Bloody discharge 2 months after birth. White color of discharge

anonymously

Good afternoon I am 23 years old. 7.5 weeks ago there was a natural birth, quick, without complications (several tears in the labia minora, stitches were placed). The postpartum period is unremarkable. Lochia until about 6 weeks (first bloody, then bloody and colorless). 3 days ago I had sexual intercourse (there was no pain or bleeding either during or immediately after). The next day - bleeding, painless, insignificant (about 5-15 ml per day), the blood is bright red. The bleeding continues for 3 days, of the same intensity, there are no other symptoms. There are no chronic diseases. Gynecological history: stage 1-2 endometriosis. (a year ago laparoscopy was performed with cauterization of the lesions), genital condyloma of the cervix (negative test for highly oncogenic HPV, condyloma was removed simultaneously with laparoscopy). According to blood tests, hormonal status was normal before pregnancy; menstruation was regular, heavy, painless. The pregnancy was uneventful and the birth was the first. From birth until today - breastfeeding, during the day - according to the schedule (every 3-3.5 hours), at night - on demand (in the last 1-2 weeks the child skips night feedings and sleeps for 5-7 hours). I don't pump. There is enough milk, no supplementary feeding. Question: what can cause bleeding and to what extent does it require taking any measures? I will see a gynecologist no earlier than in 2-3 weeks (pre-registration). Could this be menstruation (and is there a way to differentiate it from bleeding)? Could this be due to cervical pathology, insufficient restoration of the uterus at the time of the onset of sexual activity, or trauma to the vagina/vulva (including areas where sutures are applied to the labia minora)? Is it possible to resume sexual activity once the bleeding stops? How urgently is it desirable to see a gynecologist? Thanks in advance for your answer!

Good afternoon. You are right, a gynecological examination is necessary to clarify the source, as well as its cause. Normally, it is believed that if the baby eats more than five times a day, then there is no menstruation. However, there are also deviations from this norm. It is possible that you have started menstruation. This is also a reason to contact. Get advice about a contraceptive method while breastfeeding. The most common medications for nursing mothers are an intrauterine contraceptive (IUD), Benatex suppositories, hormonal contraceptives (lactinet,), which due to their composition are also used in the treatment of edometriosis, as well as barrier contraception.

anonymously

At the moment, spotting periodically occurs again (approximately once every 2 weeks, not intense, it has already occurred three times). A gynecological examination revealed no pathology of the cervix and vagina. An ultrasound was done (on the 4th day of bleeding): the uterus is in a normal position, the contours are even and clear, 49x42x43 mm, the myometrium is diffusely non-uniform, the border between the myometrium and the endometrium is clear. in the uterine cavity there is a hypoechoic heterogeneous (with small hyperechoic inclusions) formation 9x6 mm (polyp? blood clot?), endometrium 4 mm, no focal formations, cervix without features. The ovaries are located typically, 30x27x17 and 29x28x20 mm, with follicles 5-9 and 7-9 mm. The stroma is not changed, the fallopian tube is not differentiated, the capsule is not thickened. There is no free fluid in the pelvis. The gynecologist prescribed oxytocin intramuscularly for 1 week (diagnosis: lochiometra? polyp?). Control ultrasound after 10 days (no discharge). On it (I can confuse the numbers, because there is no conclusion on the hands): the uterus is deviated posteriorly, the dimensions are normal, the myometrium is heterogeneous with hyper(?) echogenic inclusions, the arcuate veins are dilated (7 mm?), M-echo 6.2 mm heterogeneous, the ovary on the right is typically located, on the left it is soldered to the rib of the uterus, the dimensions are normal. In the left ovary there is a dominant follicle (18mm?). a small amount of fluid in the pelvis. fallopian tubes without features. Conclusion: adenomyosis, dilation of the pelvic veins, indirect signs of adhesions in the pelvis (I had endometriosis and coagulation of its foci a year ago). There is no evidence for a polyp. General blood test is normal. In general, the gynecologist let me go in peace (she said that the cycle was being restored), and 2 days after the ultrasound (that is, today) there were minor unpleasant sensations in the lower abdomen on the left and a little blood came out. Could this be normal? (for example, in connection with ovulation)? Is it normal for spotting to occur up to 2 times a month? how long can this last (this situation has been like this for 6 weeks already, I breastfeed with a long night break and don’t pump)? Do I need to go to see a gynecologist again and how urgently (we only have an appointment in 2-3 weeks)? Can this be all? -is there a polyp or something else (and how do you need to undergo further examination to find out)? I am attaching an ultrasound (the first one, against the background of discharge).

Duration of discharge Composition of lochia Color of postpartum menstruation Number of discharge Odor of lochia Break in discharge Lochia after cesarean section

After the baby is born, the placenta separates from the uterus, which provokes the rupture of numerous vessels that connect them to each other. This causes bleeding, along with which the remnants of the placenta, already dead particles of the endometrium and some other traces of the intrauterine life of the fetus come out.

Such discharge after childbirth is medically called lochia. None of the newly made mothers will be able to avoid them. However, there are a number of questions that they raise. The more a woman is aware of their duration and nature, the less risk of avoiding complications that often arise against the background of such postpartum “menstruation”.

During this period, special attention should be paid to personal hygiene. To avoid possible infections and unpleasant odors, because a girl always wants to remain attractive, you should be very careful and attentive to the cleaning cosmetics that you use.

You should always be more careful when choosing hygiene products and do not neglect to read the ingredients. After childbirth, your body goes through a period of adaptation and recovery, and therefore many chemicals can only aggravate the condition and prolong the recovery period. Avoid cosmetics that contain silicones and parabens, as well as sodium laureth sulfate. Such components clog the body, penetrating into the blood through the pores. It is especially dangerous to use such products during breastfeeding.

To be calm about your own health and the health of your child, and also to always remain beautiful and attractive, use washing cosmetics only from natural ingredients, without dyes and harmful additives. Mulsan Cosmetic remains the leader in natural cleansing cosmetics. The abundance of natural ingredients, development based on plant extracts and vitamins, without the addition of dyes and sodium sulfate - makes this cosmetic brand most suitable for the period of breastfeeding and postpartum adaptation. You can find out more on the website mulsan.ru

Duration of discharge

Each female body is very individual, and the time frame for its recovery after the birth of a child is also different for everyone. Therefore, there cannot be a clear answer to the question of how long discharge lasts after childbirth. However, there are limits that are considered the norm, and everything that goes beyond them is a deviation. These are exactly what every young mother should focus on.

Norm

The norm for postpartum discharge established in gynecology is from 6 to 8 weeks.

Permissible deviations

Range from 5 to 9 weeks. But such a duration of discharge after childbirth should not reassure: despite the fact that doctors consider this a minor deviation from the norm, it is necessary to pay attention to their nature (quantity, color, thickness, smell, composition). These descriptions will tell you exactly whether everything is okay with the body or whether it is better to seek medical help.

Dangerous deviations

Lochia that lasts less than 5 weeks or longer than 9 should be alerted. It is imperative to detect when the postpartum discharge ends. It's equally bad when it happens too early or too late. The indicated periods indicate serious disorders in the body of a young woman that require immediate laboratory testing and treatment. The sooner you consult a doctor, the less dangerous the consequences of such prolonged or, conversely, short-term discharge will be.

You need to know this! Many young mothers are happy when their postpartum discharge ends within a month. It seems to them that they “got off with little blood” and can return to the usual rhythm of life. According to statistics, in 98% of such cases, after some time, everything ends in hospitalization, because the body was not able to cleanse itself completely, and the remnants of postpartum activity caused an inflammatory process.

