What does the place look like after. What to do with the placenta after childbirth

The umbilical cord after delivery intensively pulsates mainly 5-20 minutes. But it happens that the umbilical cord pulsates for 3.5 hours and longer, while the pulsation is weak, barely noticeable, but there is. During this time, the child receives a sufficient amount of blood, which is vital for the child. If the cord is cut immediately, the arterial clean, nutrient-rich blood will remain in the placenta, and the venous blood, which requires cleansing through the mother’s liver, will remain in the child, and he will be forced to clean it. Hence the frequent jaundice of newborns in the hospital. After the umbilical cord stops pulsating, leukocytes enter the umbilical ring, they protect the child from infection through the umbilical ring. This gives such a strong bacterial defense that after the umbilical cord pulsation ceases, even if you give birth in extreme conditions and cut with a non-sterile instrument, or gnaw, there will be no infection. After the umbilical cord pulsation stops, the probability of infection through the umbilical wound is zero. Such protection is provided by nature, since infection through the umbilical ring is very dangerous for the child. Doctors cut the umbilical cord in the first seconds of a child’s life, panicky fearing that procrastination is dangerous for the child’s life. However, it was not by chance that they received such instruction from above. The fact is that placental blood and stem cells are now actively used in medicine. But isn’t it better for the healing properties of placental blood to come to their intended purpose, and to rightfully go to the newborn? Therefore, wait for the umbilical cord to pulsate. After this, detachment of the placenta begins.

Detachment of the placenta often and 15 minutes after birth, but it can take much longer - the placenta can separate and 2 hours after the pulsation of the umbilical cord. On average, the placenta is born within an hour after birth. The mechanism of exfoliation of the placenta is associated with the contraction of the uterus under the influence of postpartum hormones. As soon as the baby begins to suckle, the uterus contracts and this leads to the detachment of the placenta. After detachment of the placenta, contractions come again, and usually at the 4-5 fight, or even at the very first fight, the placenta is born. It happens occasionally that the placenta has already been born, while the umbilical cord continues to throb for some time. Igor Borisovich Charkovsky made such an observation that this also happens with lotus birth, when the baby is dived with the placenta every day and the umbilical cord does not dry out, but continues to be the channel connecting the placenta, periodically starting to pulsate when the baby dives with the placenta under water .

If the umbilical cord is so short that immediately after birth, the baby can only lie on the mother’s stomach and does not reach the breast, then you can hold it on the stomach until the placenta exfoliates, by itself lying on the stomach stimulates the separation of the placenta. A short umbilical cord does not let the baby go above the abdomen, only if the placenta has not yet separated. Classical signs of placenta separation (separation of the placenta from the wall is established on the basis of 2-3 signs):

1. . If the placenta has exfoliated, it lies at the bottom of the uterus, this can be seen. Immediately after the birth of the fetus, the shape of the uterus is rounded, the stomach is convex, sticks forward. After separation of the placenta, the uterus is flattened. A protrusion forms above the pubis, that is, the placenta descends into the lower segment of the uterus.

2. After the placenta has separated, a woman often begins to noticeable uterine contractions - contractions. A woman in labor feels a fight - a urge to try. The umbilical cord may still continue to pulsate, at the onset of labor - then it is better to wait with the birth of the placenta, this may mean that the placenta only partially detached.

3. If after an hour of labor does not occur, but the placenta appears to have separated and is located at the bottom of the uterus, then before pulling the placenta, you should check whether it has separated. To do this, the woman in labor squats, pulls herself slightly, and the assistant or midwife at this moment pulls her up a little, does not pull, but creates a guiding vector. Then the woman in labor ceases to push, and the assistant observes whether the umbilical cord goes back or not. If the umbilical cord does not go back, remains in place - it means that the placenta has exfoliated from the uterine wall, you can already give birth to it. If the umbilical cord goes back into the vagina, it means that the placenta has not yet peeled off, you should still wait and check again after 15-20 minutes, the main thing is not to create panic and vanity, this will happen when necessary, at the right time.

Do not put pressure on the uterus and rub its bottom to stimulate the contraction of the uterus and the birth of the placenta, as well as squeeze it or pull it out of the umbilical cord. If you squeeze the placenta before it separates, it breaks off in parts from the uterine wall or even damages the walls of the uterus, this contributes to both the appearance of pulsating bleeding and endometritis. Unfortunately, they often do this in maternity hospitals, after which doctors have to pull out pieces of the placenta manually ...

With the onset of labor and the visible separation of the placenta, you can squat on your heels and give birth to the placenta for 1-2 contractions.

After birth, the flow of a certain amount of blood is absolutely normal. In order to understand the amount and nature of bleeding, you need to get out of the water or drain the water and look at how much blood is released.

