What Is Lochia?

Bloody lochia refers to the falling off of the decidua following the uterine decidua, especially the placenta attachment after delivery. It is bright red, contains a large amount of blood, and has a large amount, sometimes small blood clots, a small amount of fetal membrane and necrotic decidual tissue. .

Blood lochia

Bloody lochia refers to the falling off of the decidua following the uterine decidua, especially the placenta attachment after delivery. It is bright red, contains a large amount of blood, and has a large amount, sometimes small blood clots, a small amount of fetal membrane and necrotic decidual tissue. .

Affected area

whole body

Related diseases

Anemia, iron deficiency anemia, hemolytic anemia, etc.

Affiliated Department

Obstetrics and Gynaecology

Related symptoms

White lochia postpartum lochia is not clean and smelly

When the fetus is delivered within 3-4 weeks, the tissues, mucus in the uterine cavity and the blood discharged from the wound are mixed together and discharged from the vagina, commonly known as lochia.

It was mentioned in the classics of Chinese medicine "Fetal Birth Heart Law": due to injury to the menstrual blood during delivery, insufficiency, unable to take pictures, or insufficient blood, it is difficult to get good blood, and it goes on for a long time. Therefore, lochia is not only related to deficiencies or blood stasis. Normal lochia has a bloody smell, but no odor. It lasts for 4 to 6 weeks, and the total amount is about 250ml-500ml, which varies greatly from individual to individual. In the first week after delivery, the amount of lochia is large, the color is bright red, and it contains a lot of blood, small blood clots and necrotic decidual tissue, which is called red lochia. After 1 week to half a month, the amount of blood in the lochia decreases. Most of the necrotic decidua, cervical mucus, vaginal secretions and bacteria make the lochia become a reddish slurry. Sexual lochia. Traditional Chinese medicine believes that postpartum injury will result in menstrual blood loss, insufficiency, inability to take pictures, or insufficient blood.

The cause of postpartum lochia in women is generally related to physical weakness, mostly due to qi deficiency, blood stasis or blood heat. The women with qi deficiency have insufficient blood gas before delivery, coupled with the loss of blood during childbirth, they do not take good care of the tonic after delivery. As a result, the spleen and spleen can not be taken for blood. The blood stasis is caused by the stasis and blood stasis, and the blood-heated woman loses blood during delivery. Yin deficiency is caused by blood heat.

Observe if your lochia is normal. Some lochia is abnormal and should be paid attention to

Two days after childbirth, the vagina was still dripping, and some blood-like fluid kept flowing out. The doctor said that it was lochia and it was normal. However, when you see those bright red mucus with blood clots in the middle, postpartum, as the endometrium (especially the endometrium where the placenta is attached) falls off, the mucus secreted by the uterus will also flow from the vagina. Lochia. The normal lochia has a bloody smell, but it does not smell, and the total amount is about 500-1000 ml. Under normal circumstances, lochia is cleaned about 3 weeks after delivery.

In the first week after delivery, the amount of lochia is large, the color is bright red, and it contains a lot of blood, small blood clots and necrotic decidual tissue, which is called red lochia.

Confused symptoms of blood lochia

Prolonged duration of bloody lochia: The most prominent clinical manifestation of uterine insufficiency is prolonged duration of bloody lochia, which lasts only 3 days from normal to 7-10 days, or even longer. If the disease is caused by residual placenta, the blood lochia lasts for a long time, and the blood volume also increases significantly. At this time, the lochia is often cloudy or accompanied by odor.

Postpartum lochia: After the delivery of the parturient, the decidua falls off from the uterine decidua, especially the placenta. The tissue containing blood and necrotic decidua is discharged through the vagina as lochia. Postpartum lochia that persists for more than three weeks is called endless postpartum lochia. Postpartum lochia is caused by dysfunction of the meridians during delivery, which causes dysfunction of qi and blood, and there are still vaginal bleeding patients more than 3 weeks after delivery. It is equivalent to bad uterine restoration, mild uterine infection, and placenta and fetal membrane residue. Under normal circumstances, lochia is clear about 3 weeks after delivery. If lochia is still unclean after 3 weeks, it is a pathological phenomenon. The amount is more or less, the color is reddish or crimson or dark purple, or there is blood clot, or smelly or odorless; the maternal is often accompanied by back pain, lower abdominal pain, sometimes fever, headache, joint pain Etc. Gynecological examination can find bad uterine restoration.

White lochia: sticky and white in color. Contains a large number of white blood cells, necrotic tissue decidua, epidermal cells and bacteria. White lochia lasts 3 weeks clean.

Postpartum lochia is not clean and has a bad smell: Late postpartum hemorrhage is mostly manifested as postpartum lochia is not clean and has a bad smell. Repeated or sudden vaginal bleeding can cause anemia, shock and even life-threatening. Late postpartum hemorrhage refers to massive uterine bleeding that occurs during the puerperium 24 hours after delivery, and the amount of bleeding exceeds 500ml. Onset is most common 1 to 2 weeks postpartum, and late onset 6 weeks postpartum. Also known as puerperal bleeding. The incidence of late postpartum hemorrhage is closely related to the quality of antenatal care and obstetrics in various places. Have a history of lower abdominal pain, low fever or postpartum low fever.

1. If there is any abnormality in the lochia, please consult a doctor for treatment in time. At the same time, pay attention to postpartum hygiene, replace the perineal pads as usual, change one underwear every day, and prevent genital tract infections.

2. If the new mom with normal childbirth is in good health, she can go out of bed within 24 hours after delivery to promote the discharge of lochia.

3. Do puerperal exercises under the guidance of a doctor, drink some brown sugar water to promote blood circulation, and also promote the smooth discharge of lochia, which is conducive to uterine contraction.

4. Maternity is best to take a side-lying position during sleep to prevent the uterus from dumping backwards, which is not conducive to the discharge and drainage of lochia.