Deviations from the norm can be acceptable and dangerous. But in any case, they can have serious consequences for the health of the young mother in the future. Therefore, every woman should monitor how long the discharge lasts after childbirth, comparing its duration with the norm established in gynecology. If in doubt, it is better to consult a doctor in a timely manner for advice. Much depends not only on how many days they last, but also on other, qualitative characteristics.

Composition of lochia

To understand whether everything is in order with the restoration of the body after childbirth, a woman should pay attention not only to the duration of lochia. Sometimes it fits within the norm, but their composition leaves much to be desired and may indicate serious problems.

Fine:

the first 2-3 days after birth there is bleeding due to burst blood vessels; then the uterus will begin to heal, and there will be no more open bleeding; usually in the first week you can observe discharge with clots - this is how dead endometrium and the remains of the placenta come out; after a week there will be no more clots, the lochia will become more liquid; there is no need to be alarmed if you observe mucous discharge after childbirth - these are the products of intrauterine vital activity of the fetus; mucus should also disappear within a week; 5-6 weeks after the birth of the baby, lochia becomes similar to ordinary smears that occur during menstruation, but with coagulated blood.

So bleeding after childbirth, which frightens many young mothers, is normal and should not be a cause for alarm. It is much worse if pus begins to mix with them, which is a serious deviation. It is worth consulting a doctor if the composition of lochia differs in the following characteristics:

purulent discharge after childbirth indicates the onset of inflammation (endometrium), requiring immediate treatment, its cause is infectious complications, which are most often accompanied by fever, pain in the lower abdomen, and lochia is distinguished by an unpleasant odor and greenish-yellow color; if mucus and clots continue to flow longer than a week after childbirth; watery, transparent lochia is also not considered normal, because it can be a symptom of several diseases at once: it is fluid from the blood and lymphatic vessels that seeps through the vaginal mucosa (it is called transudate), or it is gardnerellosis - vaginal dysbiosis, which is characterized by an abundance of discharge with an unpleasant fishy odor.

If a woman knows which discharge after childbirth is considered normal depending on its composition, and which indicates abnormalities, she will be able to promptly seek advice and medical help from a gynecologist. After testing (usually a smear, blood and urine), a diagnosis is made and appropriate treatment is prescribed. The color of lochia will also help you understand that not everything is in order with the body.

Color of postpartum menstruation

In addition to the composition of the lochia, you definitely need to pay attention to what color they are. Their shade can tell a lot:

the first 2-3 days, normal discharge after childbirth is usually bright red (the blood has not yet coagulated); after this, brown discharge occurs for 1-2 weeks, which indicates that postpartum restoration of the uterus occurs without deviations; In the last weeks, the lochia should be transparent, slight cloudiness with a slight yellowish tint is allowed.

All other colors of lochia are deviations from the norm and may indicate various complications and diseases.

Yellow lochia

Depending on the shade, yellow discharge may indicate the following processes occurring in the body:

pale yellow, not very abundant lochia may begin by the end of the second week after birth - this is normal and should not cause concern for a young mother; if bright yellow discharge mixed with greenery and a putrid odor began already on the 4th or 5th day after the baby was born, this may indicate the onset of inflammation of the uterine mucosa, which is called endometritis; if after 2 weeks there is a yellow discharge, a fairly bright shade and with mucus, this is also most likely a symptom of endometritis, but it is not so obvious, but hidden.

It is useless to treat endometritis on your own, at home: it requires serious treatment with antibiotics, and in severe cases, surgical removal of the damaged inflamed uterine epithelium is performed to cleanse the mucous membrane in order to give the upper layer of the lining the opportunity to recover faster.

Green slime

Endometritis can also be indicated by green discharge, which is much worse than yellow, because it means an already advanced inflammatory process - endometritis. As soon as the first droplets of pus appear, even if only slightly greenish, you should immediately consult a doctor.

White discharge

You should start to worry if after childbirth white lochia appears, accompanied by symptoms such as:

unpleasant odor with sourness; curdled consistency; itching in the perineum; redness of the external genitalia.

All this indicates genital and genitourinary infections, yeast colpitis or vaginal candidiasis (thrush). If you have such suspicious symptoms, you should definitely contact your gynecologist to take a vaginal smear or bacterial culture. Once the diagnosis is confirmed, appropriate treatment will be prescribed.

Black bleeding

If during the postpartum or lactation period there is black discharge, but without any additional symptoms in the form of an unpleasant, pungent odor or pain, they are considered normal and are dictated by changes in the composition of the blood due to changes in the woman’s hormonal background or hormonal imbalance.

Helpful information. According to statistics, women turn to gynecologists after childbirth mainly with complaints about black discharge, which frightens them the most. Although in fact the most serious danger is the green color of lochia.

Red color

Lochia should normally be red only at the initial stage, in the first few days after the baby is born. During this period, the uterus is an open wound, the blood does not have time to clot, and the discharge takes on a blood-red, rather bright hue. However, after a week it will change to a brownish-brown color, which will also indicate that healing is occurring without deviations. Usually, a month after birth, the discharge becomes cloudy gray-yellow, closer to transparent.

Every young woman who has become a mother should clearly and clearly understand what color the discharge should be normally after childbirth, and what shade of lochia will give her a signal that she needs to see a doctor. This knowledge will help you avoid many dangerous complications. Another characteristic of postpartum menstruation may be alarming during this period - its abundance or scarcity.

Number of allocations

The quantitative nature of the discharge after childbirth can also be different and indicate either normal restoration of the uterus, or some deviations from the norm. From this point of view, there are no problems if:

in the first week there is heavy discharge after childbirth: the body is thus cleansed of everything unnecessary: blood vessels that have done their job, and obsolete endometrial cells, and remnants of the placenta, and products of intrauterine vital activity of the fetus; over time, they become less and less: scanty discharge, starting from 2-3 weeks after birth, is also considered the norm.

A woman should be wary if there is too little discharge immediately after childbirth: in this case, the ducts and pipes could become clogged, or some kind of blood clot could form, which prevents the body from getting rid of postpartum waste. In this case, you must consult a doctor and undergo an appropriate examination.

It’s even worse if the abundant lochia does not end for too long and continues for 2-3 weeks, or even more. This suggests that the healing process is being delayed and the uterus cannot recover to its full potential for some reason. They can only be identified through a medical examination and then eliminated through treatment.

The smell is bad

Women know that any discharge from the body has a specific odor, which can only be eliminated by observing hygiene rules. In the postpartum period, this characteristic of lochia can serve a good purpose and promptly report problems in the body. Pay attention to how the discharge smells after childbirth.

In the first days they should smell of fresh blood and dampness; after this time, a hint of mustiness and rottenness may be observed - in this case this is considered the norm. If there is postpartum discharge with an unpleasant odor (it can be putrid, sour, pungent), this should alert you. Together with other deviations from the norm (color, abundance), this symptom may indicate inflammation or infection of the uterus.

If you think that postpartum discharge smells very bad, you should not hope that it is temporary, will go away soon, or is the norm. To avoid complications, the best decision in this case would be to consult a doctor, at least for a consultation.

Break in discharge

It often happens that the discharge after childbirth ends and starts again a week or even a month later. In most cases, this causes panic among young mothers. However, such a break does not always indicate deviations from the norm. What could it be?