After childbirth, before the birth of the placenta, blood does not always flow, clean, clear amniotic fluid often comes out, but there is no blood. If non-pulsating blood comes out of the vagina, then this phenomenon is also within normal limits, which means that the placenta has already partially separated from the uterus. In this case, the umbilical cord may continue to pulsate. In this case, to prevent bleeding, immediately after the birth of the baby and before the placenta has separated, you can put your hand on the uterus and monitor the contractions of the uterus and see how much blood comes out. If a woman is very pale, then her pulse can be checked. If the uterus increases sharply in volume, and the pulse weakens, then this indicates the accumulation of blood in the uterus. Then you need to grind the uterus, massage so that it does not continue to grow, contract, and the blood comes out. Blood before the birth of the placenta may not come from the uterus, but because of a rupture or cracks in the perineum, which can be seen during examination.

To stop the non-pulsating bleeding after the birth of the placenta, the woman should be placed on her back, the pelvis above her head, ice cubes from the infusion of hemostatic and antiseptic herbs should be applied, holding the crotch with them, and holding the lower abdomen over the pubic bone with the other hand. After the birth of the placenta, it is good for a woman to give a piece of the placenta to stop blood flow under the tongue, this helps to reduce the uterus and stop bleeding. It should be checked whether the blood gradually stops, whether it is less. If the baby is placed on the mother’s chest, causing a contraction of the uterus, this can stop bleeding, often it stops even severe, pathological bleeding. However, you should not rely on this, and if a woman has pulsating bleeding, then the bleeding stopping measures that are described above should be taken, but at the same time go to the hospital immediately for artificial blood stop - because this situation requires medical intervention. You should place the pelvis above your head, put ice wrapped in a towel on your stomach and ice cubes of antiseptic and hemostatic infusion to the vagina, and then go to the hospital. In natural childbirth, this is extremely rare and is due to the poor health of the woman. Pulsating bleeding in a maternity hospital is usually caused by improper management of labor, premature stimulation of the placenta, when it has not completely separated from the uterus, no one will do this in nature.

After the birth of the placenta, look at its integrity, combining the shares of which it consists - these circular segments of the placenta are visible from the inside. If there is a complete coincidence of all the pieces, then it is whole. And look around the perimeter, too, should not be off pieces. Rinse the placenta, put in a vase or bowl. If you clearly did not find a piece, then you can go for an ultrasound scan. And you can immediately do prevention - fasting for 42 hours dry, periodically dousing with cold water. This is an excellent prevention of endometritis, it contributes to the release of pieces remaining in the uterus. The same is indicated for inflammation of the uterine mucosa, to reduce the uterus, to stop heavy (but not pulsating, but normal) bleeding. To reduce the uterus and better discharge of the remaining placenta, you should massage the uterus daily, gently knead it in a circular motion, like a dough. The uterus inside is collected in a dense solid ball, the size of a grapefruit. If it creeps out every 3 hours, then this is a sign of uterine atony, then every 3 hours it is necessary to do this massage in a circular motion, sleep and lie on your stomach. You can put an ice pack wrapped in 2 layers of towels on your stomach, and also lie on this cold bag for an arbitrary time (according to feelings), approximately 15-20 minutes. With atony of the uterus, this is important - to facilitate the discharge of blood clots artificially - using massage, lying on your stomach, walking, so that nothing stagnates there, since the uterus naturally does not do it well enough. So you protect yourself from infection.

You should also do the half-bridge exercise - see the yoga section for a description Depada Pidamasanas . Do this exercise 15-20 times daily after childbirth, and then, when the woman is fixed in this position, tighten her stomach in a bandage, or wrap it tightly with long linen cloth, or sari, wrap from the bottom of the thighs to the ribs, and leave the belly in swaddled condition at night or at least for 4 hours, so that the uterus and all internal organs take their original position and the woman's posture is straightened. This can be done for 10 days after birth.

Also, to reduce the uterus and restore the position of the internal organs, to move away the pieces of the placenta, and to restore the pelvic bones, a woman should do postpartum swaddling with a linen towel or a reboso shawl, in Russia this technique is called “Closing the Seven Keys”. This technique is now mastered by many spiritual obstetricians, it effectively restores the physical and energy structures of the woman who gave birth, helps her to recover as soon as possible, is the prevention of postpartum complications, and also removes postpartum depression.

