Sunday, March 11, 2012

Postpartum complications

What is the baby blues?
What is postpartum depression?
What is simphiziolysis?
What is HELLP syndrome?
What is puerperal infection?
What is an inversion of the uterus?
What is uterine rupture?
What is the baby blues?

The new term in use in recent years is the "baby blues" or feeling of fear, sadness, lethargy, periods of euphoria that can paradoxically end up crying attacks, etc.. Symptoms are varied and generally last for several days after birth. It affects over 50% delivered women. All this is due to hormonal imbalance after giving birth. This situation is temporary and not dangerous, although it should be noted, because the continuation of symptoms may lead to postpartum depression.

What is postpartum depression?

Postpartum depression is a deepening state of apathy, a woman not to eat or drink, the less care for her baby, and this is a situation where you need to react, especially the recognition that a problem exists. Very often you will find help in your family, talking with his wife or parents, although this condition require medical advice.

The most severe form of this condition is postpartum psychosis, which unfortunately may end fatally - suicide or murder a child. Fortunately, the situation is very rare, occurring in less than 2% of women after childbirth, but it is a disease that must be recognized and request assistance professional.

What is simphiziolysis?
During childbirth can lead to joint spacing simphysis pubic bone, which causes a pain in the pubic region, back pain, legs, and inability to stand up or walk. It occurs in about 1: 2000 births, and in most cases end with a good (rest in bed with a set of weights that hold the pelvic bones approximated to each other).

What is HELLP syndrome?

HELLP syndrome is a rare but very serious complication of pregnancy and childbirth. It can occur in pregnancy, often in the third trimester and after delivery. Syndrome include hemolysis (breakdown of red blood cells), increased liver enzymes and low platelet values. It occurs more often in women who had hypertension in pregnancy and preeclampsia and / or eclampsia. Symptoms include weakness, nausea and vomiting, pain in upper abdomen. Frequently occurring Islands, most individuals and extremities.

Pregnant women with HELLP syndrome have proven to have a baby before, because this is the first step in the treatment of this syndrome. Admission to hospital, blood pressure control and intensive monitoring, controlling hemostasis are the basis for treatment. Nevertheless, the disease can be fatal to both mother and child.

What is puerperal infection?

Puerperal infection is the occurrence of bacterial infections in the first ten days after birth, which is manifested by fever over 38 degrees Celsius, pain in the lower abdomen and the appearance of fever. The most common cause is endometritis, or inflammation of the uterine lining, although this phenomenon can cause inflammation of the wound after Caesarean section or episiotomy, urinary tract infection, phlebitis, or inflammation of mastitis or breast.

Can contact the physician to determine the origin of infection, although a large part of these conditions respond well to therapy antibiotic. The most serious complication is puerperal sepsis, which can be fatal.

What is an inversion of the uterus?

After giving birth, either vaginally or by cesarean section, they can cause uterine inversion, which means that when expulsion because of its inadequate placental detachment from the uterus reaches the "distortion" of the uterus inside out, twisted like a sweater when you are downloading through the head.

Immediately give painkillers and drugs to relax the uterus and cervix by hand to its original position. Then it stops giving drugs to relax and begin immediately to give remedies for the collection of the uterus, which will make the uterus contracts and maintain its position.

Sometimes surgery is needed and that the uterus is returned to its original condition. One must pay special attention for several days the occurrence of bleeding or intense pain. Women who had an inversion of the uterus in childbirth, are more likely to have it again at the next delivery.

What is uterine rupture?

Rupture of the uterus is the spraying of the muscle fibers of the uterus, usually at the site of the scar of previous cesarean section. It can occur in any previous interventions on the uterus (removal of fibroids - benign tumors of the uterus, removal of uterine septum or deformities, etc.). For a complete rupture, spraying all the layers of the uterus and leads to massive bleeding and leaving the baby in the abdomen with placental abruption and the discontinuation of blood to the baby, which can lead to death of the child.

This clearly shows how urgent the situation. Incomplete rupture of a uterine rupture only part of the scar, while maintaining the integrity of the uterus. Fortunately, this rarely happens. It is considered that the risk of uterine rupture in women who give birth vaginally after a previous cesarean section about 1%.

There may be a rupture of the uterus, which had previously no intervention. It is very rare, statistically at 1 to 15,000 births, and risk factors of mothers who had more than 4 or 5 births, babies turn outward, difficult delivery with forceps or vacuum, traffic accidents and so on. Rupture of the uterus is always solved surgically with an attempt to set the seams burst part, although sometimes it is not possible because of major bleeding, and then for a hysterectomy .

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