If scarlet, fresh bloody discharge begins 2 months after childbirth, this may be either the restoration of the menstrual cycle (in some women the body is capable of such a rapid recovery, especially in the absence of lactation), or rupture of the sutures after heavy physical or emotional stress, or some other then other problems that only a doctor can identify and eliminate. If lochia has already stopped, and then suddenly returned after 2 months (for some, this is possible even after 3 months), you need to look at the qualitative characteristics of the discharge to understand what is happening to the body. Most often, this is how remnants of the endometrium or placenta come out, which something prevented from coming out immediately after childbirth. If the lochia is dark, with mucus and clots, but without the characteristic putrid, pungent odor and in the absence of pus, most likely everything will end without any complications. However, if these symptoms are present, we may be talking about an inflammatory process, which can be treated either with antibiotics or through curettage.

Since a break in postpartum discharge may indicate the presence of an inflammatory process in the uterine area, you should not delay visiting a doctor. After the examination, he will determine for sure whether this is a new menstrual cycle or a deviation from the norm requiring medical intervention. Separately, it is worth paying attention to lochia after artificial birth.

Lochia after caesarean section

Those who have had a cesarean section should understand that the nature of the discharge after an artificial birth will be somewhat different. Although this will only concern their duration and composition. Here are their features:

the body recovers after a cesarean section in the same way as after a natural birth: blood and dead endometrium come out with the discharge; in this case, there is a greater risk of contracting an infection or inflammatory process, so you need to regularly carry out hygiene procedures with special attention; in the first week after artificial birth, bloody discharge occurs profusely, containing mucous clots; Normally, the color of lochia in the first days should be scarlet, bright red, and then change to brown; the duration of discharge after artificial childbirth is usually prolonged, since the uterus in this case does not contract so quickly and the healing process takes a long time; It should be taken into account that bleeding after a caesarean section should not flow for more than 2 weeks.

Every young mother should understand how important the full restoration of the uterus after childbirth plays in her health. You can understand how it goes through the lochia. It is necessary to monitor their duration, the timing when the discharge stops and starts again, and their qualitative characteristics. There can be no accidents here: color, smell, quantity - each symptom can become a timely signal to consult a doctor, identify the problem and undergo appropriate treatment.

WHAT AND HOW MANY DAYS DOES THE DISCHARGES LAST AFTER BIRTH?

Serious changes in a woman’s body begin immediately after childbirth. The hormones necessary for lactation - prolactin and oxytocin - begin to be produced in large quantities. With the release of the placenta, the level of the hormones estrogen and progesterone decreases. In the first hours postpartum discharge are bloody in nature. Doctors are faced with the task of preventing bleeding from starting. Often at this point, a heating pad with ice is placed on the woman’s stomach, and the urine is drained with a catheter. Drugs are given intravenously that cause uterine contractions. The volume of discharge cannot exceed 0.5 liters of blood. Sometimes bleeding increases if the muscles contract poorly, as well as with a serious rupture of the birth canal. Discharge in a woman after childbirth,

which are called lochia, last another 5-6 weeks. They will end after the uterus returns to its normal size before pregnancy. The wounds that formed at the site of the placenta should also heal. What kind of discharge does women experience after childbirth? At first, they are bloody in nature, this happens in the first 2-3 days. The cause of discharge after childbirth is called the healing process of the inner surface of the womb. Specifically, in the place where the placenta was attached to the wall of the uterus.

How long in women the uterus contracts to its previous size before pregnancy depends on the woman’s body, in which the process of self-cleaning begins (freed from the remnants of the amniotic membrane, blood clots, mucus and other excess tissue elements). The process of reducing the womb is called by specialists the involution of the uterus, or its restoration. The release of the uterus in due time from rejected tissue means that the woman who has given birth has no complications. It is very important to pay serious attention after childbirth to how long the lochia lasts and to its color.

The discharge constantly changes its character. At first, lochia is similar to menstrual discharge, but much heavier. At this stage, this is a good sign, since the uterine cavity is cleared of wound contents. How many days does white lochia last in women? They begin to appear approximately from the tenth day after birth and last for about 21 days. The discharge becomes white or yellowish-white, liquid, spotting, without blood and odorless. How long does the discharge last after childbirth in the form of serous lochia? This process is very individual, and is associated with the characteristics of the woman’s body. They begin after birth on the fourth day. The discharge turns pale, acquires a serous-sucrose or pinkish-brown color and contains a huge number of leukocytes. There should be no blood clots or bright red discharge during this period. If suddenly they are present, this should seriously alert the woman to consult a doctor for advice. A timely contact with specialists will help to quickly resolve the detected problem. New mothers are often concerned about the question of How long does discharge last after childbirth?. The normal discharge duration is approximately 1.5 months. During this period, the mucous membrane in the uterine cavity is restored. After a caesarean section, the discharge lasts longer because the uterus, which has been injured, shrinks more slowly. So, at the end of the first week, the lochia will be lighter, and the second week is characterized by their transformation into mucous. Until the end of the first month after birth, lochia may contain a small amount of blood. How long the discharge will last depends on a large number of reasons: the course of your pregnancy; the course of labor; the method of delivery, in particular cesarean section, after which lochia lasts longer; the intensity of uterine contractions; all kinds of postpartum complications, including infectious inflammation; the physiological characteristics of the woman’s body and its ability to recover postpartum; breastfeeding: with frequent breastfeeding bringing the baby to the breast, the uterus shrinks and cleanses more intensively. CHARACTERISTICS OF DISCHARGE AFTER BIRTH (AFTER A WEEK, AFTER A MONTH)A few weeks after giving birth the process of restoration of the endometrium, the mucous membrane of the uterus, occurs. At this time, the woman who has given birth begins to discharge. To prevent postpartum hemorrhage, immediately after childbirth, empty the bladder using a catheter and put ice on the lower abdomen. At the same time, the woman is given intravenous medications, methylegrometril or oxytocin, which effectively promote uterine contraction. After childbirth, the discharge should be copious, bloody and amount to 0.5% of body weight. However, they should not exceed 400 ml and not disturb the general condition of the woman. Discharge in one week after childbirth is usually compared to ordinary menstruation. Sometimes women even mistake the discharge for menstruation. It is necessary to remember well that the difference is that the discharge after childbirth is much more abundant than the discharge during menstruation, with blood clots. However, the volume of discharge will decrease every day. After just 2 weeks they will shrink. A week after birth, the discharge becomes yellowish-white in color, but may still be mixed with blood. 3 weeks will pass, and the discharge will become more scanty, but spotting. As before pregnancy, discharge becomes 2 months after birth. Stopping discharge for each woman in labor is an individual process. In general, the discharge of discharge is a month after childbirth. Discharge after childbirth by a woman a month later become slimy. This is a sign that the surface of the uterus is gradually acquiring its normal structure, and the wounds are healing. It should be noted that if there is a sharp increase in the volume of discharge, you should urgently consult a doctor. There is a potential danger of late bleeding after childbirth, which includes bleeding that occurs two hours or more after childbirth. It is bad if the discharge continues for a long time. Postpartum discharge should last 6-8 weeks. This amount of time will be required to restore the uterus after childbirth. The total volume of discharge during this period will be 500-1500 ml. When dealing with discharge after childbirth, serious attention should be paid to the following points:- there should be no increase in the woman’s temperature; - the discharge should not have a specific and sharp purulent smell; - the volume of discharge should gradually decrease. Of course, the discharge has some kind of smell, but, rather, it is musty. This is explained by the fact that blood discharge is retained for some time in the birth canal and uterus. Follow the rules of personal hygiene, and such a smell will not bother you. When there is an urgent need to see a doctor:- if the discharge is excessively long, or, conversely, ends very early after childbirth; - if the discharge is yellow and has an unpleasant odor; - if the duration of heavy discharge is more than two months after childbirth. Perhaps this is bleeding or some kind of problem in the uterus; - yellowish-green lochia characterizes the inflammatory process; - if 3-4 months have passed, and dark and purulent discharge continues.
VARIOUS DISCHARGES (BLOODY, MUCOUS, PURUS WITH SMELL) AFTER BIRTH Pregnancy is characterized by the absence of menstruation. However, after the birth of a child, lochia begins, a continuous bloody discharge after childbirth. They are bright red for the first 2-3 days. Bloody discharge in a woman who has given birth occurs due to the fact that blood clotting has not yet begun. An ordinary pad cannot cope with them, so the maternity hospital provides diapers or special postpartum pads. Bloody issues breastfeeding mothers end much faster after childbirth than those who are not breastfeeding. Experts and doctors explain this situation by the fact that during feeding the uterus contracts faster (involution). After childbirth, the uterus with its inner surface weighs approximately 1 kilogram. In the future, it will gradually shrink in size. Bloody discharge just comes out of the uterus, cleansing it. After childbirth, women experience mucous discharge for 1.5 months until the inner surface of the uterus is restored. A very dangerous complication in the first week after childbirth is bleeding. It can occur if remnants of the placenta remain in the uterine cavity, attached to the endometrium. In this case, the myometrium is not able to fully contract. This leads to severe bleeding. The doctor should carefully examine the placenta after its separation on both sides. This allows you to identify the problem before symptoms occur. Many symptoms indicate that there is some kind of disturbance in the woman’s body. It is especially necessary to be wary if the discharge unexpectedly began to intensify, heavy bleeding appeared, or the discharge began to have a strong unpleasant odor, as well as if a woman discovered curdled and purulent discharge. Sometimes, against the background of prolonged discharge, inflammation may begin after childbirth. Mucus and blood are a beneficial environment for pathogenic bacteria. In the absence of personal hygiene and early onset of sexual activity after childbirth, a woman may be bothered by odor-bearing discharge. Dark, brown discharge is considered normal, however, if there are bacteria, it will have a yellowish or greenish tint. In addition, they will be more abundant and liquid, and in parallel, pain, chills and fever may appear in the lower abdomen. Such cases require emergency treatment, since endometritis eventually leads to infertility. Inflammation can be prevented by personal hygiene - you need to wash yourself more often using infusions of string and chamomile. In this case, douching is strictly prohibited. Potassium permanganate should also be excluded, since in strong concentration it has an irritating effect on the mucous membrane. Pungent and purulent odor indicates the presence of infection, and maybe even endometritis. Very often this process can be accompanied by sharp pain and high fever. Yeast colpitis is also included in the risk zone for discharge after childbirth. It can be identified by the characteristic cheesy discharge. Usually the uterus reaches its normal size by 7-8 weeks. The inner layer of the uterus will look like a mucous lining. If a woman does not breastfeed after childbirth, ovarian function improves and menstruation appears. COLOR OF DISCHARGE IN A WOMAN GIVING BIRTH After childbirth, the uterus begins its regenerative process, which may be accompanied by blood discharge - lochia. The process is completed when the uterus is completely covered with new epithelium. The color of the discharge in the first 3-6 days is very bright, red. At this time, blood clots and remnants of the placenta may also be rejected. The nature and amount of discharge after childbirth indicates the degree of cleansing of the uterus and its healing. Pink discharge are a consequence of small placental abruptions. After all, blood accumulates under them, then released out. Sometimes such discharge may be accompanied by nagging pain in the lower abdomen; pain may also occur in the lumbar region. The inflammatory process is characterized by yellow discharge after childbirth. Purulent discharge indicates the possible development of endometritis, an infectious disease of the uterine cavity. The reason for contacting a gynecologist for advice should be sharp-smelling, unpleasant green discharge, yellow discharge, yellow-green discharge, greenish discharge. The disease is accompanied by an increase in body temperature, as well as unpleasant abdominal pain. Increased discharge after a reduction in its volume or bloody prolonged discharge may be caused by retention of the placenta in the uterus. This prevents it from contracting normally.