After the baby sucked her breast, the mother gave birth to a placenta, two of them were doused with cold water, the iciest, the father can carry the child to bed. According to Slavic traditions, if a girl is born, they wipe their dads with a dressed shirt, if they boy, they wipe their mother’s shirt, and they wrap the boy with his father, and the girl’s mother. A child with a placenta is transferred to a bed. A large diaper, the size of a sofa, is laid on the bed under the entire sheet, a small oilcloth on top of the sheet and a dirt-covered diaper on it. Mom is waiting for dad in the bathroom. Dad puts the child on the tummy, the legs are bent, the newborn is comfortable to lie with the legs bent, as in the stomach. Dad comes for mom, and if the child is not doused with mom, then dad throws his mom three times cold water, the iciest one. However, it would be better if the child was doused with cold water before being transferred to the bed, this is very useful for him and includes a thermoregulation mechanism, strengthening immunity for life. After dousing, the husband carefully escorts his wife to the bed - in order to avoid fainting in the event of large blood loss. Looks for gaps.

In Moscow maternity hospitals, it is not uncommon for doctors to ask parents if they want to take the placenta with them. At home, the placenta remains with the baby and the parents have to decide what to do next. Here are 5 ways to use the placenta after childbirth. In traditional cultures, the placenta is considered the first home of the baby, his spiritual double and even a relative. The placenta is instilled in a special place, dried, eat and even make the first teether for the baby from the umbilical cord. Robin Lim, midwife of the Bali center Bumi Sehat, wrote a whole book about the meaning of the placenta, where she collected rituals from around the world. In ancient Russia, the placenta was buried under a tree or in the foundation of a house. The modern tradition is to leave the placenta in the hospital and forget about it immediately after birth. But no one bothers you, if you wish, to come up with a small ritual for your family and keep the placenta for yourself and the newborn baby.

Take and eat your placenta

So traditionally do parts of Indonesia, the Czech Republic and Morocco. It is believed that a woman who ate her placenta will be prolific. In Mexico, a mother is given a cord to chew, and in Bali, midwives from Bumi Sehat offer a woman in labor to eat a piece of raw placenta immediately after birth to prevent postpartum hemorrhage. Why is it disgusting for some to think about it?

The placenta is the real part of the human body. It is made of human tissue and looks like a piece of fresh flesh. In our society, the ban on eating their own kind is one of the oldest. Cases of cannibalism terrify us. Therefore, the mere thought of eating the placenta disgusts many people. After all, it is almost like tasting the human body. Solid Sorokin is obtained. That is why the encapsulation of the placenta is becoming more common. It seems to be the same thing in essence, but swallowing pills is a completely different matter, it is just quite traditional and in our society is associated with treatment and benefit. Sometimes 2-3 teaspoons of the placenta is added tosmoothie(with banana, berries and coconut water), sometimes swallowed like that. There was even a special service for making smoothies right in the birth box, usually parents enter it into their birth plan and pay about $ 20-30.

Some prepare a real dish from the placenta.  We met recipes for lasagna and spaghetti bolognese from the placenta. In 1998, Chef Hugh Fearnley-Whittingstall prepared a placenta paste in his cooking show. And in 2006, Tom Cruise promised to arrange a feast with a placenta after the birth of his wife Katie Holmes. With the exception of whales, almost all mammals in nature act with the placenta in this way - no, they don’t cook lasagna, they just take and eat it whole. Besides the obvious nutritional value,  P Plus oxytocin, which helps the uterus contract and is responsible for the secretion of milk, and zinc is a mineral that helps prevent postpartum depression. At the moment, there is no reliable scientific data on the benefits or harms of placentophagy. But some researchers became interested in the issue and began to study the effect and composition of the placenta.

Make placenta tablets

It's almost like eating, only in a way that is more acceptable to our culture. The last 5 years, the encapsulation of the placenta is becoming more popular. In 2013, actress January Jones (Betty Draper from Mad Men) praised the capsules from the placenta as a cure for postpartum depression. There are two main ways to encapsulate:

• by analogy with Chinese medicine (where the placenta has long been used as a medicine), dry the placenta with herbs
• in the tradition of raw foodists, use only a dehydrator that does not heat the placenta above 40 ’

Only fresh placenta (not more than 48 hours), which was stored in the refrigerator, is suitable for encapsulation. The output is 100-200 capsules, which can be stored there in the refrigerator. The process itself is most often taken by midwives, doulas, or placental encapsulation specialists. It takes about 2-3 days and costs $ 150-250. Sometimes mothers carry out encapsulation on their own (process on PHOTO). To do this, you need a dehydrator, an apparatus for packaging the placenta powder in capsules and the capsules themselves. On the Internet you can order special kits (about $ 30), however, you need to get a dehydrator in advance or use an oven. Opinions about placenta tablets are very different. For example, here's a heartfelt review by Jill Ferenbacher, founder and publisher of Inhabitots, a hipster site for moms and children, about his experience with placenta encapsulation. And here is a post of regret from Nancy Redd, a journalist and graduate of Harvard, who managed to become Miss Virginia in 2010 and received a bunch of awards for work in the field of women's health. She writes that taking tablets with their own placenta, on the contrary, provoked her mood deterioration after childbirth.

