15.04.2010, 01:30

Tell me a good clinic where cleaning is done well and quickly, the baby does not want to lie on the breast. After the cesarean, clots remained, they threaten with curettage.

15.04.2010, 09:43

contact the hospital where you gave birth. I was cleaned there with a vacuum. the whole procedure took 10 minutes and did not hurt at all. truth then 2 hours with ice ado lie on your stomach

15.04.2010, 10:33

squirrel mom

15.04.2010, 10:35

call the insurance company and tell them that the maternity hospital refuses to admit you ...: 015:
30 days from the date of discharge must take: ded :: ded :: ded:

Johnny English

15.04.2010, 10:38

it's strange that they were discharged from the RD in such a state ... they would also have to write a complaint about them))) What did you do with ultrasound after giving birth? and discharged?

I think now, if RD scandals, you need to go to your LCD and ask uni what to do. Perhaps they will give direction exactly there ...

15.04.2010, 10:42

15.04.2010, 10:43

And often mothers come with children.

15.04.2010, 12:56

unfortunately they refuse, for 20 days they are no longer with them, although I have addressed before and the problem was initially.

They can refuse only if you were not discharged as expected on time, and you left the RD on receipt. In this case, they are not responsible for you.

15.04.2010, 13:56

Same problem ((((
Only comm. clinics do not accept ... I called primrose, they do not take.
In the evening I will call the doctor if I unsubscribe.

10-11000 in baltmed, under general, + preliminary consultation

15.04.2010, 16:38

why immediately cleaning ????

15.04.2010, 17:12

15.04.2010, 17:43

Was in the w / k. My doctor also "washes his hands." Yes, he says, there are maternity hospitals that take them back within a month, but the maternity hospital probably does not take 17.
As they say, we will wait for bleeding. Tomorrow mom is going to the manager, if they don’t take it back, we will complain to the insurance company and everywhere ...
So far, I'm trying treatment - oxytocin, pepper, analgin-quinine. Let's see. After a week on ultrasound, while the stomach does not bother, there is no temperature, but it's like a time bomb.

15.04.2010, 17:46

Do not forget to take No-shpu, otherwise everything else will be useless, because the neck has already closed. Noshpa will relax the muscles so that the clots come out safely.
At least my gynecologist advised me so.
+1

15.04.2010, 17:57

Virgin, can osteopathy help? .....

15.04.2010, 18:07

when there is blood, it is already better than when there is no discharge and the ultrasound cavity is expanded ((((

15.04.2010, 18:08

Was in the w / k. My doctor also "washes his hands." Yes, he says, there are maternity hospitals that take them back within a month, but the maternity hospital probably does not take 17.
As they say, we will wait for bleeding. Tomorrow mom is going to the manager, if they don’t take it back, we will complain to the insurance company and everywhere ...
So far, I'm trying treatment - oxytocin, pepper, analgin-quinine. Let's see. After a week on ultrasound, while the stomach does not bother, there is no temperature, but it's like a time bomb.

I just didn’t understand who appointed you all this in the end? Doctor in the LCD?
And who refused the RD? Who operated on? And it turns out somehow in the spirit of "one woman told me";)

15.04.2010, 18:57

Do not forget to take No-shpu, otherwise everything else will be useless, because the neck has already closed. Noshpa will relax the muscles so that the clots come out safely.
At least my gynecologist advised me so.

But-shpa is required. without her, the process did not move.
and first no-shpa, after 20 minutes. drops of pepper (3 times a day), after drops it is better to breastfeed immediately, enhances the contraction of the uterus.

Johnny English

15.04.2010, 21:26

why immediately cleaning ????
I also contracted badly. oxytocin in RD intramuscularly. my friend in the ward was also injected with something intravenously. and was discharged home with clots on the 4th day. then at home they prescribed a course of candles + drops. water pepper sweat and no-shpa. and in the RD every week for a month I went to the ultrasound and the results of the head. The software showed it. slowly, slowly, but still decreased !!! if these are clots, and not the remnants of the placenta, then you can try with medications, it does not harm GW.

15.04.2010, 21:40

Bad doctors mean. They had no right to write out with clots ... they should have done at least a manual cleaning .... chtoli joke (((((
I also contracted poorly .. there were no clots, but they were discharged only on day 6 ((and my friend was lying with clots, so they cleaned her up for 5 days by hand and sent her home, making sure that everything was gone .. having done an ultrasound (( (so draw conclusions ((

I also made conclusions !!! I am glad that we didn’t get inside the room with our hands! they gave me an injection and, seeing that the fundus of the uterus was cleared, the clots began to come out, they were discharged home, prescribing a course of treatment and a visit after a week and an ultrasound scan. organisms are different. for the majority it clears in 4-5 days, and for me it is almost a month. but there were no interventions! for which I am unspeakably happy, and I am grateful to the doctor (head of the department).

