Angina

Remains of placental tissue after childbirth symptoms. Causes and treatment of blood clots in the uterus after childbirth

Incomplete expulsion of the placenta is a condition in which, at the final stage of labor, the entire placenta or some part of it remains in the uterus. The final stage of labor is called the third stage, when the placenta is born. Incomplete expulsion of the placenta requires medical care, and it will be provided to you directly in the maternity hospital.
Normally, the third stage of labor is without medical intervention lasts 10-20 minutes, during which you experience contractions and pushing to help the placenta expel. Sometimes this process can take an hour, and if necessary, it can be accelerated with the help of the same stimulants that are used during childbirth. In this case we are talking about stimulation childbirth, and then the placenta is expelled within 5-10 minutes. The use of stimulation at the birth of the placenta prevents the risk of high blood loss in the mother.
If the placenta has not completely come out, you will receive medical attention. Depending on the views of the doctor who delivers the child, and on the course of the birth itself, stimulation will be carried out:

within half an hour after birth
immediately after incomplete delivery of the placenta

Why and how does part of the placenta remain in the uterus?

There are three main reasons:

low uterine tone– meaning that the uterus stops contracting after childbirth or contracts so weakly that the placenta cannot separate from the wall of the uterus
retention (capture) of the placenta– the placenta is completely separated from the wall of the uterus, but does not come out because it is retained by the cervix
placenta accreta– part of the placenta is too tightly attached to the wall of the uterus and cannot detach on its own.

Retained placenta can occur when assisted techniques are used to final stage childbirth, when the placenta is pulled out by the umbilical cord. The midwife gives the injection, waits for the placenta to detach, and places one hand on your stomach, as if holding your uterus, while the other hand pulls on the umbilical cord.
If the placenta is separated, it easily slips out of the vagina. But if it is not completely detached, if the umbilical cord is too weak, or if the midwife tugs too hard on it, the umbilical cord may break, leaving the placenta in the uterus. In these cases, it is recommended to push during contractions. However, sometimes the cervix begins to contract rapidly, thereby preventing the placenta from being delivered.
Sometimes it happens that the placenta has an additional lobe (it is usually connected by a separate vessel to the main placenta), which is not separated and/or is retained in the uterine cavity. This is why the placenta is carefully examined after birth: if the doctor or midwife notices a broken vessel, this will raise suspicions that some portion remains in the uterus.
Sometimes part of the placenta is attached to a fibroid or scar from a previous one.
Sometimes filled bladder interferes with the advancement of the placenta. In this case, the midwife will place a catheter in the bladder to empty it.

What are the consequences of incomplete delivery of the placenta?

Normally, after the birth of the placenta, the uterus begins to contract to close the bleeding blood vessels. But if a portion of the placenta remains inside, complete contraction does not occur and the vessels continue to bleed.
If, despite the use assistive technologies at the final stage of labor, the passage of the placenta lasts longer than half an hour, the risk of acute uterine bleeding. Large blood loss in the first days after childbirth is also sometimes called postpartum hemorrhage.
If fragments of the placenta are not removed from the uterus in time, severe blood loss and infection may occur. This occurs in 1% of births.

How to treat?

If the final stage of labor is delayed, it is recommended to attach the baby to the breast or stimulate the nipples manually, as this causes uterine contractions and rapid expulsion of the placenta. If possible, accept vertical position– the force of gravity can also help.
If you choose medical intervention, you will be given an injection of oxytocin and the midwife will pull the placenta out by the umbilical cord. When this fails, the placenta has to be removed manually. In this case, spinal anesthesia, or general anesthesia is performed.
Before removing the placenta or part of it, the midwife will place a catheter to empty the bladder and intravenous injection antibiotic to prevent infections. After the remaining placenta is manually removed from the uterine cavity, you will be given intravenous medications to shrink the placenta.
If you continue profuse bleeding Within a few days or weeks after giving birth, you will be referred for an ultrasound to check if there are any pieces of placenta remaining in the uterus. If suspicions are confirmed, you will be sent to hospital for surgical removal remnants of the placenta from the uterine cavity. It is performed under anesthesia and is accompanied by the administration of antibiotics.

