The cervix is an organ that is often subject to inflammatory processes, so sometimes there is a need for specific gynecological measures. One of these procedures is vaginal bath. The entire procedure will take the patient no more than a quarter of an hour, but medicinal solutions prescribed by the doctor can help solve many gynecological problems.
Vaginal baths can be used as independent method treatment, as well as in combination with other gynecological procedures. They are also used as preparation for surgical intervention and some types of examinations.
Contraindications to vaginal baths: menstruation, pregnancy, postpartum and postoperative period s.
Before going to the office where the procedure will be performed, you must free bladder and rectum, then carry out hygienic measures.
After the doctor has gynecological examination, it determines the order of the procedure. Then, having explained to the patient all the intricacies of the event, he begins work.
The procedure is performed in a gynecological chair in several stages:
After the procedure is completed, the patient can go about her business, remain in medical institution there is no need for observation. There is no need to be afraid that the procedure will cause harm, because the solutions used for vaginal baths are diluted in safe proportions, and the instruments are thoroughly disinfected.
As a result of the use of vaginal baths, patients experience the following improvements:
During and after the procedure, there is a possibility of the following complications: injury to vaginal tissue when installing instruments, pain when removing a speculum, allergic reaction to drugs inserted into the vagina. To avoid such consequences, you need to do an allergy test with this drug before the procedure.
At the Diana Clinic, vaginal baths are performed by experienced doctors, so you don’t have to worry about pain and other unpleasant sensations.
IN female body The cervix is one of the most complex organs, which is characterized by many pathologies. The cervical canal inside consists of one layer columnar epithelium. The vaginal side is covered with stratified squamous epithelium. At the junction of two different types cells form various pathologies. Cervical disease is treated with vaginal baths.
Vaginal baths – drug procedure gynecological nature. Their goal: to carry out sanitation of the vagina and part of the cervix. During the procedures, the vaginal part of the cervix is immersed in a solution with various medications. The process takes up to 15 minutes. The vagina is treated until the inflammatory process is completely removed. Similar treatment is an addition to the complex.
Vaginal baths are prescribed for fairly common gynecological diseases and preparations for certain procedures:
preparation for the examination;
preparation for surgery;
cervicitis;
endocervicitis;
However, there are a number of contraindications when vaginal baths should not be done:
during menstruation;
bleeding;
threat of miscarriage
after childbirth;
after abortion.
Vaginal baths are performed only when the bladder and rectum are free. You definitely need to pay attention special attention toilet of the external genitalia. Vaginal baths are prescribed before using tampons and suppositories with medications, vaginal tablets. It's also possible independent use when combined with some therapeutic measures.
Before starting any procedures, an examination and recommendations of a gynecologist are required. Only a doctor can correctly draw up an individual procedure for treating the vagina. The gynecologist will clearly explain the need for vaginal baths and all stages of the procedure.
Conventionally, all actions can be divided into 3 stages:
Preparation - the patient lies comfortably on the gynecological chair.
The main one is that the obstetrician inserts and secures the Cusco speculum into the vagina. Sterile cotton balls are used to remove mucus. The solution is poured in two stages. After pouring, the first part is immediately drained by tilting the mirror down. The second part of the solution should completely cover the entire vaginal area of the cervix. The solution is drained after 5-15 minutes by opening the lock and tilting the mirror.
Final – dry the vaginal walls with cotton swabs and remove the speculum.
Instruments and equipment must be completely sterile. The procedure is performed on an outpatient basis. There is no need to remain in a medical facility after completion. Only disposable instruments and high-quality drugs are used. The doctor must be proficient in the technique of inserting a speculum into the vagina so as not to damage internal organs patients. Before the first procedure, it is necessary to study the patient’s allergy history.
After the course, pain decreases or completely disappears, inflammatory infiltrates resolve.
Furacilin, tinctures of chamomile and eucalyptus, a weak solution of potassium permanganate, lactic acid, Romazupan, boric acid, vagoti and some antibiotics. The listed means cannot be used in pure form. All of them are diluted in water in certain proportions.
The following complications are possible:
injury to the vaginal mucosa;
difficulties with removing the mirror;
pain when inserting a speculum;
allergies to the drugs used.
The following problems are possible due to the intervention:
the patient’s fear of a gynecological procedure;
psychological discomfort, feelings of shame;
fear pain when introducing a mirror;
spasm of the muscles of the vagina and perineum when a speculum is inserted.
