Vacuum cleaning of the uterus: the procedure, consequences, reviews

Vacuum cleaning of the uterus is a method of removing the contents of the cavity of the body. To conduct such a procedure, there are many indications. Most often, vacuum cleaning is prescribed after childbirth or miscarriage, to remove the embryo frozen in development, as well as to terminate pregnancy. Most women are afraid of this procedure. However, this is the safest and most effective method for cleaning the uterine cavity.

Indications for the procedure

Vacuum cleaning of the uterus allows you to remove everything that is inside the organ along with part of the mucous membrane. Among the indications for such a procedure are:

• Bladder skidding;
• A serious pathology of the fetus that was detected before the 12th week of pregnancy, for example, developmental delay;
• Hematometer - accumulation of large amounts of blood in the cavity of the organ;
• Spontaneous abortion;
• When a piece of placenta is found after natural birth or by cesarean section;
• Research of the microflora of the cavity of the organ;
• Heavy bleeding.

The expediency of carrying out a vacuum cleaning of the uterus is determined by a gynecologist. In some cases, this operation is not required.

How to perform the operation

How do I do a vacuum cleaning of the uterus? The operation is performed only in a hospital. During the procedure, the upper layer of the mucosa is removed. During menstruation, he is rejected. Therefore, the operation is considered physiological. However, some women experience pain during this procedure. It is for this reason that specialists use anesthesia. Disregard pain relief after childbirth. During this period, the cervix is open, and the organ itself is enlarged. That's why the pain is not so strong.

It is worth noting that the most unpleasant sensations are the opening of the cervix. Because of this, the patient is first given anesthesia and then an expander. When the cervix is open, the doctor proceeds to aspirate the contents of the cavity.

Vacuum cleaning of the uterus is carried out in several ways: machine and manual. The latter method involves the use of a special syringe. With this method, the contents of the uterine cavity are sucked off under the influence of the hands of the doctor himself. With the machine method, a special pump is used.

Stages of the procedure

Regardless of the selected aspiration method, the procedure consists of the following steps:

• Intravenously administered anesthesia;
• The external genitalia are treated with a disinfectant solution;
• A special mirror is inserted into the vagina;
• If local anesthesia was chosen, then at this stage an anesthetic drug is injected into the cervix;
• If necessary, the cervix is slightly opened;
• Measures the distance from the uterine cavity to the entrance to the vagina with a special umbrella;
• An aspiration tube is introduced;
• The outer layer of the body cavity is sucked in when the tube rotates.

The whole procedure takes 5 to 15 minutes. If general anesthesia was used , the patient would be away from the operation for a few more hours. Such effects are not caused by local anesthesia. However, using this method of anesthesia, the patient may feel spasms in the lower abdomen during the operation.

Do I need to prepare

Vacuum cleaning of the uterus requires the preparation of the patient. First of all, this depends on the reason for carrying out such a procedure. After all, the operation to terminate the pregnancy will be significantly different from the operation after childbirth. In any case, the procedure is a surgical intervention. Before it is carried out, the patient must undergo examinations, among which:

• ECG;
• Biochemical and general blood examination;
• Rh-factor and group analysis;
• Blood clotting assay;
• Analysis for hepatitis B and C, HIV and syphilis;
• Smear on oncocytology.

Before the appointment of a vacuum cleaning of the uterus, the doctor should carefully study the history, as well as a list of drugs that the patient took. In addition, a specialist should warn a woman about what medicines should not be consumed.

What you can not do before surgery

Vacuum cleaning of the uterus, reviews of which are both positive and negative, requires not only careful examination of the patient. If the operation is planned in advance, then 14 days before the doctor does not recommend the woman to take drugs that affect blood clotting. In addition, there are other restrictions that must be observed for three days before the intervention. At this time, you should:

• Stop all sexual contact;
• To refuse syringing;
• Do not use cosmetics intended for genital hygiene;
• Stop using vaginal tablets and suppositories.

12 hours before the operation, experts recommend that you stop eating. This will make the procedure of anesthesia safer.