During my first birth, I had incomplete delivery of the placenta. Is there any way to avoid this a second time?

Unfortunately, if you have already had an incomplete delivery of the placenta, you are at risk of having it again. If the previous case was caused by placenta accreta in a scar from caesarean section or increment, then you have a high chance of repeating the previous scenario, and it is difficult to influence the situation.
Incomplete discharge also occurs more often with, since the mature placenta is more easily separated from the uterine wall. So if you have any more premature birth, the risk of a similar outcome is high.
However, if the previous situation was related to stimulation and the cervix closed too early or the umbilical cord broke, then you may want to discuss with your midwife the possibility of not using assisted techniques in the final stages of labor this time. Perhaps it's better to spend it naturally, since in this case the cervix will not close too quickly, preventing the delivery of the placenta.

Bloody discharge from the genital tract in the postpartum period in women is normal. The amount and nature of discharge after childbirth is carefully monitored by doctors in maternity hospital. This is no coincidence, because it is precisely by these indicators that we can early stage diagnose development postpartum complications. Many women are frightened by blood clots that come out of the uterus during this period. Is this discharge normal, and what to do if you notice clots on the pad after childbirth.

Causes of bleeding

During labor, a woman's uterus is subjected to severe stress. After the fruit and its shell come out, damage remains on the walls. Over time inner fabrics heal, and residual tissue and clots come out along with the blood.

This discharge during the postpartum period is called lochia. Normally, lochia can be secreted for 6–8 weeks after birth, gradually becoming less abundant and saturated. By the end of the second month after the birth of the baby, the lochia should stop; if this does not happen, you need to consult a doctor.

In order to exclude the presence of postpartum complications, specialists maternity hospital carefully control the intensity of discharge. Before the mother and baby are discharged home, the woman should undergo an ultrasound examination. Nowadays, this analysis has become mandatory and in all maternity hospitals in the country, doctors are required to conduct an examination. If you were not given the opportunity to be examined before discharge, be sure to visit antenatal clinic for the purpose of performing an ultrasound.

Nature of bleeding

In the first days after childbirth, bleeding from the uterus is strong, profuse and saturated in color. Clots are the norm these days. They have dark color and slimy consistency, similar to pieces of liver. The discharge is especially intense in the first days after labor. Further, the intensity of the discharge decreases and the lochia become more and more transparent.

Ends birth process, the recovery period begins. The reproductive organ has the amazing ability to grow during pregnancy. Immediately after the baby is born, he weighs 1 kg; by the end of rehabilitation, the weight reaches 50 g. However, successful contraction can be complicated by a number of problems, one of which is the remains of the placenta in the uterus after childbirth. The obstetrician notices a violation during examination.

Stage 3 of labor is marked by the birth of the placenta. If it does not come off completely, you will need medical care, which will be placed directly in maternity ward. According to the norm, the period lasts 15 – 20 minutes. Contractions and pushing help expel. When the procedure is delayed, stimulants are introduced. Their use protects the woman in labor from large blood loss.

Why does the placenta not come out after childbirth?

low uterine tone. The organ contracts weakly or completely immobilizes, separation from the walls does not occur;
completely detaches, but the cervix creates obstacles to final expulsion;
part of the organ has grown too close and cannot come off on its own.

Remnants observed placental tissue after childbirth, when it is removed through the umbilical cord. The obstetrician gives an injection and the placenta is detached. The doctor places one hand on the stomach, the other pulls the umbilical cord. Once the separation has occurred, she comes out easily. Otherwise, part remains inside.

A piece of placenta in the uterus can get stuck due to too hasty action by the obstetrician or weakness of the organ. The doctor pulled thin thread and broke off. For everything to go right away successfully, the obstetrician asks you to push during contractions. The reproductive organ sometimes contracts quickly after the baby is released, preventing the expulsion of the remains.

In some women, retained placenta is explained by a special structure. There is an additional part that is attached to the main one, a separate vessel. It does not come off on its own or, once unstuck, remains inside.