Mom Buttons

15.04.2010, 23:31

within a month are obliged to take

1: flower: Good luck!: Flower:

16.04.2010, 08:01

Bad doctors mean. They had no right to write out with clots ... they should have done at least a manual cleaning .... chtoli joke (((((
I also contracted poorly .. there were no clots, but they were discharged only on day 6 ((and my friend was lying with clots, so they cleaned her up for 5 days by hand and sent her home, making sure that everything was gone .. having done an ultrasound (( (so draw conclusions ((

16.04.2010, 10:12

16.04.2010, 10:56

After the second birth, I was manually removed from the placenta, but immediately after childbirth, because then the cervix closes. So you confused something about the 5th day, this cannot be: 004:

They cleaned me on the fourth.

16.04.2010, 11:27

Maybe two of the roommates in the ward were also cleaned by hand on the 5th day, they were discharged on the 7th day after the EP, the uterus did not contract, there were many clots.

They can clean, that is, how an abortion is done - with a special tool, but manual separation can be done only for several hours after childbirth, until the cervix is ​​closed, because, forgive me, you need to stick your hand, not an instrument.

16.04.2010, 11:29

They cleaned me on the fourth.
In general, I have all three deliveries like this - there are clots in the uterus.
A month later, they begin to leave little by little (temp. Under 38), but t-t-t, there were no hospitalizations.
The first two times I went to the family. house (to the midwife who took me),
the third time she took a chance and coped herself.
Lek. the drugs have already been written + I still did abdominal exercises (but this is effective for my body due to the location of the uterus) ...

The author - about the contraction of the uterus - in the genus. houses have a physiotherapy apparatus for contraction of the type - stimulation with electric current. For some reason, this procedure is rarely prescribed. I was only for the first time, and the second and third births were injected with oxytocin :(

After the third birth, they did not inject me with oxytocin, but did a massage of the uterus (strong pressure with a fist on the lower abdomen), a very painful procedure, I can tell you, but everything worked out and the uterus shrank normally. and an excellent specialist, a professional in his field.

16.04.2010, 11:37

vacuum aspiration, and if it is needed, scraping at NIISP on Budapest costs 7,500 rubles, you can feed 6 hours a day ...
of course it is better to do niisp than in a private center ...

Electric stimulation is a great thing, I agree!

Johnny English

16.04.2010, 13:24

After the second birth, I was manually removed from the placenta, but immediately after childbirth, because then the cervix closes. So you confused something about the 5th day, this cannot be: 004:
But in any case, this is considered an operation, and therefore the postpartum leave is longer, respectively, the maternity leave is more: fifa:

No, I didn't mess it up, you probably didn't understand it yourself .. manual separation of the placenta and manual cleaning (removal of clots) are two different things ..

Johnny English

16.04.2010, 13:26

They cleaned me on the fourth.
In general, I have all three deliveries like this - there are clots in the uterus.
A month later, they begin to leave little by little (temp. Under 38), but t-t-t, there were no hospitalizations.
The first two times I went to the family. house (to the midwife who took me),
the third time she took a chance and coped herself.
Lek. the drugs have already been written + I still did abdominal exercises (but this is effective for my body due to the location of the uterus) ...

The author - about the contraction of the uterus - in the genus. houses have a physiotherapy apparatus for contraction of the type - stimulation with electric current. For some reason, this procedure is rarely prescribed. I was only for the first time, and the second and third births were injected with oxytocin :(

Me too, they injected oxytocin for 5 days, 2 injections a day and did physio.

16.04.2010, 14:05

yes no, I didn’t mess it up, you probably don’t understand it yourself .. manual separation of the placenta and manual cleaning (removal of clots) are two different things ..

I do not confuse these concepts, but cleaning by hand, as far as I understand, also involves penetration into the uterine cavity by hand. I may be wrong, but at least that's how it sounded.

Johnny English

16.04.2010, 14:07

16.04.2010, 17:01

We find out. They said we would not refuse you, on Wednesday another ultrasound scan and we will decide what to do with you ...
I decided to wait. I would like to agree on a good deal.

16.04.2010, 18:13

why did you decide that I wrote something wrong? that clots do not remove chtoli for 4-5 days after childbirth?

: 010: I tell you about Thomas, and you tell me about Erema: 065:
They clean, clean, but only on the 4th-5th day they no longer do it by hand: ded :, but do it like an abortion - either vacuum extraction or scraping.

