How to observe uterine recovery and changes in lochia

　　Observe changes in lochia
　　
　　Lochia refers to Postpartum from Uterus The secretions flowing out of the vagina include blood and mucus after the placenta has been separated from the uterine wall, the remaining endometrium in the uterine cavity, and birth products from the birth canal wound. Its quantity, color and smell can directly reflect the condition of the uterus and should be closely observed.
　　
　　Self-help method:
　　
　　1． If there are any abnormalities in lochia, please consult a doctor for diagnosis and treatment in time. At the same time, you should also pay attention to postpartum hygiene, change perineal pads as usual, change a pair of underwear every day, and prevent reproductive tract infections.
　　
　　2. If a new mother gives birth normally healthy If the condition is good, you can get out of bed and move around 24 hours after delivery to promote the discharge of lochia.
　　
　　3. Doing puerperium exercises under the guidance of a doctor and drinking some brown sugar water can activate blood circulation and remove blood clots, which can also promote the smooth discharge of lochia and facilitate the recovery of uterine contractions.
　　
　　4. It is best for mothers to lie on their side when sleeping to prevent the uterus from tipping backwards, which is not conducive to the discharge of lochia.
　　
　　Observation method:
　　
　　1． Generally, what flows out of the vagina 3-4 days after delivery is almost all blood, but there are few blood clots and the color is red. What flows out at this stage is usually called bloody lochia.
　　
　　2. About 5-10 days after delivery, the blood volume gradually decreases, and the color gradually becomes lighter, brown or light brown. There is a large amount of cervical mucus and vaginal exudate, as well as necrotic decidua, white blood cells, etc., which is called serous lochia.
　　
　　3. About 10 days after delivery, lochia basically does not contain blood. The main component is a large number of white blood cells and epidermal cells, which appear white or yellowish white. This is called lochia leukorrhea. Lochia usually clears up around 3-4 weeks after delivery, and is no longer much different from usual at 5-6 weeks.
　　
　　4. Observing the changes in lochia can not only understand and estimate the involution of the uterus, but also reflect the presence of residues in the uterine cavity, infection, wound healing of the birth canal, and other abnormalities. If there is a lot of bloody lochia and the dripping is endless, you should be alert to poor uterine contraction or the wound is bleeding. ； If lochia persists, it indicates that there is still some placenta or fetal membranes remaining in the uterine cavity. ； If lochia has a bad smell, is accompanied by body heat, and appears stomach ache Or tenderness, there may be inflammation on the placental peeling surface, causing endometritis or myositis.
　　
　　5. For women with the above conditions, the uterus has not yet returned to normal size during the 6-week postpartum examination. It is still soft and tender, and the cervix is ​​relaxed and not closed.