These reasons force the obstetrician to carefully examine the cavity of the reproductive organ. If a vessel break that causes concern is detected, cleaning is carried out. Sometimes a piece of the placenta remains after childbirth, when the afterbirth gets caught in the scar from a previously performed cesarean section and attaches to the fibroma. A full bladder also hinders progress to the exit. The obstetrician inserts a catheter for emptying.

Symptoms and diagnosis

When the time comes to push, the genital organ pushes the baby out with the help of muscle contractions. On this labor activity doesn't end. There is another 3rd stage ahead - the birth of the placenta. If the organ does not come out completely, and the obstetrician did not notice this, subinvolution begins to develop.

The first warning symptom is bleeding. You need to point out the deviation to the doctor. Then, during the examination, the gynecologist will see the looseness of the enlarged reproductive organ. The temperature rises to 37 - 37.5 degrees. It remains like this for the entire time the disease lasts.

What comes out of the uterus after childbirth:

umbilical cord;
placenta;
membranes;
blood clots;
mucus;
different fragments.

They continue to come out for 1.5 months. It's worse if the discharge remains inside. There is a danger of development adverse consequences. A doctor's help is simply necessary in such a situation.

Symptoms of residues:

the temperature rises;
bleeding begins;
inflammation develops;
there is a general deterioration in health.

With such signs, you need to urgently contact the clinic. After the examination, the gynecologist will prescribe an ultrasound examination, during which it will be possible to see whether the placenta remains inside or not. To eliminate the consequences, cleaning is carried out under general anesthesia.

5 – 7 days after the end of labor, blood clots fall out. Then they take on a smearing character and completely disappear. If after 2–3 weeks no changes are observed, blood continues to flow out, a polyp may have formed. When the placenta does not completely come out after childbirth, an ultrasound shows an enlarged uterus. That's why copious discharge should be wary.

It happens that the blood flows out, then 2-3 days of rest occur and the process resumes. Inflammation develops. It is indicated by an unpleasant “aroma”, painful spasms, high temperature, the indicators of which are recorded on the elbow. Endometritis that goes undetected in time will negatively affect reproductive function body. Infertility will begin to develop.

Indications for cleaning

If the placenta remains after childbirth, surgical intervention is performed in the body. It is prescribed through diagnostics, and then the problem is eliminated. Therapy is carried out according to individual characteristics women in labor, stages of development of consequences.

Why do they clean the uterus after childbirth:

free the inside from the remains of the placenta;
remove blood clots;
remove pathological neoplasms;
Histological material is taken for research.

When cleaning:

formation of myomatous nodular formations;
availability placental polyps inside the reproductive organ;
endometritis hyperplasia;
unstoppable blood flow;
suspicion of a low-quality tumor manifestation;
miscarriage;
stopped pregnancy;
complications after abortions.

During curettage, stagnation of secretions from the upper layer of the mucosa is removed. The gynecologist carefully removes the endometrium from the inner walls, cleans the cervix, and rinses the tubes. If any infectious diseases, capable of transferring to the unprotected endometrium, cleaning is postponed.

How is the placenta removed after childbirth? The obstetrician does light massage reproductive organ. Then it grabs abdominal wall, asks the woman to push. This Abuladze method is quite simple and painless. If there are signs of blood stagnation in the uterus after childbirth or it flows out profusely, the doctor uses manual release. The procedure is considered complex and anesthesia is prescribed.

Complications

Is it dangerous when the placenta remains after childbirth? When a baby is put to the breast frequently, oxytocin is produced. It promotes good reduction reproductive organ. If the placenta does not expel completely, small pieces remain, they will come out on their own. Otherwise, inflammation will develop. You'll have to undergo a curettage procedure.

The obstetrician always conducts an examination of the placenta, even if the baby's place was not fully delivered and remains are found a day after birth. Are being checked birth canal, the condition of the cervix is assessed, and the amount of blood loss is determined.

Disruption of the processes of separation of the placenta and discharge of the placenta will require additional actions. When, despite the use of such measures, last stage labor, the organ comes out more than 30 minutes, the danger of opening increases uterine flow blood. When the fragments are not removed in time, the organ may become infected.

Consequences of manual separation:

large blood flow;
the appearance of problems due to inept mechanical intervention;
hemorrhagic shock;
inflammatory process;
sepsis;
fatal outcome.