Johnny English

16.04.2010, 18:52

16.04.2010, 19:06

Yes, not about Thomas, I say, they did it by hand))) I do not confuse anything ... I crawled up barely alive, my legs were X and pale as a toadstool ... I told how it was ((((of course there were not many clots, but that manually , absolutely right(
I am not arguing with you, but I am writing what actually happened.

And I don’t know how it really was, but I’m sure that it’s impossible by hand for 4-5 days, because the cervix closes, and the uterus is shrinking rapidly over these days, although the process of complete recovery to its original size does not stretch by one day, but you can't stick your hand in. At least they explained this to me when they offered this operation immediately after childbirth, since I had a bad placenta and they were afraid that something would be left there. They offered to do it right away, since it is better to do it with a hand than with metal later, it is less traumatic for the uterus.

Especially right now, I read Ailamazyan (according to this textbook, all doctors study the basics of obstetrics). So it says there that by the end of 3 days internal pharynx skips one transverse finger. And by the end of the 10th day, it completely closes.
I hope it is clear what the internal pharynx is;), this is the end of the cervix that is inside, and the external pharynx is looked at by gynecologists when examined in mirrors, and smears are taken from it.
So think about how you can stick your hand into the uterus and produce manual cleaning if the neck has already closed and only one finger passes: 016:
Your friend most likely did just a cleaning, that is, scraping, well, like an abortion after 7 weeks (up to 7 weeks you can do a vacuum)

18.04.2010, 13:04

Oh, girls, and my discharge stopped on the 7th day, nothing hurt, on the 10th day I went to the LCD, she began to look at me and said, the uterus does not contract, she prescribed oxytocin 2 r / d. , water pepper, indomethacin suppositories (and in the instructions it is written during lactation, it is impossible) and to drink nettle .... began to prick an injection - discharge went - but not strong, just blood. they didn't tell me anything about the ultrasound ...
and then I read you - and it became scary ......... maybe I can't get clots out there too?

18.04.2010, 14:00

and what is written in the ultrasound scan? is there a picture?

18.04.2010, 14:43

And they did not do an ultrasound to me (if this is a question for me)))

18.04.2010, 19:49

19.04.2010, 11:11

go to homeopaths - they have wonderful herbs: flower:

Homeopathy has nothing to do with HERBS. ;)

17.05.2010, 23:30

MariLana

22.06.2010, 22:12

Girls, I'm wedging in to you! My friend has just been in the hospital for 11 days, 2 births, EP, there were no abortions, she gave birth without problems, and the uterus does not contract and the disclosure does not decrease ... Naturally, they do not let her go home, but she has psychosis, hysterics ((((And the doctors only shrug their hands, every day they do ultrasound, they don't really say anything. They dripped oxytacin yesterday, it seems like there were shifts, so today they didn't do anything, they say, there are improvements !!! again on ultrasound, again an increase in size ... In general, I want to go with her pictures to some sensible gynecologist, to consult. What's the use of lying there if they do not treat !!! Maybe someone has any coordinates?

I am also very worried about this question!
I had EP, but the afterbirth itself did not come out and did manual cleaning under general anesthesia immediately after childbirth. Then the ultrasound showed clots and the uterus was dilated. They cleaned it with a hand and some kind of silicone stick, injected with oxytocin, but it did not help. Then they cleaned it with a vacuum, dripped droppers with oxytocin and antibiotics, injected no-shpu, physiotherapy did everything to no avail. They were discharged on the 8th day, they said a week later for an ultrasound scan and prescribed medication.
And if everything is the same in a week? Where to go and what to do? Will they be admitted to the hospital again, or will it be possible to do a cleaning somewhere and leave the same day?

22.06.2010, 22:28

: 005: they seem to heal the whole body
osteopathy is a long time ... until after three or four sessions every 6-8 weeks the osteopath will correct you, everything may be bad inside you - clots are treated with medication, the remnants of the placenta are treated promptly, alas ... and preferably as soon as possible.
In ANY rd, if the discharge did not occur at your request, but according to the rules / indications, you must take it within 30 days - how is it not accepted at 17? are they special ????
good luck

22.06.2010, 23:00

And after giving birth, they did an ultrasound scan, they said everything was in order, and was discharged. The blood was bleeding for a long time (more than 3 months), as a result, I decided to visit the gynecologist who had the pregnancy, they did an ultrasound scan - it turned out that the uterus was not reduced, inside the placenta lobule remained. They offered to clean it right away, but I got scared, refused to do it right away, it's like an abortion :( I did the ultrasound again, the doctor was even surprised that there was nothing. But I didn’t want to go to the doctor.
Good luck to the author!

