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The following answers come from Su Chang, chief obstetrician of the Obstetrics and Gynecology Hospital Affiliated to the Medical College of Zhejiang University. The questions and answers are voluntarily disclosed by the questioner.
Hello, doctor. The baby born on August 5 has been suffering from lochia intermittently. On August 24, it began to be cleaner slightly. In September, it increased again. Today, I went to have B-ultrasound. The doctor prescribed some medicine and didn’t hear what the doctor told me. Could you please help me see if my condition is serious?
Su Chang
Attending obstetrician
Obstetrics and Gynecology Hospital Affiliated to Medical College of
“
Hello, thank you for asking questions.
Since you have done B-ultrasound, please upload B-ultrasound.
OK, I have uploaded it (the patient uploaded the photo of the examination report, which will not be displayed due to privacy issues)
Yang Hongmei
Attending obstetrician
Obstetrics and Gynecology Hospital Affiliated to Medical College of
“
Generally speaking, postpartum lochia will end within 42 days, and all organs of the mother will return to the state before pregnancy.
Postpartum vaginal bleeding for a long time, lochia is incessant, our clinical needs to make the following thinking: uterine cavity residue, uterine involution is not good, endometritis, cesarean section incision healing is not good, menstrual tide
According to your ultrasound, there is heterogeneous echo in the uterine cavity and tissue residue, which may lead to the risk of curettage. It is suggested that you can review ultrasound after one week of uterine contraction treatment before curettage surgery.
If it is shown that it has been discharged, curettage is not required. If not, surgery is recommended, because long-term vaginal bleeding increases the risk of infection, and vaginal bleeding may remain in the uterine cavity.
After that, according to the doctor’s instructions, regular review is good.
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