Patient's question:
My wife had a cesarean section on November 26. For the first two days after delivery, the lochia was normal, but starting from the third day, it became very little, and it has been scarce ever since. For a few days, it was almost like there was none at all. What could be the reason for this? Does it affect her health?Doctor's answer:
Hello, lochia consists of blood, mucus, necrotic decidua tissue, and bacteria, and has a foul odor. The amount and composition of lochia change over time after childbirth. Generally, in the first 3 to 7 days postpartum, it is bloody lochia, with a large volume, bright red in color, containing a significant amount of blood, mucus, and necrotic decidua tissue, and having a bloody odor. As the endometrium heals, the bleeding gradually decreases, transforming into serous lochia, which has a reduced volume, lighter color, less blood, relatively more cervical mucus, and still contains necrotic decidua tissue, vaginal secretions, and bacteria. Around 2 to 4 weeks, it becomes white or pale yellow, forming white lochia, with an even smaller volume and no longer containing blood, generally lasting for about 3 weeks. By observing the nature, odor, amount, and duration of lochia, one can assess the condition of uterine recovery and detect any signs of infection. Based on the description, it may be related to personal factors. It is recommended to wait and see, or seek medical examination at the hospital.