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Why, after childbirth, can the lower abdomen hurt like during menstruation, what is the cause of cramping pain when it goes away?

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Some women after childbirth have a stomach ache as during menstruation. Such pains are caused by different reasons. Sometimes it is connected with the physiology of the female body, but it can also be pathology. It is important to find out in time what the pains dictate.

Causes of abdominal pain

If the process of childbirth itself is rather painful, then it is not necessary to assume that the recovery of the body will take place without pain.

The cause of pulling pain is oxytocin activity. This particular hormone is produced more intensively after birth and provides a good service. The uterus after childbirth opens and increases in size, and oxytocin helps it to get the desired shape.

At the time of uterine contraction, the pain often increases due to the pressure of neighboring organs on it. It is important to ensure that the bladder does not overflow. Otherwise, it will put pressure on the uterus and aggravate the pain in the lower abdomen.

Some women are stitched, in case there is a tear in the fabric. Finding a foreign body in the body will cause discomfort for some time.

After childbirth, doctors can detect remnants of the placenta, epithelium and ovum in the uterus. So there is a need to make uterine scraping. After such a difficult procedure, a woman in labor will be accompanied by a pulling pain in the abdomen for a period of time.

During childbirth, bone injuries can occur, which subsequently cause pain in the lower abdomen. Over time, they pass.

Abdominal pain for up to 1 month is defined as physiological, and they go away on their own. If the painful sensations bother you for a month or more, then this may be a pathology.

Why does the belly hurt when breastfeeding

Some are alarmed by abdominal pain while breastfeeding. Natural production of the hormone oxytocin makes itself felt. Each time the baby eats, mommy can feel the uterus contracting. This is a normal natural process. In such cases, there is no reason to worry about the pain in the lower abdomen. As a rule, it passes in two weeks. Breastfeeding thus benefits both the baby and the mother's body. The more frequent the feeds, the sooner the process of uterine contraction is completed.

The stomach hurts, and there are no monthly

In many cases, as soon as the female body has recovered after childbirth, the menstrual cycle is normalized and the period passes regularly. There are women whose menstruation occurs in 2-3 months and this is considered as the norm. It happens that nursing mothers between the first two menstruation breaks 2-3 months. Sometimes

monthly come early. There is no reason to worry if there is no pulling pain in the lower abdomen. The graph is usually stabilized on the 4th cycle.

The standard term for the appearance of menstruation in lactating women usually occurs when the baby is fed less often due to additional nutrition. For mothers who do not breastfeed - after 2 months.

It happens that the mother, who began to feed the child less often, still does not start menstruation. The thing is that after giving birth a large amount of prolactin is produced in the woman’s body. Due to this milk appears. Milk hormone prevents the process of ovulation and, accordingly, the appearance of menstruation. In women who do not breastfeed, the presence of prolactin is reduced and the menstrual cycle is restored quickly.

If there are no pathologies in a woman's body, then before the onset of menstruation she should not have severe pain in the lower abdomen. In frequent cases after birth, the natural cycle is less painful. This is due to the fact that during childbirth the bend of the uterus is aligned. This contributes to the smooth exit of blood outflow.

Sometimes the pain may be similar to pain, which happens before menstruation. The body of each woman is individual and some factors can influence the recovery of the menstrual cycle.

  1. Emotional condition. If a woman is a lot nervous or is experiencing any life troubles - it can provoke pain in the lower abdomen.
  2. Improper diet and rest adversely affect the well-being of women in labor.
  3. If the birth was pathological and there are complications.

What if the stomach hurts for a very long time, but there are no menses. It may be pathology.

  • Serious hormonal disorders caused by a decrease in the amount of estrogen.
  • Sheehan syndrome. This disease develops after a protracted and difficult labor. One of the symptoms characterizing the syndrome is the absence of menstruation. As a result, the pituitary gland, which is responsible for the production of hormones, is poorly supplied with blood.
  • Inflammation of the genitals and possible tumors.
  • Consequences after infectious diseases.

What to do if it hurts and pulls the lower abdomen after delivery

As in any cases when there are complaints, you need to consult a doctor.

After examining and passing the necessary tests, the gynecologist will prescribe a course of treatment. The doctor may prescribe antibiotics, anti-inflammatory and antibacterial drugs. Sometimes you have to prescribe drugs with a sedative effect. Complex treatments are effective.

Before visiting the doctor, you should not take antispasmodics.

If the pain in the abdomen does not pass after the second birth, then dispense such means as Aspirin, Diclofenac, Dikloberl, Nise. For pain relief, the doctor may prescribe Ketoprofen, Ketones, Artokol.

Often women after childbirth prescribe rectal suppositories. They are quickly absorbed and have a minimum of side effects.

If any postpartum remains are found in the uterus and curettage is done, then antibiotics are prescribed.

At displacement of the vertebrae, manual therapy is prescribed.

If peritonitis is diagnosed, surgery may be necessary.

If the abdominal pain is not dictated by pathology, then sleep and proper nutrition can help.

Performing special exercises will serve as an auxiliary way to reduce the uterus.

After childbirth, you must be monitored by a gynecologist in order to detect possible problems in time and eliminate them.

Physiological causes

With the birth of the child, the woman’s body begins to release large amounts of oxytocin into the bloodstream. This hormone is responsible for the production of breast milk and the recovery of the uterus.

The reproductive organ should return to its normal state in a couple of months. The uterus needs not only to restore its shape and size, but also to take its former place in the pelvis. It is quite natural that this process causes discomfort - the uterine ligaments hurt.

Many feel contractions of the muscles of the uterus while feeding a baby. Oxytocin is actively produced during nipple stimulation, which is what happens when a baby sucks a breast. Experts advise to feed the newborn with milk on demand, including for this reason. The more often a woman puts a baby to her breast, the faster the body will recover.

The strongest pains are noted within a few hours after giving birth, then the pain gradually subsides. In the first week, the pain can be so intense that they even frighten a woman in labor because they resemble experienced bouts. Then the pain returns periodically when the necessary hormone enters the blood.

The neighboring organs, which had been under pressure of the uterus for several months, also have to return to their former state. This also applies to the bladder, due to overcrowding which sometimes aches and pains in the lower abdomen. Doctors advise as often as possible to empty it immediately when there is a desire to go to the toilet.

Those who gave birth with a caesarean section still have pain in the area of ​​the seam. This is abdominal surgery, which requires a long rehabilitation. A woman must comply with all the recommendations of doctors and quality care for the seam. In the absence of complications, the pain will pass in 2-3 months.

When parts of the placenta or other objects remain in the uterus, the doctor will prescribe a special dropper for the parturient. With the help of medications, the uterus can be cleaned, but this is not always the case. Sometimes a woman needs to clean the uterus - a painful procedure performed under general anesthesia. After aspiration, the body needs a recovery period, and the pain can be felt for a long time.

Pathological processes

Pathological causes of lower abdominal pain after childbirth include the injury of the pubic bone. Most often this happens with miniature women. The baby, leaving the womb, injures the bone, but at the time of birth, she does not feel it. The first symptoms will appear later, after 1-4 months. A woman feels discomfort and pain in the lower abdomen. In this case, the discomfort is not localized in the uterus, namely in the bone. Often the pain syndrome disappears without medical intervention.

Tears of the perineum, external genital organs and cervix occur very often during natural childbirth. Obstetricians practice a medical incision, after which the tissue heals faster. Severe pains accompany a woman in labor for several days after the birth of the child. They are concentrated in the area of ​​injury and pass on their own after a week.

