Treatment of bleeding 50 days after cesarean section

Postpartum lochia is usually discharged within three weeks. Your situation is called retained lochia, which is probably caused by poor uterine recovery. Bleeding is called lochia. Improper handling of cesarean section can cause rupture of the uterine incision, which is the main cause of postpartum hemorrhage. Therefore, the technical level of the doctor performing the cesarean section affects future recovery. Let's take a look at the treatment of bleeding 50 days after cesarean section.

1. Clinical manifestations

1 Postpartum hemorrhage usually occurs within 2 hours after the fetus is delivered, and can occur before, after, or both before and after the delivery of the placenta. Vaginal bleeding can be heavy bleeding in a short period of time, or it can be light bleeding that continues for a long time. It is usually overt, but there are also cases of occult bleeding.

2 The main clinical manifestations are vaginal bleeding, hemorrhagic shock, and secondary anemia. If the blood loss is excessive, disseminated intravascular coagulation may occur. The severity of symptoms varies depending on the amount and rate of blood loss and whether anemia is present. Heavy bleeding in a short period of time can cause shock rapidly. It should be noted that in the early stages of shock, due to the body's compensatory mechanism, the patient's vital signs such as pulse and blood pressure may be within the normal range. However, close monitoring is still required at this time, early identification of risk factors, assessment of bleeding volume and active treatment.

Second treatment

Bleeding due to soft birth canal injury

1. After fully exposing the soft birth canal, identify the site of the laceration and note whether there are multiple lacerations. When suturing, try to restore the original anatomical relationship and the suture should extend 0.5 cm beyond the top of the tear. Lacerations larger than 1 cm should be sutured even if there is no active bleeding. The hematoma should be incised, the accumulated blood removed, sutured to stop bleeding or filled with iodine gauze to compress and stop bleeding, and removed after 24 to 48 hours. Small hematomas can be closely observed and treated conservatively with cold compresses, compression, etc.

2 If uterine inversion is discovered in time, the mother does not have severe shock or bleeding, and the cervical ring has not yet tightened, the inverted uterus can be immediately reinserted (after anesthesia if necessary), and oxytocin can be given intravenously after reinsertion until the uterus contracts well and then the hand is withdrawn. Because the parturient experiences severe pain and often shows signs of shock, reduction is often required under anesthesia and vital signs monitoring in clinical practice. If vaginal reduction fails, it can be replaced by abdominal uterine reduction. If the patient's blood pressure is unstable, reduction can be performed while anti-shock treatment is in progress.

3. For complete or incomplete uterine rupture, immediate laparotomy and surgical repair or hysterectomy should be performed.

After reading the above content, you will have some understanding of the bleeding situation 50 days after cesarean section. Postpartum hemorrhage is very harmful to postpartum recovery and the female body, so you must pay attention to taking care of your body, be extra careful in postpartum recovery, and treat postpartum hemorrhage in time. Symptoms of postpartum hemorrhage should be avoided as much as possible. If similar symptoms or problems occur, they must be treated promptly.