Postpartum abdominal pain

Introduction Postpartum abdominal pain is the pelvic internal organs of women in the lower abdomen. When abnormalities occur, it is easy to cause postpartum abdominal pain, including abdominal pain and abdominal pain. Small abdominal pain is the most common. More common in new women. It refers to the contraction pain caused by contraction of the uterus after birth, also known as "postpartum pain", "contractive pain." Lighter people do not need treatment, abdominal pain can gradually disappear. The cause of postpartum abdominal pain is due to uterine contraction, uterine contraction, causing vascular ischemia, tissue hypoxia, nerve fiber compression, so the mother feels abdominal pain. When the uterus contraction stops, the blood circulates, the blood vessels are unblocked, the tissue has blood oxygen supply, the nerve fibers are squeezed out, and the pain disappears. This process is usually completed within 1-2 days. The primipara factor is more closely related to the uterine fibrosis, the uterine contraction is not very strong, it is easy to recover, and the time required for recovery is shorter, and the pain is not obvious. After maternal pregnancy due to multiple pregnancies, uterine muscle fibers are pulled several times, recovery is more difficult, the pain time is relatively prolonged, and the pain is more severe than the first maternal.

Cause

Uterine contraction: When the woman has pain in the lower abdomen, the lower abdomen is touched by hand. It is often possible to touch a very clear and hard spheroid. This is the uterus that is contracting. Medically, this normal uterine contraction is a postpartum contraction. Painful postpartum uterine contraction pain is more common in women who have more births and shorter delivery. - This is a normal postpartum disease, without any other complications, no need to use medication. Generally, the maternal pain disappears naturally within 3 to 5 days after delivery. Individual painful pain can be taken with painkillers and Yimu pills. Hot water bags and hot salt bags can also be placed on the lower abdomen.

Being cold: If the mother is cold, or if the abdomen is cold and cold. At this time, the blood vessels are stagnation, and the blood and blood are not running smoothly. If you give the lower abdomen "warm" or gently calm the body, it will be more comfortable.

Poor mood: maternal sorrow, over-worry, excessive anger, so that the liver is not comfortable, liver qi stagnation, poor blood flow, resulting in blood stasis, resulting in abdominal pain.

Lack of exercise: Some maternal women stand, squat, sit, and lie long after childbirth, and do not change their position for a long time, causing bruises to stay, causing pain in the lower abdomen, and even causing back pain.

an examination

Related inspection

Abdominal vascular ultrasound examination of abdominal plain film

Postpartum abdominal pain is a normal physiological phenomenon. If the pain is more than one week, and it is continuous abdominal pain, or accompanied by a lot of lochia, dark red, more blood clots, smelly smell, and more inflammation in the pelvic cavity, you should consult a doctor.

Postpartum abdominal pain is mainly due to poor blood flow, delay and pain, and there is a difference between the real and the virtual. The virtual person is more common in blood deficiency, due to postpartum blood loss, vacancy, dysfunction, dysfunction of blood and blood, and slow blood flow, stagnation and abdominal pain; the actual blood stasis can be caused by liver qi If the stagnation or coldness causes the blood stasis to stop the palace, it will be painful.

Differential diagnosis

For postpartum severe abdominal pain, accompanied by vaginal bleeding, or accompanied by fever, the color of the lochia is dark or smelly, it should be vigilant, consider the possibility of residual placental fragments in the uterus, or reproductive tract infection, have been produced If you are hot, you should consult a doctor promptly.

Abdominal pain is one of the common clinical symptoms, which can be acute or chronic, and its etiology is complicated, most of which are organic and functional. Most of them are caused by intra-abdominal organ diseases, but also due to extra-abdominal organ diseases. In the diagnosis, comprehensive consideration should be made to analyze the medical history and the results of each examination in detail.

Postpartum abdominal pain caused by the above four reasons is artificial abdominal pain. Symptoms are usually accompanied by a low amount of lochia or a dark purple color with blood clots, as well as chest rib pain and limb weakness.

According to the reasons for its occurrence, postpartum abdominal pain can be divided into two types:

1, postpartum blood deficiency, cell dystrophy. Its clinical manifestation is faint pain in the lower abdomen, like pressing, less amount of lochia, pale, accompanied by dizziness, tinnitus, knotting, pale red tongue, thin fur, weak pulse.

2, postpartum cold coagulation, poor blood. Its clinical manifestation is abdominal pain, refusal to press, less amount of lochia, a block of color purpura, chest pain, pale complexion, limbs are not warm, tongue is sputum, thin and white, and the pulse string is tight.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.