White discharge curdled nature, redness of the genitals and itching in the vagina are signs of yeast colpitis and thrush. Often, thrush can develop while taking antibiotics. Young mothers are often frightened after childbirth brown discharge. Sometimes they come out as blood clots with an unpleasant odor. Under conditions of normal recovery after childbirth, which took place without complications, the discharge stops within 4 weeks. By the fourth week they are already insignificant and spotting. However, they can take up to 6 weeks. Note that breastfeeding women recover faster after childbirth. Their brown discharge ends earlier than that of non-breastfeeding mothers. Some women are not able to distinguish normal discharge from the womb from pathological leucorrhoea. Transparent selections and are normal. However, they are also characteristic of a number of certain diseases. The main source of discharge is fluid seeping through the vaginal mucosa from the lymphatic and blood vessels. This fluid is clear and is called transudate. The glands of the uterine cavity are another source of vaginal discharge. They actively secrete in the second phase of menstruation and secrete mucus. Discharge with gardnerellosis can also be transparent. They are watery, profuse, with a fishy, unpleasant odor. Pathological white discharge is a symptom of an infectious disease. Their consequences are burning, itching, and increased moisture in the genital area. As a rule, pathological leucorrhoea is caused in women by the inflamed vaginal mucosa. Such infections are called colpitis, vaginitis. The threat is that these diseases are sometimes combined with cervicitis. Cervicitis is an inflammation of the mucous membrane of the cervix. The main sign of inflammation of the fallopian tubes is tubal leucorrhoea in women. The cause of its occurrence is a purulent substance that accumulates in the fallopian tube. Cervical leucorrhoea appears when the secretion of the glands of the cervix is disrupted. As a result, mucus secretion increases. Women may have similar white discharge with general diseases (endocrine system dysfunction, tuberculosis) and gynecological diseases (polyps, cervicitis, scar changes that occurred due to uterine rupture). Uterine leucorrhoea are a consequence of uterine pathologies. They are also caused by neoplasms - fibroids, polyps, cancer. You should not think that such complications in a woman who has given birth can go away on their own. You should seek medical help as soon as possible. Sometimes hospitalization is even required. Women can contact an antenatal clinic or a maternity hospital, where they can arrive at any time of the day or night within 40 days from the date of birth. WHEN DOES A WOMAN'S NORMAL DISCHARGE END AFTER CHILDREN? Normal discharge after childbirth may be bloody and heavy. Don't be alarmed, after a few weeks everything will return to normal. Unpleasant sensations in the genitals may occur in the future. This process is natural, since the genitals significantly stretch during childbirth. They will be able to acquire their normal shape only after some time. If sutures are applied after childbirth, experts do not recommend making sudden movements in the first days. Thus, you injure the sutured muscle tissue. After childbirth, the placenta also leaves, which indicates when the birth process ends. After the baby is born, the woman is given a drug to stimulate the delivery of the placenta. After this, heavy discharge is possible. There is no pain, but bleeding may cause dizziness. Be sure to call your doctor if you experience heavy bleeding. Within two hours after birth, no more than 0.5 liters of blood should come out. In this case, the child and mother are transferred to the ward. Tips on the norm of various discharges after childbirth:- discharge after childbirth includes dying epithelium of the uterus, blood, plasma, ichor and mucus. They intensify, as a rule, with pressure on the abdomen or movement. The discharge lasts on average for a month, and with a caesarean section this process takes a little longer. At the very beginning, they look like menstruation, however, over time, the discharge will lighten and end. This is the norm for such discharge after childbirth; - after a few days, the discharge will become darker in color and there will be less of it; - after the end of the second week, the discharge will become brownish-yellow and become more mucoid.