22.06.2010, 23:56

Yes, not about Thomas, I say, they did it by hand))) I do not confuse anything ... I crawled up barely alive, my legs were X and pale as a toadstool ... I told how it was ((((of course there were not many clots, but that manually , absolutely right(
I am not arguing with you, but I am writing what actually happened.
I confirm, I was also manually cleaned without anesthesia on the 5th day, there were a lot of clots and huge ones like a fist, they took out and showed me: 001: I had practically no discharge at all. injected with oxytocin and put droppers. By the way, the cervix is ​​ajar until the end of the postpartum discharge, therefore, sex cannot be practiced until it ends, so that no infection gets into the uterus through the ajar cervix.

23.06.2010, 00:29

The author - about the contraction of the uterus - in the genus. houses have a physiotherapy apparatus for contraction of the type - stimulation with electric current. For some reason, this procedure is rarely prescribed. I was only for the first time, and the second and third births were injected with oxytocin :(
I was also prescribed this physiotherapy with current, and oxytocin was dripped with a dropper ...
As a result, there was supposedly nothing on the ultrasound. checked out, at home on the 2nd day a large clot came out ...
but in general it was very scary from the realization that they can clean with their hands and without anesthesia :( .. I don't understand what the problem is to make anesthesia in the rd

23.06.2010, 00:41

after giving birth, I immediately had pain when pressing on my stomach, bad ultrasound, when expressing milk, vaginal discharge just flowed like a river, and in usual time- no .... apparently, due to the fact that the premature baby was lying separately from me, there was no breast stimulation by feeding and this aggravated the situation ... on the 7th day a nightmarish bleeding rushed (I will never forget THIS) - and since everything happened in Ott, and because of the baby lying in the department. premature babies - I was not at home, but in the hospital - I was cleaned promptly, with spinal anesthesia, it didn't hurt at all (just scary) ... but the operative surgery was good there ... I was very afraid that pain would come after anesthesia - absolutely nothing , no painful sensations ... well, sickly: 001: antibiotics were injected - they lay there for another week because of me) ... I was very afraid that I would not get pregnant after this - soon, however, I succeeded :)) but my friend in Pskov they did it for some day (4th?) after giving birth - rude, boorish, and without anesthesia ... it even hurts me to think ...

Good evening! Girls! Who was breastfeeding nosh-poo and oxytocin prescribed to? Today the doctor prescribed me with a rise in temperature (stagnation in the chest), and the burden in pills for 6 days ... The pharmacy said that the burden is contraindicated in HB ... So I think I'm sitting .. To be or not to be? My temperature has risen again to 38.5 ...

Comments

Take if prescribed by doctor. But don't listen to the pharmacists!

They injected me with oxytacin so that the uterus contracted better after cesarean! I breastfeed the baby! And in the maternity hospital, by the way, everyone is pricked and brought to feed)

Oxytocin gave me one injection, before straining the stagnation (I myself could not, went to the doctor). She told me at home for three days, too, to knead my breasts and if there are seals to strain, before that in 20 minutes to drink noshpa, it improves the "return" of milk.

Why stagnation? Expressing badly?

And the temperature will not knock down, buy children's nurofen syrup.

- @firsenysh, lactation has not improved yet, this is a frequent occurrence, a little later the child will adjust himself the amount of milk, and while it can come more than necessary, the baby does not eat everything and stagnation forms. I had it for this reason. In general, there are reasons for dopa), for example, I slept on my stomach for a long time and my chest pressed against it, my chest blew out, and so on. It is also necessary to wear a supporting bust, otherwise everything will hang down, all the ducts will be directed downward and there may also be stagnation in the lower part of the chest. In short, there are a lot of subtleties))) I learned a lot after experiencing these stagnations, the doctor put everything on the shelves for me)

- @ jenia322, but on the contrary, they told me that a bra is needed without pits. so that there is no stagnation, that is, after each feeding, you need to drain it? And when will all this gimmick return to normal?)

- @firsenysh, without pits, yes, I have a regular top with adjustable shoulder straps, in short, so that you can tighten the bodice) if there are no seals and there is enough milk, then you don’t need to pump) everything settles in different ways for everyone, on average 2-3 months.

- @firsenysh, @ jenia322 that's exactly how I have it ... I was pumping from the very beginning, but one breast does not give in even if you crack ... And by the way, if I pump to the end, my temperature drops to 37, 2. But due to the fact that the daughter is not always in the regime ... Sometimes I do not have time and a mustache 38.3-38.6

- @ jenia322, can there be stagnation up to 2-3 months?

- @ jenia322, I also sleep in it ... The doctor also told me to pour boiling water over the cabbage on my chest.

