What should I do if the lochia has not been completely discharged?

Lochia is a foreign body that is shed by the decidua of the uterus after a woman gives birth. It contains a large amount of blood and is the waste material in the female uterus. It is a normal phenomenon for women. If the lochia is not completely discharged, it will affect the female body and the health of the uterus and ovaries. It can also easily lead to some physical diseases. It can be treated through postpartum curettage, and drugs can be injected to promote uterine contractions to discharge lochia.

treat

Treatment is based on the cause, beginning with ultrasound and blood HCG examinations to exclude residual tissue and trophoblastic disease.

1. Tissue residue

If the B-ultrasound examination indicates a light mass in the uterus, a uterine curettage must be performed. Women who have given birth naturally can undergo a uterine curettage directly. If the woman has had a cesarean section, it is recommended that a uterine curettage be performed under B-ultrasound positioning, which is safer. After the operation, treatment should be given to prevent infection and promote uterine contraction.

2. Poor postpartum uterine involution

B-ultrasound often shows that the uterus is enlarged, there is fluid accumulation in the uterine cavity, and there is a high possibility of blood accumulation. Due to poor uterine contraction after delivery, there is residual fluid and blood in the uterus, which leads to irregular vaginal bleeding. If this is the case, oxytocin must be injected intramuscularly or intravenously, and then Chinese medicine should be used to promote uterine contraction. If necessary, oral antibiotics should be taken to prevent infection. Adherence to breastfeeding is beneficial to postpartum uterine contraction and recovery.

3. Puerperal infection

Endometrial inflammation leads to postpartum lochia. If this is the case, routine blood tests will indicate elevated white blood cells and neutrophil ratio, and B-ultrasound examination often shows no obvious abnormalities. Intravenous anti-infection treatment is required. If breastfeeding is ongoing, it is best to use a third-generation cephalosporin antibiotic combined with metronidazole intravenous drip for 3 to 5 days.

prevention

1. Actively treat various pregnancy-related diseases before delivery, such as gestational hypertension, anemia, vaginitis, etc.

2. For patients with premature rupture of membranes and prolonged labor, antibiotics should be given to prevent infection.

3. After delivery, the doctor should carefully check whether the placenta and fetal membranes are complete, and if there are any residues, deal with them in time.

4. Adhere to breastfeeding, which is beneficial to uterine contraction and the discharge of lochia.

5. Observe the color, amount and smell of lochia every day after delivery. Normal lochia should be odorless but have a bloody smell. If an odor is found, it may be an abnormal situation and you should go to the hospital for treatment in time.

6. Measure the degree of uterine contraction regularly. If you find that the uterine contraction is poor, you should go to the hospital and follow the doctor's advice for appropriate treatment.

7. Keep the vagina clean. Because of the discharge of lochia, women should change sanitary napkins frequently to keep clean. It is best to temporarily refrain from sexual intercourse to reduce the occurrence of infection.

8. If you suspect that there is placenta residue, you should go to the hospital in time and receive treatment under the guidance of a doctor.