Why does my stomach hurt after giving birth?

When women are giving birth, they must be careful to keep their emotions stable, not be nervous, and relax their body and mind. This is very helpful for childbirth. Many women will choose natural childbirth for the good of their baby. Women should pay attention to diet and personal hygiene after natural childbirth to avoid other physical problems after natural childbirth. Many women do not understand why they have abdominal pain after natural childbirth, and there are many reasons for it.

Consider poor uterine contraction and infection. You can do an ultrasound examination.

Causes of poor uterine contraction

1. Mental factors: The mother has concerns about childbirth, is overly nervous, over-exerts herself, and is overly tired.

2. Physical and endocrine factors: Being too fat or having a short trunk, insufficient or uncoordinated secretion of hormones, oxytocin and prostaglandins in the late pregnancy.

3. Birth canal and fetal factors: pelvic abnormalities, fetal abnormalities, malposition of the fetus causing cephalopelvic disproportion, etc.

4. Uterine factors: uterine hypoplasia or malformation, excessive uterine dilatation such as polyhydramnios, macrosomia, multiple births, uterine fibroids, and blocked fallopian tubes.

5. Drug factors: Excessive use of sedatives after delivery inhibits uterine contractions.

Diagnosis of poor uterine contraction:

1. Abdominal examination: When the uterus contracts, finger pressure still feels weak and the muscles are soft.

2. Rectal or vaginal examination: The cervix does not dilate or the presenting part does not descend within a certain time limit. Uterine contractions are too strong: perform a routine obstetrics and gynecology examination. Vaginal examination may reveal a hard, non-elastic narrow ring.

Poor uterine contraction requires the following identification.

1. Uterine atony. Uterine atony is divided into primary and secondary types. Primary is when the uterine contraction is not strong enough at the beginning of labor; secondary is when the uterine atony occurs at a certain stage of labor. Clinical manifestations: Under normal circumstances after delivery, uterine contractions generally occur at intervals of 2 to 5 minutes, last for 40 to 50 seconds, and the uterus is relatively hard. For those with weak contractions, the interval time is extended to 6 to 7 minutes or longer, the duration is shortened, not exceeding 30 seconds, and the contraction force is weakened, and the uterus is not hard enough to touch.

2. Excessive uterine contractions can be divided into coordinated and uncoordinated types. Coordination: If there is no cephalopelvic disproportion, the labor process can be accelerated and ended within 3 hours, resulting in emergency delivery. Soft birth canal injury, postpartum hemorrhage, neonatal asphyxia, etc. often occur. Incoordination: Due to excessive tension of the mother, too many vaginal examinations, excessively heavy manipulations, or improper use of uterotonic agents, local spasmodic contractions of the uterine muscles (there may also be generalized tonic contractions) may result in the appearance of a narrow ring at the junction of the upper and lower segments of the uterus or around the narrow part of the fetal body (such as the neck). This ring does not rise during contractions, the cervix does not dilate, and the fetal head does not descend, resulting in obstruction.