Sometimes for pain in the uterus, the wife takes a digestive tract disorder. Disorders of the intestine occur in young mothers often enough - experienced stress, lack of sleep and constant fatigue. It happens that a nursing woman in the care of the child does not even have time to eat. No wonder her stomach starts to hurt. Good nutrition and attention to your diet will help get rid of unpleasant symptoms. If pain syndrome does not pass, you need to visit a doctor and find out its cause.

When lower abdominal pain is accompanied by hyperthermia, unnatural belyah, bleeding, there is every reason to suspect an inflammatory process. It occurs due to infection with an operation or cleaning, leaving biological material in the organ cavity. In this case, the uterus is not restored as expected.

Most often, the woman giving birth is diagnosed with "postpartum endometritis." It can develop after natural childbirth, and after cesarean section. Alien particles can not leave the uterus on their own, and the woman will need the help of doctors. This disease is very dangerous because it can be complicated by peritonitis, which sometimes leads to death. Therapy is carried out in the hospital under the constant supervision of doctors.

In the process of childbirth, a woman may get injured vertebrae or a pinched nerve. Symptoms characteristic of osteochondrosis will be felt for a long time. The main pain is concentrated in the back and lower back, but gives in the lower abdomen. The pathology should be handled by a neurologist.

Natural Causes of Abdominal Pain

In the process of childbirth very often tissue breaks, sprains. In some cases, doctors have to impose seams on the parturient women, which for a long time cause unpleasant sensations.

The main reason why a woman has a lower abdomen after childbirth is a contraction of the uterus. Spastic phenomena are aggravated when the baby is breastfed, since oxytocin produced in this process causes an intense contraction of the uterine muscles. Therefore, the more often a woman will breastfeed a baby, the faster the uterus will recover. At first, after the baby is born, the uterine contractions during feeding are so strong that they resemble labor pains. But their intensity sharply decreases in the interval between the application of the newborn to the breast. Such cramping pains on average continue for 1.5–2 weeks after delivery.

During that period, when the uterus contracts, causing pain, you should not forget that the internal organs next to it also influence this process. For example, an overflowing bladder, exerting pressure on the uterus, may increase the pain in the lower abdomen, which is why doctors recommend going to the toilet at the first urge.

If delivery is performed with a caesarean section, then a scar will remain on the uterus after it. Like any postoperative suture, it reminds of itself for a long time: it pulls, causes nagging pain. Usually, a cesarean scar will heal in a month and a half after the operation. In order for it not to be sold out and not inflamed, the young mother should carefully observe personal hygiene and follow the recommendations of the doctors.

Pulling pain in the abdomen after childbirth may be the result of uterine curettage. In the maternity hospital, all women should undergo an ultrasound examination 2–3 days after delivery. It allows you to determine whether in the uterus of the placenta, the ovum, the dead epithelium.

If the examination shows the presence of any clots in the uterus, the doctor prescribes a woman an IV that contains drugs that increase the contraction of the uterus and promote its "cleansing". When it turns out that these measures are not enough, the decision is made to conduct aspiration. This procedure is rather unpleasant and painful, is performed under local or general anesthesia (depending on the type of curettage), and for a long time reminds of itself with abdominal pain.

Injury of the pubic bone during labor and delivery may cause abdominal pain. This pain goes away by itself after a certain period of time.

Alarming symptoms

Usually, when a woman has a stomach ache after giving birth, then this is a completely natural and harmless process. But at the same time it should be understood that all pain should eventually become less and less noticeable and short-lived.

Ideally, one month after birth, the woman in labor should not have pain in the abdomen. Why is it that after 1.5–2 months, the woman is still disturbed by discomfort? Perhaps the cause of pain lies in the development of a latent disease or in the exacerbation of a chronic problem. In any case, this symptom requires examination and appropriate medical correction.

  • Often the cause of abdominal pain is caused by disorders in the gastrointestinal tract. Stress, lack of sleep, change of diet, especially during the period of breastfeeding, cause malfunctions of the intestines. First of all, young mothers should correct their diet, eliminating from it heavy products for digestion, as well as all that can cause bloating, indigestion. If during the month of relief does not come - you will need to re-consult with your doctor.
  • A very dangerous symptom is an increase in body temperature and increased pain in the lower abdomen in combination with the appearance of bleeding, especially if it occurs a month after delivery. Around this time, endometritis may develop in the uterine cavity, caused by a bacterial or fungal infection that was carried during cesarean section or cleansing.
  • Gradually increasing pain in the abdomen may indicate inflammatory processes in the tubes, cervix. The remaining pieces of the placenta, amniotic membrane in the uterus can start the process of decay, which will require mandatory inpatient treatment under the supervision of a physician.
  • Sharp pains extending to the spine can be caused by injuries or pinching of the vertebrae. In this case, it is necessary to diagnose the spine to identify the cause of the pain. After that, the doctor will prescribe a course of procedures and, if necessary, medical treatment.

A woman should seek medical help if the following symptoms are present:

  1. duration of pain more than 1.5–2 weeks,
  2. increase in pain intensity,
  3. fever,
  4. feeling unwell, weakness.

Practice shows that all women experience pain in the lower abdomen after childbirth.

This is a natural process caused by physiological changes in the mother of the woman.

However, each mother should be attentive to her health and make sure that, against the background of minor pains, the development of hidden diseases does not begin. Indeed, in time, the identified problem is much easier to cure than a neglected disease.

Causes

To solve this problem, you need to find what caused this phenomenon. Most women complain of very painful periods before birth. This significantly poisons life and reduces performance. If this troubled before, mom will not pay attention to it. Girls who have not had complaints before need to know the factors that contribute to the onset of painful ovulation after childbirth.

  1. Repeated pregnancy. If the stomach hurts like during menstruation, but there is no discharge - this is the first sign.
  2. Using spirals as a contraceptive. By placing a foreign body inside the uterus, you can cause intense muscle contraction, discomfort and increase bleeding).
  3. The beginning of the inflammatory process. At the same time the stomach hurts like during menstruation and there is a temperature, an unpleasant smell from the vagina, weakness.
  4. Varicose veins in the pelvis. From this affliction after childbirth the lower abdomen hurts and there are nagging sensations.
  5. Endometriosis (characterized by feelings of a whining character).
  6. The resulting breaks when getting the baby (scars, improperly healed stitches, old injuries).
  7. Caesarean section or other surgical intervention.
  8. Narrowing of the cervical canal (impossible to endure, requires the intervention of the doctor).
  9. Breastfeeding (regular attachment of the child provokes an intensive reduction and often after giving birth the stomach hurts like during menstruation).
  10. Uterine fibroids (requires surgical intervention, may occur before birth).
  11. The change in the pain sensitivity threshold (quite often after childbirth under stress).
  12. Ovarian tumor.

The girl may not have complaints on the female line, but still there will be a problem described in the article. Mom does not always guess that the parts of her body that are disturbing her are closely related to the occurrence and development of a disease.

Indirect factors are also:

  1. Questions in the functioning of the bladder: disease or damage.
  2. Hemorrhoids (its manifestations are most often expressed during menstruation).
  3. Pelvic neuritis, osteochondrosis and other back problems.

Features of the first menstruation

Many women are concerned about when the cycle will resume. This information makes it clear when a second pregnancy can occur. The resumption of critical days can happen in a few months or in the first year. This is a normal situation and indicates that the body has recovered completely.

  • the regularity of putting the baby to the breast,
  • features of the cycle earlier (if everything was normal, there is a chance to avoid failures).

