13 days after delivery, there are large blood clots in the lochia

Different mothers have different physical constitutions, so the time when lochia is discharged is also different. But under normal circumstances, every woman should have lochia discharge after giving birth, because only by completely discharging the lochia can the health of the mother's reproductive system be guaranteed. Lochia is divided into different types according to its manifestations. If you find large blood clots when you discharge lochia 13 days after delivery, what type is it?

What is the cause of blood clots in lochia after childbirth?

It is normal to have blood clots in the lochia after delivery. Lochia is divided into bloody lochia, serous lochia, and white lochia. Its duration and manifestations are as follows: bloody lochia flows out in the first 3 to 4 days after delivery, containing a large amount of blood, bright red in color, sometimes with small blood clots, a small amount of fetal membrane tissue and fragments. Serous lochia is discharged 5 to 10 days after delivery. The amount of blood is reduced and the color is light red or brown. The light brown color is like serous and contains a small amount of blood, but more cervical mucus, vaginal discharge and bacteria. White lochia appears 10 days after delivery, with less bleeding, thicker, white or yellowish white in color, and contains more tissue fragments, epidermal cells, white blood cells and bacteria. Normal lochia has a bloody smell but no odor, and returns to normal after 5 to 6 weeks.

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.

What to do if there are blood clots in lochia after delivery

If there are blood clots in the lochia after delivery, the cause should be identified first and then treated accordingly.

1. Tissue residues. If the B-ultrasound examination indicates a light mass in the uterus, a uterine curettage must be performed. Women who have given birth naturally can undergo a uterine curettage directly. If the woman has had a cesarean section, it is recommended that a uterine curettage be performed under B-ultrasound positioning, which is safer. After the operation, treatment should be given to prevent infection and promote uterine contraction.

2. Poor uterine involution after delivery. B-ultrasound often shows that the uterus is enlarged, there is fluid accumulation in the uterine cavity, and there is a high possibility of blood accumulation. Due to poor uterine contraction after delivery, there is residual fluid and blood in the uterus, which leads to irregular vaginal bleeding. If this is the case, oxytocin must be injected intramuscularly or intravenously, and then Chinese medicine should be used to promote uterine contraction. If necessary, oral antibiotics should be taken to prevent infection. Adherence to breastfeeding is beneficial to postpartum uterine contraction and involution.

3. Puerperal infection. Endometrial inflammation leads to postpartum lochia. If this is the case, routine blood tests will indicate elevated white blood cells and neutrophil ratio, and B-ultrasound examination often shows no obvious abnormalities. In this case, intravenous anti-infection treatment is required. If breastfeeding is ongoing, it is best to use a third-generation cephalosporin antibiotic combined with metronidazole intravenous drip for 3 to 5 days.