Vacuum method of cleaning the uterus. Consequences and restoration of the uterine cavity after vacuum aspiration during missed pregnancy

Cleaning after a miscarriage is carried out taking into account the recommendation of a doctor. Evacuation of the fetus after a missed pregnancy and spontaneous miscarriage is carried out with a partial abortion. In the absence of bleeding, the woman should undergo an ultrasound. To detect a frozen pregnancy, the expectant mother should visit a gynecologist once every 7-14 days.

Medical indications

If there are no blood clots in the uterine cavity, and the woman's condition is normal, then the pregnancy is not interrupted. Before cleaning, the doctor must determine. The following symptoms are not typical for pregnancy:

  • bloody issues;
  • weakness;
  • heat;
  • pain in the lower abdomen.

If the size of the uterus does not correspond to the gestational age, then the fetus froze. It can be evacuated from the female body using medical abortion, curettage, or vacuum aspiration. Medical abortion is characterized by various side effects (nausea, dizziness) and consequences.

Incomplete abortion is observed in the case of an incorrectly calculated dosage of drugs. The medical technique, in comparison with curettage and vacuum, has no complications during and after the operation. In this case, the uterine cavity is not damaged.

The procedure associated with curettage after a miscarriage is carried out by a qualified gynecologist using special tools. The operation involves the removal of the upper layer of the lining of the uterus. Cleansing after a miscarriage is done through the expansion of the cervix. The procedure is considered painful, so it must be carried out under anesthesia.

Curettage is carried out in the following cases:

  • miscarriage;
  • childbirth;
  • frozen pregnancy;
  • violation of the menstrual cycle;
  • diagnosis of various diseases.

If the miscarriage occurred in the early stages of pregnancy, and there are no remnants of the fetal egg in the uterine cavity, then curettage is not prescribed.

Features of the procedure

Cleaning after a miscarriage is carried out a few days before the start of the menstrual cycle. Surgical intervention is carried out in the operating room on a gynecological chair and under anesthesia. A dilator is inserted into the vagina, and a probe is inserted into the cervical canal. Then a hysteroscopy is performed. The uterine cavity is examined using a special video camera.

A curette is used for scraping. The procedure lasts 30 minutes. If necessary, the upper layer of the cervical canal and mucous membrane is scraped off with a special spoon. The sample is sent for histological examination.

After curettage, uterine bleeding may open. This complication occurs in women with poor blood clotting. To prevent this phenomenon, after the operation, the patient is prescribed oxytocin injections. In the presence of heavy discharge, it is recommended to consult a doctor.

Another complication of cleansing after a miscarriage is associated with the inflammatory process. This phenomenon is observed due to spasm of the cervix. To prevent this condition, the patient is prescribed antispasmodics ("No-shpa"). They will provide the cervix with a relaxed state, which is characterized by a normal outflow of blood. You should consult your doctor if you experience the following symptoms:

  • no bleeding after surgery;
  • severe pain in the abdomen.

Pregnancy after surgery

The lining of the uterus may become inflamed after scraping.

To prevent the development of such a complication, the patient is prescribed antibiotics.

Cleaning after an abortion has a physical and psychological trauma on the woman.

During the rehabilitation period, the patient has profuse bleeding.

This period can be 3-6 months. In this case, the specialist takes into account the following factors:

  • the age of the patient;
  • general state;
  • how fast the body recovers.

Curettage after a miscarriage thins the endometrium, breaking the holding force of the cervix. If you become pregnant immediately after such a cleansing, then there is a possibility of improper formation of the placenta. If pregnancy has occurred, then the expectant mother must follow the recommendations of the doctor.

Features of vacuum abortion

Vacuum aspiration is recommended if the miscarriage occurs at 6-12 weeks of gestation. The operation lasts 5 minutes. After 1-2 hours the patient is discharged from the hospital. This method of cleansing after a miscarriage causes minor trauma to the mucous membrane of the cervix. In some cases, the fertilized egg may remain in place.

Contraindications for vacuum abortion gynecologists include:

  • the development of an acute infectious disease;
  • ectopic pregnancy;
  • less than 6 months have passed since the birth;
  • poor blood clotting.

