Looking at the health status of postpartum women from lochia, it is found that lochia will occur after childbirth, and it will take some time to end whether it is natural delivery or cesarean section. According to the time, color and smell of lochia, we can see the physical condition of postpartum women, so what is normal? How to see the health status of postpartum women from lochia? Let's take a look.
Looking at the health status of postpartum women from lochia 1 If lochia is normal, it means that the maternal body has recovered well; If lochia is abnormal, it is mostly a manifestation of some disease. New mothers immersed in happiness need to pay more attention to lochia, and seek medical attention in time if there is any abnormality, so as not to affect their physical recovery and leave lasting pain.
After the fetus is born, the placenta is also delivered. After that, the vagina will discharge some reddish-brown liquid, which contains blood, necrotic decidual tissue, bacteria and mucus, which is called "lochia" in medicine. 3~4 days after delivery, it is bloody lochia, with a large amount and reddish brown, containing a lot of blood, small blood clots and necrotic decidual tissue. 4~6 days is serous lochia, its color becomes lighter and its blood content becomes less and less. After 7~ 10 days, it is white lochia, which contains a lot of white blood cells, decidual tissue, epidermal cells and bacteria. Lochiorrhea basically stops around 1 month. Normal lochia smells of blood, but it doesn't stink. If there is a bad smell, or if there are too many red lochia and white lochia and the duration is too long, it means that lochia is abnormal.
Abnormal lochia is the manifestation of some diseases, especially postpartum hemorrhage and infection. After the placenta was delivered, there were a large number of open blood vessels in the placenta wound on the inner wall of the uterus, and all of them had postpartum hemorrhage. Generally, the amount of bleeding is about 150 ~ 300ml, and those who exceed 400ml within 24 hours are called postpartum hemorrhage. Uterine atony, placenta retention or residue, cervical and vaginal tears, anemia of pregnant women can all cause postpartum hemorrhage. Postpartum hemorrhage has serious consequences and must not be careless. According to the survey, postpartum hemorrhage is the main cause of maternal death. Maternal infection is more common in areas with poor medical and health conditions. Inadequate disinfection of instruments during delivery, too many unnecessary vaginal examinations during delivery and unclean postpartum will all cause puerperal infection. In addition, germs can enter the vagina from sitting bath before sexual intercourse or delivery, or pregnant women suffer from chronic diseases, which will reduce maternal resistance in cases of severe anemia, malnutrition, pregnancy poisoning, excessive postpartum hemorrhage, and residual placental tissue. And destroy the' ecological balance' in the vagina. Non-pathogenic bacteria originally parasitic in vagina will become active at this time, causing autologous infection. In addition to abnormal lochia, there are many symptoms such as fever and abdominal pain, which can form peritonitis, even sepsis and toxic shock.
Secondly, improper health care during childbirth and prayer is also an important reason for lochia. Getting out of bed 24 hours after delivery can help the uterus recover and help the lochia to be discharged. However, some pregnant women don't get out of bed for a long time and close their doors in hot weather. Some ignorant husbands still force their wives to have sexual intercourse during childbirth, which leads to vaginal mucosal rupture and endometrial infection, resulting in abnormal lochia.
Postpartum red lochia is repeated or increasing, mixed with fresh blood clots from time to time. Besides the possibility of placental polyps, we should also be alert to choriocarcinoma. This is a kind of cancer with high malignant degree, which mostly occurs after hydatidiform mole, and about 20% cases are secondary to full-term pregnancy or exist at the same time as pregnancy. This kind of cancer is not uncommon. A few days after normal pregnancy delivery, urine or blood chorionic gonadotropin turns negative. If repeated bloody lochia is still positive, we should be on high alert.
Looking at the health of postpartum women from lochia. What are the causes of lochia?
