What is the reason for blood clots after the end of lochia in a caesarean section?

Patient's question:

After about 20 days of cesarean section, the lochia has stopped for two days, and then there were some fresh blood and some blood clots. Is it menstruation because I am not breastfeeding?

Doctor's answer:

Currently, the uterus is not recovering well. The uterine volume is slightly enlarged. It is recommended to use medication and carefully monitor for a few days. Hemostatic drugs or drugs that promote uterine contraction should be used. If the effect is not good, intravenous medication will be required.
In addition, during the treatment for a cesarean section, in addition to timely treatment, the patient's dietary condition and psychological state are also crucial. The patient must maintain a light diet and always keep a cheerful and optimistic mindset to avoid unnecessary interference with the complete recovery of the cesarean section.

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