Previously, the patient passes the necessary tests. The operation is performed under general or local anesthesia. A woman feels discomfort when opening the cervix. If the patient has not given birth before, then the cervix is ​​dilated with a special metal instrument. An electric vacuum pump is used to extract the contents of the uterus. A tube is inserted into the uterus. With the help of an electric pump, blood clots are pulled out of the organ.

After surgery, the patient may experience the following symptoms:

  • nausea;
  • sweating;
  • weakness;
  • cramping pains.

In the absence of complications, the patient can return to normal life the next day after vacuum aspiration. It is recommended to undergo an ultrasound scan and visit a gynecologist 2-3 weeks after surgery. You can not have sex for 2-3 weeks. Condoms are used during the first month of sexual activity. If after a vacuum abortion the test shows a positive result, then there was a partial suction of the placenta and the fetus. In this case, the uterus is cleaned using scraping.

The human body has its own reliable self-purification mechanisms, but sometimes for various reasons they do not work. In this case, in modern medicine, methods of hardware exposure have been created to avoid serious complications. One such method is the use of a vacuum aspirator to cleanse the uterus.

What is a vacuum cleaning of the uterus?

Vacuum cleaning of the uterine cavity (vacuum aspiration) is the removal of its contents along with the upper functional layer of the mucous membrane. For high-quality manipulation, a device called a “vacuum aspirator” is used.

It is a catheter, or aspiration tip, connected by a flexible tube to an aspirator. The mechanism uses a pump to create negative pressure. The powerful suction effect created by the aspirator allows you to collect and remove the accumulated blood, particles of the contents of the uterine cavity.

An alternative to the hardware method is manual (manual) vacuum aspiration. It is carried out using a mechanical tube in which negative pressure is created by the force applied by the doctor.

Advantages of using vacuum aspiration:

  • Vacuum cleaning is considered a gentle method that minimizes complications in the form of an inflammatory process;
  • The cervix and the uterus itself are not injured, or these injuries are minor;
  • It is possible to carry out the procedure under local or general anesthesia;
  • Vacuum aspiration returns a woman's reproductive health, the ability to conceive and bear a child without complications in the future.

The procedure is performed in a hospital by an experienced obstetrician-gynecologist. For local anesthesia, injections of analgesics are used, for general anesthesia - intravenous administration of drugs for anesthesia.

The disadvantage of this method is that all manipulations in the uterine cavity are performed blindly. In addition, in most cases, the material taken cannot be used for a detailed histological examination.

In what cases is the procedure carried out?


Vacuum cleaning does not apply to frequently prescribed gynecological manipulations; serious reasons are needed for its implementation. Indications for vacuum aspiration:

  • Frozen pregnancy in the early stages of fetal development (up to 12 weeks);
  • Spontaneous termination of pregnancy with incomplete excretion of particles of the fetal egg;
  • Incomplete exit of the placenta after natural childbirth or after a caesarean section;
  • Taking a sample of the internal contents of the uterus for microscopic or bacteriological examination;
  • Accumulation of blood in the uterus (hematometra);
  • Planned termination of pregnancy in the early stages (medical abortion);
  • Bubble skid (growth of chorionic villi in the form of blisters with liquid);
  • Bulk bleeding from the uterus.

In some cases, the gynecologist takes a wait-and-see approach, not excluding the possibility of spontaneous removal of particles of the placenta and endometrium, blood from the uterus.

If a woman has a fever, increased bleeding, signs of inflammation in the form of mucopurulent discharge from the vagina with an unpleasant odor, vacuum aspiration is performed without delay.

Vacuum aspiration is contraindicated in cases of uterine bifurcation and the presence of a septum in it, with tumors of any etiology, with pregnancy for more than 5 weeks, with ectopic development of the egg, with a history of abortion within the previous 6 months.

How is the cleaning going?

For the procedure, the woman is located on the gynecological chair. If the cleaning of the uterus takes place after childbirth, then the manipulation is carried out directly on the birth table.


Local or general anesthesia is required for vacuum aspiration, which involves forced dilatation of the cervix, as this is the most painful part of the procedure. Postpartum cleaning in most cases is performed without anesthesia, since the cervix during this period has a sufficient degree of disclosure.

