Oxytocin and no spa began to clot. Oxytocin for abortion in early and late stages. Dosage of Oxytocin for abortion - tablets, injections. Contraindications to termination of pregnancy using medications

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If contractions during childbirth are weak, or after childbirth or abortion there is insufficient contraction, then the doctor prescribes injections to contract the uterus. This organ can independently increase and decrease, but sometimes failures occur. If something is not done in time, the drug is not administered, then clots or placenta may remain in the organ cavity, which will lead to an inflammatory process and serious abnormalities.

In what cases is it necessary to use injections to contract the uterus?

Injections that contract the uterus are now often used in gynecological practice. Their goal is to prevent bleeding, remove remaining placenta and clots from the organ, or help a woman give birth to a child.

During childbirth, there are cases when the uterus does not contract or its insufficient contractile activity does not allow the cervix to open sufficiently. They also help with special medications.

If after childbirth a woman has weak contractile activity, the doctor will definitely inject a special drug into the uterus. This is the only way to avoid the development of complications. The injection is indicated not only after natural delivery, but also after caesarean section, abortion. Also, such drugs help women improve lactation after childbirth; they stimulate milk flow.

If during the first three days after the birth of the baby a woman did not have discharge or cramping pain, it means that the organ is not contracting, and therefore the natural process will not begin on its own. In such cases, the attending physician decides which method of stimulation to resort to. This includes not only injections, but also tablet forms of drugs, herbs, exercises, massage therapy, and homeopathic remedies. Injections are used more often. Since their effect occurs very quickly, they have many more advantages than other methods. But, like all medications, they have their drawbacks.

Contraindications and side effects

Contraction injections for the uterus are contraindicated if:

• there are vascular and heart diseases;
• the uterine cervix is ​​underdeveloped;
• hormonal drugs were used within 4-6 hours;
• an ectopic pregnancy was diagnosed;
• available allergic reactions on the constituent components;
• gestosis;
• malposition;
• placental tissue is located in the lower uterine segment;
• there is a narrow pelvic bone;
• there are sutures, damage or ruptures on the uterus;
• the uterus may rupture.

In addition to the fact that injections help, they also have side effects, both in relation to the woman herself and to the child.

A woman may experience:

• attack of nausea;
• cardiopalmus;
• increased blood pressure;
• cerebral hemorrhage;
• anaphylactic shock;
• circulatory disorders in the brain;
• bronchial spasm;
• uterine tone.

The child may have such deviations as:

• improper blood supply;
• lack of oxygen, which leads to suffocation;
• squeezing;
• death.

The dosage must be calculated with caution so as not to cause harm. It is strictly prohibited to use such drugs on your own at home.

Positive effect

The advantages of such drugs are that they help stimulate the organ, thus speeding up the process during childbirth. Very often, stimulation helps to save the fetus, because it cannot be without amniotic fluid for a long time.

After delivery, this is a great way to remove all the clots and placenta from the uterus. During an abortion, stimulants remove all remnants of the embryo from the organ. This is important, because if something remains in the uterine cavity, inflammation will begin. It will entail an increase in temperature, general malaise, and an abscess.

What injections can be used to contract the uterus?

In order for the organ to contract, the doctor must choose the right drug, depending on the situation and the individual characteristics of the patient.

For injections, drugs are used in the form of:

• "Oxytocin";
• "Pituitrina";
• "Ergotala";
• "Dinoprosta".

The above drugs are the most popular. They are most often used by gynecologists.

How to use injections correctly?

Oxytocin can rapidly contract the uterus, but is used with caution. It is injected after delivery for the first three days, twice a day. In some cases, this lasts up to 5 days. In most cases, intramuscular administration is chosen, intravenous administration is rare. The dosage varies from 5 IU to 10 IU. After cesarean section, administration of Oxytocin is indicated directly into the uterine wall.

Indicated: for abortion, normal delivery and caesarean section, for milk production, to stop bleeding.

Pituitrin has the same indications as Oxytocin. In addition, it is able to increase pressure in blood vessels, remove excess sodium from the blood and maintain the optimal amount of fluid in the female body. Prescribed for heavy menstruation, intermenstrual and postpartum bleeding, weak labor. Injected under the skin or into a muscle. No more than 10 units are administered at a time. Injections for contraction of the uterus after childbirth are indicated from 0.25 to 1 ml. They inject every half hour, with subsequent injections the dosage increases. To speed up the birth process, a maximum of 1 ml of the drug is administered once.

Ergotal can be used both in tablet form and in the form of injection (subcutaneously and intramuscularly). Promotes contraction of the uterine muscles, stops bleeding, has a sedative effect, reduces tachycardia and eliminates headaches. It is prescribed not only for childbirth, abortion, but also for menopause. It cannot be used for a long time or in large doses, as poisoning may occur. Usually prescribed 0.5 or 1 ml into the muscle or under the skin 1-2 times a day.

