What are the precautions for postpartum care? Women are the focus of the family at the time of childbirth, but once the child is born, everyone pays attention to the child, often neglecting maternal postpartum care in home care. In this way, once the health care is improper, it will easily lead to abnormal lochia. For the sake of maternal and child health, let's learn about it!
After the fetus is born, the placenta is also released. Later, vaginal discharge will be some brown-red liquid, which contains blood, necrotic decidua, bacteria and mucus, etc., which is medically known as "Lochia".
3-4 days after childbirth is bloody lochia, quantity, brown color red, contains a lot of blood, small blood clots, necrotic decidua. 4-6 days for the slurry lochia, its color fades, containing less and less blood.
7-10 days after the white lochia, containing a large number of white blood cells, decidual tissue, epidermal cells and bacteria. Lochia basically stopped around January. The normal lochia has a smell of blood and does not smell bad. If there is odor, or red lochia, white lochia too much and the duration is too long, and then repeatedly, it shows abnormal lochia.
Unusually abnormal lochia is the manifestation of certain diseases, and peripartum hemorrhage and infection are the most common. After delivery of the placenta, the uterine wall of the placenta wound has a large number of open blood vessels, postpartum hemorrhage, the general amount of bleeding is about 150-300 ml, more than 400 ml within 24 hours, known as postpartum hemorrhage. Uterine contractility, placenta retention or residual, cervical and vaginal tear, pregnant women suffering from anemia, etc., can cause postpartum hemorrhage. The consequences of postpartum hemorrhage are severe and must not be paralyzed.
According to the survey, postpartum hemorrhage is the main cause of death in pregnant women. Infested puerperal infections are common in areas with poor health care. Insufficient vaginal examinations during childbirth or unnecessary vaginal examinations during childbirth can lead to puerperal infections.
In addition, germs can enter the vagina before sex or vaginal bathing from the time of birth, or the pregnant woman suffers from chronic diseases. Maternal fertility is reduced in cases of severe anaemia, malnutrition, gestosis, excessive postpartum hemorrhage at birth, residual placental tissue, etc. The resistance destroys the ecological balance in the vagina. The original parasitic bacteria in the vagina are non-pathogenic and can become active and cause auto-infection. In addition to abnormal lochia, fever, abdominal pain and other symptoms, severe cases can also form peritonitis, and even sepsis, toxic shock.
Second, inappropriate health care during the puerperal period is also an important cause of abnormal lochia. 24 hours after delivery should go out of bed activities, can help the uterus recovery and facilitate the discharge of lochia. However, some mothers do not get out of bed for a long time, and hot weather is also closed. Some ignorant husbands also forced their wife to perform intercourse during the puerperal period, causing rupture of the vaginal mucosa, infection of the endometrium, and abnormal lochia.
Postpartum red lochia is repeated or more and more, from time to time mixed with fresh blood clots, in addition to the possibility of placental polyps, but also vigilance choriocarcinoma. This is a malignant tumor with a high degree of malignancy. It occurs after the hydatidiform mole, and about 20% of cases are secondary to full-term pregnancy or pregnancy. Such cancers are not uncommon. A few days after normal pregnancy delivery, urine or chorionic gonadotropin becomes negative, and if it is still positive with repeated bloody lochia, it should be highly vigilant.
Tips: Women must learn to take care of themselves before giving birth or after giving birth! Lochia is a mirror of maternal health. In the event of an abnormal lochia, it should be promptly examined and treated in the hospital.
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