What happens if lochia is not discharged cleanly?

What are the dangers of not completely discharging lochia? This may be a common problem for some pregnant women. Regarding this problem, relevant people said that in general, if the uterus is not restored

If the placenta is not good or remains, it is easy to cause the lochia to be not discharged cleanly. In this case, you should pay attention to avoid related inflammation, which is not good for the mother's physical recovery.

. Therefore, for the health of the mother, always pay attention to the amount of lochia discharged. Let us now understand what will happen if the lochia is not discharged cleanly!

1. Causes

There are many reasons for postpartum lochia, such as endometritis; part of the placenta and fetal membranes remain; myometritis or pelvic infection; uterine submucosal or intramural tumors; uterine

Adenomyosis; excessive retroversion and retroflexion of the uterus; excessive amniotic fluid and excessive placenta that weaken the contraction of the uterine muscles and affect uterine involution, etc. Postpartum uterine trophoblastic tumors can also cause

Uterine bleeding.

This disease belongs to the category of late postpartum hemorrhage. The main cause of the disease is incomplete uterine involution, when part of the placenta or fetal membrane remains or becomes infected, affecting uterine contraction and involution. Maternal other whole body

Factors, such as chronic diseases, excessive blood loss, excessive fatigue, failure to recover physical fitness, or local factors such as excessive uterine expansion and uterine fibroids can all affect incomplete uterine involution.

Secondly, after cesarean section, the uterine wall incision ruptures, bleeding is not completely stopped during surgery, or there is postoperative infection, which affects the recovery of the uterus and causes continuous bleeding.

2. Classification

Normal lochia is divided into three types according to its color, contents and time:

1. Bloody lochia

It is named because it contains a large amount of blood, which is bright red in color, large in amount, and sometimes contains small blood clots. Microscopically, a large number of red blood cells, necrotic decidua and a small amount of fetal membranes were seen. Bloody lochia lasts less than 3 days. Bleeding

Gradually decrease, the serous fluid increases, and turns into serous lochia.

2. Lochia

It is named because it contains a large amount of serous fluid and is light red in color. Microscopically, there are a lot of necrotic decidual tissues, intrauterine exudate, cervical mucus, a small amount of red blood cells and white blood cells, and bacteria. Lochia

It lasts for 4-14 days, the serous fluid gradually decreases, the number of white blood cells increases, and it turns into white lochia.

3. White lochia

It is named because it contains a large number of white blood cells, is white in color and has a viscous texture. Under the microscope, a large number of white blood cells, necrotic decidual tissue, epidermal cells and bacteria were seen. The white lochia lasts for about 3 weeks.

Although every parturient has lochia, the amount discharged is different for each person, and the average total amount can reach 500 to 1000 ml. The duration of continuous discharge varies from one parturient to another.

Most women need 2 to 4 weeks, and a few women can last 1 to 2 months.

When a child is breastfeeding, sucking the nipple can cause reflex uterine contractions, which is beneficial to the discharge of lochia in the uterine cavity.

3. Clinical manifestations

1. Tissue residue

It may be due to the advanced pregnancy, uterine malformation, uterine fibroids, etc., or the operator's unskilled technique may result in incomplete removal of pregnancy tissue, resulting in partial

Fabric remains 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 bath in a tub after childbirth or abortion, using unclean sanitary napkins, having sexual intercourse shortly after childbirth or abortion, or by the operator not sterilizing the procedure properly.

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 atony

It may be due to failure to get enough rest after delivery, or due to poor health or prolonged delivery or cesarean section, which may lead to weak uterine contractions and continuous lochia.

Since the symptoms and treatments vary, you are reminded to go to the hospital in time and ask the doctor to find out the cause of the lochia and treat it accordingly.