Why does vaginal bleeding occur after a cesarean section? How is it treated?

Patient's question:

Medical Description: Occasional vaginal bleeding after cesarean section, sometimes dark, sometimes bright red. The amount of bleeding each time is very small. Intervals of three to five days. Sometimes there is some abdominal pain. At 42 days, a hospital check-up said the uterus had recovered well. Previous Treatment and Effect: The 42-day check-up said the uterus had recovered well. Desired Help: What is the cause and how to treat it?

Doctor's answer:

Generally, postpartum bleeding (lochia) is bloody for 3 to 7 days, with a large volume, bright red in color, containing a significant amount of blood, mucus, and necrotic decidua tissue, with a bloody odor. As the endometrium heals, the bleeding gradually decreases. If the bloody lochia persists for more than 2 weeks and the volume is large, it often indicates poor healing of the placental attachment site or retained placental tissue. If the lochia lasts for a long time and is purulent or has a foul odor, it suggests intrauterine infection. If accompanied by heavy bleeding, a large and soft uterus often indicates poor uterine involution. If you are worried, it's best to go to the hospital for a check-up.

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