Sequence of carrying out:

  • The walls of the vagina and the cervix are fixed with dilators;
  • The genitals are treated with an aseptic solution;
  • An anesthetic is injected into the cervix and periuterine tissue, with general anesthesia, preference is given to intravenously administered drugs for anesthesia;
  • The doctor inserts a speculum into the vagina to monitor the progress of the operation, opens and dilates the cervix, if necessary;
  • The gynecologist uses a special probe to measure the distance from the entrance to the cervix to its bottom in order to calculate how far the aspirator catheter can be immersed;
  • An aspiration tube is inserted into the uterus, a vacuum is created in it;
  • The gynecologist fixes the aspirator tip in one position or rotates it to collect the desired material.

After a period of time determined by the doctor, a woman needs an ultrasound examination of the uterine cavity to control the condition of this organ. If the study showed that there is no blood inside the organ, the remains of the placenta, the fetal egg, then the cleaning went well.

Features of vacuum aspiration in various conditions:

Vacuum cleaning of the uterine cavity after childbirth.

If there are particles of the placenta, blood clots, and other atypical tissues in the uterus, it will not be able to fully contract after childbirth. After an ultrasound confirming the atypical condition of this organ, uterine contraction drugs or manual cleaning may be prescribed.


If these methods are ineffective, the woman in labor is prescribed vacuum cleaning. After aspiration, she takes antibiotics to prevent inflammation, and the woman undergoes antiseptic treatment of the reproductive organs. Breastfeeding for the period of treatment will have to stop, keeping milk by pumping.

Vacuum cleaning of the uterine cavity during a frozen pregnancy or with a cystic skid.

Fetal death may result in spontaneous delivery. If it remains in the uterus, sooner or later its decomposition begins, which leads to intoxication of the female body, to sepsis. Vacuum aspiration allows you to get rid of particles of the fetal egg, the placenta, which did not exfoliate when the dead embryo came out.

With cystic drift, the contents of the uterus cannot come out spontaneously. Fluid bubbles remain inside the organ, causing the development of a malignant tumor.

If a woman has hyperthermia after the procedure, a thorough examination is required to control the complete removal of foreign tissue. After cleaning, a woman must be prescribed a course of treatment with antibacterial drugs.

Vacuum cleaning of the uterine cavity after a miscarriage.

Manipulation is performed to remove placental particles after the loss of an embryo older than 13 weeks, or in case of miscarriage on the line from 6 to 12 weeks, when there is a possibility that blood clots and particles of the fetal egg remain in the uterus.

Here, waiting tactics are more often used, and cleaning is prescribed for severe bleeding and signs of acute infection.

Mini abortion.

Early termination of pregnancy is performed by aspiration of the contents of the uterus along with the embryo. The procedure greatly reduces the trauma and negative consequences for women's health inherent in the traditional method.

Recovery after vacuum aspiration

Many women referred for vacuum aspiration are interested in how much blood flows after the procedure. Since the inside of the uterus is a wound after cleaning, there will still be discharge.

They may look like ichor, or blood. Spotting will continue from 3-5 to 10-14 days. They are not very plentiful, do not have an unpleasant smell.

If bleeding intensifies, spasmodic severe pains appear in the lower abdomen, you should immediately seek medical help.

The menstrual cycle will improve in 35-43 days, because the restoration of the endometrium begins to occur from the first day after aspiration. After the procedure, you can not use vaginal tampons, the use of sanitary pads is allowed.

Since vacuum aspiration is a full-fledged surgical intervention, an examination is carried out before the procedure. It includes the standard diagnostic minimum:

  • Blood test or infection: HIV, hepatitis, syphilis;
  • Determination of blood group and Rh factor;
  • General and biochemical blood test;
  • Coagulogram (determination of blood clotting);
  • Analysis of a vaginal smear for cytology (PAP test);

Immediately before aspiration, for 6-8 hours you can not eat, it is undesirable to drink, because otherwise complications will arise during anesthesia. For a complete antiseptic before the procedure, it is required to remove the hair in the genital area, take a shower.

It is advisable to inform the doctor in advance about possible allergic reactions to medications.

Vacuum aspiration is a reliable method to avoid complications. At the current level of development of medicine, it does not have serious consequences for the reproductive function of women.

If during pregnancy such a pathology as fading occurs, it is necessary to remove the fetus from the uterus, otherwise serious complications for the woman are inevitable. Cleaning during a frozen pregnancy is the main way to remove it from a dead fetus. It consists in the fact that a woman under anesthesia sucks off the fetus with a special rotating tube. There is also a medical method, but its effectiveness is lower.