A good sign is when critical days after the addition to the family have become less painful and abundant, as well as regular.

You should not be afraid if for the first time during your period there will be clots, discomfort and high profusion. To begin the recovery of the female cycle is quite a valid situation. But if the girl noticed that these symptoms were prolonged, it was recommended to immediately consult a doctor.

Diagnostics

In solving the problem will require consultation of an experienced gynecologist, who will conduct the necessary examination and diagnosis. On examination, the doctor should pay attention to how the internal genital organs are located, and also take a smear from the vagina and cervix for analysis. Such a step will help determine the presence of internal inflammation of the appendages.

As an additional diagnosis, the doctor may prescribe:

  1. Ultrasound of the pelvic organs (this method is able to determine the cyst, node, inflammation, the location of organs).
  2. Special diagnosis for the presence of genital infections.
  3. MRI, CT (appointed if some education was found).
  4. Laparoscopy and hysteroscopy (in some cases, if there is suspicion of a particular ailment).

These diagnostic methods will help you understand why a painful ovulation bothers a young mommy, sort out difficult moments and choose high-quality treatment methods.

Treatment methods

In no case can one endure trouble. Modern medicine offers many options for therapy. The girl is able to choose her own method of treatment only after medical consultation and individual recommendation from a specialist. To quickly remove the unpleasant manifestations, you need to know your diagnosis and act, adhering to a clear plan.

What treatment options can be:

  • Surgical intervention. It will be appropriate for malignant tumors, myoma, cyst and similar diagnoses.
  • The intake of anti-inflammatory drugs, analgesics and antispasmodics. They are used if the sensations are tolerable and have a non-permanent nature; such a method does not pose a danger, but it is required to be careful during lactation, strictly following the doctor's recommendations.
  • Laparoscopy. The procedure easily removes myoma, cysts and treats the first stage of endometriosis.
  • Antibacterial agents (used for inflammation).
  • hormonal drugs (preferably in the form of contraceptives), a good way to eliminate sharp pain.

Each of these manipulations has the power to solve a disturbing situation and make the period of critical days quite tolerable for a young mother.

Self help

If a woman is worried about pain during menstruation, and there is no possibility to go to the doctor, there are a number of tips that will help to cope with the illness at home. Such measures can also be observed as a prophylaxis or removal of pronounced symptoms in the most acute moments.

  • completely remove any physical activity (intensive training, housework, active games with a child, intimate closeness - under strict prohibition),
  • you can not lift anything heavy or strain your abdominals,
  • a warm shower or a slightly warm hot water bottle will help to ease the soreness (but it is not recommended if there is a tendency to heavy discharge)
  • you can not take a hot bath or steam out compresses,
  • You can take any analgesic or antispasmodic from a first aid kit (Analgin, Drotaverin, Spazmalgon, No-spa and the like),
  • if there is a need to escape, you can apply the method of meditation or perform a set of breathing exercises,
  • it is better to rest and lie down,
  • If you are worried about intense bleeding, you can drink a natural decoction of dried nettle leaves or a shepherd's bag.

Using such methods, you can relieve yourself of the difficult period of menstruation for some time, softening the acute manifestations or eliminating them altogether. It is important to understand that self-medication should not be carried away. Ignoring such a condition can lead to unexpected complications. Consultation with an experienced doctor and thorough diagnosis is the best way out of this unpleasant situation.

When a doctor is required

Pain during menstruation after childbirth can be not just a temporary trouble, but the cause of the presence of complications and pathologies. To avoid this, it is recommended to consult a doctor at the slightest anxiety. There are a number of signs and symptoms, the occurrence of which is absolutely impossible to ignore.

The girl must be wary if:

  • there are signs of re-pregnancy,
  • there are no obvious reasons for unpleasant symptoms,
  • before this was not observed
  • a disappointing diagnosis (fibroid, tumor, cyst) was made earlier, and the treatment was ignored,
  • there are complaints about excessive profusion,
  • pain medication does not give the desired effect
  • state of health is rapidly deteriorating,
  • there are other signs: high temperature, rotten smell, weakness.

Such signs signal that the situation is much more serious and that a medical emergency is required.

It is important to remember that women's health is very important for any mommy. The recovery period is complex and can be accompanied by a number of complications. To avoid this, do not forget to undergo regular consultations and examinations. This measure contributes to the timely diagnosis and the correct method of treatment. Do not ignore the signals of your own body and let everything go to chance.

When is it considered normal

Throughout pregnancy, progesterone was the main hormone of the female body. He reduced the tone of the uterus until the moment of delivery, suppressed the secretion of prolactin. But by the day of delivery, its concentration had decreased, but active production of oxytocin and prolactin began. Oxytocin manages the contractility of the smooth muscles of the uterus, but it is also necessary in the postpartum period, as well as throughout the entire lactation period.

Contractions of the uterus muscles are necessary during childbirth, not only to open the cervix and expel the fetus. After separation of the placenta, the uterine walls are a continuous wound surface with bleeding vessels. For hemostasis, only activation of the coagulation system is not enough. A spasm of the vessels and a decrease in their lumen should occur. Oxytocin provides a further reduction of the uterus after the birth of the child, allows you to stop bleeding.

The size of the uterus in the postpartum period decreases very quickly. The doctor assesses them daily during a walk around the height of the day standing. The normal rates of reduction are the following:

  • immediately after birth - 4 cm above the navel (or 20 weeks of gestation),
  • the end of the first day - at the navel,
  • on the second day - the width of one finger below the navel,
  • 3 days - 2 fingers below the navel,
  • 4 days - in the middle of the distance between the pubic joint and the navel,
  • 6 days - up to 9 cm above the pubis,
  • on the 10th day it is a little above the bosom,
  • 6-8 week corresponds to the state before pregnancy.

Contractions during childbirth are very painful, but postpartum contractions are not pleasant. Most often they are associated with breastfeeding.

Two hormones are involved in the mechanism of formation and secretion of milk. Prolactin provides milk synthesis in the alveoli. Its elimination is regulated by oxytocin. When the baby is attached to the breast, nipple irritation occurs, which stimulates the release of oxytocin by the pituitary gland. The hormone affects not only the myocytes of the breast, its stimulating effect extends to the myometrium. For the first few days with every breastfeeding, the woman experiences cramping pains that resemble those during childbirth.

How much does the stomach hurt after giving birth?

This is a physiological process, it depends on the individual characteristics and the rate of uterine contraction. In most cases, after 2 months the discomfort stops.

Also, do not forget about those who gave birth with a cesarean section. In this case, physiological pain in the lower abdomen will be a natural reaction to the violation of the integrity of the anterior abdominal wall. The pain is postoperative. But she is short. In a hospital setting, narcotic analgesics are used to relieve pain, because they have a more pronounced analgesic effect. After about two days, you can switch to anesthesia with a solution of dipyrone, which with small doses will be safe for the child.

Endometritis

During the first day of discharge from the genital tract should become brown, mucous, less reminiscent of blood. But sometimes the bleeding does not decrease, but suddenly increases. Simultaneously, there are nagging pains in the lower abdomen. Additional indications are the following:

  • temperature rise,
  • signs of intoxication,
  • pussy discharge from the genital tract,
  • signs of subinvolution of the uterus,
  • tachycardia.

These symptoms are characteristic of postpartum endometritis. The condition most often develops after a cesarean section, but may also be the result of natural childbirth. Endometritis is a postpartum infectious complication and requires the immediate response of a physician.

