Nine months a woman carries her baby, anxiously awaiting the onset of the crucial moment - the birth of a child. Childbirth is a natural process, accompanied by a tremendous burden on the female body. Hormonal changes, physical pain and psychological stress are factors that invariably accompany the woman in childbirth. If the birth is the first, or repeated and rapid, a large child or obstetrician-gynecologist is not qualified to lead natural childbirth, complications arise in the form of internal and external cracks, ruptures in the vagina and perineum. The causes of these complications can also be underdevelopment of the vagina (narrow and short), illiterate use of obstetric forceps or vacuum extractor. Gaps are eliminated by stitching. In consequence, there may remain rough and painful scars that interfere with normal life. To prevent craniocerebral injuries of the infant and spontaneous ruptures of the vagina or perineum of the mother in childbirth, obstetric surgical tactics of labor management-an episiotomy. The perineum and the posterior wall of the vagina are dissected surgically. After the birth of the child, the edges of the incisions are joined and fixed with sutures.
When applying sutures in the crotch and vagina, you must carefully observe the rules of personal hygiene. Carry out measures aimed at preventing the pathogenic microflora from entering the seams and their swelling.
After giving birth, a woman may be bothered by pain and bleeding from injured hemorrhoids. This fact negatively affects the general condition of the mother in childbirth.
In puerperia intensive, persistent aches and pains in the perineum, low back pain after epidural anesthesia, pain in the anus and rectum after traumatizing the hemorrhoids, pain associated with delivery by caesarean section. A few weeks after the birth, the reproductive organs of the woman will return to normal. The uterus will contract, the soreness and puffiness of the perineum will pass and the mother and child will be able to enjoy communication with each other.
The pain factor negatively affects the regulation of the lactation process and the psychological state of the parturient child. The woman in the postpartum period is emotionally unstable and is in the strongest stress state, so a very important point will be the relief and elimination of the pain syndrome. To determine the type of analgesia (tablets, suppositories, injections), a specialist consultation is necessary. The attending physician will be able to adequately assess whether the benefit to the mother exceeds the potential risks of developing side effects in the newborn. Self-medication is unacceptable and has unpredictable and dangerous consequences. Rectal and vaginal suppositories can be used for anesthesia in Puerperia. They have both general and local anesthetic effects. Have anti-inflammatory effect. The names of analgesic suppositories allowed in the postpartum period are the following: Ketorol, Ketanol, Diclof, Diclofenac, Voltaren.
The most effective analgesic suppositories with success used in gynecological practice after delivery are the rectal suppository Diclofenac.
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