It is necessary to follow some recommendations for the prevention of postpartum hemorrhage:- breastfeeding the baby on demand. When breastfeeding, the uterus contracts as irritation of the nipples causes the release of oxytocin. It is a hormone produced by the pituitary gland, an endocrine gland located in the brain. Oxytocin causes the uterus to contract. At this time, cramping pain may be felt in the woman’s lower abdomen. Moreover, for those who have given birth again, they are much stronger. When feeding, the discharge is also stronger; - timely emptying of the bladder. Immediately after giving birth, on the first day you need to go to the toilet every three hours, even though there is no urge to urinate. If the bladder is full, then this will be an obstacle to normal contraction of the uterus; - lying on the stomach. This position will prevent bleeding and delay discharge in the uterus. The tone of the uterus after childbirth is weakened. The uterus sometimes tilts back, causing secretions to drain. Lying on your stomach brings your uterus closer to the anterior abdominal wall. At the same time, the angle between the cervix and its body is leveled, as a result of which the outflow of secretions improves; - an ice pack on the lower abdomen 3-4 times a day. This method will improve the contraction of the uterine vessels and muscles of the uterus.
NEXT ARTICLE:
How long after childbirth do menstruation resume? return to Home page

INTERESTING FOR WOMEN:

First week after childbirthSecond week after childbirthThird week after childbirth

Typically, books on child care describe in great detail how to behave with a newborn, and give almost no advice to the mother about recovery after childbirth. New guidance for children from birth to 6 months fills this gap. We talk about the sensations that a woman may experience in the first three weeks after giving birth, and answer popular questions: how many days after birth will the discharge stop, the stitches heal, the stomach will tighten and it will be possible to do simple gymnastics.

First week after birth

Bleeding After childbirth, this is normal, and it will be heavier than during normal periods. Use sanitary pads rather than tampons to minimize the risk of infection. If you notice a clot on the pad that is larger than 3 cm in diameter, tell your nurse - this may mean that part of the placenta remains in the uterus.

The so-called postpartum blues (mild manifestations postpartum depression) affects about 80% of women, so be prepared to feel like crying around the fifth day. This should go away when the sudden changes in hormones stop. Lack of sleep can make this condition worse, so if you can take a nap during the day, it will help a lot.

A temperature above 38ºC may indicate an infection, although some women feel chills and their temperature rises when milk replaces colostrum around the third day. If you have a high temperature, talk to your nurse to find out if you are okay.

When will the milk come(usually between the third and fifth day), your breasts may become firm. Frequent feeding of the baby to the breast will bring relief. Wrapping yourself in a warm cloth and taking a warm bath will also help milk flow freely and make your breasts softer.

You may also experience a painful spontaneous milk release when, for example, your baby cries. For some women, this causes a sharp burning sensation in the chest, but it goes away quickly and after the fifth week it will stop appearing altogether.

If you had C-section, a small amount of liquid may leak from the seam. This is nothing to worry about, but if the discharge continues for more than a day, tell your nurse because the stitches can sometimes come apart.

If they did to you episiotomy(a surgical incision to enlarge the vagina for childbirth) or you have had tissue ruptured, your stitches will likely be sore for the rest of the week and you may need pain relief. Paracetamol is safe for nursing mothers. If you need something stronger, try paracetamol with codeine (which is also safe), although it may cause constipation. The pain can be relieved by sitting on an ice pack, or try special rubber rings made for women in labor. Such rings can be bought in pharmacies.

Hemorrhoids that appear during childbirth can also be very painful, and if a woman has had hemorrhoids, emorrhoids and before childbirth, then from pushing it only increased. The good news is that even large lumps will go away on their own within a few months of giving birth. In the meantime, avoid constipation and don't stand for too long, as this will only make your condition worse. Ask the pharmacy for some cream that will help reduce bleeding and relieve pain. Sometimes sutures can make it difficult for blood to flow freely, which will increase your discomfort. Try doing pelvic floor exercises and tightening your anus. And be sure to see a doctor if you really feel unwell.

You may feel cramping in your uterus while breastfeeding because hormones stimulate your uterus to contract so it returns to its normal size. If the pain is very severe, you can also take paracetamol.

Urination, will probably cause a burning sensation for a couple of days. Try running warm water over yourself while you pee, or you can try peeing while sitting in a warm bath. If discomfort continues for more than two days, talk to your nurse to rule out a urinary tract infection.

First bowel movement It can be painful after birth, especially if you have stitches. But the best advice is to just deal with it: it's actually not as bad as you think, and the stitches won't come apart. If you have not gone to the toilet in four days after giving birth, drink plenty of water and prune broth.

Second week after birth

There is a possibility that you may wet yourself unexpectedly. Don't worry: this happens to many women and should go away by the sixth week. Urinary incontinence coughing or laughing is also common, but can last up to a year.

Childbirth weakens the pelvic floor muscles that control the bladder, so it is important to do special exercises. Squeeze your muscles as if you were trying to stop urinating, hold them tight for a few seconds and do 10 repetitions. Do this every time you feed your baby to ensure you are getting exercise throughout the day. At first you won't feel any changes, but continue anyway and your muscles will soon become stronger.

If you had a C-section, you still need to do these types of exercises because your muscles have stretched and weakened while carrying your baby, supporting the baby's weight, and from pregnancy hormones.

You're still big stomach, but now it doesn’t look tight, like it’s about to burst. It's more like jelly, which probably makes you feel unattractive. But you shouldn’t be too upset - remember that your waist becomes thinner day by day, because excess fluid leaves the body (after pregnancy you can lose up to eight liters of fluid).

This week the stitches will heal and you won't need to remove them because they will dissolve on their own.

If you are breastfeeding, you may have milk leaking. This will stop over the next few weeks, but for now it may cause some trouble. Use bra pads, and since milk can leak at night, you will have to sleep in it too. To stop untimely milk release, apply pressure to your nipples with your palms, but do not do this too often as this may reduce milk production.

Third week after birth

If you still have discharge, then this week they should be insignificant. If this is not the case, talk to your doctor.

You may have had pelvic pain because the space between your joints has widened during pregnancy and childbirth. If the pain persists and is bothering you, talk to your doctor or midwife - they may refer you to a physiotherapist.

If you are breastfeeding, you may clogged milk duct. This will appear as a red spot on the chest. Check to see if your bra is too tight and make sure your baby empties the problem breast completely before you give him another. A warm bath, wrapping yourself in a flannel cloth and massaging the painful area will help relieve the problem.

Your baby's sucking will also help, so stick to your breast even if it's uncomfortable. Pumping is also useful. You can try another position during feeding, for example, “from the armpit”: place the baby under your arm, so that his head looks out from under your armpit, just at your breast.

Oh, how I don’t like remembering the first month after a cesarean section. If it weren’t for the doctor, who after an examination advised me to wear shapewear instead of a bandage, I would probably still be suffering. Of course, I had to look for something suitable, even look in Switzerland) I found, of course, smart shapewear with bamboo fibers) But in general, the main thing I took away from the situation with a caesarean section is that you should never sit and say “oh, maybe it will get easier.” You should always go to the doctor and ask if everything is okay

Discharge after childbirth, called lochia, is an important indicator of the state of the female reproductive system during the recovery period. The amount and nature of discharge are individual for each woman, however, in gynecological practice there are standards that indicate natural physiological processes. Diagnostics using visual, instrumental and laboratory research methods allows the gynecologist to study the nature of lochia and assess the degree of cleansing of the uterus after natural childbirth and surgery (caesarean section).