Dinoprost is used to contract the muscles of the uterus. They put droppers or inject directly into the uterus. Thanks to this drug, the cervix opens and ripens at any time. If there is no expected effect within 24 hours, then the product is replaced with another. If used independently, without taking into account contraindications, then the most severe consequences are possible, including cardiac arrest and death. During abortion, the amniotic sac is punctured and 8 ml of solution is injected at a slow pace. If nothing happens after a day, add another 3-8 ml. cannot be used for more than 2 days. To stimulate the labor process or to stimulate labor if the fetus dies in utero, the medicine should be injected into a vein (drip), no more than 20 mcg per minute. If administration is unsuccessful for two days, the drug is discontinued.

Features of the use of injections after childbirth

After delivery, each drug is used according to the instructions, taking into account medical recommendations. Not a single remedy can be used independently at home. The woman is constantly being watched. If there is no result, one drug is discontinued and another is prescribed.

Injections not only contract the muscles of the organ and stop bleeding, but also stimulate the flow of milk, which is very important for the baby.

Where to buy and cost

Conclusion

Injections to stimulate the uterus simplify the birth process and normalize the postpartum condition of a woman. Such drugs are used to terminate pregnancy, as well as to stop bleeding. Any drug is prescribed only by the attending physician and administered in a hospital. It is not used at home, since the doctor must see the dynamics at the slightest deviation medical workers will take action.

The patient is first examined, the pros and cons are weighed, the appropriate drug is selected, taking into account individual characteristics women. If there is no positive dynamics, the medicine is discontinued.

chPRTPU # 4482 (05.08.2005 13:24)

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The uterus is a unique organ, part of the female reproductive system. During pregnancy, it is able to increase its volume many times over, and after childbirth, the organ contracts just as quickly.

However, sometimes the condition of the muscular layer of the uterus requires drug support, in particular in cases where it is necessary to increase or decrease myometrial contractions.

Indications for use of drugs

I distinguish several pharmaceutical groups, which include drugs that contract and tonic the uterus:

• To increase the tone and rhythm of contractions of the uterine muscles ( prostaglandins, oxytocin);
• To influence the tone of the uterus, stop bleeding ( Analgin-quinine, Ergometrine);
• To suppress contractions ( No-spa, Ibuprofen, Diclofenac, Papaverine).

In what cases are contraction drugs necessary to correct the condition of the uterine myometrium? They are used in the early period after childbirth to accelerate its involution to a normal state, to reduce the risk of bleeding.

If bleeding has already occurred, the use of medications helps as soon as possible reduce its intensity due to artificial spasm of the uterine arteries.

Another indication is to stop bleeding from endometrial hyperplasia. After a medical or spontaneous abortion, blood clots may remain in the uterus, causing inflammation and other pathologies, so it is necessary to use means to contract the organ.

Counteracting drugs to suppress uterine contractions are aimed at preventing premature birth, treatment of algodismenorrhea, suppression of myometrial activity during gynecological operations.

Their timely administration helps stop a miscarriage, or threatened abortion, and correct isthmic-cervical insufficiency.

Medicines to correct uterine contractions

In gynecological practice, dosage forms such as injections and tablets for uterine contraction, intravenous and infusion solutions are used for these purposes.

Oxytocin

The medicine is used to contract the uterus more often than other drugs for a similar purpose. Oxytocin is a synthetic hormone obtained artificially, the properties of which are identical to the natural hormone of the hypothalamus. It increases the excitability of myometrial cells, increasing the intensity and frequency of contractions.

Indications for use:

• Stimulation of labor, including when problems such as fetal death fetus, gestosis, post-term pregnancy;
• Stimulation of uterine contractions immediately after natural birth, after a cesarean section;
• Prevention of bleeding after diagnostic curettage, abortion.

The drug is not used in cases of threatened uterine rupture and placental abruption, high blood pressure, transverse presentation of the fetus, cardiovascular pathologies and preeclampsia.

The drug is administered intramuscularly, intravenously and drip. During a caesarean section, injections are made into the wall of the uterus. When using Oxytocin, the following reactions may occur:

• A sharp increase in blood pressure;
• Allergy;
• Tachycardia;
• Bronchospasm;
• Nausea.

When using the product, mandatory control of the frequency and intensity of uterine contractions is required.

Pituitrin

The drug contains a combination of Oxytocin and Vasopressin and is produced from the pituitary gland of cattle. Most often used to stimulate labor. Indications for use:

• Bleeding in the early postpartum period;
• The need to induce labor;
• Severe menstrual bleeding.

Pituitrin is not used for hypertension, atherosclerosis, myocarditis, during sepsis and when there is a threat of rupture of the uterine wall. Subcutaneous or intramuscular injections are used to administer the medicine.

