Steps to control the uterus after calving

The article was consulted professionally by Specialist Doctor II Nguyen Thi Phuong Loan – Obstetrician and Gynecologist – Obstetrics and Gynecology Department – Share99 Hai Phong International Health Hub.

Control of the uterus is a method of checking the integrity of the uterus and cleaning the uterus after the vegetables have been removed or after the peeling of artificial vegetables. In case of control of the uterus after the peeling of artificial vegetables, after peeling the vegetables, the procedure person does not remove the right hand from the uterus of the maternity, but also uses that hand to control the uterus.

Control of the uterus is a procedure that checks the integrity of the uterus and cleans the uterus after the vegetable has been removed or after the peeling of artificial vegetables.

In dinh control of the uterus in case of:

• Bleeding after the vegetable register.
• Check that vegetables are missing vegetable membranes, vegetable citrus.
• Citrus-style vegetables.
• Checking the integrity of the uterus after making Forceps, Ventous in women with old surgical scars.
• Pregnancy dies in the uterus.

Contraint of intrained control of the uterus in case the maternity is stunned.

2.1. Prepare

Step 1:The person who controls the post-calving uterus for the maternity must wash their hands; wear gloves, wear aseptic clothing; urination,antiseptic of the area of the for women.

Step 2:Prepare painkillers, uterusshrinkage drugs, antiseptic, resuscitation drugs, heart support to prevent stun.

Step 3: Explain to the maternity how important post-birth uterus control methods are to erm women; at the same time requires that the maternity should lie comfortably, without contracting the abdominal wall.

Step 4: Inject painkillers to assist with the procedure.

2.2. Conduct control of the uterus

Step 1:The left hand is placed on the abdominal wall holding the bottom of the uterus to fix the uterus. Then, put your right hand in the vagina, through the cervical to enter the uterus to the bottom of the uterus.

Step 2: Check the bottom of the uterus, front, back, two banks and two horns of the uterus. When the procedure sees that the uterus is smooth, not rough, it is normal. But when the vegetable fragments and vegetable membranes remain, gently remove and examine the uterus.

Step 3. After checking that the uterus is clean, gently pull out your hands, limiting the pain of the maternity. In case, it is not notice that the uterus is not recovering well, use your hands in the uterus to raise the bottom of the uterus to inject Oxytocin into the muscles of the uterus through the abdominal wall, then pull out your hands.

Step 4. Inject or take antibiotics for 5 days.

Note: In case of controlling the uterus after peeling artificial vegetables, after peeling vegetables, the procedure person does not remove the right hand from the uterus of the maternity, but uses that hand to control the uterus, avoiding repeated work that causes infection and stuns the maternity.

Besides, if you can not put your hands in the uterus because the waist of the uterus tightens, wait and then gradually tighten the cervical by hand, inject the drug to reduce uterine contraction; if you can not peel the vegetable cake, do not try because it will break the muscles of the uterus causing a lot of bleeding.

2.3. Post-control monitoring of the uterus

Check the whole maternity status such as:

• Vascular measurements, blood pressure;
• Pay attention to the contraction of the uterus of the maternity;
• The amount of blood flowing in the vagina.

In order to help customers detect and treat gynecologic diseases early, Share99 International Health Hub has a basic gynecologicexamination and screening package, helping customers detect inflammatory diseases early, making treatment easy and inexpensive. Screening for early detection of gynecologic cancer(Cervical cancer) even if there are no symptoms.

The basic gynecology examination and screening package for female clients, with no age limit and possible symptoms as follows:

• Abnormal bleeding of the vaginal area
• Menstrual problems: abnormally long cycles, irregular menstruation
• Abnormal vaginal translation (bad smell, unusual color)
• Pain, itching of the closed area
• Female customers have a few risk factors such as bad personal hygiene, unsafe sex,abortion, ,…
• Female customers have other symptoms such as abnormal vaginal discharge, itching, pain in the closed area, abnormal vaginal bleeding.