Recovery after natural childbirth

The attending physician tells the patient how long the discharge lasts after childbirth when discharged from the maternity hospital so that she can independently observe the restoration of the reproductive system and the healing of the wound surface in the uterus. How long does the discharge last after childbirth and what should its nature be like? These are the main questions that women ask at their first consultation with a gynecologist after the birth of their child.

Normal indicators

Normal discharge after childbirth lasts 5 to 7 weeks. However, a deviation of 1 week up or down is acceptable. Statistics indicate that endometrial restoration in most cases occurs within 6 weeks. Discharge up to 6 weeks after birth is not considered menstrual.

The first menstruation, as a rule, occurs 1.5-2 months after the birth of the child in the absence of breastfeeding.

The duration of discharge after childbirth depends on the degree of injury to the reproductive organs at the time of labor. Bloody discharge during this period is a natural phenomenon and cannot be avoided. They represent a wound secretion, which consists of mucous exudate, fragments of the non-viable inner (decidua) lining of the uterus, burst vessels and blood. The appearance of lochia is also affected by the presence of cervical mucus and liquid vaginal secretions.

Postpartum discharge changes color, consistency and volume as the mucous layer, muscle tone, and previous size of the uterus are restored. The complete absence of lochia indicates the completion of the body’s recovery process after childbirth.

What indicates a deviation from the norm

If the discharge continues longer than the period established in gynecology, its color, smell, or consistency have changed, consultation with a gynecologist is mandatory.

Recovery after caesarean section

The recovery period after surgical delivery lasts slightly longer than in the case of a natural birth process (one to two weeks). But in most cases it takes up to 6 weeks after birth. The rehabilitation period differs little from that described above.

Discharge after cesarean section in the event of complications develops differs from natural ones.

Deviation from the norm is indicated by:

renewed scarlet discharge in large quantities;
purulent discharge after childbirth (green), which smells unpleasant;
discharge appeared again after 3 months;
vaginal secretions become watery or white;
the volume of secretion is insignificant, the discharge is scanty;
clots of dried blood come out;
body temperature has risen;
blood pressure dropped sharply;
pale skin;
weakness;
urinary disturbance;
thirst for a long time;
severe pain in the lower abdomen, lumbar region;
itching and redness of the genitals, postoperative sutures.

After surgical delivery, women who give birth sometimes bleed black. In most cases, this is harmless and occurs due to hormonal changes caused by labor. A blood and vaginal smear test will dispel all doubts.

Normal discharge after childbirth ends after 6 weeks. During this period, the uterus is completely cleansed. To exclude the development of complications, it is necessary to visit a doctor if any disturbing symptoms appear and follow his recommendations:

sex after childbirth is allowed only after complete healing of the wound surface (protective regime - at least 2 months);
using a condom in the postpartum period will reduce the risk of infection;
proper sexual hygiene prevents complications and changes in the natural microflora of the vagina;
treatment of postoperative sutures with local antiseptics prevents secondary infection and promotes rapid tissue regeneration;
During lactation, the hormone oxytocin is actively produced, stimulating uterine contractions;
increased physical activity is prohibited until the fourth month;
timely antibacterial and antifungal therapy prevents the development of generalized inflammation of the reproductive system;
taking iron supplements on the recommendation of a doctor will compensate for its deficiency in case of massive bleeding;
vitamin and mineral complexes included in the diet promote the regeneration of uterine tissue;
good nutrition is a prerequisite for rapid recovery of the body;
elimination of psychotraumatic factors reduces the duration of the recovery period.

Childbirth is a physiological phenomenon. A timely consultation with a doctor will tell you what normal lochia looks like and how to distinguish them from pathological discharge. Compliance with the gynecologist’s recommendations and a protective daily routine contribute to the rapid recovery of the body after the birth of a child.

For absolutely every woman, childbirth is a new, excellent and happy stage in life. However, after the birth of a baby, in addition to positive moments, there are also certain unpleasant moments. After all, during this period the body is subjected to a lot of stress - cardinal changes occur.

Very often, during the period after the birth of a baby, a woman experiences discharge that is brownish in color. They cause women discomfort and are often the cause of anxiety. Let's look at this question - why do such discharges appear and do they pose any danger to health? Is this normal or a pathological condition?

Causes of brown discharge

First of all, it should be said that such discharge is an absolutely normal phenomenon. They occur in all those who give birth, and this is not a reason to worry and run to the doctor. This phenomenon is called lochia.

They appear in any case - even if the pregnant woman had a cesarean section, even if the birth was natural. After the birth of the baby, the female body continues to contain endometrial tissue that has died, blood particles, and placenta that need to leave the body. They come out one way - through the vagina.

There is a health risk only in the first time after childbirth (about a few hours), because then there is a risk of severe bleeding. However, there is no need to worry too much about this, because the maternity hospital workers are doing everything possible to prevent this from happening.

Usually, women in labor are applied to and also given an injection of Oxytocin. These measures are necessary in order to ensure contraction of the uterine muscles, which are greatly stretched during pregnancy. After a couple of hours, the danger is minimized, and the patient is transferred to the ward.

In the first days after the birth of the child, the discharge can be very copious, so much so that the woman is forced to change the postpartum pad to a new one every half hour. During this period, the discharge has a musty smell and a bright red color; large blood clots can also be seen in the lochia. Of course, this process is very inconvenient for a woman, she feels uncomfortable, but you need to understand that this is not at all dangerous to health.

After 3-4 days, lochia is not released as actively, and its volume decreases significantly. The color of the discharge also changes - it turns brown. There may be mucus in the discharge, but this is absolutely normal. During this period, the woman in labor can already switch from special pads, which are very large in size, to regular ones. However, she should continue to visit the doctor, who must also be informed of any changes.

As you understand, lochia is a natural process that occurs in the body of every new mother. There is no way to avoid this process. Therefore, you should first purchase special postpartum pads and disposable diapers. Usually after 3-4 weeks the lochia stops and the patient begins to live as before.

It often happens that during the restructuring of a young mother’s body, various deviations can occur, which are important to pay attention to in a timely manner so that there are no complications.

If the brown discharge is accompanied by an unpleasant odor, similar to the smell of rot, or a sour smell, then this is a reason to consult a doctor and inform him about the presence of such a problem. Often, such pathologies indicate that there is an infection in the body and a complex inflammatory process has begun. For this reason, a new mother should especially carefully monitor the aroma of the discharge so that no problems arise.

You also need to visit a gynecologist if the volume of discharge suddenly increases sharply. If they have almost stopped, and then suddenly become abundant again, rich red in color, then you urgently need to run to the doctor.

Usually this situation happens because internal bleeding has occurred or the placenta cannot pass normally, which prevents the uterus from contracting. It is also important to pay attention to the consistency of the discharge.

If they are very liquid, then most likely the patient experiences vaginal dysbiosis. If such a condition is nevertheless diagnosed, then it is necessary to treat with medications. If everything is in order, then the body temperature will be normal. If it has increased, then this already indicates that some pathological process is present.

After all, our body always lets us know about any violations due to elevated temperature. The disorder may be indicated by itching in the perineum, nausea, weakness, frequent urination, the presence of whitish flakes or pus in the lochia, and drowsiness.

If you find at least one of the indicated signs, then this is a reason to go to the clinic. The doctor will determine the problem and prescribe appropriate therapy for you.

Do not forget to notify your doctor if the discharge has changed in color from red to brown. The doctor will be able to assess the situation and identify the presence or absence of any abnormalities. If you follow the simple recommendations, you will be able to much more easily tolerate all the changes that occur in the body after the baby is born and avoid the development of unpleasant health problems.

Every day, apply ice to your stomach, or rather to its lower part, for a while. This is necessary so that the intensity of lochia decreases faster. During this period, you should stop feeding your baby artificial formula.

