One month after cesarean section, there is still lochia

If lochia still occurs more than a month after a cesarean section, you cannot take it lightly. At this time, you need to determine whether the lochia flowing out of your body is pathological. If it is confirmed to be pathological, you must take the right medicine. Otherwise, it will have a very big impact on your postpartum recovery in the future, and eventually cause female friends to develop symptoms of postoperative infection.

There are many reasons for prolonged lochia after delivery, such as endometritis; partial retention of the placenta and fetal membranes; myometritis or pelvic infection; uterine submucosal or intramural tumors; uterine adenomyoma; excessive retroversion or retroflexion of the uterus; excessive amniotic fluid and excessive placenta that weakens the uterine muscle contraction and affects uterine involution, etc. Postpartum uterine trophoblastic tumors can also cause uterine bleeding.

This disease belongs to the category of late postpartum hemorrhage. The main cause of the disease is incomplete uterine involution, when part of the placenta or fetal membrane remains or becomes infected, affecting uterine contraction and involution. Other systemic factors of the mother, such as chronic diseases, excessive blood loss, excessive fatigue, failure to recover physical fitness, or local factors such as excessive uterine expansion and uterine fibroids, can all affect incomplete uterine recovery. Secondly, after cesarean section, the uterine wall incision ruptures, bleeding is not completely stopped during surgery, or there is postoperative infection, which affects the recovery of the uterus and causes continuous bleeding.

1. Bloody lochia

It is named because it contains a large amount of blood, which is bright red in color, large in amount, and sometimes contains small blood clots. Microscopically, a large number of red blood cells, necrotic decidua and a small amount of fetal membranes were seen. Bloody lochia lasts less than 3 days. The bleeding gradually decreases, the serous fluid increases, and turns into serous lochia.

2. Lochia

It is named because it contains a large amount of serous fluid and is light red in color. Microscopically, there are a lot of necrotic decidual tissues, intrauterine exudate, cervical mucus, a small amount of red blood cells and white blood cells, and bacteria. Serous lochia lasts for 4-14 days, the serous fluid gradually decreases, the number of white blood cells increases, and it turns into white lochia.

3. White lochia

It is named because it contains a large number of white blood cells, is white in color and has a viscous texture. Under the microscope, a large number of white blood cells, necrotic decidual tissue, epidermal cells and bacteria were seen. The white lochia lasts for about 3 weeks.

Although every parturient has lochia, the amount discharged is different for each person, and the average total amount can reach 500 to 1000 ml. The duration of discharge varies from woman to woman. Normal women usually need 2 to 4 weeks, while a few women can last 1 to 2 months.

When a child is breastfeeding, sucking the nipple can cause reflex uterine contractions, which is beneficial to the discharge of lochia in the uterine cavity.