Vaginal baths speed up the healing process. If your gynecologist prescribed them for you, then you should definitely undergo full course.
The number of procedures is prescribed depending on the diagnosis and individual characteristics of the patient.
Vaginal baths- this is the form drug therapy at pathological processes cervix. For this purpose, the vaginal part of the cervix is immersed in medicinal solution for 5-10 minutes.
Contraindications to vaginal baths:
Instruments: vaginal speculum, spoon-shaped and Cusco type, medicinal solutions, forceps, cotton and gauze swabs.
Preliminary douching of the vagina soda solution(dissolve mucus). A spoon-shaped speculum is inserted into the vagina and mucus and liquid are removed with a tuffer. Then replace the spoon-shaped mirror with a folding one (Cuzco), into which the medicinal solution is poured for 5-10 minutes. The vaginal part of the uterus should be immersed in the solution.
At the end of the procedure, the mirror, carefully rotating in one direction, is removed from the vagina. When the end of the speculum reaches the vestibule of the vagina, it is tilted and the liquid is poured into a substitute basin. The remainder of the solution is dried with a cotton or gauze swab before removing the mirror. For vaginal baths, a 2-3% solution of protargol and a 1-2% solution of silver sulfate are most often used.
Ed. prof. V.S. Mayata
“What are vaginal baths, how are they done, contraindications” section
Equipment. Sterile: Cusco vaginal bicuspid speculum, forceps, cotton balls, rubber gloves, diaper; others: gynecological chair, warm solution pharmacological agent, patient's individual diaper. Note. Be sure to warn the patient to empty her bladder, rectum and toilet her external genitalia on the eve of the procedure. A vaginal bath can be an independent species treatment in gynecology or may precede treatment with tampons, suppositories, vaginal tablets and other means for insertion into the vagina.
1. Wash and dry your hands.
2. Using sterile tweezers, remove the sterile diaper from the bag, place it on the table next to the gynecological chair and unfold it.
3. Following the rules of asepsis, place a vaginal speculum, forceps, cotton balls, and rubber gloves on the diaper.
4. Place a warm medicinal solution in a volume of 0.5 l next to the gynecological chair.
Note. Medicines used for vaginal bath: furatsilin solution 1:5000, or 0.5% potassium permanganate solution, infusion of chamomile, calendula, etc. Liquid temperature - 37-38°C.
5. Conduct psychological preparation patients.
6. Invite the patient to place an individual diaper on the gynecological chair and undress to the waist from below.
7. Help the patient lie down on the gynecological chair (see practical skills “Toilet of the external genitalia”).
8. Wear sterile rubber gloves.
9. Go to the gynecological chair and stand at the woman’s feet.
10. Insert the Cusco speculum into the vagina.
11. Open the speculum, expose the cervix so that it is located between the doors of the speculum.
12. Remove mucus from the cervix with a cotton ball on a forceps.
13. Pour a medicinal solution in a volume of 20-30 ml along the back flap of the speculum into the vagina.
14. Tilt the mirror down and immediately drain it.
15. Pour a second portion of the solution into the vagina so that the cervix is completely immersed in liquid.
16. Fix the mirror with a screw on the ratchet.
17. After 10-15 minutes. pour the solution by tilting the mirror down.
18. Using a cotton ball on a forceps, dry the remaining solution in the vagina.
19. Having opened the screw, remove the Cusco speculum from the vagina, after squeezing it.
20. Remove rubber gloves and place them in a container for waste material.
21. Help the woman get out of her chair and offer to get dressed.
22. Disinfect used equipment.
23. Wash and dry your hands.
24. Make a note in the appropriate medical document
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Vaginal baths are a simple procedure that is indicated when sufficient large quantities gynecological diseases. Therapeutic solutions used to sanitize the vagina heal wounds and erosion, soothe irritated mucous membranes, and suppress pathogenic microflora. As a result, all unpleasant ones decrease or disappear.
Vaginal baths are a method of therapy for various pathologies cervix. To treat some gynecological diseases, the vaginal part of the cervix is immersed in a medicinal solution for 10-15 minutes. This is how antiseptic treatment of the female external genitalia and vaginal part of the cervix is performed. The procedure is not independent, but should be part of a general therapeutic complex.