Usually among the benefits of taking dried placenta capsulesdescribe the following:

• helps Avoid Postpartum Depression
• improves lactation
• restores hormonal balance after childbirth
• increases the level of iron in the body
• contributes to a faster cessation of postpartum discharge
• gives energy and strength in the first weeks after childbirth

  Bury the placenta next to the plant

This tradition also exists for a long time. In Hawaii, the placenta is planted under a tree. which in the future becomes a baby tree, and in Sudan the placenta is considered a “spiritual double” and instilled closer to the place of the desired work of the offspring (for example, next to the hospital for the future doctor). Actor Matthew McConaughey did just that with the placenta of his newborn son Levy - he planted it under a tree in the orchard. On the network you can order a special set for rooting the placenta: a bag, a tree tag and a book for the baby about the placenta under his own plant. There is also a whole section about the types of trees and their symbolic meaning. Perhaps the horoscope of the Druids is also quite suitable for these purposes. Important! The placenta should be buried deep enough (at least 40 cm), since it can damage the root system of the tree, and local predators can also smell it. You can put the placenta in the freezer and wait six months or a year, then it will become less active.

Most often, the placenta is buried in a place where the family will return for many years. If there is no such place yet, you can choose an option for modern nomads and plant the placenta in a large flower frame. Given the northern climate, this method allows you to expand the selection of totem plants. Last year, at a Sister Morning Star workshop, one such placenta from a refrigerator was planted in a tub with an orange tree. The sister sang Native American blessings, and most of those present (including the author) even shed a tear, participating in this ritual.

Make an imprint with the placenta

  There is a way for creative naturesleave a memory of the print of the placenta. To do this, it is enough to take a large sheet of paper and place the placenta on it beautifully. Sometimes an imprint is made without paints - with blood that remains on the placenta. In this case, you need to pick up acid-free paper for archival storage. If you use gouache, acrylic or watercolor for printing, then plain paper for drawing is quite suitable. The placenta is applied to the sheet on the side where the umbilical cord is attached (this is the side of the child). Then the imprint turns out to look like a tree with a wide crown and tenacious roots.

Make a placenta adornment

Pieces of dried placenta or umbilical cord are turned into beads or finished rings and pendants using epoxy resin. Those who can handle such things can try to make the jewelry themselves. The rest will have to come up with a way to send the placenta to the masters who create such jewelry. For example, in Beyond the Willow, where they promise to build such a bracelet within 2-4 weeks. There are also breast milk rings, but about them another time! In Moscow, I know one mother, a jeweler, who will not at all be surprised at your desire.

What else would be done with the placenta?

In Yemen, the placenta is placed on the roof of a family house, where birds eat it. It is believed that this helps strengthen the bonds of love between parents.

The placenta is a unique and very important organ that exists only during pregnancy. Often, the placenta is called a child's place, because it connects the baby with the mother's body, providing the baby with the necessary nutrients. Upon completion of the exit of the fetus from the womb of the woman during childbirth, the final third stage begins, when the last leaves. It includes not only the placenta itself, but also the fetal membranes and the umbilical cord. The process usually takes no more than half an hour, accompanied by a sharp contraction of the uterus and bleeding.

Birth of an afterbirth

It does not always happen as it should. In some cases, uterine contractions do not lead to anything, then doctors ask the woman in labor to perform actions that contribute to the separation of the afterbirth:

• pull on the nipples or massage them, nipple irritation reflexively enhances uterine muscle contractions;
• put the baby to the chest;
• raise the pelvis and rotate it, resting on the hands and feet - to accelerate blood circulation in the uterus;
• breathe deeply with the stomach and chest at the same time, this will help the anterior abdominal wall to make intense movements.

If the placenta has not been separated naturally, one of the methods for manually isolating the placenta is used:

1. Method Ambuladze.  After emptying the bladder, the obstetrician grabs the abdominal wall with his hands so that the two rectus abdominal muscles are tightly covered by the fingers. Then the woman in labor must push. In most cases, the placenta after birth comes out easily due to a significant reduction in the volume of the abdomen and elimination of the divergence of the rectus muscles.
2. The method of Crede-Lazarevich.Used in the absence of the effect of the previous method. The doctor moves the uterus to the middle, then performs a massage of the uterine fundus in a circle to cause contractions. It is important to simultaneously press on the uterus with the entire surface of the hand (palm from top to bottom and fingers from front to back).
3. Genter's way.Squeezing the placenta after childbirth with bilateral pressure with fists. The pressure on the uterus is gradually increasing, directed down and in. This method is quite traumatic, therefore, it is used with great care.