When the baby's place fails, after childbirth they take it out by hand. Heavy bleeding, incorrect actions can lead to complete removal reproductive organ. If all manipulations are performed in good faith, the woman in labor will quickly recover and will be able to give birth again later.

Where does pain occur after manual cleaning:

in the area of the uterus. It contracts and returns to its original parameters;
in the vagina. During surgery muscle sections stretched out;
in my head. Unpleasant manifestations are associated with the consequences of general anesthesia.

By maintaining hygiene, you can avoid complications by monitoring your health and taking medications in a timely manner. When a woman notices dizziness, increased discharge, or fainting, she needs to contact a gynecologist. It is prohibited to douche or use tampons. You cannot visit the bathhouse or take a bath. You should avoid intimate relationships until recovery is complete.

Rehabilitation

For quick recovery It is important to organize time taking into account work and rest. 8 hours should be allocated to sleep, the same amount to work, and the 3rd part should be devoted to relaxation. Return to sports is allowed a month after surgery, provided that this does not harm the recovery process.

If labor took place with complications, the beginning intimate life It is better to agree with your doctor. Rush to join sexual relations not worth it. Reproductive system women should rest. It is necessary to carefully observe hygiene so that infection does not penetrate into the cavity of the reproductive organ.

If the temperature rises after cleaning, the doctor prescribes anti-inflammatory drugs. They are necessary to stop inflammation that can develop inside. Medicines in this series also relieve painful spasms.

Restore the reproductive organ after cleaning with herbs. Vegetation enriched with phytoestrogens has a beneficial effect on the growth of the epidometrium. Women drink a decoction of boron uterus, red brush. They are very indicated during the rehabilitation period.

When the placenta does not move away on its own after birth, antibiotics are prescribed. Women in labor take them for 5–10 days, 1–2 tablets. The course depends on the prescribed remedy. State female body shows when to start taking it: directly on the day of cleaning, the day before. The goal of medications is to prevent bacteria from entering.

During the rehabilitation period, you should balance your diet. You don’t need to eat anything fatty, spicy, or salty. It is recommended to have breakfast with yogurt, cottage cheese, and eggs. During the day, cereals, soups, low-fat varieties fish. In the evening - vegetables, chicken. During the day, snacks include fruit products. It is useful to introduce yams, corn, and soybeans into the diet. They are rich in phytoestrogens.

When the endometrium of the uterus is completely restored, pregnancy is possible. However, you should not rush to conceive. Rest between births should be observed at intervals of 2 years. Before trying to conceive, it is better to consult a gynecologist.

When a piece of the placenta is left in the uterus after childbirth, curettage becomes the only way to salvation. The procedure is considered traumatic, but necessary. If the gynecologist refers to it, it should not be avoided. Any evasion is fraught unpleasant consequences. After a properly completed recovery period, no complications should appear. Any consequences are unlikely.

Childbirth - complex process for the body. The woman experiences a lot of stress, which can lead to complications. Which uterine discharge is normal and which should you be wary of? What symptoms should cause concern and go to the hospital?

Blood clots in the uterus after childbirth

During pregnancy and childbirth, the uterus is subjected to the greatest test and stress. It is with the help of this organ that the child matures, the process of its birth, after which it pushes out the placenta (the membrane of the fetus, the umbilical cord that connected the baby to the mother and the placenta). But despite the fact that most of the remains (lochia) come out immediately after the birth process is completed, some still remain in the uterus. Therefore, if a clot comes out of the uterus after childbirth, then you should not panic. The remainder of the placenta comes out gradually. The process can take up to six to eight weeks.

The discharge of lochia is similar to clots after childbirth in the uterus. The first days they are quite abundant and have a bright scarlet color. Over time they become lighter. As a result, the lochia are released in an almost transparent color.

Several periods of increased discharge can be noted:

Breastfeeding. At this moment, an active contraction of the muscles of the reproductive organ occurs, which helps cleanse it of unnecessary elements.
When suddenly rising from bed. It is even possible to experience nagging pain.

