Generally speaking, the lochia produced during pregnancy and delivery will be discharged from the body 3-4 days after the mother gives birth to the baby. Postpartum lochia can be discharged in one month. However, in the process of postpartum lochia excretion, there will also be some postpartum lochia abnormalities, which are very likely to be the manifestation of the disease.

I. how to identify lochia abnormalities?

Under normal circumstances, postpartum lochia will follow three stages, which will basically stop in about a month. The amount of bleeding generally ranges from more to less, accompanied by bloody smell, but it does not smell. So, how can a new mommy tell whether her lochia is abnormal?

1. Beware of increased bleeding.

Just after delivery, if the amount of bleeding increases, it may be caused by poor uterine contraction, birth canal laceration, placental residue and abnormal coagulation function. This situation belongs to “postpartum hemorrhage” rather than lochia. At this time, it often happens in hospitals, and the scene can also be handled in time by medical personnel.

2. Be alert to the amount of lochia.

Abnormal lochia is generally purple and dark, such as brown or washed meat, with a foul smell. At the same time, it can be accompanied by fever, abdominal pain and uterine tenderness, which lasts too long and repeatedly. The causes of this situation are generally cervical erosion, cervical polyps, and even cervical cancer.

If only the lochia time is prolonged and exceeds the normal time, the amount is small, not accompanied by the increase of amount and color change, and there is no smell, it is also abnormal. The causes of this situation may be poor uterine involution, poor maternal physique, Qi deficiency and endocrine disorders.

II. Endless lochia, vigilance against poor uterine recovery

As the party concerned, the new mommy can timely grasp the recovery of her uterus through the changes of lochia discharge, color and smell every day. For poor uterine involution, the doctor will pay attention to whether there is intrauterine operation during delivery, whether the placenta and fetal membrane have been inspected, and how the uterine involution is. Diagnostic curettage can be performed when necessary, and the scraped objects shall be sent to pathological examination. Uterine contractions such as ergometrine and Yimu ointment shall be used to promote uterine contraction. Antibiotics shall be used at the same time when combined with inflammation.

III. time required for postpartum lochia discharge

Generally, taking motherwort preparation properly in about 3 weeks can help uterine contraction, promote uterine recovery, reduce lochia discharge and shorten lochia discharge time.

It is worth noting that during the period of lochia discharge, it is very important to ensure the cleanness of vulva. This is because the uterine cavity that has not been fully recovered is connected with the outside world through the cervix and vagina, which is prone to upward infection. Therefore, expectant mothers should ensure that the lochia and dirt in the vulva are cleaned after delivery; Change the sanitary pad frequently. The sanitary pad shall be well packaged. When changing the pad, do not touch the center of the sanitary pad to prevent pollution; Change underwear frequently to ensure that the vulva is clean and dry.


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