The consequences of manual separation of the placenta during a normal third stage of labor:

• violation of the physiological process of placental abruption;
• change in rhythm of contractions;
• infringement of the placenta;
• delayed separation of the placenta due to uterine spasm;
• increased bleeding.

Detachment of the placenta during childbirth should occur only after the birth of the baby. If this happened earlier, the fetus may die as a result of oxygen starvation. Premature detachment of the placenta is an indication for emergency cesarean section.

What does the afterbirth look like after childbirth?

Normal mature on average 3-4 cm, diameter up to 18 cm. Most often it happens more than parents expected. The childbirth after childbirth is uneven from the attachment to the uterus. On the other hand, it is shiny and smooth with an umbilical cord in the middle. The latter resembles a large piece of liver.

Evaluation and inspection of the afterbirth

The obstetrician carefully examines the born afterbirth. To do this, it is laid out on a flat surface, then the absence or presence of violations is revealed, the integrity of the tissues is checked. When examining the afterbirth special attention pay to its edges, because pieces of tissue more often come off in the peripheral regions. The surface should be smooth, have a bluish-gray color. If vascular rupture is detected, we can talk about the presence of tissue remaining in the uterus. In this case, the uterine cavity is checked manually and the separated fraction of the placenta is removed. Defects of the afterbirth are areas of fatty degeneration, calcifications, old blood clots. Be sure to determine whether all the shells were born, and the place of rupture of the shells. If necessary, conduct a laboratory analysis of the placenta. All data is recorded in the birth history.

The path of the birth of a child is quite long and laborious. After labor, labor, and the baby's exit, the girl also experiences the separation of the placenta. It is very important to ensure that everything went according to the rules and quickly. If even the smallest particle of a child’s place remains in the uterus, further inflammation and deterioration of well-being cannot be avoided.

In order to understand what the last looks like, you need to understand its structure and pay attention to the functions that are assigned to it. This temporary organ is very important for the baby and mother during pregnancy, and its correct exit has a huge impact on the further well-being of the young mother.

The latter is called the temporary organ that the embryo needs throughout the pregnancy.

It plays a special role for the baby’s breathing, nutrition and development, and also protects the fetus from the effects of harmful external factors.

Visually, the child's place looks like a bag to which a membrane is attached inside. Such a membrane performs an important function, as it is a union between the circulatory system of the baby and mother.

The system consists of a membrane, placenta and umbilical cord. You should know that everything is formed at 4 months, and by 36 weeks - it tends to age. Talk about how much this body weighs, based on the situation. In the normal course of pregnancy and the absence of complications, the weight will be 500 g, size - from 15 to 20 cm.

The main purpose

This temporary organ performs extremely important functions for the female body and this is worth remembering. It takes part in the exchange of oxygen and carbon dioxide, and also removes metabolic products, delivers nutrients and protects the fetus, which develops over 9 months, from damage.

Among the main functions:

• protective - there is reliable protection of the child from maternal antibodies, as well as protection of maternal blood from the penetration of antigens of the child;
• nutritious - a children's place provides the baby with proper nutrition;
• exchange - oxygen from maternal blood is able to enter the baby’s blood;
• excretory - is involved in the transport of metabolites;
• endocrine - produces biologically active substances and hormones necessary for mother and baby.

Departure

The birth of the afterbirth after childbirth is a very important and significant issue for any woman. It is the third stage during the birth of a child. When the last after the fetus comes out, it is necessary to monitor the patient's condition. Doctors at this moment evaluate the extent of blood loss, pay attention to the pulse and pressure of the mother, and also closely monitor her general condition.

Two hours later, the process is completely completed, but the woman after the birth of the placenta may still experience blood loss - a volume of 220 ml (all that is above the norm indicates a violation). It is very appropriate to ensure that bleeding does not open and the placenta does not linger. If the exit phase has slowed down, you can’t do without outside help. Doctors often have to independently extract it.

If not coming out

Why the placenta does not come out is difficult to say. At this point, medical professionals should be alert and responsive. Such a complication can lead to an irreversible outcome and even increase the likelihood of a young mother's death.

Exile can be done in different ways:

• light painless massage in combination with muscle tension and pushing (Abuladze method);
• without tension from the side of the girl, impressive pressure and internal movement down (Genter's method);
• the most effective way: light massage, squeezing, pushing out (Crede-Lazarevich method).

Such methods can be used not only for complete expulsion, but also to facilitate the process, when the mother is difficult to cope on her own and requires outside help. There are also cases during which anesthesia and surgery are required.