The release of lochia decreases gradually over several months. The process is most intense in the first week, then gradually becomes less noticeable. As a rule, after two months, the reproductive organ stops secreting clots after birth in the uterus, which indicates that complete cleansing has occurred.

The process of cleansing the uterine cavity may be accompanied by pulling painful sensations, which gradually disappear. The reason for this is contractions of the reproductive organ. The pain will stop when the uterus returns to its original size and shape.

This is normal for a woman. During the period when lochia is especially abundant, the woman in labor is under the supervision of a doctor and medical personnel.

Woman's behavior

The first few days after the long-awaited process of childbirth, the discharge is especially abundant. At this time, you need to carefully monitor hygiene and use special medical pads. After the discharge becomes moderate, you can switch to using regular pads, and then daily ones. Don't forget to change your hygiene products regularly.

Discharge from the maternity hospital

Before sending the woman in labor home, an ultrasound examination is performed. It examines the uterine cavity for the presence of large lochia. If you have not had an ultrasound examination, please contact the clinic at your place of registration or residence. The procedure can protect you from complications.

If any deviations are detected, the statement is postponed to a later date. late date. There should be no clots left in the uterus at all. Otherwise, the woman may be prescribed a procedure such as cleaning after childbirth. If clots are detected in the first two or three days after the long-awaited moment, when the walls of the uterus have not yet contracted, then the procedure for cleansing the reproductive organ will be less unpleasant, because there will be no need to expand the walls.

Scraping after childbirth

The procedure is an operation that is performed in a hospital. Cleaning after childbirth is sometimes easy necessary procedure. During it, the doctor removes all remnants of the placenta that remain in the uterus. This allows you to avoid pain and inflammation in the future. The process itself is performed under anesthesia, so the woman does not feel pain.

Causes of placenta remnant

If clots remain in the uterus after childbirth, then possible reasons this could be:

Low activity of the uterine walls, which leads to ineffective contractions. The cause of the problem is usually a decrease in the level of such female hormone, like prolactin. It is he who contributes uterine contractions and removal of amniotic membranes.
The presence of a bend in the isthmus of the uterus. It could be congenital feature body. During the period of active discharge, blockage of the passage may occur, which will lead to an inflammatory reaction. Availability similar feature established by conducting ultrasound examination. In its absence, the woman herself will be able to recognize the danger by the main symptom of the bend - a sudden stop of discharge.

When should you seek help from a doctor?

If blood clots come out, your doctor will be able to tell you exactly what they are. Even after the doctor confirms that everything is fine and goes home, the woman should pay special attention to their secretions. As soon as any strange symptoms appear, you should not delay your visit to the doctor.

The reasons to contact a gynecologist should be:

If blood clots in the uterus after childbirth are bright scarlet in color and are accompanied by painful sensations.
Very heavy bleeding.
If the discharge continues after two months.
If lochia has an odor and is accompanied by itching.
Increase in body temperature and cessation of lochia secretion.
If there are pauses in the discharge for several days.

Precautions

Compliance simple rules will help avoid complications and pathologies.

Maintain personal hygiene. Wash your genitals several times a day. This helps reduce the risk of an inflammatory reaction.
Refrain from active loads and lifting heavy weights.
Pay close attention to your stool. There should be no delays or constipation.
Lie on your back once or twice a day. This position stimulates the release of lochia.
After childbirth, it is recommended to apply ice to the abdomen. This helps reduce blood loss.

Possible complications

If you find yourself alarming symptoms, then you shouldn’t delay your visit to the gynecologist. Otherwise, this can lead to complications such as:

The development of endometriosis is the process of inflammation of the inner layer of the uterus.
The beginning of subinvolution is the cessation of muscle contractions of the uterus.
Blockage of the uterus, which will lead to an inflammatory reaction.
Development inflammatory process due to increasing infection.

After the examination, the gynecologist sends the woman for an ultrasound examination to determine the exact cause of the pathology, after which, as a rule, he cleanses the uterus. In some situations it is possible to limit drug treatment. In this case, the woman is prescribed antibiotics. When breastfeeding, the doctor selects a drug that can be used during this period. In any case, it is recommended not to neglect precautions. So, it is better to feed the baby before taking the medicine. Give your baby lacto- and bifidobacteria throughout the treatment period. They will help avoid problems with the still unformed intestines.

