Lochia
Introduction
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. Under normal circumstances, the lochia can be drained within three weeks after birth. If it is still over three weeks, it will be "not enough." Therefore, the lochia is more than related to "deficiency" or "blood". Lack of lochia is also easy to induce late postpartum hemorrhage, and even hemorrhagic shock, severe cases can occur sepsis, endangering maternal life.
Cause
Cause
1. Residues of tissue may be due to large pregnancy months, or uterine malformations, uterine fibroids, etc., or may be unskilled by the surgical operator, resulting in incomplete removal of the pregnancy tissue, resulting in some tissue residues remaining in the uterine cavity. Inside. 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.
Second, intrauterine 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 uterine 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.
Third, the uterus is weak, 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 and blood, resulting in weak uterine contractions, endless exposure.
Examine
an examination
Related inspection
Genital tract secretion culture obstetric examination
First, the normal lochia has some bloody smell, the total amount is about 500 to 1000 ml, but it is not stinky. In general, lochia is cleaned about three weeks after birth.
Second, if two weeks after childbirth, the lochia is still bloody, the amount is high, accompanied by bad smell, sometimes excreted rotten meat-like things, or fetal membrane-like things, the uterus is very poor, then you should consider the residual placenta in the uterus Or fetal membranes, there may be major bleeding at any time.
Third, postpartum production of sputum infection, it will cause endometritis or uterine myositis. At this time, the mother has fever, lower abdomen pain, increased lochia and odor. At this time, the lochia not only has an odor, but also the color is not normal bloody or serous, but is turbid and dirty.
Diagnosis
Differential diagnosis
Bloody lochia:
Also known as red lochia, this is the discharge from the first day to the fourth day after delivery, is bright red, contains more blood, the amount is also more, generally similar to normal menstruation, or slightly more than menstrual volume, sometimes Also has a blood clot.
Serous lochia:
It is light red with a small amount of blood, mucus and more vaginal secretions, as well as bacterial growth. It is discharged about 4 to 6 days after delivery.
White lochia:
It is a white or light yellow lochia discharged after one week after birth. It contains white blood cells, decidual cells, epidermal cells and bacteria. It is shaped like a vaginal discharge, but it is more common than usual.