Exit signs

There are a number of signals by which it is possible to determine with certainty that the process of departure has begun. An experienced doctor should regularly conduct a personal examination and carefully monitor the patient's condition in order to notice them. You can talk about the departure of a child’s place if:

1. There are changes in height, shape and uterine structure. It becomes flat, deviates to the right and rises to the navel - a sign of Schroeder.
2. The end of the umbilical cord, which comes out of the vagina, becomes longer and the umbilical cord itself also lengthens - a sign of Alfred.
3. A woman feels the urge to try. But this does not happen in all mothers - a sign of Mikulich.
4. Elongation of the umbilical cord after such attempts indicates successful separation from the uterus - a sign of Klein.
5. A finger pressure on the suprapubic area provokes an extension of the umbilical cord - a sign of Kluster-Chukalov.

It should be understood that when there is no process of tissue separation, this is natural.

If mommy does not complain about anything and feels normal, she has no bleeding and other signals of violations, there is no reason for panic. Understanding this, doctors can allocate a few more hours (no more than two) while waiting for the process to begin. If such a step did not bring changes or the patient’s condition worsened significantly, then medical personnel can’t do without intervention. Doctors perform surgery under anesthesia or manually scrape the cavity on their own.

Inspection

It is extremely useful to know what they are doing with the afterbirth after giving birth and where they are doing it. The first thing that doctors do is give a sample for histological examination. This is done in order to check the integrity of the placenta. If even a small particle remains inside, there is a risk of getting a complication in the form of an inflammatory process and dangerous uterine bleeding. Medical workers examine the appearance of the sample: its structure, size, integrity and general condition of the vessels. The membrane is examined from all sides very carefully, there should be no torn edges and vascular lesions.

There are cases when during the inspection it is clear that this body was not completely released. Such an incident requires medical attention, doctors usually clean the uterus. This manipulation is allowed to be carried out manually or using a special spoon - a curette.

If membranes remain in the uterus, cleaning is optional.

Membranes will come out with lochia (special secretions with blood, shell fragments and particles of a child’s place).

What to do with the afterbirth after childbirth then? A mandatory item is the weighing of the sample and a mark on the studies performed in the patient’s medical record. Next, the placenta is disposed of.

After examining the child's place, the doctor begins to examine the patient herself. It is very important at this stage to evaluate the volume of blood lost over the entire time, rinse the wound surface with a disinfecting solution, and also carefully sew all incisions and tears. Further, the young mother goes to the ward, where her health is constantly monitored by experienced specialists. Close attention is provided for 3 hours, this first time carries the risk of complications in the form of uterine bleeding due to a decrease in uterine tone.

Prevention of Complications

You can take care of yourself and simplify the process of the appearance of a child’s place during pregnancy. Monitoring your well-being at this stage is extremely important and necessary for any girl.

Prevention measures are as follows:

1. It is necessary to lead a healthy lifestyle.
2. It is important to monitor your diet, if necessary - limit in sweet, fried, fatty, spicy, smoked and salted.
3. If chronic diseases are concerned, it is necessary to cure them and bring the indicators back to normal.
4. It is recommended to devote the proper amount of time to rest and sleep; sleep at night requires at least 8-9 hours.
5. It is forbidden to overload the body with intense physical exertion.
6. It is important to avoid crowding and places of a large number of people.
7. It is recommended to worry less and worry, to avoid the slightest stress.
8. Any diets, fasting and severe dietary restrictions are contraindicated.
9. It is recommended to use a complex of vitamins, fish oil and preparations containing iron.

Such measures significantly improve the overall well-being of women, as well as reduce the likelihood of possible risks in the future.

Not every girl before pregnancy and childbirth knows that the birth process does not end at the contractions and the appearance of the baby. There is also a third stage - the birth of a child's place. The placenta after childbirth is born after the baby. It begins to develop from conception, and the entire period of pregnancy helps the mother and fetus to fully exist.

The aftermath is the residual fetal membranes, the placenta and the umbilical cord. The main role is to protect the child from the environment. The baby place accompanies the fetus before childbirth, and leaves the uterus after the birth of the baby. This is a temporary organ connecting the mother and child at the cellular level.

Is the placenta and the placenta the same thing or not?  No, these are completely different concepts in medicine. The placenta is an integral part of the child's place along with the umbilical cord and the membrane.

What does the afterbirth look like after childbirth:

1. the placenta is allocated (the formation of a round shape, in the form of a cake);
2. the umbilical cord connects it with the child, there are two arteries and a vein;
3. the remains of the unborn membranes of the fetal bladder.

The last during childbirth appears last. For the integrity of the child's place, a conclusion is drawn about a successful postpartum period. The organ binds the mother and baby long before birth. The patrimonial placenta performs important functions for the fetus: respiration, nutrition, waste disposal, protection, hormonal harmony.

