Under normal circumstances, lochia can be completely discharged 4-6 weeks after delivery.
In the first few days after delivery, lochia is relatively large and bright red, which is called red lochia, also known as bloody lochia, and generally lasts for 3-7 days; 7- 15 days after delivery, the blood volume of lochia decreases and its color turns pale red, which is called plasma lochia; 15-265438+ 0 days after delivery, lochia is white or yellowish, which is called white lochia.
Normal lochia smells of blood, but it doesn't stink. If lochia hasn't been discharged after 6 weeks, or it smells bad, you may have a problem and suggest seeing a doctor. Don't worry, some parturient lochia is discharged slowly, but there is no odor. )
After caesarean section, lochia can be discharged in about 3 weeks, but the situation of each parturient is different, some are earlier, about 2 weeks, and some are later, usually about 6 weeks.
The amount and color of lochia vary with postpartum time. Generally speaking, lochia is the most common in 3-7 days after delivery. At this time, the lochia is bright red and has a bloody smell, which is called red lochia, also known as bloody lochia. Since then, due to the repair of endometrium, the amount of bleeding will continue to decrease, and lochia will also decrease after caesarean section. 7 ~ 15 days after delivery is serous lochia with light color. After delivery 15 to 2 1 day, the amount of lochia will decrease. The color of lochia is white or light yellow, and it will not contain blood and other objects. The discharge of lochia usually lasts for about 3 weeks, but some of them last for 6 weeks, depending on personal circumstances.
Generally speaking, caesarean section will be slower, but if the lochia amount is as high as 1 week after caesarean section, or the lochia has an odor, it is necessary to go to the hospital for examination.
Whether it is a natural delivery or a caesarean section, their nursing methods are roughly the same. During childbirth, you must pay attention to the following points:
1. Scientific diet. Postpartum women are weak and need proper nutrition. They can also drink more brown sugar water to help eliminate lochia.
2. The temperature is suitable. Pay attention to keep warm during confinement, but not too hot, so as to avoid puerperal fever endangering health. At the same time, we should also pay attention to the cleanliness of perineum and change it frequently.
3. Keep the indoor air fresh to facilitate the early recovery of qi and blood, but avoid convection.
4. Maternal women should get up early, which is helpful to the circulation of qi and blood, so that the residual stasis accumulated in the uterus can be discharged as soon as possible.
5. Breastfeeding, breastfeeding can also stimulate uterine contraction and help lochia discharge.
Diagnosis of postpartum lochia;
1. Three weeks after delivery, the red lochia is still discharged.
2. Lochiorrhea is always smelly, or accompanied by low fever, lower abdominal pain, poor uterine involution, or uterine tenderness, which may be intrauterine infection.
3.B
Ultrasound showed poor involution of uterus. When there is tissue in the uterine cavity, it is placenta or placenta residue.
Some puerperal lochia are always unclean or smelly, which may be caused by the following reasons:
1. intrauterine infection: it may be caused by the entry of bacteria into the bathtub used after delivery, or it may be caused by unqualified personal hygiene and unclean sanitary napkins. , or premature sexual intercourse after delivery.
At this time, lochia has a bad smell, abdominal tenderness and fever.
2. Tissue residue: It may be caused by uterine malformation and hysteromyoma. , or the operator is not skilled, resulting in incomplete excision of pregnancy tissue, and some tissues remain in the uterine cavity.
At this time, besides lochia, there are frequent bleeding, blood clots and intermittent abdominal pain.
3. Lack of contractions: It may be that you are too tired after delivery, have no rest, or are weak. It may also be that the production time is too long, which consumes qi and blood, resulting in uterine contraction fatigue and lochia.
If bloody lochia lasts for more than 2 weeks, it may be due to poor recovery of placental attachment or residual placental membranes. If postpartum lochia is still unclean 1 month, it may be accompanied by odor, abdominal pain and fever, which may be caused by infection of vagina, uterus, fallopian tube and ovary. If there is much bleeding and the uterus is big and soft, it may be a bad involution of the uterus.
Once you find these situations, you must seek medical advice in time!
You can start wearing abdomen clothes on the third day after delivery. Generally speaking, all pregnant women can start to wear abdomen clothes within one week after delivery. The whole delivery process was a super nightmare for me.
