Postpartum lochia is clean and bleeding

Normally, after a woman gives birth, some blood-containing uterine wall and necrotic tissue will fall out immediately. This substance is called postpartum lochia. The time for postpartum lochia to fall out is generally about 5 weeks, and the total amount discharged is basically less than 500ml. If it exceeds this time, it is considered as unclean lochia. If the lochia is quickly discharged and bleeding occurs, it will often make pregnant women very anxious. Let's learn about it together.

Reasons why parturients have lochia that is quickly cleared and bleeds:

1. Remnants of fetal membrane tissue usually occur about ten days after birth.

2. Decidua remnants. The decidua usually falls off within a week after giving birth and is discharged with the postpartum lochia. If the decidua is incompletely detached, long-term remnant may cause terminal postpartum hemorrhage.

3. Incomplete restoration of the uterine embryo adhesion surface usually occurs about half a month after giving birth.

4. Infection.

5. The uterine wound heals poorly after cesarean section.

6. Other reasons. For example, uterine trophoblastic tumor, uterine cervical fibroids, cervical cancer, etc. after giving birth can all cause late postpartum hemorrhage.

What should I do if the mother bleeds again after the lochia is clean?

If it is postpartum lochia, you need to see what color it is. If it is red like the menstrual period for several days, it may mean that the menstruation has come. Generally, the menstrual period resumes 6 weeks after delivery, the color is red, and there are no other discomfort conditions, it can be considered as the menstrual period. Generally, women who are not breastfeeding will resume their menstruation 6-8 weeks after giving birth, while women who are breastfeeding can resume their menstruation as early as 8 weeks after giving birth and as late as more than a year after giving birth. For most people, the first menstrual flow is heavier than usual, and the second menstrual period will be normal.

After a woman gives birth, the decidua clinging to the embryo begins to fall off, containing dead tissue, blood, and so on, all of which are discharged through the lower body. This feces has a small amount of fishy smell, which lasts for half a month at the fastest and six weeks at the longest, and most of the time it lasts for three weeks. The total gas volume is between 500 and 100 b250 l.

Generally, the stool can be completely emptied in about one month after the birth of a new mother, but a small number of pregnant women continue until the first menstruation. In the first week after discharge, the discharge is mostly red in color. After a week, the discharge volume gradually decreases and turns into brown. After 10 days, the color begins to turn into white, and the fishy smell gradually disappears.

1. Postpartum lochia due to blood type

It is the bright red stool discharged after giving birth, which contains a lot of blood, large amount of gas, a small amount of fetal membrane and necrotic decidual tissue, and is accompanied by blood clots. It usually lasts about 4 days, after which the color will gradually fade and the amount of gas will decrease.

2. Serous postpartum lochia

It usually occurs one week after giving birth. The blood volume may gradually decrease, while the plasma component increases. It is common in bacteria, cervical mucus, necrotic exfoliated tissue, etc. It lasts for 10 days.

Common problems of postpartum women with persistent lochia:

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

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

3. Keep warm. 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.

4. Selection of ingredients. Patients with blood heat, blood stasis, liver qi stagnation and body fluid damage should increase their beverage intake, such as lotus root juice, pear juice, orange juice, and watermelon juice to clear away heat, detoxify, promote blood circulation and remove stasis. For patients with spleen deficiency and weak qi, beef, mutton and other nourishing foods can be added 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.

5. Maintain a comfortable mood. 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. Pay attention to vaginal hygiene. Pregnant women must stay in bed to rest after delivery. Patients 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.

7. Eat a light and nutritious diet. To improve nutrition, the diet should always be light in taste, and avoid eating cold, spicy, greasy, and difficult to digest foods. 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.