Caesarean section for three months with persistent lochia

Although postpartum lochia is a normal condition after delivery, if there are abnormal conditions in the postpartum lochia, it means that there may be abnormal conditions in the process of physical recovery of the pregnant woman. For example, some women may encounter the problem of persistent lochia. Since postpartum lochia usually ends in about 3 to 7 weeks, some women have not had it cleared up even after three months. What should they do?

What should I do if I still have lochia three months after a caesarean section?

When pregnant women have lochia, it is often considered to be caused by poor uterine repair or residual matter in the uterine cavity. Therefore, if this kind of situation occurs, you need to go to the hospital's gynecology department for a B-ultrasound and blood hCG examination to diagnose the cause of the lochia.

If it is caused by poor uterine repair, you can consider using oxytocin spray to promote uterine contraction recovery. If it is caused by residue in the uterine cavity and the residue is more than two centimeters, a curettage and dilation surgery is required immediately.

Normally, lochia will flow for about 20 days after delivery. If lochia continues to flow, you should first consider whether there is any residue in the uterine cavity. You should go to the hospital for a gynecological color ultrasound to confirm the diagnosis. At the same time, it is important to take motherwort paste orally twice a day, one pack each time, to promote uterine repair; inject oxytocin injection intramuscularly twice a day, ten parts each time to promote uterine contraction and promote the discharge of postpartum lochia; take oral anti-inflammatory drugs for anti-inflammatory treatment, the most common one is cefpodoxime proxetil capsules twice a day, 0.1 gram each time. If color Doppler ultrasound reveals a lot of debris in the uterine cavity, immediate curettage is required.

Is it normal to have less lochia after cesarean section?

It is normal to have less lochia after caesarean section. Generally speaking, if the uterine contractions are good after a cesarean delivery, there will be very little bleeding. Whether it is a natural birth or a caesarean section, it takes 4-6 weeks for the lochia to completely clear up. If the lochia has not cleared up six weeks after giving birth, considering the possibility of poor uterine repair, you should go to the hospital for medical treatment. First, a gynecological examination should be done to understand the position and size of the uterus, whether there is any tenderness, whether there are any obvious lumps on the bilateral adnexa, and whether there are any tenderness symptoms. In addition, a follow-up ultrasound should be performed to understand the repair of the uterus and the healing of the uterine incision. Based on the above examination and analysis, if it is diagnosed as poor uterine repair, treatments such as promoting uterine contraction and preventing infection can be given.