Vaginal bleeding one month after delivery, do you know what is going on?

Vaginal bleeding in women after childbirth is a common phenomenon. Because everyone's physical condition is different, the time and amount of bleeding are also different. For example, some people still have vaginal bleeding one month after childbirth. Is this normal?

1. The physical recovery of pregnant women after childbirth varies from person to person. The symptoms of postpartum hemorrhage and the duration of bleeding are also very troublesome for people. Due to the different physical conditions of different people, the causes of bleeding are also different, making it difficult to control. Some women still experience vaginal bleeding from time to time more than 20, 30, 40 or even 70 days after giving birth. Is this normal? Some people think that this is due to blood stasis that has not been cleared and should be allowed to flow out as much as possible. Some people think it is menstruation and it is nothing to worry about.

2. After giving birth, a lot of fluid flows out of the vagina every day, and this fluid is called "lochia". The general pattern of lochia is this: for the first two or three days or three or four days, it is dark red because it contains a lot of blood. Later, the blood gradually decreases and turns light red. This lochia lasts for about four to five days or six to seven days, and then turns into a yellow or white liquid.

3. So under normal circumstances, red lochia should turn into yellow or white lochia within 10 days, or at the latest within half a month. If the lochia is still red after half a month, it should be considered abnormal.

The blood that flows out of the vagina after delivery is part of the body's blood. It is the same as the blood that flows out when you cut your finger or bite your tongue. It is not "blood stasis". If you let it flow, it will cause certain harm to the body.

4. What should I do if I still have bleeding one month after delivery?

1. Eliminate the causes of uterine atony, improve general condition, and use catheterization to relieve overfilled bladder.

2. Massage the uterus. Abdominal massage of the uterus is the simplest and most effective way to induce uterine contraction to reduce bleeding. After the bleeding stops, intermittent and evenly rhythmic massage is still required to prevent the uterus from relaxing and bleeding again. If necessary, you need to use both hands to massage the uterus. You can place one hand on the anterior vault of the vagina to press against the anterior wall of the uterus, and use the other hand to press the posterior wall of the uterus on the abdomen while massaging at the same time. The massage technique should be gentle and rhythmic. Avoid continuous excessive force for a long time, which may damage the uterine muscles and render the massage ineffective.

3. Uterine tamponade. When the above treatments are ineffective, gauze compression can be performed to stop bleeding in the uterine cavity to preserve the uterus or reduce preoperative blood loss. Pay attention to filling the uterine cavity from the fundus and both side corners. Fill it tightly without leaving any gaps to achieve the purpose of compression and hemostasis. If the bleeding stops, the gauze can be removed after 24 to 48 hours. Antibiotics are needed to prevent infection after packing, and uterotonics should be injected before removal.

4. B-Lynch suture. It is suitable for patients with postpartum hemorrhage due to uterine atony, placental factors and abnormal coagulation function, who are not responding to manual massage and uterotonic drugs and are likely to have their uterus removed. First try to apply pressure with both hands to observe whether the amount of bleeding is reduced to estimate the possibility of successful hemostasis by B-Lynch suture, and use absorbable suture. Reports of complications after B-Lynch surgery are rare, but there is a possibility of infection and tissue necrosis, and the indications for surgery should be carefully considered.