Desaminooxytocin

Desaminooxytocin tablets for uterine contraction belong to the group hormonal drugs, are a synthetic analogue of pituitary hormones. The action of the drug is based on stimulation of the contractility of the myometrium and mammary epithelium.

One of the advantages of this drug is the possibility of use in women with high blood pressure, gestosis, and renal failure. Indications for use:

• Slow reverse development of the uterus after childbirth;
• Stimulation of labor activity when it weakens;
• Stimulation of lactation.

The method of using these medications is very simple - a Desaminooxytocin tablet should be placed behind the cheek and kept there until it is completely absorbed.

The drug is not used for heart failure, abnormal presentation of the fetus, umbilical cord and placenta, threatened uterine rupture, fetal hypoxia and allergy to Deaminooxytocin.

Analgin-quinine

This drug belongs to NSAIDs, it consists of the following components:

Metamizole.

Reduces painful sensations due to inhibition of prostaglandin formation.

Quinine.

Strengthens contractions of the uterine muscles.

Analgin quinine is used to stimulate uterine contractions during childbirth and immediately after them, with weak labor, to induce artificial labor in case of fetal death or malformations, and in the treatment of algodismenorrhea.

The drug is highly toxic; it negatively affects vision and hearing, and can cause headache, tachycardia, urticaria, nausea and vomiting.

Ergotal

Used to stimulate contractions of the uterine muscles by constricting the blood vessels. Indications for use:

• Weak labor;
• Severe metrorrhagia;
• Intermenstrual bleeding;
• Metropathy.

Ergotal is not used for cardiovascular and liver failure, sepsis, hyperemia and thyrotoxicosis.

Dinoprost

The drug stimulates the opening of the cervix, contraction of the myometrium, thereby causing labor. It is used in the form of infusion and in the form of injections that are given directly into the amniotic sac.

Indications for use:

• Emergency termination of pregnancy in the 3rd trimester;
• Stimulation of contractions;
• Removal of the fetus during a frozen pregnancy.

Dinoprost is not used for cardiovascular and renal failure, inflammatory gynecological diseases, impaired blood circulation of the placenta, narrow pelvis and scars on the uterus.

When using this medicine, you may experience rapid heartbeat, diarrhea, headache, spasm of the respiratory tract, less often uterine rupture.

Ginestril

The drug belongs to the group of hormonal drugs. Ginestril inhibits the synthesis of progesterone, which protects the uterus from contractions during pregnancy. Indications for use:

• Stimulation of labor during full-term pregnancy;
• Therapy after fibroid removal;
• Treatment of dysmenorrhea.

The drug is not used to resolve premature and post-term pregnancy, abnormal presentation of the fetus, gestosis, anemia and inflammation of the female genital organs.

Side effects are very rare. These are allergic dermatitis, nausea, cycle disorders, adnexitis.

Drugs to suppress myometrial contractions during pregnancy

Most often, correction of uterine contractions in this condition is required for uterine hypertonicity. This pathological condition occurs throughout the gestational period. Causes:

• Hormonal imbalance;
• Tumors (fibroids);
• Inflammatory process;
• History of several abortions;
• Depression, neurosis in a pregnant woman;
• Physical and psycho-emotional stress;
• Diseases accompanied by hyperthermia (flu, sore throat).

These factors can lead to early termination of pregnancy and fetal death. They are corrected with the following drugs:

• No-spa to relieve spasms;
• Corinfar, Nifedipine to inhibit the absorption of calcium into uterine cells, stimulating hypertonicity;
• Indomethacin to suppress the synthesis of prostaglandins that contract the uterine muscles;
• Metipred, Dexamethozone for hormonal correction;
• Persen and other sedatives to normalize mental state;
• Magnesium sulfate and calcium antagonists to relieve myometrial spasm and inhibit labor.

Any medications are prescribed by the attending physician, taking into account the woman’s health condition.

Good day!

I have known him for many years, but I only recently got to experience him.

Price about 60 rubles.

Packaged 5 ampoules of 1 ml.

My application experience

This drug was prescribed to me by a gynecologist after a missed pregnancy. The action of oxytocin is aimed at contracting the uterus; I needed this for indications after an ultrasound.

The dosage is determined only by the doctor; depending on the situation, the amount of the drug may differ.

Oxytocin is a prescription drug, but was previously sold in pharmacies without a prescription. At least I bought without it for several years. Now people are asking for the recipe, I think it’s correct, because... Such drugs should not be dispensed without a doctor’s prescription.

I gave oxytocin intramuscularly. I was prescribed oxytocin and no-spa (also intramuscularly), the injections are quite painful, but tolerable. Some discomfort, except for the injection process itself, there was no. There were no side effects.

After the course that was prescribed to me, the result was excellent. Oxytocin was able to help and I didn’t have to go for a cleanse (I think many people understand that the procedure is far from pleasant).

