What causes abdominal pain 20 days after a natural childbirth?

Abdominal pain 20 days after vaginal delivery may be caused by uterine contraction pain, wound infection, endometritis, uterine prolapse, or pelvic inflammatory disease. Specific analysis is as follows:

1. Uterine Contraction Pain

After childbirth, the uterus undergoes contractions to return to its normal size. This contraction process may cause abdominal pain. Treatment includes allowing sufficient rest time to aid uterine recovery. Applying heat packs to the painful area can help relieve discomfort. Consult a doctor about whether pain-relieving medications are appropriate.

2. Wound Infection

If the vaginal or perineal area was injured during vaginal delivery and becomes infected, it may lead to abdominal pain and discomfort. It is important to keep the wound clean and follow the doctor’s instructions for cleaning and disinfection.

3. Endometritis

Postpartum endometritis refers to inflammation of the uterine lining, which may cause symptoms such as abdominal pain and fever. Depending on the severity, doctors may prescribe appropriate antibiotics to treat the condition. Adequate rest should be taken to support healing of the endometrium.

4. Uterine Prolapse

Uterine prolapse after vaginal delivery refers to the downward displacement or dropping of the uterus, which may cause abdominal pain and discomfort. Traction devices or supportive appliances may be used to help restore the uterus to its normal position. In severe cases, surgical repair may be required.

5. Pelvic Inflammatory Disease (PID)

Postpartum pelvic inflammatory disease refers to infection of the organs within the pelvic cavity, which may cause abdominal pain, fever, and other symptoms. Appropriate antibiotic treatment should be prescribed based on the condition.

It is recommended to seek medical attention promptly and provide the doctor with a detailed description of the nature, onset time, and duration of the pain.