On February 10 morning, I began to have irregular stomachache, sometimes every ten minutes, sometimes every five or six minutes. It was not until the afternoon that I packed my things and went to the hospital with my husband and mother-in-law. When I arrived, I had an internal inspection. Oh, sour and refreshing. Then tell me that the palace door has not been opened. Because of the lack of beds, the doctor suggested hospitalization, so I stayed in the hospital. After that, I did a series of tests, such as B-ultrasound and electrocardiogram. At that time, the contractions were irregular and the stomachache continued, but I could bear it. It hurts more than menstruation. 1 1 Take blood pressure in the morning. The doctor said that my low pressure is on the high side, so I need an intravenous drip to see if it can come down. If it doesn't come down, I'll have to have a caesarean section. I was scared, so I didn't want to have a caesarean section. I had an intravenous drip all day, from 8: 30 in the morning to 5: 00 in the afternoon.
I told my husband that I want to go home. When can I go home? Husband said that you should ask when the one in your belly will come out! In the evening, my husband said that I might go to work tomorrow, so I asked my mother-in-law to accompany me during the day, because I didn't want her to accompany the children in my heart, and said, Come out quickly, son, if you don't come out, your father will go to work, so you can't accompany your mother! At ten o'clock in the evening, the fetal movement is so frequent that I can't sleep at all. I got up and went to the toilet and found brown secretions. I had a big heart at that time. I thought it was nothing, so I went back to bed. At twelve o'clock, my stomach hurts more and more, but it is still irregular. At three o'clock, the pain was unbearable and the pain lasted longer and longer.
My mother-in-law told my husband to see a doctor. The doctor said wait in the delivery room. When I went to the delivery room for internal examination, the doctor said that I had opened my third finger. I almost cried. I asked if I could give birth painlessly. The doctor said that you can't be painless at night. I was really dead at that time. Later, the doctor said to break the amniotic fluid first and let me do fetal heart monitoring. As a result, the fetal heart rate dropped too fast. Tell me you should go to the maternity bed to prepare for delivery. Your fetal heart is too scary. If you can't have a baby, you can only have a caesarean section. At that time, I thought caesarean section was better for me. The next step is to shave, inhale oxygen, hang a drip and fix it on your hand. I didn't feel it at that time (usually I am a person who draws blood from fear).
Then the feeling of wanting to poop is getting stronger and stronger, which is really unbearable. I was crying over there, and I didn't care about my image or anything. The doctor scolded me and told me to shut up. When I feel pain, I want to poop, so I pull it down with a long force and do this three or four times. Last time the doctor said it hurt, I told her. The baby and blood flowed out together. At that moment, my stomach felt empty and particularly comfortable. The doctor said it was a son. As soon as I saw the baby, I weighed it. Then I pressed my stomach and pulled out the placenta. At that time, I was still in the numbness stage, and I didn't feel uncomfortable and painful. I didn't have anesthetic when I sewed the needle, but I could bear it at first. Then I really couldn't get rid of the pain. I asked the doctor several times. For me, the pain of sewing needles is no less than giving birth to a child on a maternity bed! He entered the delivery room at three in the morning, the baby was born at three fifty-eight, and returned to the ward at six.
On the third day, I went home from the hospital and started the confinement life that everyone was afraid of. Changing diapers is a common experience for everyone. For convenience, I bent down to change diapers. Over time, my back ached. Later, I found that I adopted a squat posture: straighten my waist and support my upper body with my thighs. This posture can greatly reduce the back pain caused by bending for too long and being too tired. (Small coup of discovery). I have a lot of milk. The baby still drinks milk every day, but still insists. Lochia takes 25 days from the beginning to the end. Postpartum care after giving birth is also very important.
If many treasure mothers don't pay attention during confinement, they will easily fall into the root of the disease. Some people will have backache, especially after doing heavy work. Bao Ma, who has a caesarean section, thinks it may be because of anesthesia during caesarean section. Actually, it's not. Sometimes precious mothers may fall into the moon disease if they are not careful. It is also when you don't pay attention to breastfeeding in the second month. When your clothes are rolled up, it hurts when you catch a cold waist. Several kinds of binding tapes were lost before production. The first one was gauze, and it didn't kill me once. I really can't take it out, so I gave up decisively. The second one is corset, which consists of three sections. Spent a day curled up and flew away! ! ! I'm almost crazy! ! ! Finally, I found a corset that suits me. You can wear it directly to sleep at night, which is also very convenient for feeding, but it is very comfortable to wear, and the waist is warm, which can also help me.
I wear black skin color for your reference. Choose good fabrics for postpartum treasure mom. But there is no need to pursue brands. ) The key is really slim! Ma Bao from the community said it was very good, and she planned to buy one for her confinement in the future. I wear this slimming suit to sleep every day and then change two sets back and forth.
