A small amount of bleeding 56 days after delivery

Postpartum women need a rest period to recover their bodies, because they have consumed a lot of physical energy and energy. They cannot move as freely after giving birth as before giving birth, and they also face various postpartum sequelae. Severe cases may even affect the body's recovery in the later stage and cause permanent health problems. Therefore, postpartum problems must be dealt with in a timely manner. Let’s take a look at what to do if there is a small amount of bleeding 56 days after giving birth?

Under normal circumstances, the uterus will return to normal 42 days after delivery, and you can have a normal sexual life. According to the description, if bleeding occurs during sexual intercourse more than 50 days after delivery, then it is necessary to consider a cervical problem, such as cervicitis or cervical polyps. A routine gynecological examination should be done and symptomatic treatment measures should be taken.

Treat bleeding, promote uterine contraction, prevent and control infection. If bleeding persists or recurs after comprehensive treatment, perform diagnostic curettage.

A preliminary diagnosis can be made based on the patient's symptoms of prolonged lochia, increased volume, low back pain, and lower abdominal distension, as well as positive signs such as a gynecological examination revealing a uterus that is larger and softer than normal in the postpartum period, with mild tenderness, and the cervix is ​​often not closed. If vaginal bleeding occurs again 20 days after the lochia has cleared, it should be considered normal menstruation. If necessary, a diagnostic curettage should be performed and the scrapings should be sent for pathological examination for diagnosis.

1. Use uterine contraction drugs.

2. Anti-infection and curettage: When it is confirmed that the uterus is incompletely involuted due to partial placental retention or most of the fetal membrane retention, it is often accompanied by mild infection of the endometrium and myometrium, so broad-spectrum antibiotics should be used first. Then perform a curettage to prevent the spread of infection. The residual tissue and uterine decidua should be completely scraped off to achieve the dual purpose of hemostasis and pathological examination. Care should also be taken to exclude choriocarcinoma of the uterus. After the operation, uterotonic agents should be given to promote uterine contraction, and broad-spectrum antibiotics should be continued for 1 to 2 days.

3. If the cause of poor uterine involution is intramural fibroids, the main treatment is uterotonics. If treatment has no significant effect after several days and vaginal bleeding continues to be heavy, hysterectomy or uterine artery embolization should be considered.