22 days after cesarean section, bright red lochia

Whether it is a caesarean section or after giving birth, women will generally experience bleeding in their lower body. The first bleeding is called lochia because it is some blood remaining in the uterus from the embryo. Generally, lochia is dark red or even black, which is normal. When the color of lochia changes, you should go to the hospital for a check-up. So why is it that the lochia of a woman is bright red 22 days after a caesarean section?

One week after the lochia cleared, bright red vaginal bleeding occurred again. Consider the possibility of incomplete involution of the placenta, decidua of fetal membranes, or placental attachment site. Bleeding due to poor healing of the uterine incision cannot be ruled out. It is recommended to go to the hospital for treatment and undergo pelvic ultrasound examination to observe whether there is any residue. If there is any residue, the uterus should be curettaged under the conditions of open intravenous infusion, blood preparation and preparation for surgery, and the scraped tissue should be sent for pathology. Antibiotics and uterine contractants should be given after the operation. If it is a simple incomplete uterine involution, consider giving uterotonics and antibiotics to prevent infection. If the uterine incision is suspected to be poorly healed or ruptured, hospitalization is required.

It is normal to have bloody lochia after cesarean section. Bloody lochia usually lasts for 3-7 days, but it will last longer if it is a cesarean section. However, if bloody lochia lasts too long, poor uterine contractions should be considered. You can observe it temporarily. If the bloody lochia lasts for more than two weeks and the color remains bright red, you should go to the hospital for a B-ultrasound check in time to check the recovery of the uterus. If necessary, take uterine contraction drugs under the guidance of a doctor.

Postpartum lochia, whether it is a caesarean section or a natural birth, will go through three stages: red lochia, serous lochia, and white lochia. After half a month to three weeks, the lochia will no longer contain blood. If it is just a change in color and the amount is not large, it may be related to whether you are taking blood-activating products such as sweet wine. Pay attention to observation first. If the menstrual volume is significantly larger than usual or accompanied by abdominal pain, dizziness and other discomforts, you need to go to the hospital for treatment. Rule out problems with the stitches on the wound or bleeding when the stitches dissolve and are absorbed. If you are taking blood-activating foods or medications, it is recommended that you stop taking them and get some rest.