Frozen pregnancy

Vacuum cleaning of the uterus with a dead pregnancy is not always required. In most cases, the embryo leaves by itself. There is a miscarriage. However, this may not happen. Then the frozen embryo can be found only on ultrasound. This procedure is carried out in cases where the condition of a pregnant woman is significantly deteriorating. If the embryo is not removed in time, sepsis and intoxication may begin.

With a frozen pregnancy for a period of up to 5 weeks, the fetal medication is expelled. If the period is up to 12 weeks, then a vacuum cleaning of the uterus is prescribed. After such a surgical procedure, the doctor should observe the patient. If the temperature of her body has increased, then the development of an inflammatory process is not ruled out. Even if the condition of a woman does not deteriorate, after a while repeated ultrasound.

Operation after childbirth

Vacuum cleaning of the uterus after childbirth is carried out in those cases when the mother feels unwell. The physician must monitor for several days the body temperature of the patient, the condition of the birth canal, sutures and the body as a whole. In addition, the specialist must take into account the intensity of the discharge. After all, in the uterine cavity after childbirth, particles of the afterburn may remain. In some cases, it must be removed by hand. This is due to a strong build-up of the posterior to the walls of the uterus. A similar situation is possible even after cesarean section. If suspected complications of the patient is ultrasound.

If there is no vacuum cleaning of the uterus when detecting placental particles, then purulent processes may begin. After the procedure, the patient remains in the hospital for some time. The doctor writes it out only if the condition can be considered satisfactory. During this period, often prescribed antibiotics, drugs that contribute to uterine contraction, as well as antiseptic treatment.

Due to the use of a large number of medicines, breastfeeding is not recommended. Milk should be regularly expressed and disposed of.

Intervention after miscarriage

Miscarriage is a spontaneous abortion for up to 20 weeks. In some cases, a woman may not even notice such a process. Especially if it happened at an early pregnancy. Often, women perceive this as a regular start of menstruation, but with abundant secretions.

In some cases, a vacuum cleaning of the uterus after a miscarriage is required. On a long term, a woman can notice not only a large number of secretions, but also large blood clots, as well as particles of the embryo. At the same time, bleeding can stop, and after a while it can resume. This can lead to a delay in the uterine cavity of aborted tissues, which often causes the development of the inflammatory process.

When a miscarriage is required

If the gestation period is more than 13 weeks, then a vacuum cleaning of the body cavity is required, since the fetus is large enough and can completely or partially remain in the uterus. In this case, a woman can experience severe spasms and pains in the lower abdomen, which resemble fights.

Cleaning is carried out in those cases when after the termination of pregnancy there were fragments of fetal shells or a fetal egg in the uterine cavity. If a miscarriage is suspected, the patient is placed in a hospital for a day. In this case, the doctor can prescribe the use of drugs that cause uterine contractions. If during this time the tissues did not come out on their own, then cleaning is carried out. Immediate intervention is prescribed for signs of infection of the tissues of the uterus by infection and with severe bleeding.

Vacuum cleaning of the uterus: consequences

Such procedures are most often performed for women without consequences, as evidenced by their feedback on the procedure. However, in some cases problems may arise:

1. Incomplete removal of cavity contents. The specialist works blindly during the procedure. If this happens, then repeated cleaning is appointed.
2. Damage with cervical instruments. May occur when the organ is opened. This kind of damage can lead to unattractive subsequent pregnancies.
3. Uterine bleeding. During the procedure, damage to fibroids or vessels may occur. In difficult cases, the doctor can completely remove the uterus.
4. Infection. This happens when the patient neglects the advice of doctors and does not respect personal hygiene. As a result, it can lead to the development of infertility and the onset of the inflammatory process.
5. Weakened neck. In the future, this can cause a miscarriage.

After a vacuum cleaning of the uterus, some complications may arise. After all, much depends on the experience of the doctor. However, not always the development of pathology is the wrong work of a specialist. For example, if a woman aborts, a hormone level may malfunction. Which also leads to undesirable consequences. When removing a frozen embryo or embryo remains - the risk of developing pathologies is less than when using other types of surgical intervention.