The latter is what? Delayed afterbirth

Pregnancy and childbirth is the happiest time in the life of every woman, despite all the problems of a difficult period of a given physiological condition. Even if the pregnancy proceeds without unnecessary anxiety, each, including a woman who has repeatedly given birth, still experiences how the birth of her child will pass. With all the skill of obstetrician-gynecologists, unexpected complications can arise in the most equipped clinic during childbirth. For example, delay afterburn. What is this complication, and what are the causes of its occurrence?

What is the placenta?

In the process of pregnancy in the uterus of a woman from the tissues of the embryo, the placenta is formed, or, as they call this formation, a "child's place". The process of its formation occurs in the first three months of pregnancy. In the scheme above, it is clear that one side of the child's place is attached to the wall of the uterus, then goes into the umbilical cord that connects the fetus to the mother. The placenta grows together with the fetus, and only at 36 weeks of gestation its growth stops. It becomes the so-called "mature" placenta.

Basic functions of the placenta

So, let's consider what the temporarily formed organ, which is inherent in absolutely all mammals, includes:

• Transportation from the mother's body to the fruit of useful substances;
• Excretion of the products of the fetus;
• Gas exchange (from the mother to the fetus oxygen comes from the fetus to the mother - carbon dioxide);
• Synthesis of many hormones;
• Barrier for harmful substances and pathogens.

What is the latter?

The latter is the placenta with the membranes of the fetus and the umbilical cord. So the complete identification of the two concepts: "placenta" and "last" - is not entirely true. This fusion of concepts is explained simply: the successful exit of the afterbirth directly depends on how well the child's place separates from the uterine wall. The latter leaves after the birth of the child (in essence, this is clear from the name itself). This occurs in the third period of labor.

Sequence in childbirth: the process of expulsion from the uterus

The birth activity of a woman occurs in three stages.

The first stage: smoothing and opening of the uterine cervical canal. That is, the uterus should open up enough so that the fetus is expelled from its cavity. This is about 10 centimeters, or, as the midwives used to say, five transverse fingers.

The second stage is the birth of a child.

And then comes the third, final stage: detachment of the fruit shells and the child's place from the uterine walls and the birth of the afterbirth. This occurs as follows: in the period of 30 minutes after the birth of the child, the uterus starts to contract again in the parturient woman. The placenta, which does not have muscle fibers, and, therefore, does not contract, begins to separate from the place where it was attached. After separation from the uterus, the latter is expelled. This is normal. But a complication is possible, when the placenta does not completely exfoliate or does not completely separate.

Why does the placenta not separate?

There may be several reasons for this:

• Decrease in the strength of uterine contractions;
• Tight attachment of the child's place to the wall;
• Increment to the wall, up to the penetration of placental tissues into the deep layers of the uterus (the most formidable pathology);
• Wrong structure (too thin or having two placenta shares);
• Location of the placenta in the lower parts of the uterus;
• Location in the zone of the myomonous node.

What do they do if they did not come out later?

If the doctor has determined the development of such a complication as the non-occurrence of afterbirth, a number of measures are being taken to stimulate uterine contractions. The first thing the obstetrician-gynecologist advises is to massage the nipples. As a rule, this simple procedure helps to drive out the latter. It did not help? Then, in order to stimulate the contractions, the bladder is catheterized and drugs are injected. In the absence of the results of the measures taken, after 30 minutes manually separate the latter. This exercise is conducted under anesthesia. If you suspect a placenta that is ingrained in the thickness of the uterine wall, the mother is prepared for an immediate removal of the placenta.

Complications

As a rule, they are dangerous precisely for their rapid development and unpredictability

1. Bleeding. It can be a formidable complication if it is strong and massive, as it can lead to shock and even death.
2. In the postpartum period , endometritis can develop.
3. Infection of the blood (sepsis).

Causes of delayed afterbirth

Why does not the latter come out? This can be due to a number of health problems that the mother has acquired before the pregnancy:

• Dystrophic changes in the uterus, scars after surgery;
• Inflammation of the mucous layer of the uterus;
• Frequent curettage of the uterine mucosa.

Prevention

Birth defects can be avoided if you follow the following rules:

1. Pregnancy should be prepared, planned, taking into account the state of health, household factors and psycho-emotional state.
2. To prevent infectious and inflammatory diseases of the genitourinary system and pelvic organs: to exclude casual sexual relations, to use condoms during sexual intercourse, to observe the rules of intimate hygiene.
3. Timely treat diseases.
4. When pregnancy is time to find an experienced and responsible doctor whom you can trust; Be registered (up to 12 weeks of pregnancy).
5. Monthly visit to the women's consultation: once a month in the first three months, at least once every three weeks in the second, and once a week in the final trimesters of pregnancy.
6. Proper nutrition during pregnancy (eating fiber-rich foods, avoiding sharp, fatty, salty foods.
7. Observance of the regime of the day: it is very important to sleep enough time.
8. Compliance with the recommendations and instructions of your gynecologist.
9. Refusal from bad habits and the use of alcoholic beverages.
10. Adequate physical activity, physical exercise for pregnant women.

Optimistic

Forewarned is forearmed. Of course, the delay of the afterburn is not a pleasant complication. But in the case of careful consideration of your health and the health of your future little miracle, the implementation of all the recommendations of a doctor who watches your pregnancy, the birth for sure will be successful. After all, such an unpleasant complication, as an increase in the placenta to the uterus, which may entail surgical intervention, according to statistics, is very rare: 1 case per 24 thousand women in childbirth.

Health to you and your children.