Brown lochia 20 days after delivery

Lochia is actually the discharge of dirty blood clots that occurs after a pregnant woman gives birth. The problem of lochia should be taken seriously, because there are often many problems with lochia. These problems can be big or small, but they will have a certain degree of impact on our human body, including the brown color of lochia. So why is the lochia brown 20 days after delivery?

Not quite normal. Generally, the color of lochia varies from dark to light, from dark red to bright red, then to light red, and finally disappears.

Lochia has a bloody smell but no odor. Its color and contents change over time. It usually lasts for 3 to 4 weeks and the total amount is 250ml to 500ml. Generally, the lochia will gradually decrease after a week, and normally it will be clear in 3 weeks. But some may last longer, some may last a month or even more than 40 days. Postpartum lochia refers to the discharge through the vagina of tissues such as blood and necrotic decidua that is shed along with the uterine decidua. It is called lochia. It is a clinical manifestation of the parturient in the puerperium and is a physiological change.

If the uterus is not fully involuted after delivery, or there is residual placenta or excessive fetal membranes in the uterine cavity, or there is infection, lochia often increases and lasts longer. When there is infection, it may have a foul odor, and the blood count may increase, accompanied by fever and other clinical symptoms.

Pay attention to whether there is any intrauterine operation during delivery and whether the placenta and fetal membranes are intact. If there is persistent bloody lochia, the possibility of trophoblastic tumor or concurrent cervical cancer should be ruled out. The most important thing to pay attention to when lochia does not stop is that the most likely thing to happen is late postpartum hemorrhage or even massive hemorrhage and shock, which endangers the life of the mother. B-ultrasound, blood routine and other related examinations were performed to confirm the diagnosis.

The red lochia will stop and gradually turn into brown lochia about ten days after delivery. In fact, there is still blood in the brown lochia, but the blood content is less, so it appears brown in front of people.

It is actually normal for postpartum lochia to be brown in color. The color of lochia is different at different times after delivery, so female friends do not need to worry too much. These are all normal phenomena when lochia is discharged, because the lochia discharged at different times are all secretions of the uterus. The more lochia, the more it means that the recovery of the uterus is still in progress, and the less lochia, the gradually stopping of lochia, which means that the uterus is basically recovering.