Still having bloody lochia 13 days after delivery?

Apr 19, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
Thirteen days after childbirth, the presence of bloody lochia may be caused by physiological factors or pathological factors such as retained placental tissue or postoperative infection. Lochia typically refers to the vaginal discharge following delivery, which contains blood, necrotic decidua, and other secretions. If a woman has had limited physical activity during pregnancy or has poor physical condition, her body may recover more slowly.

It is possible to still have bloody lochia 13 days after childbirth due to either physiological or pathological factors, such as retained placental tissue or postoperative infection. Targeted treatment is required, and the specific analysis is as follows:

I. Physiological Factors

Lochia typically refers to the vaginal discharge containing blood and necrotic decidua following childbirth. If a woman has had low physical activity during pregnancy or generally poor physical condition, her body may recover more slowly, resulting in persistent bloody lochia 13 days after delivery. Patients should ensure adequate rest, maintain a relaxed mood, and engage in appropriate outdoor exercise.

II. Pathological Factors

1. Retained Placenta

If part of the placenta remains inside the uterus after delivery, it can prevent complete uterine repair, impair uterine contraction, and lead to continued bloody discharge. Under medical guidance, medications such as mifepristone tablets or misoprostol tablets may be prescribed to help expel the residual tissue.

2. Uterine Infection

Poor personal hygiene after childbirth may allow bacteria or other pathogens to infect the uterus, causing this condition. Treatment under medical supervision may include antibiotics such as amoxicillin capsules or cefaclor capsules.

In addition to the above, poor uterine involution can also cause persistent lochia. During recovery, it is recommended that the mother maintain proper warmth and avoid cold exposure.