In less than two months, my stomach was completely flat! At the age of three months, it dropped from postpartum 144 kg to 96 kg and returned to pre-pregnancy. Later, I learned that it has the effect of burning fat. When breastfeeding, you must pay attention. Don't catch cold. You must take good care of your waist. Cold waist not only hurts the back, but also loves to accumulate fat, forming a bucket waist.
Postpartum diet precautions, better recovery.
The staple food should be coarse grains, flour and rice. Many new mothers take Xiaomi as the leading role in the second month. In fact, many other coarse grains also have nutritional value, such as corn flour, brown rice and standard flour, and their vitamin B content is several times that of polished rice and white flour. Proper soup is easy to digest and absorb, and it can also promote milk secretion. However, a few days after delivery, new mothers are forbidden to drink nutritious soup with the function of reducing milk. Within a few days after the baby is born, the food intake is very small, and the new mother's breast milk is sufficient in both nutrition and quantity. If you drink milk soup, the new mother will have too much milk, which will easily lead to breast pain and even serious breast blockage.
Avoid hard, cold and spicy foods. The postpartum diet of new mothers should be light and easy to digest. Hard and cold food is easy to damage the spleen and stomach of the new mother and affect the digestive function. Cold food is also easy to cause blood stasis, thus causing postpartum abdominal pain and postpartum lochia. Moreover, spicy food is easy for new mothers to get angry, causing aphtha, constipation or hemorrhoids. If the mother is hot, it will also affect the baby through milk. Therefore, new mothers should fast hard, cold and spicy food within 1 month after delivery.
Postpartum lochia is the process of discharging necrotic embryonic membrane tissue from vagina with blood, which is called lochia discharge process. It usually takes 4-6 weeks for lochia to be discharged gradually.
Many mothers wear shaping clothes after giving birth. In the choice of shaping clothes, it is best to let them do it themselves, or choose the one that suits their body. Don't make the choice of quick slimming and shaping.
How long does it take for postpartum lochia to be discharged? It is a common concern of postpartum mothers. We must first know what postpartum lochia is.
Postpartum lochia is the discharge of uterine decidua, and the necrotic membrane and other blood-containing tissues pass through the vagina, which is a clinical manifestation of puerperal women and a physiological change. The lochia smells of blood, but it has no smell. Its color and content change with time, generally lasting for 4 ~ 6 weeks, and the total amount is 250ml ~ 500ml. If it exceeds 6 weeks, there are still many lochia discharged, which is called postpartum lochia.
Lochiorrhea is mostly caused by poor involution of uterus, including PWRH collagen powder, collagen tripeptide, gelatin powder, bird's nest powder, Saussurea involucrata culture and other nutrients. It can help protein fold of uterine wound, maintain normal protein conformation and cell morphology, promote wound healing, and make a good nutritional reserve for new cell regeneration. Stimulate the self-repair system of uterine collagen cell molecules.
Postpartum lochia can be divided into three stages:
1, bloody lochia: 3-4 days after delivery, lasting about 1 week;
2. Serous lochia: The color gradually fades around 2 weeks.
3, white lochia: sticky, white, lasting 2-3 weeks.
Note: while waiting for lochia to be discharged, mother must always observe lochia. If there are too many, large blood clots, foul smell, and even abnormal conditions such as fever and abdominal pain, you must seek medical attention. If there is no such symptom, the parturient should change the sanitary towel of the parturient at any time, keep the perineum dry, and wash the perineum with warm water shower. Lochiorrhea is caused by vaginal shedding due to the mixture of blood, white blood cells, mucus and residual tissues in postpartum uterus.
1, poor involution of postpartum uterus
B-ultrasound often suggests that the uterus is large, there is effusion in the uterine cavity, and there is a great possibility of hematocele. Due to poor postpartum uterine contraction, fluid and blood remain in the uterus, resulting in irregular vaginal bleeding.
2, puerperal infection
Postpartum inflammation and impurity caused by puerperal infection. If this is the case, routine blood tests will show that white blood cells are elevated and the neutral ratio is increased.
The standard of using PWRH postpartum recovery supplement is 30 days recommended by some obstetricians. Some doctors think that physical repair will take at least two to three months. Refer to WHO's iron supplement dosage (daily 120mg elemental iron combined with 400μg folic acid) until the hemoglobin content returns to normal.
3, high protein moon meal
A diet high in sugar and protein during confinement not only increases the burden on liver and kidney, but also easily leads to long-term obesity and lochia.
