What is the reason for the lochia to be not clean 42 days after delivery

If lochia is not discharged completely, it is very harmful to the body and may cause systemic infection. Of course, it may also cause local infection. If it is serious, it may even lead to sepsis. Generally speaking, late postpartum hemorrhage is most likely to lead to unclean lochia flow, which may even cause the patient to go into shock due to heavy bleeding, posing a threat to the patient's life. Here are some reasons why lochia does not flow cleanly.

The reason for postpartum lochia is that improper handling during delivery surgery causes uterine incision rupture, which is one of the important causes of late postpartum hemorrhage and residual lochia. 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. The level of the surgeon is related to the rate of late postpartum hemorrhage and lochia. 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.

The cutting method is improper. When making the incision, using a scalpel or scissors to cut or cut the entire way can cause the arcuate blood vessels in the uterine wall to rupture, resulting in excessive bleeding and affecting healing. The incision was torn during delivery of the fetal head. If the fetal head is moved roughly when it comes out or if there is a giant or deformed baby, or if there is placenta previa, incision tearing is likely to occur. 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, bleeding, and lochia.

Through the above introduction, I believe that friends already know the reason why lochia does not flow cleanly. Here I would like to explain that under normal circumstances, lochia has a bloody smell and the total output is about 100 ml. The lochia will flow out cleanly around the third week after a female friend gives birth. If it does not flow out cleanly, or is accompanied by a foul smell, you should see a doctor for treatment as soon as possible.