Unclean lochia refers to incomplete lochia or irregular uterine bleeding 6 weeks after delivery, also known as prolonged lochia. Both natural delivery and cesarean section may occur, which is related to the quality of postpartum rest and breastfeeding. Postpartum women after cesarean section are particularly prone to lochia. There are three main reasons for postpartum lochia:
1, tissue residue
It can be caused by uterine malformation and hysteromyoma. Or because the operator is not skilled, the pregnancy tissue is not completely removed, resulting in some tissues remaining in the uterine cavity. At this time, besides lochia, there are frequent bleeding, blood clots and intermittent abdominal pain.
2. Intrauterine infection
Uterine cavity infection can be caused by postpartum bathing, unclean sanitary napkins, or sexual intercourse before the full moon after childbirth, or poor disinfection by operators. At this time, lochia smells, abdominal tenderness and fever, and the total number of white blood cells in blood test increases.
3, uterine inertia
How to treat postpartum lochia?
Traditional Chinese medicine has long studied the symptoms of postpartum lochia, and the treatment of postpartum lochia should be based on the principle of tonifying deficiency and removing blood stasis, with reasonable drugs for qi and removing blood stasis. The famous prescription of traditional Chinese medicine "postpartum lochia ointment" is a specific medicine for treating this disease in traditional Chinese medicine It consists of four Chinese medicines: motherwort, safflower, peach kernel and semen impatientis. Puerperal lochia ointment combined with astringent hemostasis, promoting blood circulation and removing blood stasis can help prevent middle warmer and complement each other. Its medicinal characteristics of invigorating qi and nourishing yin are also in line with the pathogenesis of female physical weakness, making the treatment effect more comprehensive. Therefore, this prescription has been respected by Chinese medicine for thousands of years and has been used for a long time.
1, Qi deficiency and lochia (poor uterine contraction)
Main symptoms: excessive lochia and thin reddish color; Abdominal emptiness, mental fatigue and laziness, pale face.
Commonly used Chinese patent medicines: Buzhong Yiqi Pill and Shiquan Dabu Pill.
2. Blood-heat lochia (intrauterine infection)
Main symptoms: lochia, deep red color, sticky and smelly; Flushing on the face, dry mouth and dry throat.
Commonly used Chinese patent medicine: Danzhi Xiaoyao Powder.
3, blood stasis lochia (intrauterine residue)
Main symptoms: lochia, dark purple with lump, abdominal pain, refusal to press.
Commonly used Chinese patent medicines: Shenghuatang Pill and motherwort capsule.
Precautions for postpartum lochia
1, absolutely stay in bed after delivery, pay attention to vaginal hygiene for those with lochia, and wash vulva with warm boiled water or 1: 5000 potassium permanganate solution every day. Choose soft and disinfected toilet paper, change menstrual pads and underwear frequently to reduce the chance of evil drugs invading.
2, use pad paper to be soft, strict disinfection, to prevent infection.
3, bed rest, avoid emotional excitement, maintain a good mood, comfort patients, eliminate ideological concerns, pay special attention to unexpected mental stimulation.
4, keep indoor air circulation, eliminate dirty gas, but pay attention to keep warm and avoid catching a cold. If it is blood-heat syndrome, clothes should not be too warm.
5. When the lochia decreases and the body tends to recover, the parturient can be encouraged to get up properly, which is helpful to the operation of qi and blood and the discharge of residual turbid gas in the uterus.
6. Sexual intercourse is absolutely forbidden below 50 days after delivery.
7, strengthen nutrition, diet should always be light, avoid cold, spicy, greasy, indigestible food. In order to avoid warm food helping evil spirits, you can eat more fresh vegetables. If qi deficiency, chicken soup, longan soup, etc. If the blood is hot, you can eat pears, oranges, watermelons and other fruits, but you should take them warmly.
8. Patients with blood heat, blood stasis and liver depression should take drinks, such as lotus root juice, pear juice, orange juice and watermelon juice, to clear away heat and remove blood stasis.
9. For patients with spleen deficiency and weak qi, mutton and dog meat can be added for isothermal food supplement in cold season. Patients with liver and kidney yang deficiency can increase food for nourishing yin, such as soft-shelled turtle and nail fish.