15 days after delivery, the lochia is almost gone and there is blood again

For many people, lochia may not be completely cleared even after 15 days after giving birth. Every time it is almost clear, blood will appear again. If this is the case, you should go to the hospital for relevant examinations in time. It may be symptoms caused by some hidden diseases. Especially for women who have undergone cesarean section, this situation will become worse. People should find the cause in time and take some treatment.

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. In this case, 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.

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. Persistent breastfeeding 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.