Caesarean section 20 days lochia dark red

Postpartum lochia is a common clinical medical disease for female friends after giving birth. It has a certain fishy smell but no peculiar smell. However, the color and content of postpartum lochia change over time, and some female friends have some blood problems in their postpartum lochia after giving birth. So is it normal for the postpartum lochia to be dark brown with blood clots 20 days after giving birth?

Is it normal to have dark brown lochia with blood clots 20 days after giving birth?

It is abnormal to have dark brown lochia with blood clots 20 days after giving birth. Generally, it can be completely discharged about one month after the birth of a new mother, but there are also a small number of pregnant women who continue to have lochia 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.

After giving birth, the decidua of the uterus falls off, and blood and necrotic decidual tissue are discharged through the vagina, which is called postpartum lochia. If postpartum lochia lasts for more than 3 weeks, it is called "persistent lochia", also known as "persistent lochia". It is equivalent to late postpartum hemorrhage in Western medicine. Causes of bleeding include poor uterine repair, infection, or retained embryonic part (placenta not coming out), etc. The latter sometimes requires curettage. Continuous lochia discharge in postpartum women may cause infection, lead to endometritis, or it may be a somatic cell disease.

The three reasons for residual lochia after childbirth are residual pregnancy tissue in the uterus, intrauterine infection and poor uterine repair. Because the symptoms are different, the treatment is also different. If the lochia has not been cleared 6 weeks after giving birth or is accompanied by irregular uterine bleeding, it is also called postpartum lochia accumulation. The choice of natural birth or caesarean section may occur, and it is related to the quality of the new mother's recovery after giving birth and whether she is exclusively breastfeeding. New mothers who have delivered by caesarean section are particularly prone to increased lochia.