Symptoms of hematochezia

The uterus is an important place for women to conceive new life, so it is very important for women to pay attention to the health of the uterus. Whether the uterus is healthy is often not easy to detect when going to the hospital for a check-up. Uterine hemorrhage mostly occurs in patients during adolescence or menopause. For our health, we must pay more attention to this aspect. Only if we know more about the symptoms of this condition can we cope with it in the future. The following are some of its symptoms.

Symptoms of intrauterine hemorrhage:

1. Symptoms of intrauterine hemorrhage

When intrauterine hematoma occurs, mothers often feel abdominal pain and experience symptoms such as bleeding and shock. Clinically, the symptoms are similar to vaginal bleeding, pelvic congestion, and uterine bleeding. Mothers can learn relevant knowledge and make a distinction between them.

2. What is intrauterine hemorrhage?

Intrauterine hemorrhage is a serious complication after cesarean section. It is caused by uterine atony after cesarean section and is a hidden bleeding. Because the bleeding does not flow outward, it accumulates in the uterine cavity and vagina and is easily ignored. Heavy bleeding in a short period of time can quickly lead to shock, and continued small amounts of bleeding can also gradually lead to shock. Because it happens after a cesarean section, the mother is often insensitive to the effects of anesthetics, and coupled with the trauma of the operation and weak physical condition, once blood accumulates and shock occurs, it may endanger the mother's life if not treated in time. Symptoms of intrauterine hematoma

3. How to diagnose intrauterine hemorrhage

Observation of the uterine fundus: After cesarean section, in addition to routine observation of vital signs, incision conditions, and whether all ducts are unobstructed, it is important to observe the height of the uterine fundus. The normal height of the uterine fundus after surgery is below the navel or approximately level with the navel. If the uterine fundus is found to be elevated, the uterus should be pressed immediately to drain the accumulated blood. At the same time, uterotonics are injected to promote uterine contraction.

Pulse observation: Due to the body's compensatory function, a large amount of uterine bleeding in a short period of time often does not cause a significant drop in the mother's blood pressure, but changes in the pulse appear first. If the pulse becomes faster and weaker, indicating the possibility of intrauterine blood accumulation, you should report to the doctor immediately and deal with it in time.

Facial complexion observation: Since the effect of the anesthetic has not yet been eliminated, the mother may have a pale complexion. However, if you experience symptoms such as dizziness, thirst, irritability, shortness of breath, cold sweats, and apathy, you should be alert, find out the cause, and discover it in time to avoid delaying the disease.

Dangers of intrauterine hemorrhage:

Intrauterine hemorrhage is a serious threat. If the bleeding is not treated in time, it may endanger the life of the mother. At the same time, intrauterine hemorrhage may affect uterine recovery and lead to consequences such as puerperal infection.

1. Affect uterine involution. Intrauterine hemorrhage is also the result of poor uterine involution (the uterus has not returned to a non-pregnant state 6 weeks after delivery). At the same time, the contraction of the uterine smooth muscle under the intrauterine hemorrhage is affected, which in turn affects the uterine involution and further aggravates the poor uterine involution.

2. Affect lochia. After a woman gives birth, the decidua tissue in the uterus necrotizes and falls off, forming lochia. If the accumulated blood in the uterine cavity is not discharged in time, it will lead to an increase in necrotic tissue and blood clots in the uterine cavity, which will lead to an increase in lochia. Symptoms of intrauterine hemorrhage

3. Puerperal infection. Because the blood and necrotic tissue in the uterine cavity are rich in protein, they are easy to breed bacteria and retrograde infection is prone to occur during the postpartum period. In addition, the bacteria produced can decompose and destroy the placenta, the blood clots that have formed in the blood sinuses on the surface of fetal membrane detachment, and can lead to late postpartum hemorrhage.

4. Easy to be invaded by bacteria. If there is an obvious wound on the uterine muscle wall of a woman who has undergone cesarean section, it is easy for her to be retrogradely infected by vaginal and anal pathogens, affecting the health of the woman.

Causes of intrauterine hemorrhage:

1. Uterine smooth muscle fiber factors. During cesarean section, the smooth muscle fibers of the parturient's uterus are cut off and the integrity of the uterine muscle wall is destroyed, resulting in a significant decrease in uterine contraction force after delivery and inducing intrauterine blood accumulation.

2. Cervical factors. Generally, vaginal delivery is indicated by abdominal pain, ruptured membranes, and dilated cervix in the mother, while the date of cesarean section is decided by the doctor based on the mother's physical condition and the fetus's condition. If some mothers undergo cesarean section without trial delivery or without labor and the cervix has not yet dilated, after the operation, intrauterine bleeding may not be discharged in time and smoothly, resulting in blood accumulation in the uterine cavity. Symptoms of intrauterine hemorrhage

3. The increase in pathological obstetrics. If the mother has other complications before cesarean section, such as vaginal bleeding, pregnancy complicated with hypertension and other diseases, it will lead to an increase in the proportion of elective surgery. On the other hand, the primary disease will directly affect the contraction of uterine smooth muscle and induce uterine bleeding.

4. Edema at the uterine incision site. Clinically, factors such as uterine suturing technique and infection can easily cause edema at the uterine incision site, leading to stenosis of the lower uterine segment, poor discharge of intrauterine blood and shed decidual tissue, and cause intrauterine blood accumulation. In addition, surgical sutures do not restore the anatomical structure well, causing the uterus to bend toward the back of the body, which is not conducive to the outflow of accumulated blood.