In gynecology, vaginal baths are prescribed quite often. The manipulations are very simple, but they must be performed by an experienced doctor. During the procedure special solution a certain part of the reproductive organ is filled, resulting in a therapeutic effect. Exposure time is about 15 minutes. The number of procedures is determined by recovery or elimination of inflammation.
The main indications for vaginal baths are:
As a result painful sensations decrease, symptoms weaken or disappear altogether, pathological microflora is suppressed, microtraumas and erosive damage heal.
Treatment with vaginal baths is contraindicated for some categories of patients. It is difficult to carry out the procedure and there will be no desired effect during menstruation. The only way out is to wait until the end of your period. In addition, baths are prohibited during the postpartum and post-abortion period. Douching at this time disrupts the vaginal microflora and increases the risk of infection.
During pregnancy, vaginal baths can be performed after the 12th week and only if indicated. The doctor must be aware of the woman's situation in order to prescribe a drug that will not harm the fetus. Up to 12 weeks inclusive, sanitation is carried out only if the expected benefit for the woman is greater than possible harm for the fetus. The procedure can be prescribed if there is a threat of miscarriage due to vaginitis, erosion and other gynecological diseases for which baths are indicated.
Carrying out vaginal baths requires some preparation. The woman should have a completely empty rectum and bladder. If necessary, you can do an enema. Before the procedure, a thorough toileting of the external genitalia is performed. They also preliminarily douche with a soda solution to dissolve natural mucus. Otherwise, the procedure will not be as effective.
A bath is given before treatment special tampons, suppositories or tablets. It is recommended to use this method of therapy in combination with therapeutic treatment medicines. Baths can be done at home, but you should first discuss this with your doctor.
When performing the procedure in a medical facility, the patient first lies down in a gynecological chair. The gynecologist inserts a speculum into the vagina and removes mucus. Then the usual mirror is replaced with a folding one, through which the medicinal solution is poured. The patient must remain in supine position within 5-10 minutes. In this case, you need to ensure that part of the uterus is immersed in the medicinal solution.
After the procedure is completed, the speculum is carefully removed from the vagina. In anticipation of the vagina, the speculum is tilted so that the liquid pours into a substitute basin. The remainder of the solution is dried with a gauze or cotton swab until the gynecological instrument is completely removed.
At home, before performing a vaginal bath, you need to carry out the same preparation, that is, empty your bladder and intestines. It is important to first obtain permission from a gynecologist for such a procedure and to exclude allergies/individual intolerance to the drug, solution or decoction medicinal herbs. The technique of vaginal baths differs significantly from the procedure that is carried out in outpatient setting. The only tools you need are a syringe or syringe.
So, at home, vaginal baths are performed using a special syringe or syringe without a needle. You need to prepare a medicinal solution, toilet the external genitalia, and then draw the medicine into a douche or syringe. The tip of the device is carefully inserted into the vagina as deeply as possible. After this, you need to slowly release the medicine. The manipulation must be carried out several times. After this, the syringe is removed. The patient should be in a comfortable position, but so that the treatment solution does not leak out, for 5-10 minutes.
What are vaginal baths used for? To effectively relieve inflammation, antibiotic or antiseptic solutions are used. Most often in gynecology, silver sulfate, Protargol solution, furacilin, and Romazulan are used. The silver solution is made 1-2%, the “Protargol” solution is 2-3%. All drugs should be used only in the form of a solution and heated.
For treatment of recovery after gynecological operations or abortion, healing and soothing douching is indicated. Restore normal microflora aloe will help. For the procedure you need to prepare fresh leaf from a plant at least two years old. The juice must be mixed with warm water in the proportion of one part to ten. Can be used twice a day.
The safest and most reliable composition is chamomile decoction. This plant can be used even by pregnant women. One tablespoon of flowers should be boiled in two glasses clean water, cool, strain, and then take a bath. Natural yogurt contains bacteria that are beneficial for female microflora. Yogurt also soothes irritated genital mucosa. Fermented milk product can be used undiluted, but only if we are talking about natural yogurt and not store-bought.
Oak bark helps with discharge unpleasant smell or thrush. To prepare the decoction, you need to combine two tablespoons of raw materials with a liter of water. Boil the composition for 20-25 minutes over low heat under the lid. Cool the solution, strain and use to irrigate the vagina several times a day. You can take baths as long as itching and other unpleasant symptoms will not pass.