The cause of endometritis and subinvolution becomes a violation of contractility, which is associated with a delay of parts of the placenta or fetal membranes. While they are in the uterus, it is not able to contract normally, which means that the pathological process will progress.

Endometritis threatens to go into parametritis - inflammation of the circulatory tissue, pelvioperitonitis - damage to the pelvic part of the peritoneum, peritonitis - an infectious-inflammatory process in the abdominal cavity. Abdominal pain in this case will only increase.

In some cases, to determine why the lower abdomen continues to hurt even in the distant period after birth, can only be a radiologist, together with a traumatologist. The cause often becomes symphysitis - the divergence of the bones of the symphysis pubis.

Prerequisites for the emergence of this pathology are associated with physiological causes. The same progesterone is also to blame, as well as the hormone relaxin secreted by the placenta. It leads to softening, divergence of the joint of the symphysis. This is necessary so that the birth canal can best adapt to the parameters of the fetus.

Normally, the distance between the two bones of this joint does not exceed 1 cm. The pubic joint refers to semi-mobile joints. This means that the minimum amount of displacement of its surfaces relative to each other is allowed. During childbirth, the joint may diverge by an additional 5-6 mm. But sometimes pathological processes are involved, then the shift reaches a critical value and leads to the appearance of pain localized in the lower abdomen.

  • 1 degree - discrepancy 5-9 mm,
  • 2 degree - 10-20 mm,
  • 3 degree - more than 20 mm.

Postpartum pains caused by symphysitis most often appear 2-3 days after childbirth. A woman, lying in bed, cannot lift her legs up, the pain brings walking. An accurate diagnosis can only be made after X-ray diagnostics.

Postpartum abdominal pain may be associated with a more banal cause. The intestine after pregnancy and childbirth does not always quickly come to normal. Sometimes it takes time to start it. But all this time, feces will accumulate, expand the sigmoid colon and rectal ampulla. This is accompanied by a pulling, aching, arching pain in the abdomen, which manifests itself about a week after delivery. If you do not take timely action, then constipation will go to the extreme.

Some women after childbirth going to the toilet is associated with a certain fear of damaging the existing seams on the perineum or hemorrhoids. At the same time, congestive processes in the intestines are aggravated: the liquid from the feces is gradually absorbed back into the intestines, it becomes dry and to a greater extent can lead to damage to the lower part of the intestine.

The presence of stool disorders is not only harmful to the digestive tract. This leads to displacement or compression of the uterus, disrupts the outflow of lochia, and can lead to subinvolution.

Placental Polyp

Delay of parts of the placenta in the uterine cavity is likely to result in bleeding in the early postpartum period. But sometimes small parts, microscopic villi of the chorion allow the uterus to fully shrink, and signs of pathology appear after a long time.

The clinical picture appears after 4-5 weeks. Abdominal pain is not a characteristic sign of pathology, bleeding comes first, resulting in a decrease in hemoglobin, weakness, dizziness, and tachycardia. Uterine pain after childbirth appears after the addition of infection and the development of endometritis. Further, the clinical picture will develop according to the classical scheme of inflammation of the uterus.

Osteochondrosis

During pregnancy, the woman's posture changes. This is due to weight gain and its redistribution in the abdominal area. If the pregnant woman has not used a special support band, the pain syndrome will be pronounced.

After delivery, not everything falls into place immediately. Sometimes during pregnancy there is a compression of the nerve plexus, and after giving birth it may manifest signs of osteochondrosis or neuritis. Abdominal pain will be combined with its irradiation into the abdominal cavity.

When to see a doctor

The duration of the period of pain depends on the individual characteristics and the rate of involution of the uterus. In most cases, during the first two weeks, the physiological discomfort associated with feeding the baby gradually decreases. The pain does not appear on every feeding, its intensity decreases. When the uterus contracts completely, this symptom will disappear.

But there are signs that speak of a possible pathological process. When they appear, do not delay the visit to the doctor:

  • the temperature may first be small and then rise to 39 ° C,
  • violation of general well-being - weakness, persistent after rest,
  • nagging pain in the abdomen, which is constantly present,
  • chills as a symptom of fever,
  • headache,
  • bleeding from the genital tract (they can increase, change the nature of the mucous membranes into more liquid, resembling scarlet blood),
  • cramping pain resembling spasms, followed by blood clots,
  • no stool for more than two days
  • inability to pull the heels off the bed when lying down,
  • change gait on waddling, "duck",
  • the sudden appearance of bleeding after a long period after discharge from the hospital.

With a placental polyp, the bleeding is usually intense, starting a month or two after the birth of the child. At the same time, it can be differentiated from menstruation: during menstruation, the nature of bleeding changes daily, it becomes less intense. In the case of a placental polyp, scarlet secretion and only intensified.

A gynecologist can be consulted for any changes that a woman considers different from the physiological ones.

Ways to improve the condition

In the presence of pain, resembling pain in the abdomen, as in menstruation, it is necessary to establish the cause of this condition. Obligatory stages are examination by a doctor. It allows you to assess the size of the uterus, as they correspond to the term, consistency, organ mobility, the prevalence of pain.

Also necessarily carried out ultrasound. With it, you can notice the expanded uterus, the presence of clots in it, remnants of the placenta. If the cause is in a placental polyp, there will be a marked mass. Inflammatory infiltration around the uterus speaks in favor of the development of the inflammatory process.

Дополнительная диагностика зависит от сведений, полученных на первых двух этапах. Может потребоваться проведение гистероскопии, лапаротомии, рентгендиагностики.

To improve the condition of the woman and reduce pain, you can, depending on the causes of pain.

In the postpartum period, drugs should be used with caution, most of them penetrate into breast milk. Those minimal concentrations for a small weight of the fetus may be enough to cause adverse reactions.

Pain associated with the natural process of involution of the uterus is not relieved by antispasmodics or nonsteroidal anti-inflammatory drugs. Contractions, resembling ancestral are a natural process, and appear only when feeding a child. They are short-lived and do not disturb the general well-being. When they appear, you need to do a few quiet breathing movements. Gradually, these symptoms will disappear on their own.

Subinvolution of the uterus, which has not yet led to the appearance of endometritis, is treated by removing remnants of the fetal place from the uterine cavity. A further tactic is the appointment of reducing agents, antibiotics for the prevention of infection.

If pain syndrome is associated with inflammation, it is necessary to assess the severity and prescribe the appropriate treatment. When endometritis is carried out antibiotic therapy, which prevents the infectious process to spread further, and detoxification by intravenous infusion solutions.

After the relief of acute inflammation, for the prevention of adhesions, which leads to the appearance of chronic pelvic pain, the appointment of physical procedures is necessary:

  • magnetic therapy
  • laser therapy
  • diadynamic currents
  • medicinal electrophoresis.

Constipation after birth must be treated with diet and laxatives. Remedies that act gently in the intestinal lumen are recommended. Sometimes a spoonful of castor oil is enough to start the intestines. Also used lactulose, sweet to taste and no unpleasant odor. For newborns it is safe.

Diet for constipation includes foods rich in fiber and have a laxative effect. It is necessary to eat several fruits of dried apricots or prunes a day, a salad of boiled beets or beetroot soup. But you should not overdo it, the abuse of a laxative diet will lead to a pronounced acceleration of peristalsis and spastic abdominal pain.

Discrepancy of the pubic joint is treated for a long time, it is necessary to maintain bed rest. If possible, the woman is not in the traditional bed, but in a special hammock that helps bring the pelvic bones together. For anesthesia using nonsteroidal anti-inflammatory drugs.