In general, I sincerely hope that I will no longer be faced with the need to administer oxytocin, despite its excellent effect.

Oxytocin for animals

I first learned about oxytocin from a veterinarian who advised me to purchase this drug in preparation for giving birth to a dog. It is placed if the animal has stopped having contractions. I have encountered this a couple of times over the years, and it was in these cases that oxytocin helped the animal.

The dosage of oxytocin for a dog (or cat) is calculated based on weight.

I believe that oxytocin should be prepared, but it should not be used unless absolutely necessary. This is a serious drug and it is better to first try to stimulate contractions in other ways; it is not needed during childbirth in many cases (and usually towards the end). Oxytocin should not be given to a cat or dog before the birth of the first fetus!

I use oxytocin after my dog ​​gives birth to cleanse the uterine cavity. It was during childbirth, without the supervision of a veterinarian, that I would not risk it (except for the obvious delays in the birth of puppies).

It was while using oxytocin for a dog that I learned that not all manufacturers are created equal. Oxytocin Richter has proven to be much more effective, so I recommend it!

I wish you health and no unpleasant situations!

Thank you for your attention!

Good evening! Girls! Who was prescribed nosh-pu and oxytocin for breastfeeding? Today the doctor prescribed me for fever (congestion in the chest), and Nosh-Pu in tablets for 6 days... At the pharmacy they said that Nosh-Pu is contraindicated during breastfeeding... So I’m sitting here thinking.. To be or not to be? My temperature rose again to 38.5...

Comments

If your doctor prescribed it, take it. Don't listen to pharmacists!

I was injected with oxytacin so that the uterus contracts better after a cesarean section! I breastfeed my baby! In the maternity hospital, by the way, they inject everyone and bring them to feed)

They gave me one injection of oxytocin, before straining the stagnation (I couldn’t do it myself, I went to the doctor). She told me to also knead my breasts at home for three days and if there are any lumps, strain them, before that, drink a noshpa 20 minutes before, it improves the “return” of milk.

Why the stagnation? Did you express poorly?

But noshpa won’t lower your temperature, buy children’s nurofen syrup.

- @firsenysh, lactation has not improved yet, this is a common occurrence, a little later the child will improve it himself amount of milk, and While it may come more than necessary, the baby does not eat everything and stagnation forms. I had it for this reason. In general, there are plenty of reasons) for example, I slept for a long time on my stomach and my chest pressed, my chest blew out, etc. You must also wear a supportive bust, otherwise everything will droop, all the ducts will be directed downwards and there may also be stagnation in the lower part of the chest. In short, there are a lot of subtleties here))) I learned a lot after surviving these stagnations, the doctor sorted everything out for me)

- @jenia322, on the contrary, they told me that I need a bra without wires. So that there is no stagnation, that is, after each feeding you need to finish pumping? And when will all this gimmick normalize?)

- @firsenysh, without wires, yes, I have a regular top with adjustable straps, in short, so that I can tighten the bodice) if there are no seals and there is enough milk, then there is no need to express) everything settles down differently for everyone, on average it takes 2-3 months.

- @firsenysh, @jenia322 that’s exactly what I have... I pumped from the very beginning, but one breast doesn’t give in even if you crack it... And by the way, if I pump until the end, my temperature drops to 37, 2. But due to the fact that my daughter is not always on schedule... Sometimes I don’t have time and everything 38.3-38.6

- @jenia322, can there be stagnation for up to 2-3 months?

- @jenia322, I sleep in it... The doctor also told me to pour boiling water over cabbage and onto my chest.

- @firsenysh, yeah, I had it three times (I went twice, the third time I was able to do it myself. And the doctor told me that girls came to her with congestion, who had already been 7-10 months fed, in babies complementary feeding, you didn’t take much breastfeeding and now it’s stagnant, don’t think about it, you won’t have anything 😘

- @viva1311, heat provokes the flow of milk.. On the contrary, I was told to poke a cool cabbage leaf with my nails so that the juice stands out and add it, just change it more often) from all doctors different methods apparently)

- @jenia322, tough

- @firsenysh, after 10 months, my sister experienced congestion and frequent congestion. You can’t guess here) nature is like that)

- @ane4ka26, what should I do at work Anyut?

- @Firsenysh, maybe you’ll quit with the guards. You’ll still be at work all the time ;;((tighten it, or take pills (but they’re so yyyyy....they’re so crap and they don’t always help)

- @ane4ka26, probably yes

I also struggle with congestion, my gynecologist prescribed noshpa 3 times before feeding/pumping. And I went to the clinic, they gave me 2 of these injections, and then they started pumping my breasts. By the way, you can go to the clinic, it costs pennies, but of course the pain is hellish

I was given an injection of oxytocin in the nursery so that the milk would not stagnate.