- @firsenysh, yeah, I had three times (I went twice, the third time I could already. And the doctor told me girls came to her with stagnation, who are already 7-10 months fed, babies complementary foods, they didn't really take the breast and that's stagnation, don't think about it, you won't have anything 😘

- @ viva1311, heat provokes the flow of milk .. On the contrary, I was told to poke a cool cabbage leaf with nails so that the juice stands out and put, just change it more often) at all doctors different methods apparently)

- @ jenia322, tin

- @firsenysh, after 10 months my sister got stagnant and frequent. You can't guess) nature is like that)

- @ ane4ka26, why should I do Anyut at work?

- @Firsenysh, maybe you will quit with the guards. All the same you will be at work all the time ;; ((they will drag, or pills (but they are so yyyyy ... so crappy with them and not always help)

- @ ane4ka26, probably yes

I also struggle with stagnation, my gynecologist prescribed a wear 3 times before feeding / pumping. And I went to the clinic, they gave me 2 of these injections, and then they began to strain my breasts. By the way, you can go to the clinic, it's all a penny, but the pains are hellish of course

I was given an injection of oxytocin in the RD so that the milk would not stagnate.

The uterus is a unique organ, part of the female reproductive system. During pregnancy, it is able to multiply its volume, and after childbirth, the organ shrinks just as quickly.

However, sometimes the condition of the muscular layer of the uterus requires drug support, in particular, in cases where it is required to strengthen or reduce the contractions of the myometrium.

Indications for the use of drugs

I distinguish between several pharmaceutical groups, which include drugs that reduce and tone the uterus:

• To increase the tone and rhythm of contractions of the uterine muscles ( prostaglandins, oxytocin);
• To influence the tone of the uterus, stop bleeding ( Analgin-quinine, Ergometrine);
• To suppress contractions ( No-shpa, Ibuprofen, Diclofenac, Papaverine).

In what cases are reducing drugs necessary to correct the state of the uterine myometrium? They are applied in early period after childbirth to accelerate its involution to a normal state, to reduce the risk of bleeding.

If bleeding has already occurred, the use of medication helps in as soon as possible reduce its intensity due to artificial spasm of the uterine arteries.

Another indication is the relief of bleeding in endometrial hyperplasia. After a medical or spontaneous abortion, blood clots can remain in the uterus, provoking inflammation and other pathologies, therefore, it is necessary to use funds to reduce the organ.

Opposite drugs to suppress uterine contractions are aimed at preventing premature birth, treatment of algodismenorrhea, suppression of the activity of the myometrium during gynecological operations.

Their timely appointment helps to stop miscarriage, or threatening abortion, to correct isthmic-cervical insufficiency.

Medicines for correcting uterine contraction

In gynecological practice, for these purposes, such dosage forms are used as injections and tablets for contraction of the uterus, solutions for intravenous and infusion infusion.

Oxytocin

The medicine is used to shrink the uterus more often than other drugs of a similar purpose. Oxytocin is a synthetic hormone produced in an artificial way, the properties of which are identical to the natural hormone of the hypothalamus. It increases the excitability of myometrial cells, increasing the intensity and frequency of contractions.

Indications for use:

• Stimulation of labor, including when problems such as intrauterine fetal death, gestosis, post-term pregnancy appear;
• Stimulation of uterine contractions immediately after natural childbirth, after operation caesarean section;
• Prevention of bleeding after diagnostic curettage, abortion.

The drug is not used in case of a threat of uterine rupture and placental abruption, increased blood pressure, transverse presentation of the fetus, with cardiovascular pathologies and preeclampsia.

The drug is administered intramuscularly, intravenously and drip. During a caesarean section, injections are made into the wall of the uterus. When using Oxytocin, the following reactions may occur:

• A sharp increase in blood pressure;
• Allergy;
• Tachycardia;
• Bronchospasm;
• Nausea.

When using the product, mandatory monitoring of the frequency and intensity of uterine contractions is required.

Pituitrin

The drug contains a combination of Oxytocin and Vasopressin, produced from the pituitary gland of cattle. Most often it is used to stimulate labor. Indications for use:

• Bleeding in the early postpartum period;
• The need to stimulate labor;
• Severe menstrual bleeding.

Pituitrin is not used for hypertension, atherosclerosis, myocarditis, during sepsis and with the threat of rupture of the uterine wall. To administer the drug, subcutaneous or intramuscular injections are used.

Desaminooxytocin

Desaminooxytocin tablets for uterine contraction belong to the group of hormonal drugs, they are a synthetic analogue of pituitary hormones. The action of the drug is based on the stimulation of the contractility of the myometrium and the epithelium of the mammary gland.