To alleviate the condition, it is necessary to wear a bandage, for a uniform distribution of body weight using a cane. Well help in restoring blood circulation and fusion symphysis physiotherapy.

Many believe that during the time of childbirth the woman's body is renewed and rejuvenated. But this opinion is more of a fallacy. During pregnancy, the female body is under tremendous pressure, it is rebuilt to the needs of the child, sometimes to the detriment of the mother. After giving birth, she needs a period for recovery, which is not always painless. But physiologically tolerable pain should be distinguished from signs of pathology in order to consult a doctor in time and prevent the development of complications.

What causes the pain?

A woman carries a baby under the heart for an average of 40 weeks. All this time, the fetus grows in size, stretching the uterus. After birth, the body takes the initial state and it is characterized by unpleasant sensations.

In addition, some time after delivery, the uterus is intensively reduced, trying to push out the extra tissue that protects the baby during pregnancy. In some cases, the period of attempt passes with ruptures of the uterus. Then the woman in labor is stitched. They need some time to fully heal and not cause discomfort to the woman.

A week passed the field of childbirth hurts lower abdomen, why?

Abdominal pain after childbirth, similar in nature to menstruation, is a normal phenomenon that should not bother a woman. They are usually quite tolerable. In the first week after birth all unnecessary things come out of the uterus. And this process, in any case, should not be hindered. Bleeding of this nature are called lochia.

They can last more than one week. Their duration may vary from case to case. Discharges are mucus with bright red blood. Over time, they become less, gradually brightens and the color lohii. In the absence of any pathologies, lower abdominal pain end earlier than lochia cease. During this period, the woman should especially carefully monitor the hygiene of the genitals.

1 month after delivery

Lower abdominal pain in the first month after delivery should not cause great concern. Over time, they become less noticeable. If the pain is accompanied by fever, purulent discharge, fainting, etc., then we can talk about infection. If you have these symptoms, you should contact your doctor for advice.

To avoid the occurrence infectious diseases during this period, you should follow some rules:

  • Exclude any form of sexual intimacy.
  • Carefully monitor the hygiene of the genital organs,
  • Timely carry out trips of need,
  • Do not use tampons.

1.5 months have passed

With successful recovery process, a month and a half after giving birth, the pain in the lower abdomen should disappear. If they are still observed, attention should be paid to their character. First of all, they should not be permanent. If a woman is breastfeeding and notices pain at this very moment, then there is no cause for concern.

Not pronounced pain in the uterus may still be within the norm. But it should not apply to other organs.

2 months later

The pain after childbirth, which lasts 2 months later, is a reason for seeking medical attention. This alarming symptom may indicate about the development of the disease against the background of childbirth. There is a risk that pieces of the placenta could remain in the uterus. This leads to severe inflammation that needs to be cured in the shortest possible time.

Denial of the problem is fraught with the fact that inflammation will seize appendages. If untreated, it threatens with infertility in the future. In individual cases, it can be assumed that the back was injured during childbirth. Pain in this case will be characteristic.

If 3 months have passed

Three months after giving birth, in the absence of complications, doctors are already allowed to exercise. This time is enough for a full recovery of the body. Therefore, if there is pain in the lower abdomen, then we can talk about the presence of problems. Sometimes these pains are accompanied specific secretions, bleeding, back pain, etc.

The most common postpartum diseases are:

  • Endometriosis,
  • Salpingoophoritis,
  • Exacerbation of postpartum injury
  • Formation of adhesions,
  • Myoma,

4 months have passed

If the woman who gives birth begins to have a stomach ache 4 months after delivery, then the referral to a specialist should be prompt. In this case, a full examination is appointed, a thorough examination is conducted, an ultrasound scan, and smears and analyzes are taken. However, pain, similar to feelings during menstruation, in this period can speak about completely normal physiological processes.

What hurts the stomach and lower back?

The process of labor activity is quite traumatic. If the fetus is too large, then the woman can have dislocation of the pelvic bonesthat carries with it discomfort in the lumbar region. The same pain is characteristic of displacement of the vertebrae.

This is a fairly common phenomenon, since the fetus puts pressure on all organs, both during pregnancy and during childbirth. This is especially true of the spine.

If the pains bother the mother at first, then this is normal. If they do not stop a long amount of time, then you should not postpone a visit to the doctor. It is necessary to find the cause of pain, because during this period the body is most vulnerable.

The consequences of neglected diseases can be disastrous. The main task of the woman who has just given birth is to prevent possible health problems. In the near future it will be very necessary to your baby. First of all, you need to think about it. Proper hygiene, sexual abstinence and timely visit to the doctor help you isolate yourself from unpleasant reproductive diseases.

When is pain normal?

The occurrence of unpleasant sensations after childbirth is not always associated with the development of a pathological process. The perineum and the lower part of the abdominal cavity can often hurt as a result of the fact that the uterus is strongly reduced in the first few weeks after giving birth, which causes discomfort in the young mother and the feeling that her stomach hurts.

Unpleasant sensations may occur due to the following physiological reasons.:

  • excessive mobility of the hip joint, caused by the release of relaxin during pregnancy, leads to pain giving to the pubic area and lower abdomen,
  • when the baby sucks the breast, oxytocin is released from the mother, which contributes to the speedy recovery of the birth canal and the contraction of the uterus, which also causes discomfort,
  • An overflowing bladder puts pressure on the organs of the abdominal cavity, and in the process of urinating a woman may feel a slight burning sensation due to microtraumas of the external genital organs.


If a young mother has a stomach ache during the first few weeks, then these pains often have a physiological nature, but when discomfort occurs a month or more after giving birth, you should consult a doctor to find out the reasons.

Pathological pain

Unfortunately, the period of postpartum recovery does not always pass without complications, so if it hurts in the perineum or lower abdomen after childbirth, it is better to visit a gynecologist for examination and consultation.

Various pathological processes can occur in the body of a woman who has recently given birth:

  • With manual separation of the placenta, there is a possibility that a part of the baby’s place will remain in the uterus - this can lead to the development of the inflammatory process.
  • Suppuration of sutures after cesarean section. The woman has a stomach ache, as if during menstruation, especially after the second birth, which took place in this way.
  • Inflammation of the appendages, affecting one or two ovaries.
  • Endometritis is a disease that affects the inner lining of the uterus. The disease can occur after childbirth: the stomach hurts as during menstruation, body temperature increases, and suppuration develops.
  • The divergence of the joints and the displacement of the vertebrae during childbirth.
  • Peritonitis is a rare complication arising from the divergence of the sutures in the uterus, at which infection of the peritoneum occurs.

If endometritis is the cause of discomfort in the lower abdomen, treatment should be started without delay. It is often necessary to stay in the hospital for a full course of antibiotic therapy, but this depends on the stage of the disease and the severity of its course. Antibacterial drugs are prescribed based on the sensitivity of microflora (Gentamicin, Amoxicillin, Amoxiclav, Lincomycin). Often, metronidazole is also included in the treatment regimen to eliminate anaerobic pathogens, multivitamins, antihistamines, and immunomodulators.

When pain arises due to birth injuries or bone discrepancies, the treatment is carried out by a traumatologist. It often requires limiting the mobility of the joint and wearing special bandages. Paracetamol or other NSAIDs are prescribed to relieve pain, if a woman does not breastfeed. Calcium should also be taken in therapeutic dosage.

When constipation in the first place to establish power. If this does not help, you can start taking medicines. When breastfeeding, you should consult with your doctor what drugs are allowed for use. Usually nursing mothers prescribed Duphalac-based lactulose.

