Algorithm for placing vaginal baths. Vaginal baths, indications, medications, technique. Basic medical indications for the procedure

DOUCHING OF THE VAGINA

INDICATIONS:

Colpitis

Endocervicitis

Cervical erosion

Chronic disease of the uterine appendages and others.

CONTRAINDICATIONS:

Uterine bleeding

Menstruation

Pregnancy.

EQUIPMENT: Esmarch mug, vaginal tip, medicinal solution prescribed by a doctor.

TECHNIQUE:

1. Pour 1-1.5 liters of medicinal solution into Esmarch’s mug.

2. Hang Esmarch’s mug on a stand 70-100 cm above the level of the patient’s pelvis.

3. Check the temperature of the liquid in the mug with a water thermometer and wash the external genitalia.

4. Insert the tip into the vagina to a depth of 6-7 cm.

5. Open the tap, releasing liquid at a higher or lower speed.

6. At the end of the procedure, remove the tip.

TECHNIQUE FOR INSTALLING A VAGINAL BATH

INDICATIONS:

Colpitis

Cervicitis.

CONTRAINDICATIONS:

Acute inflammatory processes of the internal genital organs

Uterine bleeding

Menstruation

Pregnancy.

EQUIPMENT: double-leaf mirrors, medicinal solution as prescribed by a doctor

TECHNIQUE:

1. Insert a flap speculum into the vagina, fix it and pour in the solution (the first portion is immediately drained and the water is replaced).

2. The duration of the bath is 10-15 minutes. The patient's pelvis should be elevated so that the solution does not spill out.

In the female body, the cervix is ​​one of the most complex organs, which is characterized by many pathologies. The cervical canal inside consists of a single layer of columnar epithelium. The vaginal side is covered with stratified squamous epithelium. At the junction of two different types of cells, various pathologies are formed. Cervical disease is treated with vaginal baths.

Vaginal baths are a medicinal gynecological procedure. 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. Such treatment is an addition to complex treatment.

Indications for vaginal baths

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.

Preparatory steps before vaginal baths

Vaginal baths are performed only when the bladder and rectum are free. It is imperative to pay special attention to the toilet of the external genitalia. Vaginal baths are prescribed before using tampons and suppositories with medications, vaginal tablets. It is also possible to use it independently when combined with some therapeutic measures.

How to do vaginal baths

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 the patient’s internal organs. 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 are used as medications. The listed products cannot be used in their 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 of pain when inserting a speculum;

spasm of the muscles of the vagina and perineum when a speculum is inserted.

Vaginal baths speed up the healing process. If the gynecologist prescribed them for you, then you should definitely complete the full course.

The number of procedures is prescribed depending on the diagnosis and individual characteristics of the patient.

The cervix is ​​an organ that is often subject to inflammatory processes, so sometimes there is a need for specific gynecological measures. One such procedure is a 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.

Indications and contraindications

Vaginal baths can be used as an independent method of treatment, as well as in combination with other gynecological procedures. They are also used as preparation for surgery and certain types of examinations.

Contraindications to vaginal baths: menstruation, pregnancy, postpartum and postoperative periods.

Preparation for the procedure

Before going to the office where the procedure will be performed, it is necessary to empty the bladder and rectum, then carry out hygienic measures.

How to make vaginal baths

After the doctor has performed a gynecological examination, he 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:

• Cusco's speculum is fixed in the vagina;
• part of the solution is poured into the vagina and, with the help of mirrors, is immediately drained;
• the remaining solution is poured into the vagina so that the entire vaginal area of ​​the cervix is ​​covered;
• After 5-15 minutes, the solution is drained, and the doctor uses cotton swabs to dry the vaginal walls.

After the procedure is completed, the patient can go about her business; there is no need to stay in the medical facility 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.

results

As a result of the use of vaginal baths, patients experience the following improvements:

• pain and inflammation disappear;
• other symptoms of diseases are relieved: itching and burning go away.

During and after the procedure, there is a possibility of the following complications occurring: injury to the vaginal tissue when installing instruments, pain when removing the speculum, an allergic reaction to drugs introduced 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.

Vaginal baths is a form of drug therapy for pathological processes of the cervix. For this purpose, the vaginal part of the cervix is ​​immersed in a medicinal solution for 5-10 minutes.

Contraindications to vaginal baths:

1. menstruation,
2. postpartum and post-abortion periods.

Instruments: vaginal speculum, spoon-shaped and Cusco type, medicinal solutions, forceps, cotton and gauze swabs.

How to make vaginal baths, technique

First, douche the vagina with a soda solution (dissolve the 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

Baths for female diseases

Sitz baths are used for diaper rash, inflammation of the external labia, postpartum scars, inflammation of the large gland of the vestibule of the vagina (bartholinitis), hemorrhoidal manifestations, etc. The water temperature in the bath should be +32–33 °C. Duration of reception is 15–20 minutes. After it, you should not take a shower, but only lightly pat your body with a towel, get dressed and rest for 1.5–2 hours. It’s even better after a therapeutic bath to lie down in a warm bed and under no circumstances become overcooled.