One of the advantages of this drug is the possibility of using it in women with high blood pressure, preeclampsia, renal failure. Indications for use:

• Delayed reverse development of the uterus after childbirth;
• Stimulation of labor activity when it is weakened;
• Stimulating lactation.

The way of using these medicines is very simple - the Desaminooxytocin tablet must be placed on the cheek and kept there until it is completely absorbed.

The drug is not used for heart failure, with abnormal presentation of the fetus, umbilical cord and placenta, threatening rupture of the uterus, fetal hypoxia and allergy to desaminooxytocin.

Analgin-quinine

This drug belongs to NSAIDs, it consists of the following components:

Metamizole.

Reduces pain by inhibiting the formation of prostaglandins.

Quinine.

Strengthens the contractions of the muscles of the uterus.

Analgin quinine is used to stimulate the contraction of the uterus during childbirth and immediately after them, with weak labor, to induce artificial childbirth with death or malformations of the fetus, in the treatment of algomenorrhea.

The drug is highly toxic, it negatively affects vision and hearing, can cause headache, tachycardia, urticaria, nausea and vomiting.

Ergotal

It is used to stimulate contractions of the muscles of the uterus by constricting blood vessels. Indications for use:

• Weak labor activity;
• Severe metrorrhagia;
• Intermenstrual bleeding;
• Metropathy.

Ergotal is not used for cardiovascular and hepatic insufficiency, for sepsis, hyperemia and thyrotoxicosis.

Dinoprost

The drug stimulates the dilatation of the cervix, contraction of the myometrium, thereby causing labor. It is used as an infusion infusion and in the form of injections that are made directly into the fetal bladder.

Indications for use:

• Emergency termination of pregnancy in the 3rd trimester;
• Stimulation of contractions;
• Removal of the fetus with a frozen pregnancy.

Dinoprost is not used for cardiovascular and renal failure, inflammatory gynecological diseases, impaired blood circulation of the placenta, with a narrow pelvis and scars on the uterus.

When using the drug, you may experience heart palpitations, diarrhea, headache, respiratory tract spasm, less often uterine rupture.

Ginestril

The drug belongs to the group of hormonal drugs. Ginestril inhibits the synthesis of progesterone, which protects the uterus from contractions during pregnancy. Indications for use:

• Stimulation of labor during full-term pregnancy;
• Therapy after removal of fibroids;
• Dysmenorrhea treatment.

The drug is not used to resolve premature and post-term pregnancy, abnormal presentation of the fetus, with gestosis, anemia and inflammation of the female genital organs.

Side effects are very rare. These are allergic dermatitis, nausea, cycle disorders, adnexitis.

Drugs to suppress contractions of the myometrium during pregnancy

Most often, the correction of uterine contractions in this condition is required for hypertonicity of the uterus. This pathological condition occurs throughout the gestational period. Causes:

• Hormonal imbalance;
• Tumors (fibroids);
• Inflammatory process;
• History of multiple abortions;
• Depression, neurosis in a pregnant woman;
• Physical and psycho-emotional stress;
• Diseases accompanied by hyperthermia (flu, tonsillitis).

These factors can lead to early termination of pregnancy, fetal death. They are corrected by the following drugs:

• No-shpa for spasm relief;
• Corinfar, Nifedipine for inhibiting the absorption of calcium into the cells of the uterus, which stimulates hypertonicity;
• Indomethacin to suppress the synthesis of prostaglandins, which contract the uterine muscles;
• Metipred, Dexametozone for hormonal correction;
• Persen and other sedatives to normalize the mental state;
• Magnesium sulfate and calcium antagonists for relieving myometrial spasm and inhibition of labor.

Any medicines are appointed by the attending physician, taking into account the state of health of the woman.

chPRTPU # 4482 (08/05/2005 13:24)

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chPRTPU # 4483 (06.08.2005 13:36)

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chPRTPU # 4484 (08/06/2005 13:58)

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chPRTPU # 4485 (06.08.2005 14:02)

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chPRTPU # 4486 (06.08.2005 14:04)

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chPRTPU # 4488 (08/07/2005 17:48)

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chPRTPU # 4489 (08/07/2005 17:59)

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chPRTPU # 4491 (08/07/2005 23:17)

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chPRTPU # 4492 (08/07/2005 23:30)

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chPRTPU # 4493 (08.08.2005 12:02)

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chPRTPU # 4497 ​​(08.08.2005 13:29)

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chPRTPU # 4498 (08/09/2005 12:14)

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Carrying a baby is an exciting and exciting process, which, unfortunately, does not always end with the birth of a new person.