Conclusion

Thus, clots after childbirth in the uterus and their release are a normal physiological process. Knowing the symptoms of complications and inflammation, a woman should not be afraid.

For every woman, pregnancy and the subsequent birth of her baby is not only the happiest period in life, but also the most responsible. That's why special attention should be paid preventive measures, and also timely treatment complications that have arisen, one of which is a postpartum polyp.

Not to be confused with a neoplasm that occurs during pregnancy. Such a polyp is considered normal occurrence, not threatening the health of the woman and her unborn child. This is a decidual polyp, formed from the tissues of the fetal membranes or placenta. The appearance of decidual formation is considered a natural process during pregnancy, and therefore does not require any treatment.

Symptoms and causes

Placental polyp is a pathological neoplasm that appears from the remnants of the placenta after a miscarriage, abortion or complicated childbirth.

Polyps in the uterus after childbirth

Retained placenta pieces in the uterus with the subsequent formation of a placental polyp can occur for the following reasons:

Abnormal structure of the placenta with an additional number of lobules;
disruption of the process of natural separation of the placental parenchyma from the walls of the uterus.

The presence of placental tissue remaining after childbirth can be determined by the following signs:

Large sizes postpartum uterus;
pulsating bleeding ( bleeding) with blood clots;
contractions and subsequent relaxations of the uterus of a cramping nature.

The appearance of a placental polyp can be prevented using the following preventive measures:

Dopplerography of the uterocircular circulation;
Ultrasound screening.

The need for routine ultrasound screening exists throughout pregnancy. This makes it possible to timely identify separately located areas of the placenta (additional lobules), ring-shaped, membranous placenta and other developmental pathologies.

Having determined possible risks, the specialist will be able to prevent the development of postpartum complications, which includes placental formation.

Preventive measures are also carried out after childbirth. They are as follows:

A thorough examination of the postpartum uterus is carried out. If signs of incomplete release of placental tissue are detected, it is mechanically separated and the placenta is removed.
Immediately after birth, antispasmodic and contractile therapy is used.

Discharge from the uterus of various types, as well as bleeding and spotting that appeared in late postpartum period, should serve as a reason to consult a doctor.

Reasons for education

The placenta is a kind of barrier, as well as an instrument of metabolism between the body of a woman and the fetus. At normal birth placental parenchyma completely leaves the uterine cavity along with amniotic membranes and the umbilical cord. However, in some cases a piece of the placenta remains inside, as a result of which a polyp is formed. Therefore, after the placental tissue is released, the specialist must ensure its integrity, that is, the presence of all lobules.

Part of the placenta may remain inside in the following cases:

The placenta had additional lobules, which remained in the uterine cavity;
unprofessional management of the last trimester of pregnancy and the postpartum period.

Blood clots begin to adhere to the remains of the placental parenchyma, tightly attached to the walls of the uterus, forming a polyp, covered with a crust on top, which is formed from the placental tissue. This happens as a result of a miscarriage, unprofessional abortion, childbirth and caesarean section. Exists many factors, contributing to the development of a polyp, among which the following can be noted:

Frozen pregnancy without specific manifestations;
poorly scraped uterine cavity after an abortion or miscarriage;
incomplete removal of placental parenchyma during cesarean section;
inappropriate management of the postpartum period.

Symptoms

The pathology has a pronounced clinical picture, reminiscent of natural physiological processes, occurring in a woman’s body after miscarriages and artificial termination of pregnancy, as well as in the postpartum period. But at the same time, bleeding is longer in nature - this is exactly what characteristic feature chorionic polyps.

In addition, on presence of polypous formation indicate the following signs:

Paleness of the skin;
fatigue and general weakness;
frequent dizziness and fainting;
increase in temperature;
discomfort or pain in the lumbar region and lower abdomen.

The danger of placental polyp

Placental neoplasm is subject to mandatory treatment. Otherwise it is possible development of the following complications:

Development of anemia against the background of critical blood loss;
blood poisoning - sepsis;
addition of a secondary infection;
inflammation of the uterine mucosa - endometritis;
infertility is possible in the future.
In severe cases - death caused by acute blood poisoning or excessive bleeding.