• gas exchange (the blood of the fetus is saturated with oxygen, and carbon dioxide is given to the mother's plasma);
• barrier (improves immunity, filters out harmful substances eaten by the mother, viruses, infections);
• trophic (electrolytes, water, nutrients enter the fetus);
• excretory (a child's place helps to eliminate urine and processed substances);
• endocrine (produces hormones that positively affect the course of pregnancy, fetal development).

The functions of the organ are needed for the full development of the child and the correct course of the gestation period. But this is not enough to protect the fetus, the mother must take care of the diet and daily routine, then the baby will be born healthy and on time.

Exile

The birth of the placenta after childbirth occurs at the last stage of delivery. The period passes without the intervention of obstetricians and gynecologists, doctors just watch. The pulse and the amount of lost blood of the woman in labor are controlled.

What the last consists of:

1. from the placenta;
2. umbilical cord;
3. fetal membranes.

After a few hours and a little blood loss (no more than 250 gr.), A child's place begins to be born. The midwife must control the bladder and release it in time. Urine causes retention of parts of the placenta in the uterine cavity, it is dangerous for the mother in labor.

When the bleeding becomes too strong or the child's place does not go out on its own, it is removed manually. If the afterbirth after childbirth has not come out, or a small part has remained in the woman’s body, this will lead to infection, bleeding and other complications of the postpartum period.

How does the afterbirth come about after childbirth:

• signs of departure begin to be visible;
• the rest of the umbilical cord comes out;
• the placenta and particles of the membranes are born.

How to understand whether the afterbirth has left after childbirth?  After the birth of the baby, a baby place should appear, which consists of the placenta, umbilical cord and membrane. Only with integrity can we say that the organ is completely out.

Is it painful to give birth?  This procedure does not cause pain, because the threshold during this period is very high. Do not worry about possible discomfort, everything will happen quickly and almost imperceptibly.

Exile methods

If there is a aftermath after childbirth, in the normal condition of the woman, exile can be postponed. An obstetrician must wait at least 2 hours for spontaneous departure before using external methods of isolation.

Sign of Schroeder. According to the method, the height of the uterine fundus changes. The uterus becomes flatter, bends to the right, and the bottom rises to the navel.

Sign of Alfeld. The umbilical cord, which is visible from the vagina after cutting, lengthens and then falls down. So the placenta enters the uterus.

Sign of Mikulich. This method of determining the imminent exile is a desire to push, but the symptom is not always felt. With this state of health, the placenta is in the vagina.

Sign of Kuster-Chukalov. If by pressing the pubic part, the umbilical cord lengthens, and in the absence of physical impact is not pulled back - the latter is on its way.

Some methods are barbaric, but in certain circumstances help to prevent a woman in labor from sepsis or bleeding. External methods for isolating the separated placenta are used in extreme cases, when the child's place cannot be removed otherwise. A positive quality of the procedure is the absence of tension of a tired woman in labor.

According to Genter:

1. the obstetrician stands on the side of the woman in childbirth;
2. folds the phalanges of the fingers into the castle;
3. lays them with an edge on the alleged location of the uterine fundus;
4. presses the uterus and pulls down to the vagina.

Allocation of the placenta according to Abuladze:

• a light massage of the uterus is performed;
• hold the peritoneum by the lower fold;
• woman in labor should push.

Crede-Lazarevich method:

1. the uterine bottom is advanced into the middle;
2. massage the uterus, stimulating the organ to contract;
3. squeezed with one hand;
4. the other hand pushes the rest.

All actions are performed only by an obstetrician-gynecologist with experience in manipulation. Only then there will be no risk of injuring the woman.

Child seat delay

Often after the birth of the baby, the placenta does not appear. This is hindered by the peculiarities of the mother's body. It happens that it takes more time to exit (the permissible norm is 2 hours after delivery). Then the woman in labor is left in the delivery room for 1.5-2 hours without physical effort to push out the child's place. If the last has not appeared, the obstetrician proceeds to external methods of expulsion. Delay is provoked by a filled bubble or weakness of a woman's labor.

Why does not the afterbirth leave after childbirth:

• exile is delayed due to physiology;
• due to ingrown into the uterus;
• through premature detachment of the placenta.

Infringement of the placenta is a delay in the release of the fetal place due to insufficient contraction of the uterus or abdominal muscles. This condition occurs due to improper external influence on the exit of the placenta or one of the doctors pulled the umbilical cord ahead of time. In this situation, women in labor are administered relaxants and try to remove the residues manually.

A frequent reason for delaying a child's place is ingrown into the uterine cavity. This is due to the too low attachment of the placenta to the uterus, so the chorionic villi grow into the myometrium and the female organ. As a result, the afterbirth is not born on its own. Pathology causes bleeding during delivery. In this case, external separation methods are used.