If a woman decides to terminate the pregnancy, this does not mean that the baby was unwanted. In some cases, a fatal coincidence of circumstances occurs and the child cannot be saved. Although, if the appearance in the womb of a new life was not planned, the termination of pregnancy also takes place. Taking into account the gestational timing of the fetus, well-being and the general state of health of the woman, one or another method can be used for an abortion. Is oxytocin used to terminate pregnancy and what role does this drug play in the process of arresting the development and removal of the embryo from the uterus?

Oxytocin - description

Oxytocin is a hormone produced by the hypothalamus. Then it enters the posterior lobe of the pituitary gland, and from there into the blood. In addition, this substance can be synthesized chemically and artificially introduced into the human body. In medicine, this hormone is widely used in obstetric and gynecological practice to stimulate prolonged labor, as well as reduce postpartum hemorrhage with hypotonia of the myometrium, during other gynecological operations to eliminate the risk of opening uterine bleeding. In addition, the contractile activity of the uterus, which occurs under the action of the hormone, made it possible to use Oxytocin to terminate pregnancy at early dates.

Mechanism of action of Oxytocin

The action of synthetic oxytocin is similar to its "natural" counterpart. It binds to proteins of myometrium receptors. In this case, the chain of enzymes is activated, as a result of which the intake of calcium into the cells increases. As a result - an increase in the antispasmodic activity of muscle tissue. In this connection:

• In the early stages of gestation (no more than 4-5 obstetric weeks) under the action of Oxytocin, the ovum either fails to gain a foothold in the uterus, or it is rejected and, together with a small volume of blood, it is excreted from the body.
• During the termination of pregnancy for more later dates the action of the hormone is similar to the work of a natural analogue in childbirth. The drug causes the opening of the uterine neck, as a result - the birth of the fetus.
• Also, in some cases, Oxytocin is prescribed after the termination of pregnancy, as well as after the birth of the baby on time. Such decisions are most often associated with hypotonia of the uterus, its low contractile activity in order to avoid stagnation, the development of inflammatory processes, and bleeding.

Methods of Oxytocin Administration

The hormone is destroyed in the gastrointestinal tract, so the main ways of its administration are:

• Intramuscularly. How and where to inject Oxytocin to terminate a pregnancy? For an injection of Oxytocin to terminate a pregnancy, the uterus or its cervix is ​​most often chosen. The dosage is 0.5-1 IU once an hour. The result of the injection occurs in 5 minutes, but has a long-lasting effect (2-3 hours). If we are talking about injections to improve uterine contraction after pregnancy, then they can be carried out into the gluteus muscle.
• Intravenously. This method the introduction of the drug is more common, since it causes an instant response from the uterus. The effect lasts 1-1.5 hours after the drug enters the bloodstream. For the most accurate dosage of the drug, infusion pumps are used that clearly control the number of drops of the hormone per minute. Oxytocin is diluted in saline or 5% glucose solution. The frequency of drug delivery is set within 10-30 drops. The introduction of the substance is started with a minimum amount, and then - if necessary and a positive response from the uterus - the dose is gradually increased.
• In some cases, it is allowed to administer the drug subcutaneously.

There is also "stabilized" oxytocin, a substance that is resistant to the effects of gastrointestinal enzymes. The drug is produced in the form of tablets with the commercial name Demoxytocin or Sandopart. Oxytocin in abortion pills must be placed on the cheek or under the tongue and kept until completely dissolved. Regardless of the chosen method, the calculation the required amount oxytocin in each case is produced individually, based on the body's response to the injected hormone. If a woman intends to disrupt the pregnancy with oxytocin, then in conjunction with the hormone, No-shpa can also be used in the antispasmodic sequence - oxytocin.

Termination of pregnancy with Oxytocin - indications and timing of the procedure

Exists different ways cessation of development unplanned pregnancy... How to terminate a pregnancy with oxytocin and what is the overall role of the hormone in this process?

Cessation of embryo development with Oxytocin for up to 12 obstetric weeks

It is possible to remove the fetus from the woman's uterus both operatively and conservatively. It is to the latter that the use of medications for the purpose of terminating pregnancy. A distinctive feature of this method is the timing, failure to comply with which leads not only to incomplete abortion, but also to complications that threaten the woman's life. If we are talking about Oxytocin, then here the calculation should be made with an accuracy of days, since the maximum period for removing an embryo from the uterine cavity using this drug is 4-5 obstetric weeks. The abortive effect is achieved due to the good sensitivity of the uterus to high doses of the hormone. In addition, the remedy is also used in cases of incomplete spontaneous expulsion of the fetus in the early stages of its bearing. As a result of uterine spasms, the remaining fragments of the ovum come out. When using Oxytocin to terminate pregnancy, the dosage of the drug in each individual case is prescribed by the doctor. However, the use of this hormone for embryo removal in medical practice is relatively rare. main reason- a high risk of rupture and the onset of severe uterine bleeding due to overly active contractions of the latter. The preference is more often given to drugs based on mifepristone.