Causes of fading

Frozen, or non-developing, pregnancy is a serious pathology in which the death of the embryo occurs without clinical signs of miscarriage. It remains in the uterus, in rare cases for years. This can happen at any time, but usually up to 13 weeks.

The main reasons are:

  • hormonal disorders: defects in the functioning of the ovaries, thyroid gland;
  • destruction of the fetus by the immune system (since for a woman's body this is a foreign body);
  • antiphospholipid syndrome;
  • infections (herpes, chlamydia, rubella are especially dangerous);
  • genetic abnormalities of the embryo;
  • external factors: excessive physical activity, stress, bad habits (smoking and drinking alcohol), drug abuse.

There are also situations when the pregnancy freezes with apparent well-being in the health of the woman and the absence of the above reasons. This is called causes of unknown genesis.

Women at risk are:

  • having had several abortions;
  • who had an ectopic pregnancy (at least one);
  • over 30 years old;
  • with an unusual shape of the uterus or suffering from fibroids;
  • with endocrine pathologies, most often with diabetes mellitus;
  • who have had genital infections.

Because of whatever the fading occurs, after the death of the embryo, it must be removed as soon as possible, otherwise the woman will experience intoxication or even sepsis (blood poisoning).

Scraping or vacuum cleaning is considered the best way, because the doctor can control whether the embryo is completely removed. But they do it for a period after 5 weeks. Prior to this, they prefer medical abortion (the patient is given hormonal drugs that cause miscarriage).

However, after it, parts of the embryo may remain inside the uterus, so you still have to do vacuum cleaning or scraping.

Preparing for the operation

Cleaning should be carried out on an empty stomach (do not eat for 8-12 hours, only after that anesthesia is possible), under general anesthesia (in case of intolerance, under local anesthesia, an anesthetic is injected into the body and cervix). Before the manipulation, a woman should be examined by a gynecologist to identify possible contraindications, as well as an anesthesiologist to solve the problem of anesthesia.

After that, the issue of the process of conducting is decided: if there are contraindications, cleaning or scraping should be done very carefully.

Cleansing may be contraindicated if a woman has:

  • infectious diseases of the genital organs;
  • inflammation of the uterus or appendages;
  • mucosal integrity is compromised.

However, the need for surgery does not disappear even in such conditions.

A woman needs to be tested:

  • blood test (general);
  • Analysis of urine;
  • analysis for possible (hidden) infections;
  • coagulogram (blood clotting test);
  • bacteriological culture;
  • vaginal swab.

After receiving the results, the woman signs the consent to the operation.

How the procedure is carried out

The cleaning process is as follows. Gynecologist:


After extraction, the embryo is sent for histological analysis to find out the cause of the fading.

Curettage is another option for removing a dead embryo from a woman's uterus.

For this, a curette is used - a special spoon with which the gynecologist scrapes off the fetal egg. This procedure is less preferable, because during its implementation there is a risk of damaging the walls or cervix. And general anesthesia is more desirable here - this is a very painful version of the operation.

The manipulation lasts about 15 minutes, then you should lie down for a couple of hours (first of all, move away from anesthesia). Hospitalization in a hospital is optional, unless there are more serious pathologies.

Vacuum cleaning is also preferable because it can be done on an outpatient basis. In the future, menstrual function is restored fairly quickly.

Postoperative period

After the dead fetus is removed, the threat to the woman’s health disappears, but complications are still possible:

  • Bleeding. Bloody discharge is normal, but if it is too abundant, you should let your doctor know about it, otherwise there may be an accumulation of clots in the uterine cavity or anemia. You also need to use only pads - tampons can lead to stagnation of blood and the occurrence of an inflammatory process.
  • Inflammation (due to damage to the walls during scraping or when the embryo is not completely removed).
  • Pain in the lower abdomen, for the elimination of which you need to take painkillers.
  • The appearance of adhesions.
  • Perforation of the uterine wall is the most severe complication requiring surgical intervention.

The first three days the temperature may be increased (37-37.5°C). This is natural, but if it rises more or lasts more than three days, this is a clear sign of an inflammatory process. This situation should also be reported to the doctor.

In general, after scraping or brushing, a woman should take her temperature twice a day for two weeks and monitor her discharge. After these two weeks, she should go to the gynecologist and undergo a pelvic ultrasound to make sure that the fetus is not inside.

