Can the fetal membrane residue be discharged automatically?

After giving birth, some fetal membrane may remain inside the uterus. Generally speaking, with good care, this residual substance will gradually be discharged. Of course, it may also be incompletely discharged due to some reasons. For example, uterine contraction weakness, uterine infection, etc., often lead to abdominal pain and vaginal bleeding, which is very harmful to women and requires timely treatment.

Can the fetal membrane residue be discharged automatically?

1. Tissue residue

It may be due to uterine malformation, uterine fibroids, etc., or it may be due to the unskilled operation operator, resulting in incomplete removal of the pregnancy tissue, causing some tissue to remain in the uterine cavity. At this time, in addition to the unclean lochia, the amount of bleeding varies, with blood clots inside, and is accompanied by intermittent abdominal pain.

2. Uterine infection

Uterine infection may be caused by taking a tub bath after delivery, using unclean sanitary napkins, having sexual intercourse before a full month after delivery, or by the operator's failure to provide strict disinfection. At this time, the lochia has a foul odor, there is tenderness in the abdomen, and it is accompanied by fever. A blood test shows an increase in the total white blood cell count.

3. Uterine contractions

It may be due to failure to get a good rest after delivery, or due to poor health and illness, or due to prolonged delivery, which consumes Qi and blood, leading to weak uterine contractions and continuous lochia.

What to do if fetal membranes remain

1. Actively treat various pregnancy diseases before delivery, such as pregnancy-induced hypertension syndrome, anemia, vaginitis, etc.

2. For patients with premature rupture of membranes and prolonged labor, antibiotics should be given to prevent infection.

3. After delivery, carefully check whether the placenta and fetal membranes are complete. If there are any residues, deal with them in time. Check the placenta and fetal membranes. Lay the placenta flat with the mother facing up, and pay attention to whether the lobes can be aligned and whether there are any defects. Then lift the fetal membrane to check whether it is intact, and pay attention to whether there are abnormal blood vessels passing through the fetal membrane. If there are broken blood vessels, it means that there may be a "accessory placenta" remaining in the uterus. If the placenta is incomplete or most of the fetal membrane remains, it must be removed by hand or with instruments into the uterine cavity under strict disinfection to prevent postpartum hemorrhage or infection. If a small part of the fetal membrane remains, uterotonics can be used after delivery to promote its natural discharge.

4. Adhere to breastfeeding, which 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 that there are fetal residues in the uterus and should be treated immediately.

6. Measure the degree of uterine contraction regularly. If you find that the contraction is poor, you should ask a doctor to prescribe uterotonics.

7. Keep the vagina clean. Because of the discharge of lochia, women should change sanitary napkins frequently to keep clean. It is best to temporarily refrain from sexual intercourse to avoid infection.

8. If lochia continues after delivery and if you suspect there is placenta residue, you should go to the hospital immediately and receive treatment under the guidance of a doctor.