Prevention

In order to prevent situations where after giving birth a woman has a bad stomach ache., It is necessary to adhere to the recommendations of the doctor, received at discharge from the hospital:

  • carefully monitor personal hygiene, during the period when the seams have not yet healed, it is necessary to wash them out after each toilet,
  • in the presence of seams conduct their daily processing Zelenko or other antiseptic,
  • starting from the early postpartum period, perform special exercises that allow you to recover faster,
  • do not lift weights
  • do not engage in sexual intimacy until the complete restoration of the birth canal,
  • at the appointed time to appear for a routine examination by a doctor in the antenatal clinic.

Regardless of the alleged reason why the mother has a severe stomach ache after giving birth, she should contact a gynecologist for examination. Even if it is a pain of a physiological nature, it is better to know about it than to speculate or to miss the beginning of the development of a serious complication.

Author: Violeta Kudryavtseva, doctor,
specifically for Mama66.ru

After childbirth pulls the lower abdomen - causes

There are many factors that cause lower abdominal pain. Many of them belong directly to the postoperative period:

1. Breaks in labor or episiotomy - while the seams can impose on the labia, the vagina, the cervix. The percentage of such surgical interventions, unfortunately, is high.

After these surgical procedures, intense intense pain in the perineum occurs. Soon these sensations disappear completely. As a rule, these pains disappear without a trace in a few days. But sometimes the stomach hurts for a month and longer. And then there will always be complaints that after birth pulls the lower abdomen. This is due to:

Infection is a very serious complication requiring medical attention.

2. In addition to complaints that the lower abdomen hurts, there are purulent discharge, the temperature rises to 38 degrees - cesarean section. The operation is performed under local anesthesia. As soon as the anesthesia leaves, pain immediately arises. And in the future, pain in the postoperative scar area until its complete healing will disturb the patient for a very long time. Complete scarring occurs throughout the month.

3. Of all the above, the main reason for the fact that after giving birth a lower abdomen hurts - contraction of the uterus under the influence of oxytocin - a hormone that directly affects this process. Oxytocin is reflex excreted when breastfeeding. In these cases, no additional intervention is required. With the contraction of the uterus, the remaining traces of blood, tissue, and placenta are removed.

The strongest and most unpleasant these pains are, starting from the first hours, when uterine contraction occurs especially intensively.

4. A few, but common cases, when in the uterus, the remaining particles of the placenta, possibly the remains of the ovum, accumulations of dead epithelium are detected. Complaints that after birth hurts lower abdomen. Be sure to be accompanied by high fever, often chills.

5. Recovery impaired hormonal balance after giving birth.

6. Trauma to the pubic bone. The pain caused by trauma disappears independently after a certain time.

Stomach ache a month after childbirth

If after childbirth the stomach hurts for a month, the pain increases, accompanied by the addition of temperature up to 38 degrees and above, it is necessary to exclude serious complications requiring urgent medical advice.

1. If the stomach hurts, endometritis is eliminated immediately after a diagnosis. it inflammation of the uterine epithelium. It can develop at any time after delivery.

Due to the fact that the conditionally pathogenic microflora, which is normally present in the body of every woman, can become pathogenic with the development of endometritis. The reason for this activity may be reduced immunity - immunosuppression. For women in labor, this is a common condition, but in some cases, under the influence of some factor, this leads to the appearance of endometritis. Either a bacterial or fungal infection occurs during aspiration or for other reasons.

2. After a diagnostic curettage, the lower abdomen hurts for a long time. This unpleasant procedure is carried out if you suspect remnants of the placenta or umbilical cord in the uterus.

3. My stomach hurts almost constantly a month after delivery. multipy.

With repeated delivery, the uterus contracts longer due to the fact that its walls have lost their normal tone. Prostaglandins (hormones, including one of them - oxytocin, responsible for the rapid contraction of the uterus) are synthesized in much larger quantities than in primiparous. In this regard, after childbirth pulls the lower abdomen a month or more. For many, this can stretch in time for almost the entire postpartum period.

4. Inflammation in the tubes, ovaries (salpingo-oophoritis, or adnexitis). Clinically manifested by the fact that after birth pulls the lower abdomen. These discomforts do not pass with time, but on the contrary, they intensify. In intensity - not strong, but constant, exhausting.

5. Peritonitis - One of the most dangerous complications, resulting also as a result of infection. Боли приобретают острый характер, повышается температура. Требует проведения неотложных мероприятий.

6Spinal injuries. If, after childbirth, the lower abdomen hurts, and the pain radiates to the spine, this is a manifestation of the displacement of the vertebrae that has arisen during the process of labor. All this may occur remotely - even after a few months. Physical exertion and even walking provoke pains. If this happens, it is necessary to examine the spine to clarify the pathology. On the basis of examinations prescribed treatment.

7. Discharge of the hip joint, stretching the muscles and ligaments leads to the fact that the stomach hurts a month after childbirth and more. The cure of the joint and musculo - ligamentous apparatus can be delayed for a long time.

8. If after delivery a lower abdomen hurts, the cause may be disease of the digestive system. Pain in the intestines can be provoked during the period of feeding a child with lack of sleep, stressful situations, a change in diet, and inadequate rest. Therefore, it is necessary to eat a lot of vegetables and fruits, dairy products. Their absence causes increased gas formation and fermentation in the intestines, constipation, and, as a result, pulls the lower abdomen after childbirth.

After childbirth lower abdomen hurts - what to do

If, after childbirth, the lower abdomen hurts, it impedes harmonious existence, causes various discomforts. You should always know what to do in such cases. Tactics of treatment depends on the factors leading to the occurrence of pain.

1. After childbirth pain in lower abdomen - inflammation

Conservative treatment methods are used. Treatment should be comprehensive. Depending on the severity of the process, it consists of antibacterial, infusion, detoxification, sedative, desensitizing and general strengthening therapy. Obligatory medication to reduce the uterus.

Treatment begins with the appointment of antibiotics. Cephalosporins and protected penicillins are mainly used.

Perhaps the appointment of anti-inflammatory drugs (NSAIDs) in the absence of contraindications and immunostimulatory drugs.

Also used drugs that increase the contractility of the uterus.

As soon as you manage to remove the inflammation, the pain immediately go away. It is important to remember that the use of antispasmodics is absolutely contraindicated. You can not self-medicate.

2. After childbirth the underbelly of the multiparous stomach hurts - what to do

With pain in the lower abdomen after the second, third genera, it is necessary to prescribe certain drugs, the mechanism of action of which is to suppress the formation of prostaglandins. It is the prostaglandins that cause pain, irritating special receptors. These medicines are drugs of the NSAID group (Diclofenac, Nise, Aspirin, Dicloberl, etc.).

It is possible to use pain relievers for relieving pain syndrome:

• “Artokol” and others.

It is safer to use drugs in the form of rectal suppositories. The advantage of this dosage form is the rapid absorption of the drug and the absence of side effects of the drug (the occurrence of gastric ulcer, erosive gastroduodenitis). Sometimes helps banal analgin.

3. After childbirth lower abdomen hurts - other reasons - what to do

1. If there are suspicions about pieces of the afterbirth or umbilical cord remaining in the uterus, diagnostic curettage is performed, and they are removed from the uterus to prevent infection. After this intervention, antibiotics are required.

