, progesterone preparations (duphaston, norkolut). A specific tool and the cycle of its administration can only be recommended by a doctor after examination and questioning of the patient, as well as the results of ultrasound examinations and hormonal panels.
  3. The most effective and radical treatment will be a specific cure for the primary disease - hormone therapy, surgical treatment - manipulation - curettage of the uterine cavity, hysteroscopy or gynecological surgery - removal of nodes, coagulation of foci of endometriosis and so on.

Disorders after abortion

This section will focus on abortion in the early stages up to 12 weeks - both natural (miscarriage) and artificial (abortion, vacuum aspiration, medical abortion). Normally, after such abortions, uterine bleeding is present - the uterine cavity is freed from overgrown "pregnant" endometrium, blood clots, and residues of fetal tissues. Usually this condition resembles the most profuse menstruation in duration and blood loss. If spotting after the procedure takes on a different character, this indicates the presence of pathology of the postabortion period.

Endometrial structure

How to stop uterine bleeding after abortion?

  • The main principle of stopping is to maximize the stimulation of uterine muscle contraction - so the uterus is more likely to contract, close the lumen of the arteries and empty the cavity from the remains of pregnancy. For this, a special group of means is used - uterotonics. Their simplest representative is water pepper extract. Hormone-like substances, such as oxytocin, desaminooxytocin, and methylergometrine, are more complex drugs that are sold only by prescription.
  • Attempts to stop such bleeding should not take more than 5 days, as this is fraught with severe loss of blood, the accumulation of blood clots in the uterine cavity and inflammation of the uterine cavity.
  • In the absence of the effect of shortening therapy, it is necessary to do an ultrasound of the pelvic organs and evaluate the condition of the uterine cavity. If there are residues of fetal tissues, placental polyps, blood clots in the cavity - they must be removed surgically - without this, the uterus will not be able to contract.

Obstetric or postpartum hemorrhage

Postpartum hemorrhage is one of the most dangerous complications in medicine. The most life-threatening are early postpartum hemorrhages - they develop within two hours after the birth of a child amid a decrease in contractility of the uterus or placental residues in the uterine cavity. Doctors of maternity hospitals are struggling with such problems.

After discharge from the maternity hospital according to the classical version, postpartum spotting - lochia - lasts about 42 days, decreasing every day. If at this stage something goes wrong, then the lochia acquire an abundant character, a bright scarlet color, clots or an unpleasant smell appear in their composition. Such postpartum uterine bleeding occurs for two reasons: infectious complications and delayed uterine contractility, which are closely interconnected and pass into each other.

How to stop postpartum hemorrhage?

  • An independent stop at home is possible with gentle bleeding, without clots, fever and unpleasant odor. Otherwise, a doctor’s consultation and a special study are necessary.
  • The basis for stopping bleeding is the contraction of the uterus, as after an abortion. It is important to know that it is in the postpartum period that nature itself comes to the aid of the woman - after all, when the baby is applied to the breast and the act of sucking, the very oxytocin is produced, which reduces the uterus. Therefore, frequent application and breastfeeding on demand is the key to the successful course of the postpartum period.
  • According to the doctor's prescription, you can use uterotonics, herbal preparations, physiotherapy.
  • With the ineffectiveness of conservative treatment, curettage of the uterine cavity is indicated to stimulate its contractility and cleanse the cavity.

Medicines

It will be advisable to start medical treatment, in combination with the usual and harmless means:

  • Vitamin C. Ascorbic acid exerts an excellent effect on blood vessels, guaranteeing a stop of bleeding in any place. However, this tool can only be used with the right dosage: you need to use quite impressive doses - at least 1 gram of the drug per day.
  • Vikasol. A medication that should be used 1 tablet 3 times a day helps to stop uterine bleeding with vitamin K, which has an excellent effect on blood coagulation.
  • Dicinon. Effectively stops bleeding, the drug has a good effect on the vascular and coagulation system while taking 3-4 tablets per day.

In many cases, the integrated use of alternative recipes and medications helps to reduce the abundance of blood loss or completely stop uterine bleeding.

Folk remedies

As a folk remedy for the treatment of uterine bleeding, use decoctions and extracts of yarrow, water pepper, shepherd's purse, nettle, raspberry leaves and other plants.

The most famous recipes:

  • Yarrow herb is infused like this: 2 hoursteaspoons of dried grass are poured into a glass of boiled water, infused for 1 hour and filtered. Use 4 times a day, a quarter cup before eating.
  • The grass of the shepherd’s bag is infused so: 1 tbsp. a spoonful of dried grass is poured into a glass of boiled water, infused for 1 hour, wrapped in advance, then filtered. Use 1 tbsp. spoon, 3-4 times a day before meals.
  • Stinging nettle infused like this: 1 tbsp. a spoonful of dried leaves is poured into a glass of boiled water (10 minutes over low heat), then allowed to cool and strain. Use 1 tbsp. spoon 4-5 times a day.

The use of alternative recipes is allowed only after learning the recommendations of a specialist, since uterine bleeding is considered a symptom of various diseases, often quite dangerous. Therefore, it is important enough to identify the source of this condition, and begin therapy as soon as possible.

What should not be done when bleeding occurs?

Uterine bleeding is a dangerous signal about malfunctions in the female body. And you should respond appropriately to it. First you need to wait for an ambulance or find out the recommendations of a specialist.

Only a specialist can properly assess the condition, since there are a huge number of factors that can provoke uterine bleeding and only clinical practice makes it possible to fully consider the problem.

Forbidden during bleeding:

  • Apply a warm heating pad to your body
  • Douching,
  • Bathe in a warm bath
  • Use medications that reduce the uterus, without the recommendation of a specialist.

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