There are not enough nutrients in the diet, and even the best diet can't provide good nutrition. Therefore, the nutrition recipes for pregnancy and childbirth in PWRH, the nutrition needed for pregnancy and childbirth in French PWRH, include bird's nest powder, glue paste, hemoglobin exchange, gelatin powder, bird's nest powder, zinc gluconate, vitamin A, folic acid, etc. It is immediately absorbed through the cell membrane and reaches the blood through the cells. 25 times that of traditional complementary food.
1, indoor air should be well circulated, turbid air should be eliminated, and qi and blood should be restored as soon as possible. Encourage the lying-in women to get up early, help the circulation of qi and blood, and discharge the excess sludge accumulated in the uterus as soon as possible.
2, the temperature should be appropriate, qi deficiency and blood stasis syndrome should pay attention to keep warm and avoid the invasion of cold air. Blood-heat syndrome clothes should not be too warm to avoid aggravating symptoms. Keep the perineum clean.
3, the diet should be light and nutritious. People with blood fever can eat fresh fruits such as lotus root, pear, cucumber, watermelon and tomato. But generally speaking, you should be careful to eat cold and spicy things.
For women with postpartum lochia, don't be depressed. The so-called mother-child connection, the mother's bad mood will also affect the healthy growth of the baby. In order to give the baby a healthy growth environment, it is necessary to treat the lochia after real estate correctly and scientifically. Don't panic, just face the treatment positively. I believe my body will recover as before!
WHO and WHO have emphasized the importance of maternal and child postpartum health care at TWG meeting. If the parturient can't get correct, systematic and active postpartum rehabilitation care, there may be poor postpartum rehabilitation, such as loose birth canal, poor postpartum uterine involution, uterine prolapse, postpartum depression, postpartum obesity, frigidity, etc., which will affect women's physical and mental health.
Whether it is 28 days or 30 days, this time is actually not enough. Modern obstetrics and gynecology research shows that it usually takes 6 weeks for postpartum uterus to retract to prenatal size, and at least 8 weeks for endometrial repair at placenta attachment. Therefore, postpartum women need more than 60 days of gray recovery time, especially women over 30 years old, and the uterus recovery time is longer.
Secondly, it takes 6 months for skin elasticity to recover. After delivery, the parturient will have rectus abdominis separation, lose visceral support and feel fat in the abdomen. Although pregnancy will increase fat, abdominal fat is mainly caused by the relaxation and separation of rectus abdominis and viscera. It takes six months for rectus abdominis to recover.
Hello, lochia is the blood discharged after childbirth, which is usually discharged within three weeks. Some women will be discharged after six weeks because of their weak body.
If it continues to drip for more than six weeks, it is called lochia, which is mostly caused by cold coagulation and blood stasis. It is often accompanied by low back pain, abdominal distension and cold pain. Poor discharge of lochia will affect the recovery of uterus and even the whole body. Seriously take medicine under the guidance of a doctor, and pay attention to vulvar hygiene during the period. It is forbidden to share a room for two months.
Wearing a corset is not good for repairing the lower body. Patients are advised not to wear tights yet, but to wear a belt. Theoretically, women had better not wear corsets. Regardless of fertility or not, abdominal girdling will not only help to restore the tension of abdominal wall, but also reduce the supporting function of supporting tissues and ligaments in the posterior pelvic floor to reproductive organs due to the increase of abdominal pressure, which will lead to uterine prolapse, severe uterine backward and vaginal bulging. Due to the change of the normal position of reproductive organs, pelvic blood flow is not smooth, and the resistance is reduced, which is easy to cause pelvic inflammatory disease, adnexitis, pelvic blood stasis syndrome and other gynecological diseases, seriously affecting maternal health. Wearing corsets will not affect milk production, but drinking more soup and eating more food rich in protein can increase milk. In order to recover the body after delivery, not only should you wear a corset, but also do more exercise to promote the recovery of the uterus.
It will be cleaned in two or three weeks to six or seven weeks, usually about a month. Don't wear a corset for a long time after delivery. Your internal organs have not returned to their original positions, because the enlarged uterus has not shrunk during pregnancy. Using corsets in a hurry at this time is not good for your internal organs recovery and your comfort. You can use a pelvic girdle or postpartum abdomen product appropriately, and don't use it for a long time. In addition, the fastest way to lose weight after childbirth is breastfeeding, which does not affect health, but also can give children nutrition, killing two birds with one stone.