Is it normal to have lochia with vaginal itching after a cesarean section?

Patient's question:

Female, 28 years old, 17 days post Cesarean section, has a baby girl. A few days ago, the lochia was light blood, but starting from yesterday, it has turned into yellow, viscous discharge with itching in the vagina and a sense of urgency in the lower abdomen. No sexual activity. Hello, is this normal? What should I pay attention to?

Doctor's answer:

Considering it may be incomplete lochia, lochia refers to the blood and mucus discharge after childbirth, which is usually completely expelled within three weeks. However, some women may take up to six weeks due to their weakened physical condition. If the discharge continues intermittently beyond six weeks, it is referred to as incomplete lochia, which is mostly caused by cold stagnation and blood stasis. It is often accompanied by lower back pain, a heavy and cold sensation in the lower abdomen. If lochia is not properly expelled, it can affect uterine involution and even hinder overall recovery. It is important to actively seek medical examination and diagnosis to receive appropriate treatment.

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