At this time, the following tests are usually prescribed:

  • blood test for hormones;
  • vaginal smear for microflora and possible infections;
  • histological analysis of the uterine epithelium to identify the probable pathological condition of this organ.

Also in the postoperative period, it is necessary to take vitamin and mineral complexes to strengthen the body, antibiotics to prevent inflammation, as well as hormonal drugs to restore the hormonal system and prevent pregnancy.

Within six months after the termination of an undeveloped pregnancy, it is impossible to plan a new one - it can freeze again, and the woman's body has not yet recovered. Inadmissible and sexual life within a month.

In general, you can resume it when the first menstruation normally passes. In addition, at this time, the woman is treated for diseases that led to the death of the fetus, if any. When depression occurs, a woman is treated by a psychotherapist, takes antidepressants.

In the future, it is imperative to deal with the prevention of such a pathology:

  • be observed by a gynecologist, endocrinologist, sometimes even by a geneticist;
  • treat existing sexual infections, even if they are not severe (chlamydia, trichomoniasis);
  • Get vaccinated against rubella and chickenpox at least three months before planning your next pregnancy.

If a woman becomes pregnant before the term allowed by the doctors, this pregnancy should be tried to be maintained.

Firstly, it will console the patient who is grieving over the death of a previous child, and secondly, an early abortion, even a vacuum one, increases the risk of miscarriage in the future.

Timely cleaning or even scraping and further attention to their health will allow almost any woman to become pregnant again and give birth to a healthy child.

Unfortunately, childbirth does not always go well. It happens that during the birth process it is necessary to carry out surgical intervention, or simply ruptures of the birth canal occur. There are frequent situations when, after childbirth, the uterus does not shrink enough, and therefore the placenta can remain in it - both completely and in parts. This is fraught with the appearance of inflammatory processes that can lead to death. Therefore, with insufficient tone of the uterus and absence of the placenta, vacuum after childbirth which helps prevent the situation from getting worse.

What are the reasons for cleaning after childbirth?

First of all, it should be noted that not everyone is cleaning. In order for such a procedure to be carried out, medical indications are required. Before discharge, an ultrasound of the abdominal cavity is performed, which determines the condition of the uterus. If clots are found in it, they are cleaned.

The main indications for cleaning are the following:

  1. weak activity of the muscles of the uterus;
  2. excessively strong attachment of the placenta;
  3. infectious pathologies;
  4. complicated medical or conventional abortions.
Initially, intravenous stimulation of contraction of the walls of the uterus is performed. For this, injections of oxytocin or other steroid drugs that provoke muscle contraction are used. If such a procedure does not cause the withdrawal of clots, surgical intervention is performed.

How is the vacuum after childbirth?

The cleaning procedure itself is carried out through scraping the upper layer of the endometrium. A vacuum may be used for this purpose, or cleaning may be carried out mechanically. The vacuum is made using special equipment, the principle of operation of which is similar to that of a vacuum cleaner.

Anesthesia can be both general and local - this is determined directly by the doctor during the procedure. The clots, together with the upper layer of the endometrium, are sucked out of the uterine cavity. The procedure itself takes about half an hour.

What does the discharge look like after cleansing?

In fact, after the removal of the endometrium, an open wound is formed inside the uterus, which will bleed. Increased intensity of discharge in the first few hours after the procedure, while the wound is still fresh. Then it begins to gradually tighten, which leads to a decrease in the intensity of secretions. it resembles menstruation- during this period, there is also a detachment of the endometrium in the uterus, which is accompanied by the separation of blood and a gradual decrease in the intensity of discharge.

Particular attention should be paid if:

  1. the duration of the discharge is more than 10 days;
  2. discharge has an unpleasant odor or a strange color;
  3. there are no allocations.

What are the consequences of cleaning?

If the vacuum was done successfully, then within 5 days the condition returns to normal. However, there are a number of complications, the appearance of which is possible in case of non-compliance with the recommendations of the doctor.
  1. Hematometer. This is the medical name for cervical spasm. It leads to the fact that the blood does not come out, but remains in the cavity, causing inflammation.
  2. Excessive bleeding. Possibly due to a bleeding disorder. May lead to bleeding.
  3. endometritis. When an infectious agent enters the uterine cavity, endometritis can develop, which is characterized by inflammation of the mucous membranes.

