Postpartum lochia that persists for more than three weeks and continues to flow in a prolonged or intermittent manner is termed as "prolonged lochia" (or "subinvolution of lochia" in medical terminology).
Conditions
Interventions
Experimental group:Mothers in the experimental group will receive Bu Xue Yi Mu Wan (one sachet [12 g] per dose, twice daily for 14 consecutive days) in combination with standard care. Standard care in
provision of easily digestible and nutrient-rich postpartum diet
initiation of early infant suckling
and advice to maintain emotional well-being and adequate sleep.
Control group:Mothers in the control group will receive Xian Yi Mu Cao Capsules (3 capsules per dose, three times daily for 14 consecutive days) in combination with standard care. Standard care includ
provision of an easily digestible and nutrient-rich postpartum diet
Sponsors
Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine
Eligibility
Sex/Gender
Female
Age
20 Years to 45 Years
Inclusion criteria
Inclusion criteria: 1.Age: 20-45 years old. 2.Singleton, full-term vaginal delivery (gestational age at delivery: 37-42 weeks). 3.Postpartum condition meets clinical diagnostic criteria for abdominal pain. 4.The puerperal woman is willing to engage in breastfeeding.
Exclusion criteria
Exclusion criteria: 1. Presence of severe pregnancy-related complications (e.g., autoimmune diseases during pregnancy requiring treatment with immunosuppressants, hormones, or anticoagulants; preeclampsia; gestational diabetes; intrahepatic cholestasis of pregnancy). 2. Neonatal macrosomia (birth weight > 4000 g), low birth weight (birth weight = 500 mL). 4. Severe pain caused by other factors (e.g., severe soft tissue trauma during delivery, such as third- or fourth-degree perineal lacerations or vaginal tears). 5. History of organic uterine lesions, genital tract malformations, pelvic tumors, pelvic organ prolapse (stage II or higher), or prior pelvic surgery. 6. Coexisting severe cardiovascular, cerebrovascular, hepatic, renal, coagulation, hematological, or gastrointestinal disorders. 7. Poor breast development, inverted or flat nipples, or history of breast surgery that may impair breastfeeding. 8. Maternal severe infectious diseases or other conditions that may affect breastfeeding (e.g., HIV, active tuberculosis). 9. Diagnosed with depression, anxiety, or other psychiatric disorders; history of mental illness or long-term use of psychotropic medications. 10. Use of other Chinese herbal medicines or proprietary formulations with uterotonic, analgesic, or blood-activating/stasis-resolving effects.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The duration of postpartum vaginal lochia discharge; | — |
Secondary
| Measure | Time frame |
|---|---|
| Lactation volume and the onset time of lactation;Uterine involution status;Abdominal pain Visual Analogue Scale (VAS) score;Serum Ferritin and Improvement in Anemia;Pelvic Floor Function Recovery;Changes in Clinical Symptom Scores; | — |
Countries
China
Contacts
Public ContactZhang Hai
Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine
Outcome results
None listed