What are trenches?

Qu'est-ce que sont les tranchées ?

Trenches refer to uterine contractions that occur after childbirth, and the pain that often accompanies them.

These contractions of the uterus generally occur a few hours to a few days, or even a few weeks after the delivery, whether by vaginal delivery or by cesarean section.

What causes them?

Although they can be unpleasant, trenches have an essential role in the postpartum period.

Indeed, with the pregnancyThe uterus, which measures on average 5 to 10 cm, takes up much more space in the pregnant woman's body after 9 months.

After giving birth, the uterus must therefore gradually return to its initial shape and to do this it contracts, which is what we call the trenches, and these can cause pain. This is called "involution" of the uterus.

The trenches also serve to reduce the risk of hemorrhage because they allow the blood vessels that irrigated the placenta to be closed. They also allow a "cleaning" of the uterus by facilitating the elimination of clots and small residues in the form of bleeding, which is called lochia.

The trenches appear most of the time in the day following the delivery and can last several weeks.

In addition, mothers who breastfeed their babies often experience more pain. This is because breastfeeding causes the mother to release oxytocin. Oxytocin is the hormone that promotes the milk flowIt is also the hormone that accelerates the contractions of the uterus, in addition to being the hormone of childbirth and attachment.

In addition, a woman who has had several pregnancies (multiparous woman) will often experience more painful trenches than a woman for whom it is the first pregnancy (primiparous woman). This is due to the fact that the muscle fibers have a harder time retracting because they have already been used several times before. However, some women will never feel pain.

How can I relieve the pain?

If you feel severe pain, we recommend that you consult your doctor, who can prescribe antispasmodics or painkillers.

It is also advisable to urinate often to prevent the bladder from putting additional pressure on the uterus. In addition, you can try putting a warm hot water bottle on your lower abdomen, or lying on your stomach with a pillow on the same part of your body. You can also try the breathing exercises taught during childbirth preparation sessions or consume linden sapwood in the form of herbal tea or ampoule because this plant is composed of active ingredients, some of which are antispasmodic, analgesic and anti-inflammatory.

In addition, some midwives prescribe homeopathy. In alternative medicine, acupuncture can also be considered.

Finally, if you experience other discomforts such as heavy bleeding, persistent abdominal pain, foul-smelling discharge or fever, we advise you to consult a doctor quickly. If this is not the case, don't worry, trenches are completely normal and we hope to accompany you as best as possible in a nice menstrual panty!

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