2. If displacement of the vertebrae was diagnosed during labor, several courses of manual therapy are needed.

3. Peritonitis is a life-threatening condition that requires immediate examination by a doctor and, possibly, surgery.

4. In violation of the functions of the digestive system need a special diet depending on the identified pathology. Since the severity and pain in the abdomen, resulting from the pathology of the digestive organs, can manifest itself indefinitely after delivery, you need to immediately diversify your diet with lactic and acidic foods and fiber, which is contained in vegetables and fruits. And eliminate slowly digestible foods.

5. For non-inflammatory abdominal pains, some recommendations should be followed:

• so that the uterus returns to normal size as quickly as possible, it is necessary to find time for therapeutic exercises,

• on the fifth day after discharge, you must visit a gynecologist,

• adhere to a special diet, exercise physical activity.

Thus, successful treatment depends on eliminating the factors causing the pain.

If time to take measures to address the root causes, it will reduce pain and prevent the occurrence of dangerous complications. After that, adequate and effective treatment is possible, which will lead to success.

Normal monthly after childbirth

The woman’s menstrual cycle after childbirth is restored depending on many factors. Normal is considered as the appearance of the first menstruation in a month, and in two years. The timing of the attack depends on the following:

  • Does a woman breastfeed a baby and how often. The longer the breaks between breastfeeding, the faster the cycle will recover. This is due to the production of prolactin, which inhibits the maturation of the eggs and changes in the endometrium. And its level is directly proportional to the intensity of breastfeeding.
  • How regular monthly were before. If before the conception there were frequent failures, then the likelihood of this is still high.

You can also see the opposite picture, when there is pain for no apparent reason, clots are often fixed, the volume of blood loss increases. But this is valid in the first month or two from the beginning of the recovery cycle. If such negative changes in the cycle continue further, this may be evidence of pathology. In such cases, you should contact a specialist to examine and establish the cause.

We recommend reading the article about when they come monthly after childbirth. From it you will learn about the recovery period, the nature of menstrual discharge after childbirth, the need to consult a doctor.

Causes of painful menstruation

A woman is not worried if, even before pregnancy, menstruation brought tangible discomfort and had to take analgesics or do something else. But if there was no previously significant pain, you should understand what can cause such conditions. There is no fundamental difference in when menstruation is resumed after delivery.

Uterine contractions when feeding

During regular feeding, women can go for periods, even a month or two after delivery. This process is very individual. Especially often the first critical days appear after 6 - 8 months from the moment of the appearance of the crumbs. This is due to a decrease in the intensity of lactation with the introduction of complementary foods.

During each next application of the baby, nipple irritation occurs, which leads to a reflex release of oxytocin and uterine contraction. And it is during this period that a woman may feel nagging pain in the lower abdomen. This is especially noticeable during menstruation, as the pain threshold of sensitivity is reduced, and the uterus, and without it, is constantly reduced to clear its cavity.

If a young mother clearly finds a similar pattern, you can not worry, because it does not hide in itself any pathology. Pain during menstruation will pass after the end of breastfeeding.

After performing operations in labor

Almost always a few months after the onset of menstrual function, women undergoing cesarean section experience abdominal pain. This is due to the fact that during menstruation the uterus is reduced, including in the area of ​​the scar, which is still not healed. As a result, menstruation is painful and abundant, which should not scare a woman, but within reasonable limits.

Similar occurs in the case if during cesarean section was carried out an additional removal of myoma nodes. In particular, if they are large and you have to additionally open the uterus.

Less intense, but still there is pain after less voluminous interventions. For example, after scraping, manual separation of the afterbirth, etc. But if along with this some other symptoms appear, for example, an unpleasant smell of discharge, you should definitely seek medical help.

With extensive breaks and injuries

During childbirth, women often have quite serious breaks, sprains and muscles. After suturing, the body can react differently both to the suture material and to the general healing process. As a result, stenoses, rough scars can be formed in the vagina, which will cause pain, including during menstruation, as well as during sexual intercourse.

Sometimes after childbirth, including after performing cesarean section, with numerous ruptures of the cervix in the future may occur stenosis of the cervical canal. Externally and even with ultrasound, the pathology will not be noticeable.

The narrowed cervical canal during menstruation will contribute to the accumulation of menstrual blood, which will press against the walls, causing pain. Moreover, the pain will increase as the discharge increases, sometimes it may become unbearable. In this case, medical intervention is necessary.

Also, with stenosis of the cervical canal, one of the symptoms is a prolonged dark smear after menstruation. Not always the first periods after childbirth are painful in such cases, most often the pathology manifests itself in six months or a year.

Undiagnosed ovarian tumors

Ovarian tumors are not diagnosed every time during pregnancy. And sometimes a woman knows about their presence and postpones treatment for certain reasons. They can also give pain syndrome of varying severity. But in the case of a cyst, a woman will notice that similar symptoms appear not only during menstruation, but also on other days of the cycle. It is always necessary to fear acute and atypical pains that may indicate a rupture of a cyst.

Ovarian cyst after childbirth

Endometriosis

Endometriosis is the most common cause of pain in gynecological practice. The disease is quite frequent. And in some cases, childbirth can provoke the progression of the disease or even its onset. The probability is especially high when performing cesarean section, after manual separation of the afterbirth and other pathological conditions, when additional interventions are necessary.

Endometriotic pains are almost always associated with the menstrual cycle, they appear on the eve of critical days and continue all the time.I. Often this is preceded by varying degrees of severity of daub, both before and after menstruation. The pain may be localized in the lower abdomen, more to the right or left, to be in the perineum, etc. In the latter case, the girl often feels discomfort during the load on this area (while cycling, even just in a sitting position).

Endometriosis undergoes complex treatment - surgical removal of lesions and subsequent hormone therapy.

Endometriosis after delivery

Uterine myoma

Uterine fibroids give pain in case of malnutrition of the node. Most often this occurs when it is large.. At the same time during menstruation, the pain will increase, as the contracting uterus provokes an even greater compression of the tissues. The treatment in this case is conservative, but if it is ineffective, surgery is necessary. That is why, in the presence of large fibroids, a woman is often offered simultaneous cesarean section and removal of nodes.

Uterine fibroids after childbirth

Change the threshold of pain sensitivity

If, after the examination, there are no objective reasons for the appearance of pain, then it is possible to increase the pain sensitivity threshold. Often this happens after difficult childbirth, which brings a kind of psychological trauma to a young mother.

Look at the video about the monthly after childbirth:

If pains were before

If periods are painful before birth, they often remain exactly the same after them. For example, if such conditions are associated with general infantilism and inadequate myometrium response to prostaglandins.

Similarly, varicose veins of the pelvis can give further soreness and pulling discomfort in the lower abdomen.

Retroflection of the uterus

Many believe that the position of the body of the uterus with a back bend causes painful and prolonged periods. In fact, the reason is not only this. A sharp backward bend can be combined with endometriosis, myoma. In these cases, the pain will be brighter and stronger than if the uterus were in its classical position.

After birth, it does not always change its slope in the pelvic cavity. In 80% of cases, after 6 - 12 months, the uterus regains its proper location.

Inflammation

Abundant painful periods after childbirth, especially if they are unpleasant or in the case when some discharge is disturbed the day before, may indicate inflammation both in the uterus and in the pelvis.

Therefore, when these symptoms appear, as well as when the temperature rises, weakness and other signs of intoxication appear, it is necessary to seek medical help as soon as possible. So the chance to avoid complications increases.

After birth, many women choose intrauterine devices as a means of contraception. At the same time, it can even be installed for 5-7 days. But often this can be the cause of heavy painful periods after childbirth. The fact is that the uterus is trying to expel the IUD as a foreign body, which leads to its more intensive contractions. Hence the pain and increased menstrual blood volume.

