Puerperal lochia

Introduction After maternal delivery, the decidua of the uterine decidua, especially the placenta attachments, is detached, and the tissues containing blood, necrotic decidua and the vaginal discharge are called lochia. After the postpartum lochia lasts for more than three weeks, it is still dripping, which is called postpartum lochia.

Cause

After the postpartum lochia, the lochia is not clean, more than 3 weeks after childbirth, there are still vaginal bleeding. Common in three situations:

1. It is a residue of tissue, which may be due to large pregnancy months, or uterine malformation, uterine fibroids, etc., or may be unskilled by the surgical operator, resulting in the incomplete removal of the pregnancy tissue, resulting in some tissue residues remaining in the palace. Inside the cavity. At this time, in addition to the lochia is not clean, there are more and less bleeding, with blood clots inside, accompanied by bursts of abdominal pain.

2, is a uterine cavity infection, can be washed after the flow of people, or sanitary napkins are not clean, or shortly after the flow of people to do sexual intercourse, but also due to surgical operators are not strict disinfection and other causes of intrauterine infection. At this time, the lochia has a bad smell, the abdomen has tenderness, and accompanied by fever, and the total number of white blood cells can be seen in the blood.

3, is weak uterine contractions, but can not rest well after the flow of people, or the body is weak and sick, or the operation time is too long, the consumption of blood, resulting in weak uterine contractions, endless exposure.

an examination

Related inspection

Postpartum examination obstetric examination blood routine

Therefore, clinically, patients with postpartum lochia should be examined:

First, physical examination

Taking a medical history gives us a first impression and revelation, and also guides us to a concept of the nature of the disease.

Second, laboratory inspection

Laboratory examinations must be summarized and analyzed based on objective data learned from medical history and physical examination, from which several diagnostic possibilities may be proposed, and further consideration should be given to those examinations to confirm the diagnosis.

Differential diagnosis

Differential diagnosis of lochia during puerperium:

(1) Bloody lochia: The color is bright red, contains a lot of blood, and the amount is large, sometimes there are small blood clots. There is a small amount of fetal membrane and necrotic tissue. Bloody lochia lasts for 3 to 4 days, the amount of uterine bleeding gradually decreases, and the serum increases, turning into serous lochia.

(2) Serous lochia: For about 10 days, the serum gradually decreases, the white blood cells increase, and the lochia turns into white lochia.

(3) White lochia: thick and white, white. Contains a large number of white blood cells, necrotic tissue aponeurosis, epidermal cells and bacteria. White lochia lasted for 3 weeks and was clean.

Postpartum lochia is caused by labor and labor meridians, resulting in abnormal blood and blood, and more than 3 weeks after birth, there are still vaginal bleeding. It is equivalent to poor uterine involution, mild infection of the uterus, residual placenta and membrane.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.