Lochia wipes have a rancid smell

Lochia is a normal phenomenon for women in the postpartum period. Healthy lochia has a bloody smell, but no foul smell. It is abnormal for lochia wipes to have a rancid smell. There are many reasons for its occurrence. If it persists, you need to understand the possible causes and solve them accordingly. So, what is the reason for the rotten smell on lochia wipes? Let’s take a look below.

reason

1. Improper handling during cesarean section resulting in uterine incision rupture is one of the important causes of late postpartum hemorrhage. In recent years, due to the increase in pregnancy pathology and social factors, the high level of attention paid to the fetus and the influence of maternal fear of pain, the cesarean section rate has gradually increased, and postoperative complications have also increased. There is a certain relationship between the level of the surgeon during cesarean section and the rate of late postpartum hemorrhage.

(1) Improper selection of uterine incision: The incision should be made in the lower part of the uterus as much as possible, avoiding being too high or too low. If the incision is too high and located at the junction of the uterine body and the lower segment, the thickness of the tissues above and below the incision edge will be uneven, and the occlusion or misalignment may cause poor healing of the uterine incision. If the incision is too low and close to the cervix, the cervix has more connective tissue and poor blood supply, which may also cause poor healing of the uterine incision, and it is easy to cause the incision to tear when the fetal head is delivered.

(2) Improper incision method: Using a scalpel or scissors to cut or snip the entire way during the incision can cause the arcuate blood vessels in the uterine wall to rupture, resulting in excessive bleeding and affecting healing.

(3) Incisional tearing during delivery of the fetal head: Incisional tearing is prone to occur when the fetal head is delivered roughly or when there is a macrosomia or deformed baby, or when there is placenta previa. Because the pregnant uterus is pushed by the sigmoid colon and the uterus rotates to the right, the left corner of the incision is easily torn, affecting the uterine artery and causing heavy bleeding. At this time, the surgeon is often nervous and repeatedly sutures the torn area to stop bleeding, which can cause blood circulation obstruction in the wound of the uterine angle, making it prone to necrosis, rupture, and bleeding.

(4) Improper suturing: Too close stitches, too many sutures and too tight stitches may affect local blood circulation and cause poor wound healing. In addition, the endometrium is everted and sewn into the myometrium during suturing, which is also one of the reasons that affect the healing of uterine incision.

2. Infection: If there is premature rupture of membranes, prolonged labor, repeated vaginal examinations, artificial rupture of membranes, water bag induction of labor, or use of air bag to promote cervical ripening before delivery, and the mother herself has pathological conditions such as severe anemia during pregnancy, severe pregnancy-induced hypertension, diabetes, etc., and if she does not pay attention to vaginal hygiene after delivery, is afraid of pain, and does not clean the perineum, vaginal and intrauterine infection may occur, resulting in poor uterine involution or poor incision healing and late postpartum hemorrhage.

3. Incomplete uterine involution Intrauterine infection and a small amount of residual placenta and fetal membranes can cause incomplete uterine involution.

4. Placental polyps If the placenta and fetal membranes remain during delivery, the remaining tissue will necrotize and orgone in the uterus, and fibrin will be deposited on the surface, forming polyps.

5. Other endometritis, submucous uterine fibroid infection, and choriocarcinoma can also cause late postpartum hemorrhage.

Mitigation methods

Proper pregnancy care and proper handling of the delivery process can significantly reduce the occurrence of late postpartum hemorrhage.

Women with a history of postpartum hemorrhage, multiple induced abortions, retained placenta, twins, polyhydramnios, and prolonged labor should be more vigilant and receive good prenatal care, intrapartum care, and postpartum monitoring. At the same time, inform the mother in detail and obtain her cooperation to prevent the occurrence of late postpartum hemorrhage.

Correctly handle the second and third stages of labor, deliver the head and shoulders slowly, and protect the perineum to avoid tearing the soft birth canal. After delivery, closely observe uterine contractions and vaginal bleeding, and press the uterine fundus to promote the discharge of accumulated blood.

Strictly define the indications for cesarean section, strengthen the publicity of normal physiological delivery methods, and reduce the impact of social factors. For those who have indications for cesarean section, the uterine incision is chosen in the lower part of the uterus. First, a small incision is made and then it is torn by hand to the appropriate length to deliver the fetal head. The movements should be gentle, and appropriate sutures should be selected. The stitch length should not be too dense. After complete bleeding, antibiotics should be used to prevent infection.