This is an automatically translated article.
The article was professionally consulted with Specialist Doctor Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital.
1. Menorrhagia after cesarean section
According to normal physiology, a woman's menstrual cycle will return to normal about 6 months after giving birth. During pregnancy and childbirth, the amount of sex hormones in women has relatively large changes, causing the menstrual cycle to change according to: shorter, longer or irregular as before pregnancy... One of the most common changes is menorrhagia after cesarean section.
Menorrhagia after cesarean section is defined as a mother's menstrual cycle that lasts longer than 7 days. Menorrhagia is a very common disorder in postpartum women.
2. What is the cause of post cesarean bleeding?
A woman's menstrual cycle is regulated by two female sex hormones, estrogen and progesterone. Menstrual phenomenon is caused by thickening of the mucosa and proliferating blood vessels in the first half of the cycle, facilitating the implantation of the zygote, if there is no conception, this mucosa will peel off, revealing the blood vessels and make up the monthly menstrual blood.
After pregnancy, the imbalance of these two hormones can cause the lining of the uterus and blood vessels to proliferate excessively, leading to menstruation, the appearance of heavier and longer menstrual blood, and menstrual bleeding after cesarean section.
According to specialists, menorrhagia after cesarean section can be caused by:
Imbalance of sex hormones: This is the main cause of postpartum menorrhagia. Ovaries return to normal: During pregnancy, the ovaries stop working. After childbirth, the reactivation of the ovaries causes the menstrual cycle to return and disrupt the early stages. This may be the cause of menorrhagia after cesarean section. Gynecological diseases: After giving birth, due to lack of proper care and hygiene, many women's private areas can be attacked by bacteria, fungi, etc. menstrual period. Due to oral contraceptives: Menorrhagia after cesarean section may be due to the abuse of oral contraceptives. Due to the fear of unwanted pregnancy after giving birth to a baby, many women have used birth control pills, causing female hormone disturbances, thereby inadvertently leading to postnatal menorrhagia.
3. Recognize abnormal menorrhagia?
Some signs help identify the condition of menorrhagia after caesarean section:
Number of menstrual days more than 7 days; Menstrual blood volume is greater than 80ml (normally about 50-80ml/cycle). Menstrual blood clots into large clots; Menstrual disorders lasting from 2 consecutive menstrual cycles; Sometimes the amount of menstrual bleeding is heavy, continuous for more than 1 hour, using 1 tampon is not enough. Besides, some other systemic signs may suggest severe menorrhagia:
General fatigue, lethargy due to blood loss; Symptoms of anemia, weakness and possibly fainting appear; Psychological stress, stress; Nausea, dizziness; Low blood pressure.
4. Menorrhagia after surgery is very dangerous
Menorrhagia after cesarean section at any level can affect the health of nursing mothers. After going through the process of giving birth, a woman's body is already weak and if she loses a large amount of blood, it will lead to anemia, from which dangerous signs such as dizziness, lightheadedness or even dizziness appear. even fainted. Vaginal bleeding profusely and for a long time is a very favorable environment for bacteria and fungi to grow, causing serious gynecological infections, which can lead to many dangerous complications affecting reproductive health. after.
Finally, menorrhagia after cesarean section can make postpartum women extremely uncomfortable, psychologically stressed, depressed ... combined with other factors that easily lead to postpartum depression.
5. How to handle menorrhagia after surgery?
Treatment of menorrhagia after cesarean section depends on the cause and condition of each individual. Mild cases, menorrhagia caused by an imbalance of sex hormones do not need treatment because they can go away on their own after a while.
In more serious cases, postpartum women need to see a doctor to accurately diagnose the cause, thereby giving the most appropriate treatment.
In addition, when experiencing menorrhagia, women should apply the following measures to limit the dangers caused by menorrhagia:
Clean the vaginal area properly every day. Absolutely do not douche deep into the vagina. If the amount of menstrual bleeding is too much, you should change the tampon regularly to keep the intimate area dry, clean and not wet; Create psychological comfort, avoid stress: Mother's life after giving birth has to face many different problems, affecting many psychology, can cause menstrual cycle disorders. Therefore, in order to prevent menorrhagia after giving birth, breastfeeding mothers try to create a comfortable psychology for themselves, limiting unnecessary anxiety and stress; Share difficulties with the family, especially the husband to solve the difficulties in the postpartum period; Not having sex: After giving birth, the uterine lining is already damaged. Therefore, to limit menstrual bleeding, husband and wife should limit sex after giving birth; Lifestyle, proper nutrition: Building a regimen of nutrition, living and resting in moderation also helps limit menorrhagia after caesarean section. Diet supplemented with fruits, green vegetables, foods rich in iron, vitamin B6... helps limit anemia and stabilize female hormones. After giving birth, the mother's body changes, and the mother can suffer from many diseases such as postpartum hemorrhage, urinary incontinence, digestive disorders, bowel and urinary disorders, rectal prolapse,... In particular, very Many mothers suffer from menorrhagia and hormonal disorders. Therefore, after giving birth, the mother can perform a general health examination at Vinmec International General Hospital to assess her postpartum health. Mothers will have the opportunity to visit with leading specialists, combined with many other specialties to give advice, care, and help improve their postpartum health, as well as how to take good care of the baby.
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