In the article, we consider drugs for uterine contractions after childbirth, abortion and miscarriage.
In the postpartum period, the female body undergoes a mandatory recovery phase. It is necessary to normalize hormonal balance, as well as to return internal organs to their original position. The uterus, in which the baby developed, can decrease up to 500 times after childbirth. When this process happens too slowly or stops completely, a woman is prescribed special drugs to reduce the uterus.
Reason for appointment
The uterus is the main organ of the female reproductive system, which has the property of significantly stretching, and then rapidly decreasing after delivery. Sometimes the body may need medical support.
Preparations for uterine contractions are prescribed in the following situations:
- Inactive labor.
- After an artificial abortion. Preparations for uterine contractions after abortion will be described in detail below.
- In order to remove lochia.
- Bleeding in the organs of the reproductive system.
- Amenorrhea.
- Neoplasms in the uterus.
Also, drugs for uterine contractions after a miscarriage are prescribed.
If at the initial stage of the birth process there is no uterine activity, drip administration of drugs intended to enhance the contractility of the organ is prescribed. This is necessary so that the child does not experience hypoxia against the background of too slow delivery. The rationale for the use of special drugs may be insufficient disclosure of the uterine neck, as well as the location of the fetus with a head inserted into the small pelvis.
After an abortion, it is also important to allow the uterus to recover. To this end, drugs are prescribed to reduce the uterus, tonic organ. This helps the body eliminate blood clots after surgery.
Sometimes a woman may have a miscarriage, or she is forced to have an abortion as indicated. In this case, also can not do without drugs. Preparations for uterine contractions for miscarriage are administered over several days. This contributes to the rapid cleansing of the uterine cavity and facilitates the rehabilitation process.
For the correct appointment, the doctor must understand the types of drugs to reduce the uterus after childbirth and miscarriage. Drugs are allocated that increase the number of uterine contractions, as well as those that affect the tone of the myometrium.
Preparations for enhancing uterine contractions
Uterine contractions have a fairly wide range of uses. On the one hand, they are designed to maintain gestation, and also contribute to improving blood flow to the placenta. Also, these drugs are prescribed to relax the muscles of the uterus with cramping. On the other hand, medicines are used to stimulate the delivery process in order to raise the uterine tone.
Many people wonder what drugs cause uterine contractions.
The most common drugs in this group are the following medications.
Oxytocin
The active substance of the same name is a human hormone that affects the number of uterine contractions, and also increases tone before childbirth. When oxytocin is produced in insufficient quantities, a woman has a weak labor activity. To enhance uterine contractions, the administration of oxytocin is prescribed intravenously or intramuscularly, and during cesarean section - directly into the uterus. Indications for its use are considered incomplete miscarriage, weak labor activity, as well as a gestation period of more than 42 weeks. Contraindication for the use of the solution is polyhydramnios, the incorrect location of the fetus, the presence of scars on the uterus, premature birth. Against the background of the use of oxytocin, undesirable reactions such as bronchospasm, high blood pressure, nausea and vomiting, and increased heart rate can be observed. It is important, against the background of the use of the drug, to constantly monitor the patient’s pressure and pulse indicators.
Pituitrin
This is a drug, which in addition to oxytocin includes vasopressin. An additional component in the composition provides the body with the necessary amount of fluid and increases the pressure inside the vessels. Pituitrin can be administered either intravenously or intramuscularly. The purpose of the drug may be due to menstrual irregularities, bleeding between the regulation, as well as urinary incontinence during sleep.
"Desaminoxytocin"
This hormonal drug is produced in tablet form and is a structural analogue of Oxytocin, but with an enhanced effect. The drug is intended to reduce the muscles of the uterus and the prevention of mastitis, and also helps to normalize the lactation process. The drug is prescribed in cases where the uterus does not contract quickly enough after delivery, as well as with muscle weakness or lack of milk in a woman. Tablets are intended for resorption. Contraindications for the use of "Desaminooxytocin" are uterine tone, fetal hypoxia in the womb, improper location of the baby, placental abruption. Adverse reactions to taking the drug can be dizziness, diarrhea, as well as allergies.
Ergotal
The drug is made in the form of tablets and a solution for injection and is intended to enhance uterine contractions. The appointment is made against the background of the absence of uterine contractions after childbirth, as well as during the treatment of fibroma. Ergotal is contraindicated in case of pathologies of the liver, kidneys, blood and heart, as well as during pregnancy. The drug is well tolerated by the body and rarely leads to the development of adverse reactions.
Ginestril
A potent drug that quickly has the expected effect. Due to its composition, the drug inhibits the production of progesterone, which leads to a more intense contraction of the uterus. Indication for the appointment of "Ginestril" is a myoma, the size of which is less than 3 cm, as well as the need to stimulate labor activity during normal pregnancy. You can not take the drug during gestation, against the background of late manifestations of toxicosis, anemia, as well as in the detection of an inflammatory process in the organs of the female reproductive system. When taking Ginestril, vomiting, an allergic reaction, as well as a deterioration in the well-being of a woman as a whole can occur.
"Analgin-quinine"
The drug is prescribed to stimulate uterine contractions after an abortion or cesarean section as a restorative therapy. The drug can be taken during lactation, the standard dosage is two tablets three times a day. Taking the drug must be carried out in an inpatient setting under medical supervision. This drug is contraindicated in liver or kidney pathologies, asthma, hematological diseases, allergies and weak auditory perception.
