20 days after delivery, there is still some blood in the lochia

The issue of postpartum lochia continues to attract everyone's attention at this stage. Postpartum lochia in women after giving birth is usually affected by many factors, so that different women usually have different times for the disappearance of postpartum lochia after giving birth, which also affects the body's condition. So what should you do if you still have bright red postpartum lochia 20 days after giving birth?

What should I do if I still have bright red lochia 20 days after giving birth?

If there is red lochia 20 days after giving birth, it is normal. It usually takes about 42 days for the lochia to be completely clear. The time may be different for each person's physical condition, so don't worry. Pay attention to taking care of your body and go back to the hospital for a check-up on the 42nd day. Three steps in metabolizing postpartum lochia:

1. Stubborn postpartum lochia: bright red in color, contains a lot of blood, large amount, and sometimes small blood clots. There are small amounts of fetal membranes and necrotic decidual tissue. Stubborn lochia lasts for 3 to 4 days, the amount of abnormal uterine bleeding gradually decreases, the serum increases, and it changes into serous lochia.

2. Light red in color and contains too much pulp. A small amount of blood, but a large amount of necrotic decidual tissue, cervical mucus, intrauterine exudate, and pathogens. Serous lochia lasts about 10 days, the serum level gradually decreases, the white blood cells increase, and the lochia becomes white lochia.

3. White lochia: thick and white in color. Contains a lot of white blood cell counts, necrotic tissue decidua, epidermal cells and bacteria, etc. The white lochia lasted for 3 weeks.

Under normal circumstances, postpartum lochia has a fishy smell but no peculiar smell. It lasts for 4 to 6 weeks, with a total output of about 250Ml-500ml, with great individual differences. By observing the lochia after delivery, paying attention to the changes in its quality and quantity, color and smell, as well as the state of uterine repair, we can understand whether the uterine repair is normal.

Causes of abnormal lochia in parturients

Abnormal postpartum lochia is often the main manifestation of some diseases, among which bleeding and infection during the confinement period are more common. After the embryo is delivered, there are many open blood vessels in the embryonic wound in the uterine cavity. Bleeding occurs after delivery. Generally, the amount of bleeding is about 150-300ml. If it exceeds 400ml within 24 hours, it is called postpartum hemorrhage. Weak uterine contractions, retained or residual placenta, cervical and vaginal tears, and anemia in pregnant women can all cause postpartum hemorrhage. Postpartum hemorrhage has serious consequences and must not be taken lightly. According to statistics, postpartum hemorrhage is the key cause of death among pregnant women. Puerperal infections are more common in areas with poor medical services. Failure to properly disinfect equipment during childbirth, excessive and unnecessary vaginal examinations during childbirth, or failure to clean up after delivery can all lead to postpartum infection.

In addition, pathogens can enter the vagina from sexual intercourse or bathing before delivery, or pregnant women suffer from chronic diseases, severe anemia, malnutrition, pregnancy toxification, excessive postpartum hemorrhage during delivery, residual fetal tissue, etc., which reduce the resistance of pregnant women and destroy the biological diversity of the female vagina. The original non-pathogenic bacteria parasitic in the vagina can become active at this time and cause self-infection. In addition to abnormal symptoms, there are often symptoms such as fever and abdominal pain. In severe cases, peritonitis, sepsis and toxic shock may also occur. Secondly, poor health care during the confinement period is also a key cause of abnormal postpartum lochia.