What happens after the postpartum discharge of a cesarean section?

Patient's question:

I gave birth via C-section on November 10th, and my lochia ended after 20 days. I also have leukorrhea. Today, I suddenly started bleeding—is it my period? I am mixing formula and breastfeeding.

Doctor's answer:

Postpartum lochia has three types: bloody lochia, serous lochia, and white lochia. Bloody lochia lasts for about three to four days, serous lochia for about ten days, and white lochia for about three weeks. If bloody lochia lasts less than one week, it may indicate pathological conditions such as poor uterine involution, incomplete uterine contractions, or postpartum infections. If the current recurrence is caused by postpartum infection, you need to use anti-inflammatory medications: Amoxicillin granules, Cefixime, etc. These medications pose no risk to the child. If the uterus does not recover fully and the issue is due to incomplete uterine contractions, you can use oxytocin, Leonurus japonicus, etc., to promote the expulsion of residual uterine contents. To diagnose the specific cause, you need to go to the hospital for a color Doppler ultrasound examination.

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