It is important to feed your baby breast milk as often as possible, because this process activates the production of oxytocin. This is a hormone that is responsible for contraction of the uterus. In addition, you need to go to the toilet in a timely manner so that the process of regeneration of the pelvic organs is also accelerated.

It is also important to maintain personal intimate hygiene. should be changed every 1-2 hours, no matter how full they are. If this is not done, pathogenic microflora will arise, which provokes the manifestation of inflammatory processes.

You also need to wash several times a day (it is recommended to take a shower rather than a bath at first); the use of intimate gels is prohibited.

To prevent infectious complications from developing during the postpartum period, the mother in labor should be sure to monitor her own hygiene. This will help eliminate the unkempt smell. Especially in the first 2 months when lochia is present. It is necessary to ensure timely outflow of secretions from the uterine cavity, otherwise harmful microflora may develop in them, which provokes the development of inflammation.

Until the brown discharge stops, the patient should use special pads. Replacement should occur every 3-4 hours. And so the first 30 days after the birth of the baby. Otherwise, active proliferation of pathogenic bacteria may begin in them.

You should not use pads with any fragrances in the first month after giving birth. They can increase the risk of allergic reactions. Tampons are also contraindicated because they will prevent secretions from coming out. If a woman is in a lying position, it is recommended to place a diaper on the surface. Doctors often recommend not using ready-made pads. They advise replacing them with homemade ones made from cotton.

In the first weeks, a young mother needs to wash herself not only after she changes the pad, but after each visit to the toilet. Taking a bath is contraindicated, but a warm shower is the way to go. You need to wash the labia area near the vagina, but you don’t need to wash anything inside.

Warm temperature water can significantly reduce pain from injuries that were received during the birth process. In the first weeks after childbirth, the perineum can be urinated during urination, because urine can provoke irritation of wounds and cause pain.

Douching during this period is contraindicated. The genitals can only be washed externally. This is necessary to wash away the discharge.

Discharge after childbirth

WHAT AND HOW MANY DAYS DOES THE DISCHARGES LAST AFTER BIRTH?

Serious changes in a woman’s body begin immediately after birth . The hormones necessary for lactation - prolactin and oxytocin - begin to be produced in large quantities. With the release of the placenta it decreases levels of the hormones estrogen and progesterone.

In the first hours postpartum discharge are bloody in nature. Doctors are faced with the task of preventing bleeding from starting. Often at this point, a heating pad with ice is placed on the woman’s stomach, and the urine is drained with a catheter. Drugs are given intravenously that cause uterine contractions. The volume of discharge cannot exceed 0.5 liters of blood. Sometimes bleeding increases if the muscles contract poorly, or if the birth canal is severely ruptured.

Discharge in a woman after childbirth, which is called lochia , last another 5-6 weeks. They will end after the uterus returns to its normal size before pregnancy. The wounds that formed at the site of the placenta should also heal. What kind of discharge does women experience after childbirth? At first, they are bloody in nature, this happens in the first 2-3 days. The cause of discharge after childbirth is called the healing process of the inner surface of the womb. Specifically, in the place where the placenta was attached to the wall of the uterus.

The release of the uterus in due time from rejected tissue means that the woman who gave birth has no complications. It is very important to pay serious attention after childbirth to how long the lochia lasts and to its color. The discharge constantly changes its character . At first, lochia is similar to menstrual discharge, but much heavier. At this stage, this is a good sign, since the uterine cavity is cleared of wound contents.

How many days does white lochia last in women? They begin to appear approximately from the tenth day after birth and last for about 21 days. The discharge becomes white or yellowish-white, liquid, spotting, without blood and odorless.

How long does the discharge in the form of serous lochia last after childbirth? This process is very individual, and is associated with the characteristics of the woman’s body. They begin after birth on the fourth day. The discharge turns pale, acquires a serous-sucrose or pinkish-brown color and contains a huge number of leukocytes. Blood clots or bright red discharge during this period there shouldn't be. If suddenly they are present, this should seriously alert the woman to consult a doctor for advice. Timely contact with specialists will help to quickly resolve the detected problem.

New mothers are often concerned about the question: How long does discharge last after childbirth?. The normal discharge duration is approximately 1.5 months. During this period, the mucous membrane in the uterine cavity is restored. After cesarean section discharge last longer because the uterus, which has been injured, shrinks more slowly. So, at the end of the first week, the lochia will be lighter, and the second week is characterized by their transformation into mucous. Until the end of the first month after birth, lochia may contain a small amount of blood.

How long the discharge will last depends on a large number of reasons:

the course of your pregnancy;

progress of labor;

method of delivery, in particular caesarean section , after which lochia lasts longer;

intensity of uterine contraction;

all kinds of postpartum complications, including infectious inflammation;

physiological characteristics of the woman’s body and its abilities for postpartum recovery;

breastfeeding: with frequent latching of the baby to the breast, the uterus shrinks and cleanses more intensively.

CHARACTERISTICS OF DISCHARGE AFTER BIRTH (AFTER A WEEK, AFTER A MONTH)

A few weeks after giving birth the process of restoration of the endometrium, the mucous membrane of the uterus, occurs. At this time, the woman who has given birth begins to have discharge. . To prevent postpartum hemorrhage, immediately after childbirth, empty the bladder using a catheter and put ice on the lower abdomen. At the same time, the woman is given intravenous medications, methylegrometril or oxytocin, which effectively promote uterine contractions.

After childbirth, the discharge should be copious, bloody and amount to 0.5% of body weight. However, they should not exceed 400 ml and not disturb the general condition of the woman.

Discharge in one week after childbirth is usually compared to ordinary menstruation. Sometimes women even mistake the discharge for menstruation. . It is necessary to remember well that the difference is that the discharge after childbirth is much more abundant than the discharge during menstruation, with blood clots. However the amount of discharge will decrease every day. After just 2 weeks they will shrink. A week after birth, the discharge becomes yellowish-white in color, but may still remain mixed with blood.

3 weeks will pass, and the discharge will become more scanty, but spotting. As before pregnancy, discharge becomes 2 months after birth. Stopping discharge for each woman in labor is an individual process. In general, the discharge of discharge occurs within a month after childbirth.

Discharge after a woman has given birth a month later become slimy. This is a sign that the surface of the uterus is gradually regaining its normal structure and the wounds are healing.

It should be noted that if there is a sharp increase in the volume of discharge, you should immediately consult a doctor. There is a potential danger of late bleeding after childbirth, which includes bleeding that occurs two hours or more after birth.

It’s bad if the discharge lasts for a long time . Postpartum discharge should last 6-8 weeks. This amount of time will be required to restore the uterus after childbirth. The total volume of discharge during this period will be 500-1500 ml.

When dealing with discharge after childbirth, serious attention should be paid to the following points:

- there should be no increase in the woman’s temperature;

The discharge should not have a specific and pungent purulent odor;

The volume of discharge should gradually decrease.

Of course, the discharge has some kind of smell , but, rather, he is rotten. This is explained by the fact that blood discharge is retained for some time in the birth canal and uterus. Follow the rules of personal hygiene, and such a smell will not bother you.

When there is an urgent need to see a doctor:

- if the discharge is excessively long, or, conversely, ends very early after childbirth;

If the discharge is yellow and has an unpleasant odor;

If the duration of heavy discharge more than two months after birth. Perhaps it is bleeding or some problems in the uterus;

Yellowish-green lochia characterizes the inflammatory process;

If 3-4 months have passed, and dark and purulent discharge continues.