Detachment of the placenta occurs due to premature aging. For this reason, the latter becomes either very thin (less than 2 cm), or too thick (more than 5 cm). The thin organ cannot perform its functions fully, therefore the fetus is born dead or with mental pathologies. Too much proliferation causes tumors on the placenta, as well as inflammation. Pathology causes complications of the postpartum period.

Delay in the aftermath is dangerous with the following problems:

• postpartum hemorrhages are likely;
• large blood loss during the birth process, which provokes hemorrhagic shock;
• possible change in the surface of the uterus;
• inflammation of the entire body of the woman in childbirth or female organs;
• leads to the death of a woman.

A pregnant woman should try to protect herself in the postpartum period. To do this, abandon abortion, be aware of chronic diseases, treat inflammation of the genitourinary system in time. During gestation, if possible, avoid contact with viral infections and adhere to a healthy lifestyle.

Caesarean section

It is clear that after natural childbirth, the placenta leaves through the vagina after the uterus contracts, because it is so inherent in nature. But with a caesarean section, this does not happen, since the child is removed through the incision of the uterine cavity. In this situation, the contents are taken out by the operating doctor by hand. Next, the obstetrician-gynecologist checks the integrity of the placenta and the absence of ingrowth of the fetal space in the uterus.

Remains of the placenta in the uterine cavity entail serious problems with the health of the woman in labor, such as inflammation or suppuration of the internal genital organs. If there are particles of membranes or the placenta inside, the woman will be cleaned by mechanical scraping. It is very painful and dangerous after a cesarean section, the uterine cavity is already injured by postpartum sutures that have not yet had time to tighten.

The consequences can be the most unpredictable up to sepsis. In the postpartum period with surgical delivery there is a high risk of infection of the internal organs. A woman, before agreeing to an operation, must be as sure as possible that there are no consequences.

After removing the placenta, the obstetrician makes an assessment and sends for research. With normal indicators in maternity hospitals, at the request of the mother, the organ is given to the woman in childbirth.

Ultrasound is done before discharge from the maternity ward to exclude particles in the uterus. Only then can you be sure that nothing is left inside.

Diagnostics

After the expulsion of the fetal place, the obstetrician must verify the integrity of the organ. There are ways to do this (air, milk, swimming, scalding), but none of them gives accurate indicators. Now only the Mikeladze method is used, according to which the placenta is put on a special glass lamp upwards by the maternal side so that the edges of the placenta and blood vessels are visualized well.

In the presence of a defect in the placenta, light spots are detected, which requires additional analyzes. Next, the child’s place is sent to histology, where the organ will be thoroughly examined and a conclusion made.

Reception and examination of the afterbirth is carried out by the obstetrician who takes birth, weighed it and entered the testimony into the card of the woman in labor. If a bad placenta with ruptured membranes was found, the woman in labor is carefully examined and the uterus is cleaned using a special spoon (curette).

Histological analysis of the fetal site helps to make sure that it is completely out of the uterus. After conducting the research, the doctor decides what to do with the aftermath: to dispose of or dispose of at the request of the woman.

The conclusion on the study is issued to the woman in labor with a card for submission to the antenatal clinic at the place of residence. This will help coordinate the actions of the gynecologist in subsequent pregnancies.

The fate of the fetal place

Where do the afterbirth after giving birth?  It is disposed of or given out to the parents of the newborn. In maternity hospitals, doctors are increasingly suggesting that mothers take the child's place after childbirth home, if deciphering the analysis of the afterbirth does not indicate the presence of infections or bacteria.

Eating. Some nations feed the baby afterwards or dry it as a relic of the first baby’s house. Modern women use the organ for other purposes. In private clinics, placenta is added to cocktails. It is believed that such a smoothie makes a woman prolific and young.

Contraction of the uterus. Last butcher helps the body contract faster. In addition, fetal tissue contains substances that contribute to the production of milk and prevent postpartum depression.

The manufacture of drugs. Some women make pills from the afterbirth. The drug is done within 48 hours after birth, otherwise the effectiveness of the substances will decrease significantly. These funds help to establish breastfeeding, improve well-being after childbirth, and also return the uterus to its previous size. It happens that women in labor sell the postpartum afterbirth. This is strange, but there are buyers on such goods.

How much is the postpartum placenta?  The approximate price is from 20 to 50 dollars. The organ is used for the preparation of cosmetics aimed at rejuvenating the body.

What is the postpartum after birth in women - this is a temporary organ that protects the fetus from infections from the inside. It helps the child to eat, breathe and get rid of processed substances. It is important after the birth of a child’s place to verify its integrity, because even a small particle inside the uterus costs a woman health.