What are the signs that a normal delivery requires uterine curettage?

When it comes to uterine curettage, most people are familiar with it, and they also feel very scared. It is very harmful to women's health. In fact, uterine curettage is not only used for women with incomplete abortion. For women who have a normal delivery, if the placenta is not completely out during the normal delivery and remains inside, uterine curettage is also needed. If the uterus is not cleared, it is easy to cause infection. So what are the symptoms of uterine curettage for normal delivery?

Symptoms of uterine curettage required for normal delivery

Check whether the placenta is intact and whether there are any placental or fetal membrane residues. If there is, uterine curettage is required; if the placenta is intact and there is nothing left in the uterus, uterine curettage is not necessary. In fact, whether it is a natural birth or a caesarean section, whether a uterine cleaning is needed depends on the situation of your uterine shedding. If the discharge is good, there is no need for a uterine cleaning. If the discharge is not good, it needs to be cleaned.

Is it painful to have a uterine cleaning?

Generally speaking, uterine cleaning is not required for normal delivery. If there is placenta residue inside, uterine cleaning is necessary. At this time, the cervix has not yet completely closed, so you won't feel too much pain during uterine cleaning, but there is still a certain amount of pain, which most mothers can tolerate. In addition, if you need a uterine curettage, it is recommended that you take a rest and relax. A routine blood test is required before the curettage. If there is inflammation, anti-inflammatory treatment is required before the curettage to avoid the spread of inflammation. In fact, mothers don’t need to worry. This operation is not very painful, but it must be performed while fighting infection.

Therefore, if the placenta is not completely removed from the body after a normal delivery and some placenta remains in the body, a uterine curettage is required. In addition, uterine curettage is not very serious. Although there is some pain, the pain is still within the acceptable range for most people, so mothers do not need to worry too much about it.

How long does it take for lochia to be clean after a normal birth?

Lochia after normal delivery refers to the shedding of the uterine decidua, especially the decidua at the placental attachment after a new mother gives birth, and contains blood, necrotic decidua, etc., which are discharged through the vagina. For mothers who choose natural childbirth, lochia will generally be completely discharged in 4-6 weeks after delivery, with a total volume of about 500-1000ml. Normal lochia has a bloody smell but no odor, but there are large individual differences, and the amount of lochia is also discharged in "stages".

The amount of lochia after normal delivery is discharged in three stages

By observing the lochia, paying attention to changes in its quality and quantity, color and odor, as well as the state of uterine recovery, you can understand whether the uterine recovery is normal.

Lochia discharge stage 1: bloody lochia

In the first few days after delivery, the amount of lochia (i.e. the amount of blood) is relatively large, bright red in color, and sometimes contains small blood clots. At this time, there is a small amount of fetal membrane and necrotic decidual tissue. Bloody lochia lasts for 3-5 days (sometimes up to 7 days), the amount of uterine bleeding gradually decreases, the serous fluid increases, and it turns into serous lochia.

Lochia discharge stage 2: Lochia serous

After 3-5 days, the amount of blood contained decreases and becomes serous with light red color, but it contains more necrotic decidual tissue, cervical mucus, uterine exudate, and bacteria.

Lochia discharge stage 3: White lochia

After about 10 days, the serous fluid gradually decreases, the white blood cells increase, and it turns into white lochia. Viscous, white in color. The secretions at this time contain a large number of white blood cells, necrotic tissue decidua, epidermal cells and bacteria.