Bloody discharge that does not stop long time, should serve as a reason to consult a doctor. Only a specialist will be able to accurately determine the nature of the bleeding and, if necessary, prescribe surgery.

Many women who have given birth often encounter other types of polyps that appear after childbirth. In particular, neoplasms such as granulation polyps can be noted.

Granulation polyp of the perineum

In some cases, polyps do not form in the uterine cavity, but on the vaginal mucosa. This special type polyp-like neoplasms - granulations, the formation of which occurs at the site of ruptures.

The appearance of granulation polyps depends mainly on the characteristics of the woman’s tissues. In this case, the suturing technique and type suture material special significance don't have. Polypous growths may appear as a result improper connection of tissues vulva, perineum or vaginal mucosa. This can happen if vacuum extraction is used, during the birth of a large child, numerous ruptures, etc. Other similar neoplasms are often mistaken for granulations - papillomas, condylomas and other structures.

Diagnostic methods

It must be said that timely detection of pathology significantly increases the chance of complete cure. Therefore, every woman is recommended to visit a gynecologist every six months to undergo scheduled inspection. In such cases, the purpose of carrying out diagnostic measures is the identification of pathological neoplasms.

Initial diagnosis consists of the following procedures:

The final diagnosis is made only after histology of removed polyp tissue.

Treatment

The only way to show your high efficiency in the treatment of placental formation, the polyp is removed surgically.

There are several ways to surgically remove a polyp:

Hysteroscopy.
Surgical forceps. The operation is performed if it is not possible to use therapeutic hysteroscopy.
Laser removal.

At the end of the surgical intervention, specialists usually carry out separate curettage uterus The presence of sepsis (infection) is a contraindication to curettage.

The removed polyp-like tissue is sent for histology to exclude trophoblastic disease (chorionepithelioma, hydatidiform mole, chorionic carcinoma).

Laser treatment of polyps

Today, many clinics and medical centers use an innovative method for treating polyps various kinds- laser removal. This method is especially relevant in the case of existing I have contraindications to complete curettage of the uterus.

Removal is carried out by excision of the polyp using a laser. The operation is absolutely safe, easy and painless. It is thanks to these basic criteria that the method is gaining increasing popularity. Simultaneously with surgical intervention Measures are taken aimed at treating anemia (anemia):

Taking vitamin-mineral complexes containing iron;
special diet;
injections of iron-containing drugs;
in severe cases - transfusion of blood components ( red blood cell mass, plasma).

Preventive measures

With a purpose prevention of placental polyps The following measures must be observed:

Postpartum placental polyposis can appear against the background of previous miscarriages and abortions, including criminal ones. It is necessary to understand that any obstetric and gynecological intervention should be carried out only qualified specialists exclusively in a clinical setting.

Home births, which are becoming increasingly popular, can trigger the development of quite serious complications, including uterine polyps. Therefore, there is no need to put the health, much less the life of the mother and baby, at risk.

To prevent the development of complications after eliminating polypous formation, women should adhere to some recommendations specialists, namely the following:

Do not exhaust yourself with physical exercise;
avoid lifting heavy objects;
abstain from sexual intercourse;
exclude visiting the beach, baths, saunas.

Many women are horrified by the mere thought of surgical intervention and they start looking alternative ways treatment of polyps. Ladies turn to traditional healers, trying to find medicines that can save them from the problem that has arisen. However, this is the wrong approach.

Firstly, because the independent choice of medications poses a huge danger to the health and even the life of the patient, and, secondly, to cure a placental neoplasm medications is possible only if it is small in size and there are no complications of the disease. In such a situation, the doctor prescribes anti-inflammatory, hormonal and antibacterial drugs.

And what about the application? folk remedies And won't solve the problem at all. In this way, you can only prevent the development of new polyps or alleviate the symptoms of an existing pathology.

If you suspect the development of placental polyps various shapes You must urgently contact a doctor who will prescribe an appropriate examination and determine the appropriate treatment method for you. You should also not forget about regular medical examinations with a gynecologist.