What is the reason for the blood to come back after the lochia has been clean for a few days?

After pregnant women give birth to their babies, mothers will have postpartum lochia discharge during the confinement period, which is the bed period. Lochia is caused by the shedding of the deciduous membrane, uterine mucus, bacteria and other tissues in the uterus. Generally, postpartum lochia will be discharged in about a month at the latest, but for some mothers, the lochia will be cleared and suddenly appear again after a few days. So what happens if the lochia during the postpartum period is clean for a few days and then becomes bloody again? Let’s take a look together.

What is the reason for the lochia in the puerperium to be bloody again after a few days of cleanliness?

Generally speaking, the amount of lochia after giving birth is between 500-100ml, which is divided into three parts. The first stage usually lasts about 3 or 4 days, during which a small amount of blood, decidua and other tissues are discharged, and sometimes blood clots are contained. The lochia at this time is similar to the menstrual period, but the amount discharged is larger than the normal menstrual flow, so it is also called stubborn lochia; the second stage lasts about two or three days, during which more female secretions, fallen decidua tissue, and a small amount of blood are discharged, which is called serous lochia; the final stage is usually one week after delivery, when a large amount of secretions are discharged, as well as remaining decidual cells, cervical mucus, etc., and generally no blood is contained, so the lochia at this time is light white, also known as white lochia.

Under normal circumstances, if postpartum lochia continues to flow for a long time, the cause of this type of lochia is usually infection of the uterus, or the fetus and other tissues of the pregnant woman are still left in the body, or the uterus is not restored to the waist. At this time, Mom.com recommends that mothers must go to the hospital for medical treatment in time, otherwise it may cause serious complications!

Under normal circumstances, the lochia of the parturient will gradually disappear after three weeks. If there is still lochia in the fourth week or it suddenly appears, there is no need to panic. This situation is called persistent lochia.

Modern medicine believes that persistent lochia in postpartum women is a confinement disease, and incomplete uterine repair is one of the main reasons. However, there are many reasons why the uterus cannot be completely restored after childbirth, such as retained fetal membranes, incomplete placental detachment, or combined endometritis or pelvic infection; or multiple pregnancy, old age, multiple births, relatively increased uterine fibroid tissue, etc.

If after one month, the lochia is still not clear, and is accompanied by a foul or rotten smell, or is accompanied by abdominal pain, fever, or there may be infection in the uterus, adnexae (bilateral fallopian tubes, uterus and ovaries), or vagina; if the amount of lochia increases day by day after delivery, the color becomes redder and darker day by day, or bruises appear, they are all abnormal conditions, or there is abnormal uterine bleeding, or internal and external injuries of the cervix and vagina, or infection has occurred. This situation should be paid attention to immediately. There is undoubtedly a pathological factor and you need to go to the hospital for examination and treatment in time.

Will the pelvis return to normal after giving birth?

Pelvic floor surgery or obstetrics and gynecology. Because pregnancy, as long as it starts at six weeks, the corpus luteum copper begins to rise, the corpus luteum copper rises, it means the muscle joints and tendons begin to relax, the pelvis and pelvis joint area, affected by the increase of estrogen, it will open little by little to lay the foundation for the birth gate, by the fourth month, the pelvis begins to slowly open the birth gate, because the baby is about to be delivered, after delivery, estrogen and estrogen immediately drop, the muscle joints and tendons contraction force decreases, leaving a gap at the joint of bones and forming pelvic bone sutures.

Why do you need to repair your pelvis after giving birth?

If the tissues supporting the pelvic organs are missing or damaged, these organs will move out of their normal positions or even slip out of the body. This is the so-called pelvic organ prolapse, such as uterine prolapse, vaginal prolapse, rectal mucosal prolapse, etc. Generally, atrophy is the main cause of pelvic organ prolapse. In addition, there are many other potential factors, including decreased muscle strength, menopause and decreased estrogen levels, multiple natural births, obesity, a family predisposition to connective tissue diseases, pelvic trauma or previous surgical history, repeated weight bearing, frequent constipation, cough and other symptoms.

Elderly people often say that you should not exert yourself during the confinement period, otherwise you will suffer from uterine prolapse. This is probably because most women in ancient times had experienced multiple natural childbirths. Multiple deliveries and the obstetric skills are outdated, which can easily lead to damage to the tendons supporting the uterus and cervix, and weaken the support and fixation power of the uterus. In addition, squatting jobs such as washing diapers and washing dishes after giving birth, which will increase abdominal pressure, are more likely to push the uterus away from the normal position and cause uterine prolapse.

Now I believe everyone already knows which department to go to for postpartum pelvic repair. Although most women nowadays only give birth to one child, the harm to the mother is still very great. Mothers should pay attention not to do too much exercise just after surgery, but to do some moderate exercise so that the pelvis can be better repaired.