Can I do sit ups if lochia is not clean

It is not recommended to do sit ups when lochia is not completely expelled. High intensity abdominal exercise during postpartum lochia may affect uterine recovery and even lead to increased bleeding or increased risk of infection.

lochia is a normal physiological phenomenon during the process of postpartum uterine decidua shedding and wound repair, usually lasting 4-6 weeks. Sit ups, which require abdominal strength, directly increase abdominal pressure and stretch the pelvic floor muscles. In the stage of incomplete lochia, the uterus has not fully contracted and recovered, and severe changes in abdominal pressure may interfere with the natural contraction rhythm of the uterus, leading to abnormal discharge of lochia. At the same time, the pelvic floor muscles are in the repair phase, and premature stress may cause pelvic floor dysfunction. The increased abdominal pressure during exercise may also lead to bacterial retrograde infection of endometrial wounds. A small number of postpartum women can try mild core training under the guidance of a doctor after confirming that lochia has cleared and pelvic floor muscle strength has recovered well during a 42 day follow-up examination. However, it should be noted that the intensity of exercise should be gradual, and if there is abdominal pain or abnormal secretion, it should be stopped immediately. Postpartum women undergoing cesarean section need to extend their rest period to avoid excessive tension in the abdominal wound.

It is recommended to choose low-intensity activities such as walking and Kegel exercises during the postpartum recovery period. After the lochia is completely eliminated and evaluated by a doctor, gradually add abdominal training. Supplement high-quality protein and iron elements in diet to promote tissue repair and keep the perineum clean and dry. If lochia persists for more than 6 weeks or is accompanied by symptoms such as fever and odor, it is necessary to seek medical attention promptly to check for placental residue or infection.