Other diseases

We should not forget about other non-genital diseases, which may be the cause of painful periods after childbirth. Most often, the symptoms can be confused in the following cases:

  • during exacerbation of osteochondrosis, pelvic neuritis and other neurological diseases,
  • in case of exacerbation of hemorrhoids, the episodes of which most often fall on the time of critical days, and anal fissure, proctitis, etc. may join,
  • with diseases and injuries of the bladder.

Reasons for urgent treatment to the doctor

It is impossible to say unequivocally when it is possible to suffer and take another pill, and in what situations it is necessary to urgently seek medical help. After all, even before pregnancy, a girl's periods can be quite painful, so much so that you have to do both injections and analgesics with drink packages. But in the following situations, you need to pay more attention to yourself:

  • if there have never been such pains before and there are no objective reasons for them to start,
  • in the case when a woman has any education in the pelvis (cysts, fibroids, etc.),
  • if dizziness, weakness, nausea,
  • in case of a specific unpleasant smell with menstrual flow,
  • if pain is not stopped by the use of analgesics,
  • when the condition progressively worsens,
  • pain on the background of heavy menstruation,
  • If there is a suspicion of a new pregnancy.

Treatment of painful menstruation

In no case should menstruating cause a woman’s disability, no need to endure the pain. Modern possibilities of medicine can significantly reduce any discomfort during critical days. Treatment will be as effective as possible if the cause of the pathological disease states is established. The directions of therapy are as follows:

  • Analgesics, nonsteroidal anti-inflammatory drugs, antispasmodics, which should be started with minor pains, if they tend to increase significantly. Drugs and dose should be used as directed by the physician. Despite relative safety, regular use should be only according to indications, especially if a woman is lactating. From analgesics can be used analgin and its analogues, from antispasmodics - drotaverin, no-silo, from NSAIDs - indomethacin (possible in candles), ketones and others.
  • Antibacterial therapy for any inflammatory processes.
  • Hormone therapy that helps reduce pain in endometriosis and other diseases. Most often this is the usual oral contraceptives.
  • Hysteroresectoscopy, during which it is possible to remove synechiae of the uterus and cervical canal, the elimination of stenosis.
  • Laparoscopy with the purpose of excision of cysts, myomas. It is also the best method of the first stage of treatment of endometriosis, during the operation, adhesions, etc. can be removed.
  • Classical surgery is necessary for cancer, large cysts, myomas and in some other cases.

From the general recommendations on the behavior of women with painful periods, the following can be distinguished:

  • you must avoid physical exertion on these days,
  • sometimes a warm shower or an object attached to the lower abdomen helps, but in this way some intensification of the discharge can be provoked,
  • various relaxation techniques, breathing exercises can reduce the pain threshold of sensitivity, if the reason is this.

We recommend reading the article about the discharge with an unpleasant smell after childbirth. Из нее вы узнаете о характере выделений в первые сутки после родов, в первую неделю и в последующее время, причинах и признаках патологии.

Боль – в любом случае патологическое состояние, в том числе во время менструаций у женщины. Ни в коем случае нельзя терпеть и привыкать к ней. A very painful menstruation in a woman after childbirth, especially if this was not previously observed, is a clear indication of a certain disease. One can only understand this together with a specialist who, after establishing a diagnosis, will select the most appropriate treatment.

Causes of Postpartum Pain

The whole birthing process consists of three periods:

  • smoothing and opening of the cervix,
  • birth of a child,
  • the birth of a child seat.

The reproductive organ during pregnancy increases according to the growth of the fetus, the muscles stretch. During childbirth, they are rhythmically reduced, expelling the fetus, and then the placenta from the uterus.

Pathological causes

Most often, one month after birth, the reproductive organ is restored, the painful sensations disappear. This process is delayed in case of complications:

  • the presence of pieces of baby space in the uterus,
  • inflammation of her mucous,
  • inflammatory process of appendages,
  • transition of inflammation into the abdominal cavity,
  • displacement of the vertebrae
  • divergence of the bones of the symphysis,
  • intestinal pathology,
  • dysfunction of the bladder.

A number of reasons for which the stomach hurts after childbirth, pass independently within a month and do not bring significant harm to the health of the woman. However, the occurrence of inflammatory complications can be dangerous to the health of the mother.

It hurts in the lower abdomen after childbirth in all women. At first, there are nagging, unpleasant pain in the lower abdomen. Each time during breastfeeding, they increase, may become cramping, but tolerable. At first they are more pronounced, in the future the symptoms described above will go away as the discharge disappears. When complications occur, the pain does not go up to 4 months.

Symptoms of endometritis and inflammation of the appendages

Blood is an excellent breeding ground for the growth of pathogenic microbes. If pieces of the placenta remain in the uterus, the uterus cannot contract fully, bacteria rises from the vagina into its cavity through the open pharynx. With a caesarean section, the infection can get through the surgical wound.

Symptoms for inflammatory complications:

  • pain whining character is constant,
  • over time, it acquires a cramping character,
  • vaginal discharge becomes brown, greenish,
  • pus lumps, lumps of mucus in secretions are noted,
  • there is an unpleasant smell of discharge

  • body temperature rises
  • the general condition of the mother is deteriorating
  • mammary glands become painful,
  • the skin over the area of ​​pain is red, hot to the touch,
  • when expressing milk, pus can flow from the nipple.

If the child has appeared by operation:

  • the seam and the skin around it turn red
  • get hot
  • out of it, mucus begins to stand out with pus.

If the mother continues to breastfeed her baby, he becomes restless, constantly crying and has little legs. A baby's stool may become liquid with an unpleasant odor, regurgitation or vomiting appears.

Symptoms of mastitis

If the infection gets into the breasts of a nursing mother, she may experience lower abdominal pain and change the nature of the discharge. This often happens in a situation if 2 months has not passed from delivery.

The patient will be disturbed by pain and discharge of pus from the chest, aching pain in the abdomen, the temperature rises.

Symptoms of peritonitis

The transition of the inflammatory process into the abdominal cavity can occur from the focus of inflammation in the uterus or its appendages during late treatment for medical help. In this case, the patient's condition worsens:

  • the whole stomach hurts,
  • increases by touching it,
  • becomes unbearable at the time of tearing the hand from the abdomen,
  • body temperature jumps to the highest possible numbers,
  • pressure decreases
  • quickens the pulse.

If two months have passed since the moment the child appeared, the discharge was no longer there, with the development of such a complication, they reappear, becoming greenish with an unpleasant odor.

Symptoms of vertebral dislocation

If the pain does not ease after 4 months from the birth of the baby, you need to think about the displacement of the vertebrae. It is peculiar to him:

  • pain is acute
  • localized in the lumbar region,
  • increases when cornering, bending, trying to raise a child,
  • “jamming” can happen.

When "jamming" a woman can not straighten after an unsuccessful tilt or turn. In severe cases, the substance of the spinal cord is pinched. Then the woman will be bothered by the numbness of one or both legs.

This complication alone will not work. The patient should consult a neurologist.

Symptoms of intestinal pathology

As the fetus grows, the uterus presses the intestine up. He is pregnant during the whole stranded position. After giving birth, women often have constipation. On average, up to 4-6 months is necessary in order to normalize the work of the intestine.

In this case, the patient is concerned about the heaviness in the intestines, swelling of it. The stomach can get sick if you want to go to the toilet, the pain can pass after bowel emptying.

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