Such baths should be taken every other day, for a course of treatment of 10–15 procedures, with the simultaneous use of medicinal infusions of medicinal plants.

A sitz bath requires 10–12 g of collection. There are quite a lot of such fees. Here are some of them. In them, all medicinal plants are taken in equal parts:

– blueberry shoots, birch leaves, wintergreen leaves, mantle leaves, tansy flowers, urban gravilate grass, fir needles, rose flower petals, orchis tubers;

– snakeweed rhizome, bird cherry leaves, speedwell grass, calendula flowers, plantain leaves, agrimony grass, cinquefoil rhizome, yarrow herb, thyme herb;

– black elderberry flowers, marshmallow root, egg capsule rhizome, walnut leaves, cinquefoil herb, wormwood herb, poplar buds, lilac leaves, jasmine herb;

– Icelandic moss, bergenia leaves, fireweed leaves, sea buckthorn leaves, mistletoe shoots, lavender grass, tricolor violet grass, sage leaves;

– viburnum leaves, barberry shoots, horsetail grass, flax seeds, soapwort rhizome, meadow clover grass, alder and field leaves, celandine grass;

– birch leaves, nettle grass, toadflax grass, coltsfoot leaves, white willow bark, juniper shoots, caraway fruits, oat straw, bird cherry leaves;

– St. John's wort herb, calendula flowers, angelica rhizome, meadowsweet herb, dandelion leaves, dried herb, peppermint herb, blueberry shoots;

– licorice rhizome, elecampane rhizome, raspberry shoots, daisy herb, wormwood herb, blue cornflower flowers, lilac leaves, sage herb.

Chamomile bath used for neuroses, diseases of the female genital area, hemorrhoids. Chamomile is used as a sedative for neuroses, an antiseptic and an analgesic.

Boil 50–100 g of dried chamomile flowers in 1.5–2 liters of water, covered, for 5 minutes. Infuse the broth for 2 hours, wrapped. Then it is poured into the filled bath. Such baths can be either general or local. A general bath is taken at a temperature of +37–39 °C for 25 minutes every other day. Course 10–15 baths. A course of local baths is prescribed depending on the type of disease.

Sage bath has anti-inflammatory, disinfectant, astringent properties. They are prescribed every other day for diseases of the female genital organs, hemorrhoids, itching and eczema of the perineum, and skin diseases.

For a general bath, brew 100 g of herb in 2 liters of boiling water and leave for 3 hours. Then the broth is poured into the collected water at a temperature of +37–39 °C. You can stay in this bath for 20 minutes. A course of 10–15 procedures.

Calendula bath used for inflammatory diseases of the mucous membranes of the skin, cervical erosion, hemorrhoids.

For a general bath, pour 500 g of calendula flowers into 5 liters of cold water and boil in a well-sealed enamel container for 10 minutes. The broth is filtered and poured into water. Take a bath at a temperature of +37–39 °C for 20 minutes. Course 10–15 baths.

Valerian bath used to calm the central nervous system, for various vegetative-vascular disorders, neuroses, and during menopause. Valerian baths are recommended for insomnia and the initial stages of hypertension.

Brew 100 g of crushed valerian root with 1 liter of boiling water, leave in a boiling water bath for 15 minutes, cool at room temperature for 1 hour and strain. Add to a bath of water at a comfortable temperature and lie in it for about half an hour. For valerian baths, you can also use valerian tincture (at the rate of 2-3 bottles per 10 liters of water).

Bathtub with complex assembly helps well with menopausal syndrome.

You need to take 1 part each of creeping thyme herb, yarrow herb, calamus rhizomes, 2 parts each of wormwood herb, sage leaf, and pine buds. 10 tbsp. l. pour 3 liters of boiling water into the mixture, boil for 30 minutes, cool for 30 minutes, strain and pour into the collected water at a temperature of +36–37 °C. Take baths 2 times a week. The duration of the procedure is 15 minutes.

Bath with wormwood used for neuroses during menopause.

Grind the roots of wormwood, add cold water and leave for 2 hours, then boil for 10 minutes, strain and pour into a bath of water heated to +36–37 °C. Take a bath at night.

For menopausal syndrome, the use of general baths with infusions of medicinal plants is also effective:

– sweet clover grass, meadowsweet grass, wormwood grass, chamomile flowers, sage grass, birch leaves – equally;

– oregano herb, peppermint herb, wormwood herb, motherwort herb – 3 parts each, hop fruits, linden flowers – 1 part each;

– valerian rhizome, sweet clover herb, lemon balm herb, chamomile flowers, string grass, blueberry shoots – equally;

– speedwell herb, calendula flowers, lavender herb, wormwood herb, thyme herb, birch leaves, linden flowers – equally;

– oregano herb, meadowsweet herb, lemon balm herb, wormwood herb, hop fruit, rue herb – equally;

– hawthorn leaves, angelica shoots, mint herb, string herb, sage herb, rosemary shoots – equally.

Prepare infusions and carry out bath procedures in the same way as described above for a bath with complex collection.

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