The birth of a child is in no way the cause of complications and vacuum. This is natural and possible. Timely diagnosis and the right treatment help to minimize the risk of complications.

Vacuum cleaning of the uterus after childbirth is used to take tissues for examination and treatment of the genital organs. The procedure is performed with a special device using local anesthesia or general anesthesia.

A vacuum after childbirth is prescribed as a last resort, when the remains of the placenta did not come out on their own and serious complications are possible against the background of the development of infections and inflammatory processes. The method reduces the likelihood of microtrauma on the cervix and walls of the uterus.

The main indications for cleaning the uterus with a vacuum after childbirth:

  1. conducting a biopsy study;
  2. remnants of parts of the placenta, amniotic sac in the cavity and birth canal;
  3. bleeding.

A gynecological examination 2-3 days after childbirth helps to determine whether the uterus is contracting. If abnormalities appear, an ultrasound is prescribed, which will show the presence of placental remains, blood clots inside the cavity of the birth organs.

Vacuum cleaning is also carried out for abortion when fetal malformations are detected, cleansing after a miscarriage and missed pregnancy, and infertility treatment. The effectiveness of the method is much higher than manual scraping.

What is a vacuum after childbirth? A procedure to remove blood clots and placental remains in the uterine cavity without damaging its walls. Aspiration is not dangerous for women's health, it is performed under local or general anesthesia.

Untimely vacuum aspiration of the uterine cavity after childbirth leads to the development of purulent processes, poisoning of the body with toxins, and refusal to breastfeed. Reproduction in the genitals of harmful microorganisms leads to the development of serious postpartum diseases.

Contraindications and features of the procedure

Vacuum aspiration during childbirth is used when a woman's health worsens, her body temperature rises, and uterine bleeding occurs. Such signs indicate inflammation of the genital organs caused by the remnants of the placenta.

During pregnancy, the placenta, in case of pathology, adheres to the walls of the uterus. After the baby is born, the placenta is removed by hand, which may leave small parts inside the cavity.

Contraindications for which you can not use a uterine vacuum after childbirth from clots:

  • in the presence of malformations of female organs;
  • diseases of the reproductive system;
  • infection;
  • violation of the integrity of the mucosa;
  • neoplasms such as fibroids.

If there are contraindications, the procedure will lead to a deterioration in the health of the woman in labor. In this case, surgical methods of treatment are used.

Features of the vacuum method:

  1. cleaning after childbirth is carried out for 2-3 days. This time is enough for the body to get rid of the placenta on its own. If this does not happen, an operation is performed;
  2. the procedure takes no more than half an hour;
  3. with poor blood clotting, a woman may experience severe bleeding. In this case, oxytocin is administered before manipulation.

Gynecologists prohibit pregnancy within a month after aspiration. This is due to the high probability of developing pathologies such as abnormal formation of the placenta, miscarriage.

Procedure technique

Before aspiration, a woman is prescribed diagnostic procedures. This determines the state of health, excludes infectious diseases and pathology of the uterus.

Required tests:

  • Ultrasound of the genital organs;
  • blood and urine analysis;
  • vaginal smear for oncocytology;
  • blood clotting test;

Vacuum cleaning is carried out in two ways: manual and machine. In the first case, the doctor uses a special syringe that sucks the remaining tissue from the cavity. With the hardware method, a medical pump is used.

Is it painful to do vacuum cleaning after childbirth? The aspiration procedure itself is painless, as anesthesia is applied. Unpleasant sensations occur at the time of preparation and opening of the uterus with the help of a dilator.

How is the vacuum cleaning of the uterus after childbirth:

  1. genitals are disinfected with iodine and ethyl alcohol;
  2. using dilators, open the neck;
  3. local anesthesia is used. If necessary, general anesthesia is used;
  4. a gynecological speculum is inserted into the vagina, which will help to carry out manipulations;
  5. a special pump is introduced into the cavity, which creates a negative pressure and the clots are cleaned after childbirth with a vacuum into the aspiration tube.

The operation performed allows you to remove parts of the placenta, blood clots, to obtain material for laboratory testing. The body quickly recovers after the procedure, as the method avoids damage inside the genital organs.

To restore reproductive function, a course of antibiotics is prescribed. The uterine cavity is treated with medicinal herbs and decoctions in the absence of allergies. Antispasmodics that affect uterine contraction are used with caution.