Late abortion with Oxytocin

The term "late abortion" means the expulsion of the fetus from the uterus at a gestation period of 13 to 22 weeks. Another name for this manipulation is artificial childbirth. The termination of pregnancy at such periods is carried out exclusively for medical reasons - the state of the woman's health or the presence of serious deviations in the development of the child. The latter include:

• Severe pathologies internal organs and fetal systems (heart and blood vessels, central nervous system, urinary system organs).
• Chromosomal abnormalities.
• The death of a child in the womb of a woman.
• Discovery of bleeding, preeclampsia.
• Any complications of pregnancy that threaten the woman's life.

Among the social factors that "allow" the artificial stimulation of the birth process earlier due date, is pregnancy resulting from rape. The introduction of oxytocin in a dose necessary to terminate pregnancy promotes the opening of the uterine cervix and the onset of the labor process - contractions begin, and then the fetus is born. After the baby and the placenta exit, the doctor conducts an audit and, if necessary, cleaning. Interruption of pregnancy with Oxytocin by intramuscular injection is rarely practiced. In most cases, intravenous injection is preferred.

Oxytocin in late pregnancy

In addition to terminating pregnancy, synthetic hormone is often used to stimulate labor during the natural birth of a baby. The action of the drug is aimed at smoothing and toning the uterine muscles, opening the cervix, if the latter does not occur or its pace is too slow. The introduction of the drug can occur in the 2nd and 3rd periods of contractions, as well as immediately before the birth of the baby. In this case, most often, doctors resort to drip administration of the hormone.

Oxytocin after pregnancy

The ability of Oxytocin to cause uterine contractions in some cases is used after pregnancy - both after its artificial termination, and after the birth of the baby according to the "natural" timing. In the latter case, the drug not only helps the timely recovery of the uterus, but also stimulates the "milk expulsion reflex", which is very important for the normal development of lactation. Oxytocin use after drug interruption pregnancy is intended to prevent possible bleeding, as well as to ensure the necessary contractile activity of the uterus, since other natural factors contributing to this process (for example, breast-feeding) are absent.

Possible Side Effects of Oxytocin from Use in Pregnancy

With the appearance of a new life in the womb, changes occur in the work of the entire body of a pregnant woman. Artificial termination of fetal development is a serious stress for a woman, both psychologically and physically. In addition to possible failures on the part of the body, there may be negative reaction the latter on the injected to stimulate the contractile activity of the uterus medical drug oxytocin. As a result, the woman in some cases noted:

• Painful increased heart rate (tachycardia).
• Nausea, vomiting.
• Increased blood pressure.
• Allergic reactions up to anaphylactic shock.
• Spasms in the bronchi.
• Violation of blood circulation in the brain.

Contraindications for termination of pregnancy with the use of medication

A number of conditions and anatomical features of the woman's body make it impossible for drug stimulation as a way to remove the embryo from the uterine cavity. These include:

• Abnormalities in the structure of the uterus.
• The presence of myomatous nodes.
• The location of the fetus outside the uterine cavity.
• Incorrect position of the child in the uterus (transverse, oblique).
• Placenta previa.
• Disorders in the adrenal cortex.

Even if a woman does not have any of the above conditions, it is strictly forbidden to terminate a pregnancy on her own. As a result, serious complications may develop, some of which may pose a threat not only to a woman's reproductive capabilities, but also to her life:

• Discovery of bleeding.
• Incomplete removal of the fetus.
• Development of infectious processes of varying intensity.
• Long-term complications that lead to the inability to conceive and bear a baby.

Opinions of doctors and patients about the use of Oxytocin during pregnancy

As with any kind of stimulant drugs that disrupt or correct natural processes, and interruption and artificial stimulation of childbirth are precisely such, the opinions of both doctors and women differ. According to reviews, the use of oxytocin for abortion is justified by its low cost, as well as its easy availability (it can be purchased at a pharmacy without a prescription). In addition, the body of many women responds really well to such stimulation, and the effect of using the drug fully justifies itself. On the other hand, when labor is activated in this way, incomplete expulsion of the fetus may occur. As a result, fragments of the membranes remain in the uterus, or the child does not completely leave the mother's womb. Such situations require additional surgical intervention.

Be healthy and let the onset of pregnancy bring only positive emotions!