Treatment of fluid retention after cesarean section

This is an automatically translated article.

The article was professionally consulted by Doctor Le Van Linh - Department of Obstetrics and Gynecology - Vinmec Phu Quoc International General Hospital.

Obstruction (obstruction) of fluid after cesarean section is a phenomenon where the fluid cannot escape through the vagina but remains in the mother's uterus. Post-cesarean delivery is a method to help push the fluid out of the uterus, helping the mother get rid of discomfort and many dangerous complications in the postpartum period.

1. What is postpartum fluid retention?


Just like vaginal birth, the process of discharge after cesarean section usually lasts about 3-6 weeks, in case after 6 weeks the mother's fluid has not come out, it is very likely that there is a postpartum fluid retention. caesarean section or also maternity leave.
The reason this happens is because in the process of the uterus recovering to its normal state, the necrotic, fibrous mucosa is shed along with blood and mucus that goes out through the vagina. in the uterus and not able to get out. In the first 3 days after giving birth, there is a lot of discharge, then less and less. Depending on the location of each person, the time to produce translation will be different.
Normally, the discharge after cesarean section is divided into 3 types: viscous discharge, blood-like red discharge, and white discharge. All types of discharge have a fishy odor of blood but are not foul.

1.1 What are the symptoms of postpartum discharge after cesarean section?


When the mother is stuck with fluid after cesarean section, the pregnant woman will have the following symptoms:
Have a high fever. Tension, pain in the lower abdomen. There is very little vaginal discharge, on examination of the cervix, there is black blood, possibly with a foul odor due to infection. The abdomen is hard, with raised lumps. In a closed cervix, pain is more severe when pressing the fundus of the uterus.

Sốt cao là triệu chứng của bế sản dịch sau sinh
Sốt cao là triệu chứng của bế sản dịch sau sinh

1.2 Is it dangerous to have an abortion after cesarean section?


According to doctors, fluid retention after cesarean section, if delayed, can lead to uncontrollable bleeding, coagulation disorders and endanger the life of the mother. Therefore, if you see that the postpartum discharge process lasts too long with warning signs, go to the doctor immediately for timely treatment.

2. How to treat fluid retention after cesarean section


Postpartum fluid retention after cesarean section lasts too long and will directly affect the mother's body. Usually, doctors perform dilation of the cervix to expel the fluid, removing all the stagnant fluid inside the uterus. To be safe, pregnant women should only perform this procedure at reputable medical facilities, with clean hygiene conditions to avoid infection and sequelae.
In theory, cervical dilatation is a safe and simple method in the treatment of fluid retention after cesarean section and vaginal birth. With gentle procedures, doctors will remove cells, stagnant fluid and layers. Cells sloughing off the inside of the uterus. However, before performing cervical dilation, it is imperative that the mother undergoes a check to see if there is a lot of fluid inside the uterus.
In addition, reasonable rest and gentle exercise are also effective ways to treat postpartum fluid retention after cesarean section. The movement will help the uterus contract very well to gradually expel the fluid.

Sản phụ nên đi kiểm tra cổ tử cung để nhận biết những dấu hiệu bất thường
Sản phụ nên đi kiểm tra cổ tử cung để nhận biết những dấu hiệu bất thường

After a cesarean section, it is very important to check the cervix to see if there are any abnormalities that need to be done, in the case of early detection of post-cesarean delivery, accompanied by secondary inflammatory diseases. In the department, the doctor will prescribe drugs to stimulate uterine contractions, help push out the fluid and completely treat gynecological diseases.
After giving birth by cesarean, it is best for women to abstain from giving birth in a reasonable manner. Lie down to rest in the first day, then get up and practice walking, gentle exercise to help the uterus contract quickly and help the fluid to be pushed out quickly, completing the postpartum process.
Doctor Le Van Linh has 16 years of experience in the field of obstetrics and gynecology. With professional strengths such as treatment of obstetrics and gynecological diseases, gynecological cancer screening, breast cancer screening and pregnancy monitoring, Dr. Linh used to hold the position of Head of Obstetrics and Gynecology Department at the hospital. Hoan My Cuu Long (Can Tho). Currently, Dr. Linh is working at the Department of Obstetrics and Gynecology - Vinmec Phu Quoc International General Hospital.

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