Rehabilitation

After cleaning the uterus, the woman is under the supervision of a doctor to exclude the occurrence of complications. To restore the body, medication is prescribed.

The following methods are applied:

  • antibacterial drugs intramuscularly and intravenously;
  • medicines for uterine contraction;
  • hygienic treatment of the genital organs with antiseptic agents for 7 days.

A woman observes discharge after vacuum aspiration in the first days during the procedure. The most severe bleeding occurs in 2-3 hours. Within a week, the color and smell of the discharge changes to normal.

When bleeding, you can not use tampons, it is recommended to use postpartum pads. It is forbidden to expose the body to physical exertion in order to avoid increased discharge after vacuum cleaning during childbirth. It is not recommended to lift anything heavier than an infant.

At the time of rehabilitation of the body, there may be pulling pains in the abdomen. This is due to the fact that the uterus contracts and returns to its original place. After the procedure, you can not take hot baths, go to the sauna.

To maintain lactation, it is necessary to express milk. It is not allowed to breastfeed while taking restorative drugs, as the active substances enter through the blood to the child.

Within a month, you should refrain from sexual intercourse. Doctors warn against conceiving a child in the first 6-12 months, as a miscarriage is possible. It is recommended to plan a pregnancy after 6-8 months, when the body and the reproductive system have returned to normal.

Complications

Cleaning the uterine cavity is considered a complex operation in gynecology and can cause complications. In the first week after manipulation, a woman needs to monitor her well-being.

What symptoms should alert a woman in labor:

  • an increase in body temperature above 39.9 degrees;
  • change in the quality of secretions, the appearance of a putrid odor;
  • severe bleeding when the postpartum pad is not enough for 2-3 hours;
  • complete cessation of discharge for 2-3 days;
  • severe pulling pain in the abdomen;
  • dizziness, chills, loss of consciousness.

To exclude inflammatory processes, an ultrasound and a smear from the vagina are done. Be sure to prescribe a course of antibiotics to help the body recover.

Common consequences of vacuum cleaning after childbirth:

  1. big blood loss. Often, if the bleeding is not stopped in time, this leads to the removal of the organ completely;
  2. failure to normalize the menstrual cycle. Normally, the cycle is restored on the 42-45th day, when breastfeeding - after the cessation of lactation;
  3. infection, the occurrence of inflammatory processes;
  4. the appearance of adhesions;
  5. fusion of tissues inside the uterus;
  6. miscarriage of subsequent pregnancies, rejection of the fetal egg by the body;
  7. high risk of infertility in the future.

Vacuum cleaning practically does not cause mechanical damage inside the uterus, but cannot protect a woman from the development of possible complications. The early end of the discharge indicates that blood clots remained in the cavity.

Injury to the walls of the cervix leads to isthmic-cervical insufficiency, which causes miscarriages in early pregnancy. Adhesions cause problems conceiving a child.

Interruption and cleansing after pregnancy

To terminate an unwanted pregnancy, a vacuum is applied no later than 5 weeks. The technique allows to reduce the risk of infertility during subsequent conception. Abortion is not accompanied by complications, hormonal failure.

The shorter the gestational age, the easier the manipulation. During the operation, a tube and a pump are inserted into the uterus to create back pressure. The gynecological syringe sucks the contents of the cavity and, together with the ovum, brings it out.

During the operation, a tube is inserted into the cavity, connected to a pump that creates back pressure. This allows you to suck in a special "syringe" the contents of the uterine cavity along with the fetal egg.

Often a vacuum is used for a missed pregnancy. In this case, abortion is mandatory, in order to avoid the development of the inflammatory process and the decomposition of the fetal egg in the uterus. Sepsis, or blood poisoning, is fatal.

A miscarriage is the rejection of a fetus by the body for up to 20 weeks. Embryo loss may be accompanied by bleeding, abdominal pain. Aspiration is carried out when parts of the fetal egg remain in the cavity. With severe bleeding, cleaning is done without prior preparation. The procedure is carried out with the use of anesthesia. During rehabilitation, pain medications may be taken.

Vacuum cleaning in the postpartum period is effective when parts of the placenta remain in the uterine cavity or blood clots form. The procedure helps to avoid the development of infections and inflammatory processes. Rehabilitation takes about two weeks, which allows you to maintain lactation for further feeding of the baby.

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