Gifotocin
The basis of the drug is oxytocin, whose properties contribute to the compression of the uterus during full-term or post-term pregnancy, as well as the relief of bleeding after childbirth. If there is not enough active labor, the doctor prescribes a tablet form of the drug. Against the background of attempts, an injection of the drug is done. Contraindications for use are narrow pelvic bones, large size of the fetus, as well as a caesarean section during the first birth.
"Methylergometrine"
The drug tones the myometrium after childbirth or an abortion. With caesarean section, the drug is used in case of large blood losses. In order to enhance uterine contractions, the solution is administered intravenously or intramuscularly. It is not recommended to use "Methylergometrine" against the background of gestation, heart disease, as well as thyroid pathologies.
These drugs for uterine contractions after cesarean are also used.
Drugs for stimulation of the myometrium
Medicines from this group are intended to stimulate contractions of the myometrium to terminate an unwanted pregnancy or increase tone after birth. Sometimes these medications are prescribed to prepare the uterine neck. The following drugs are allocated:
1. "Dinoprost." The medicine affects the process of opening the uterine neck before childbirth, and also stimulates the muscles, leading them to tone. The introduction of "Dinoprost" is carried out in a vein or in the fetal bladder, if it is an abortion. The drug is not recommended for use against the background of inflammatory processes in the genital system, the presence of postoperative sutures, an allergic reaction, as well as impaired blood flow to the placenta. When using the drug, it is possible to increase the pulse, pain in the head, as well as nausea.
2. "Prostenon." It is produced in the form of a special gel that is injected directly into the cervical canal. Such therapy helps to prepare the uterine neck for labor. Against the background of the use of the drug, myometrial hypertonicity, excessive compression of the fetus and increased heartbeat can be observed. It is not recommended to use the drug in the presence of scars, narrow pelvic bones and presentation of the fetus of a pathological nature. What other drugs are used to reduce uterine bleeding?
3. "Ergotamine tartrate." The drug acts directly on the myometrium, which allows you to increase the tone of the muscles of the uterus and stop bleeding. The drug is administered intramuscularly or subcutaneously after childbirth. Ergotamine can not be used during gestation, as well as in the presence of scars and bleeding disorders. The duration of admission should not be longer than one week. Adverse reactions to the use of the drug can be nausea and vomiting, arrhythmia, diarrhea. Ergotamine is often used to terminate an unwanted pregnancy.
4. "Postinor." The drug provokes a miscarriage and is considered the most common in medical practice. The medication directs its action to the developing fetus. Take the pill should be within three days after the proposed conception. "Postinor" provokes rejection of the secret of the reproductive system along with the embryo located there. It is supposed to take two tablets with a difference of 12 hours. You can not take "Postinor" more than two courses in one menstrual cycle.
5. The Escapel. An analogue of the previous drug. You can use it to terminate an unwanted pregnancy in the first three days after conception. If the delay in menstruation is more than 45 days, Escapel is forbidden to take.
6. "Pencrofton." Designed to activate myometrial contractions, which provoke a miscarriage. Spasm of the uterine muscles leads to the exit of the embryo and termination of pregnancy. To get the expected effect, you must take three tablets at once. "Pencrofton" is forbidden for prone to allergies, liver or kidney pathologies, as well as for a delay of more than 43 days. While taking the drug, nausea and vomiting, as well as intestinal disorders, can be observed.
7. "Mifegin" - a drug for uterine contractions after miscarriage and abortion. Contraindications for use are chronic kidney pathologies, delayed menstruation for more than 45 days, a tendency to pregnancy outside the uterus, and the lack of a doctor’s appointment. The drug is taken once in a hospital, under the supervision of a specialist.
8. "Mytholian." Provokes spontaneous miscarriage. It is prescribed if the last cycle began no more than 42 days ago. The drug can be used as a contraceptive, if after unprotected intercourse no more than two days have passed. In this case, three tablets are taken immediately. It is recommended to take the drug under the supervision of a doctor. Drugs that cause uterine contractions do not end there.
9. "Mifeprex." Used as a drug for medical abortion. It is produced in tablet form and is prescribed in the amount of three tablets for a single dose. It can not be used for uterine myoma, as well as against the background of pathological processes in the liver, kidneys, heart. When taking the pills, headache, nausea, and vomiting may occur.
In some cases, women give preference to homeopathic remedies, reasonably considering them safer and milder in effect.
We examined medications for uterine contractions after childbirth, miscarriage and abortion.
Alternative methods of uterine contractions
In the postpartum period, a woman's body needs some time to recover. Lactation is the first aid for a woman in this process. During breastfeeding, the body begins to produce oxytocin. Special exercises aimed at strengthening uterine contractions are also considered effective.
Quite often, women use decoctions of herbs and various tinctures. So, for example, barberry has a hemostatic effect. Nettle extract in liquid form also helps to increase the intensity of uterine contractions after childbirth. The tool can be prepared independently or purchased at a pharmacy. Letter-colored cystic extract is no less effective. This plant also contributes to the normalization of lactation.
Acceptance of any drugs, including infusions and herbs, requires a mandatory consultation with a specialist.
We examined which drugs for uterine contractions are prescribed.