The lochia has decreased and suddenly becomes bright red

After a natural birth or abortion, women will usually have lochia discharged from their bodies. This is a very normal phenomenon and will usually heal within a few days. Postpartum lochia is no different from normal menstruation. It is generally larger in amount and is bright red or dark red at first, then slowly changes to light pink, with little regularity in the change of quality. So, what is the reason for the sudden increase in red lochia after childbirth when there is less lochia?

What is the reason for the sudden increase of bright red lochia after childbirth?

First of all, the difference between postpartum lochia and menstrual period is quite large. It is composed of cells and bacteria that fall out of blood and sexual organs, and has a fishy smell. Generally, lochia will be discharged after giving birth, but with the change of time, the amount and composition of lochia will also change to a certain extent. Generally, within one week after giving birth, the amount of lochia is large and the color is darker, but it will gradually become less and lighter over time.

Secondly, from the 2nd to 4th week, the lochia is no longer bright red, but becomes milky white or light yellow, and the amount will be very small. Generally, the lochia will be discharged about one month after the birth of the new mother. However, due to the arrival of menstruation for a small number of pregnant women, the lochia will be discharged with a large amount of red in the week before the discharge. After 10 days, the color begins to turn into white, and the fishy smell gradually disappears.

Finally, the color of postpartum lochia changes slowly, from the initial bright red, some brown, and then slowly turns to light pink, and is basically invisible when it is almost gone. If the lochia has decreased after giving birth but suddenly turns bright red, it may be that there is residue in the uterine cavity. It is recommended to go to the hospital for a physical examination.

The harm caused by repeated lochia in parturient women includes:

1. Increased lochia in parturients can cause partial and systemic infection, and in severe cases, sepsis can occur;

2. Increased lochia after delivery will cause wound infection and dehiscence or poor healing, and even require hysterectomy;

3. Pay special attention to the increase of lochia after delivery, as it is also easy to cause late postpartum hemorrhage and even internal hemorrhage shock, which seriously endangers the life of the pregnant woman. Therefore, it is better to advocate natural childbirth.

Common problems of recurrent lochia in postpartum women:

1. It is strictly forbidden for couples to have sexual intercourse within 50 days after the birth of the child.

2. The pad paper should be soft in color and must be strictly disinfected to avoid infection.

3. When the postpartum lochia decreases and the body tends to recover, pregnant women can be encouraged to get up and move around appropriately, which is beneficial to the circulation of blood and qi and the discharge of residual turbidity in the uterus.

4. Maintain good indoor air circulation and remove foul air, but pay attention to keeping warm and prevent cold. If you have blood heat syndrome, you should not wear too warm clothes.

5. Rest in bed, avoid emotional excitement, maintain a happy mood, comfort the patient, eliminate mental worries, and pay special attention to unexpected mental stimulation.

6. Patients with spleen deficiency and weak qi can increase the intake of beef, mutton and other nourishing foods in the cold season. Patients with liver and kidney yang deficiency can increase yin-replenishing foods, such as wild soft-shelled turtle and turtle meat.

7. Postpartum women with persistent lochia should pay attention to vaginal hygiene and wash the vulva with warm water or 1:5000 potassium permanganate solution every day. Use soft, disinfected handkerchiefs and frequently change menstrual pads and underwear to reduce the chance of invasion of evil toxins.

8. To improve nutrition, the diet should always be light in taste, and avoid eating cold, spicy, greasy, and foods that are difficult to digest. In order to avoid damp and hot foods that help evil, you can eat more fresh fruits. If the patient has qi deficiency, he should be given old hen soup, longan soup, etc. If the blood is hot, you can eat fresh fruits such as pears, oranges, and melons, but they should be taken warm.