The first major problem after childbirth is the secretion of milk, the second problem that many people ignore is the discharge of the dew, but some people have poor health, the dew will not be discharged, so how to do after childbirth dew is not clean? What is the best way to treat it? New mothers, for their own health, hurry up to learn together.
Normal nightmare has a bloody smell, not smelly. Malodex can be divided into three kinds. One is bloody nightmare. This is the discharge from the first to the fourth day after delivery, with a large amount, bright red color, containing blood, meconium and mucus, similar to menstruation, or slightly more than the amount of menstruation, and sometimes with blood clots; second is the plasma malodour. It is discharged 4-6 days after delivery and is light red in color, containing a small amount of blood, mucus and more vaginal secretions with bacteria; third is white malodor. This is the white or yellowish nightmare discharged 1 week after delivery, containing a lot of white blood cells, meconium cells and bacteria, like leucorrhea, but more than the usual leucorrhea. Although every woman has nightmare, the amount of nightmare discharged varies from woman to woman, with an average total of about 500 to 1000 ml. The duration of continuous dew discharge varies from woman to woman. Normal women have clean dew for about 3 weeks, but if the dew is still dripping for more than two months after delivery, the dew is not clean.
I. Three causes of postpartum dew that is not clean
1, tissue residue
It can be due to uterine malformation, fibroids and other reasons, resulting in pregnancy tissue not completely removed, resulting in some tissue residue in the uterine cavity. In this case, in addition to unclean dew, the amount of bleeding is sometimes high and sometimes low, with blood clots inside, accompanied by bouts of abdominal pain.
2.Uterine cavity infection
This can be caused by infection of the uterine cavity due to bathing after childbirth, unclean sanitary napkins, or intercourse before the full moon after childbirth. At this time, there is a foul smell of malodorous fluid, abdominal pressure pain, accompanied by fever, and the total number of white blood cells can be seen to increase.
3.Lack of contractions
This can be caused by failure to rest well after childbirth, or weakness and illness, or prolonged labor, resulting in weak contractions and unending dew.
Due to the different symptoms, treatment varies. By observing the nature, odor, amount and duration of malodex, we can understand the recovery of the uterus and the presence of infection. If the bloody nightmare lasts for more than 2 weeks and the amount is large, it often indicates poor recovery of the placenta or residual placental membranes. If the nightmare does not clear one month after delivery and is accompanied by foul smell or putrid smell, or abdominal pain and fever, it may be an infection in the vagina, uterus, fallopian tubes and ovaries. Therefore, you should go to the hospital in time to ask the doctor to find out the cause of unclean dew and treat the cause.
Diagnosis of unclean dew
1. 3 weeks after childbirth, there is still red malodor coming out of the vagina.
2.If there is foul odor, or if there is low fever, lower abdominal pain, poor uterine regeneration, or if there is tenderness in the uterus, then there is uterine infection.
3.If there is poor uterine regeneration and tissue in the uterine cavity on ultrasound examination, it is placenta or placental residue.
If more vaginal bleeding or prolonged bleeding is found, or the blood has a strange smell you should go to the hospital as soon as possible. If the situation is serious or if placenta residue is found, if the residue stays for a long period of time a curettage can be performed under ultrasound to try to remove it at once. Exclude infection, placenta residue and other lesions.
Third, the prevention of postpartum dew does not end
1. Actively treat various pregnancy diseases before delivery, such as gestational hypertension syndrome, anemia, vaginitis, etc.
2.For premature rupture of membranes and long labor, give antibacterial agents to prevent infection.
3.Check carefully whether the placenta and fetal membranes are complete after delivery, if there is any residue, deal with it in time. Check the placenta and membranes by laying the placenta flat with the mother facing upward and pay attention to whether the lobes can be aligned and whether there is any defect. Then lift the placenta and check if the membranes are intact, at the same time, pay attention to any abnormal blood vessels passing through the membranes, if there are broken ends of blood vessels, it means that there may be “parietal placenta” remaining in the uterus. If the placenta is incomplete or most of the membranes remain, it must be removed under strict sterilization or with instruments into the uterine cavity to prevent postpartum bleeding or infection. If there is a small part of fetal membrane residue, you can use contraction agents to promote its natural discharge after delivery.
4. Insist on breastfeeding to facilitate contraction of the uterus and discharge of malodex.