This is an automatically translated article.
The article was professionally consulted by Specialist Doctor Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital.
Uterine control is a method of checking the integrity of the uterus and cleaning the uterine cavity after the placenta has come out or after the artificial placenta has been removed. In the case of uterine control after artificial vegetable removal, after removing the placenta, the operator does not remove the right hand from the woman's vagina and uterus, but uses that hand to control the uterus.
1. The concept of postpartum uterine control
Uterine control is a procedure to check the integrity of the uterus and clean the uterine cavity after the placenta has come out or after the artificial vegetable has been removed.
Indications for uterine control in case:
Bleeding after placental abruption. Check vegetables for lack of vegetable film, vegetable zone. Citrus-style vegetables. Checking the integrity of the uterus after doing Forceps, Ventous in women with old surgical scars. Fetal death in utero. Uterine control is contraindicated in cases of maternal shock.
2. Steps to control the uterus after giving birth
2.1. Preparation Step 1: The person performing post-partum uterine control for pregnant women must wash their hands; wear gloves, wear sterile clothes; urinary catheter, disinfect the vulva area for pregnant women.
Step 2: Prepare pain relievers, uterine contractions, antiseptics, resuscitation drugs, heart aids to prevent shock.
Step 3: Explain to the mother how important postpartum uterine control is to encourage the mother; At the same time, it is required that the pregnant woman should lie comfortably, without contracting the abdominal wall.
Step 4: Inject pain medicine to support the procedure.
2.2. Carry out uterine control Step 1: Put your left hand on the abdominal wall to hold the fundus of the uterus to fix the uterus. Then, insert your right hand into the vagina, through the cervix to enter the uterine cavity to the fundus of the uterus.
Step 2: Check the fundus, front, back, sides and two horns of the uterus. When the technician finds that the uterine cavity is smooth, not rough, it is normal. But when the vesicles and membranes are still present, gently scrape and examine the uterus.
Step 3 . After checking, the uterus is clean, then gently pull out the hand, limiting pain to the pregnant woman. In case, realizing that the uterine contraction is not good, use the hand in the uterine cavity to raise the bottom of the uterus to inject Oxytocin into the uterine muscle through the abdominal wall, then withdraw the hand.
Step 4 . Inject or take antibiotics for 5 days.
Note: In the case of control of the uterus after removing the artificial placenta, after removing the placenta, the person performing the procedure does not remove the right hand from the woman's uterus and vagina, but uses that hand to remove the placenta. control the uterus, avoid repeated work causing infection and shock for pregnant women.
Besides, if you can't put your hand into the uterus because the waist is tight, then wait and then gradually dilate the cervix by hand, inject drugs to reduce uterine contractions; If the placenta cannot be removed, do not exert yourself because it will break the uterine muscle causing a lot of bleeding.
2.3. Follow-up after control of the uterus Check the general status of the mother such as:
Measure pulse, blood pressure; Pay attention to the uterine contractions of pregnant women; Vaginal bleeding. In order to help customers detect and treat gynecological diseases early, Vinmec International Hospital has a basic gynecological examination and screening package, helping customers detect early infectious diseases and help treat easy, inexpensive. Screening detects gynecological cancer (cervical cancer) early even when there are no symptoms.
Basic gynecological examination and screening package for female customers, has no age limit and may have the following symptoms:
Abnormal vaginal bleeding Having menstrual problems: irregular menstrual cycle, irregular menstrual cycle Irregular vaginal discharge (smell, different color) Vaginal pain and itching Female clients have several risk factors such as poor personal hygiene, Unsafe sex, abortion, ... Female customers have other symptoms such as: Abnormal vaginal discharge, itching, pain in the intimate area, abnormal vaginal bleeding.
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