VARIOUS DISCHARGES (BLOODY, MUCOUS, PURUS WITH SMELL) AFTER BIRTH

Pregnancy is characterized by the absence of menstruation. However, after the birth of a child, lochia begins, a continuous bloody discharge after childbirth. They are bright red for the first 2-3 days. Bloody discharge in a woman who has given birth occur due to the fact that blood clotting has not yet begun. An ordinary pad cannot cope with them, so the maternity hospital provides diapers or special postpartum pads.

Bloody issues breastfeeding mothers end much faster after childbirth than those who are not breastfeeding. Experts and doctors explain this situation by the fact that during feeding the uterus contracts faster (involution).

After birth, the uterus with its inner surface weighs approximately 1 kilogram. In the future, it will gradually shrink in size. Bloody discharge just comes out of the uterus, cleansing it. After childbirth, women experience mucous discharge for 1.5 months until the inner surface of the uterus is restored.

A very dangerous complication in the first week after childbirth is bleeding. . It can occur if remnants of the placenta remain in the uterine cavity, attached to the endometrium. In this case, the myometrium is not able to fully contract. This leads to severe bleeding. The doctor should carefully examine the placenta after its separation on both sides. This allows you to identify the problem before symptoms occur.

Many symptoms indicate that there are some disturbances in a woman’s body. It is especially necessary to be wary if the discharge unexpectedly began to intensify, heavy bleeding appeared, or the discharge began to have a strong unpleasant odor, as well as if a woman discovered curdled and purulent discharge.

Sometimes, against the background of prolonged discharge, inflammation may begin after childbirth. Mucus and blood are a beneficial environment for pathogenic bacteria. In the absence of personal hygiene and early onset of sexual activity after childbirth, a woman may be bothered by odor-bearing discharge. Dark, brown discharge is considered normal, however, if there are bacteria, it will have a yellowish or greenish tint. In addition, they will be more abundant and liquid, and in parallel, pain, chills and fever may appear in the lower abdomen. Such cases require emergency treatment, since endometritis eventually leads to infertility.

Inflammation can be prevented by personal hygiene - you need to wash yourself more often using infusions of string and chamomile. In this case, douching is strictly prohibited. Potassium permanganate should also be excluded, since in strong concentration it has an irritating effect on the mucous membrane.

Pungent and purulent odor indicates the presence of infection, and maybe even endometritis. Very often this process can be accompanied by sharp pain and high fever.

Yeast colpitis is also included in the risk zone for discharge after childbirth. It can be identified by its characteristic cheesy discharge.

Usually the uterus reaches its normal size by 7-8 weeks. The inner layer of the uterus will look like a mucous lining. If a woman does not breastfeed after childbirth , ovarian function improves, and menstruation appears.

COLOR OF DISCHARGE IN A WOMAN GIVING BIRTH

After childbirth, the uterus begins its regenerative process, which may be accompanied by blood discharge - lochia. The process is completed when the uterus is completely covered with new epithelium. The color of the discharge in the first 3-6 days is very bright, red. At this time, blood clots and remnants of the placenta may also be expelled.

The nature and amount of discharge after childbirth indicates the degree of cleansing of the uterus and its healing.

Pink discharge are a consequence of small placental abruptions . After all, blood accumulates under them, then released out. Sometimes such discharge can be accompanied by nagging pain in the lower abdomen, and it can also hurt in the lumbar region.

The inflammatory process is characterized yellow discharge after childbirth. Purulent discharge indicates the possible development of endometritis, an infectious disease of the uterine cavity. The reason for contacting a gynecologist for advice should be sharp-smelling, unpleasant green discharge, yellow discharge, yellow-green discharge, greenish discharge. The disease is accompanied by an increase in body temperature, as well as unpleasant abdominal pain.

Increased discharge after reducing its volume or bloody prolonged discharge may be caused by retention of the placenta in the uterus. This prevents it from contracting normally.

White discharge curdled nature, redness of the genitals and itching in the vagina are signs of yeast colpitis and thrush. Thrush can often develop while taking antibiotics.

Young mothers are often scared after giving birth brown discharge. Sometimes they come out as blood clots with an unpleasant odor. Under conditions of normal recovery after childbirth, which took place without complications, the discharge stops within 4 weeks. By the fourth week they are already insignificant and spotting. However, they can take up to 6 weeks. Note that breastfeeding women recover faster after childbirth. Their brown discharge ends earlier than in non-breastfeeding mothers.

Some women are unable to distinguish normal vaginal discharge from abnormal leucorrhoea. Transparent selections and are normal. However, they are also characteristic of a number of certain diseases. The main source of discharge is fluid seeping through the vaginal mucosa from the lymphatic and blood vessels. This fluid is clear and is called transudate. The glands of the uterine cavity are another source of vaginal discharge. They actively secrete in the second phase of menstruation and secrete mucus.

Discharge due to gardnerellosis may also be transparent. . They are watery, abundant, and have a fishy, unpleasant odor.

Pathological white discharge is a symptom of an infectious disease. Their consequences are burning, itching, and increased moisture in the genital area.

As a rule, pathological leucorrhoea is caused in women by inflamed vaginal mucosa . Such infections are called colpitis, vaginitis. The threat is that these diseases are sometimes combined with cervicitis. Cervicitis is an inflammation of the mucous membrane of the cervix.

The main sign of inflammation of the fallopian tubes is tubal leucorrhoea in women. The cause of its occurrence is a purulent substance that accumulates in the fallopian tube.

Cervical leucorrhoea appears when the secretion of the cervical glands is disrupted. . As a result, mucus secretion increases. Women may have similar white discharge with general diseases (endocrine system dysfunction, tuberculosis) and gynecological diseases (polyps, cervicitis, scar changes that occurred due to uterine rupture).

Uterine leucorrhoea are a consequence of uterine pathologies. They are also caused by neoplasms - fibroids , polyps, cancer.

You should not think that such complications occur in a woman who has given birth. may go away on their own. You should seek medical help as soon as possible. Sometimes hospitalization is even required. Women can contact an antenatal clinic or a maternity hospital, where they can arrive at any time of the day or night within 40 days from the date of birth.

WHEN DOES A WOMAN'S NORMAL DISCHARGE END AFTER CHILDREN?

Normal discharge after childbirth may be bloody and heavy. Don't be alarmed, after a few weeks everything will return to normal. Unpleasant sensations in the genitals may occur in the future. This process is natural, since the genitals significantly stretch during childbirth. They will be able to acquire their normal form only after some time.

If sutures are applied after childbirth, experts do not recommend making sudden movements in the first days. Thus, you injure the sutured muscle tissue.

After childbirth, the placenta also leaves, which indicates when the birth process ends. After the baby is born, the woman is given a drug to stimulate the delivery of the placenta. After this, heavy discharge is possible. There is no pain, but bleeding may cause dizziness . Be sure to call your doctor if you experience heavy bleeding. Within two hours after birth, no more than 0.5 liters of blood should come out. In this case, the child and mother are transferred to the ward.

Tips on the norm of various discharges after childbirth:

- discharge after childbirth includes dying epithelium of the uterus, blood, plasma, ichor and mucus. They usually intensify when pressing on the abdomen or moving . The discharge lasts on average for a month, and with a caesarean section this process takes a little longer. At the very beginning, they look like menstruation, however, over time, the discharge will lighten and end. This is the norm for such discharge after childbirth;

After a few days, the discharge will become darker in color and there will be less of it;

After the second week is complete, the discharge will turn brownish-yellow and become more mucilaginous.

It is necessary to follow some recommendations for the prevention of postpartum hemorrhage:

- breastfeeding the baby on demand. When breastfeeding the uterus contracts as irritation of the nipples leads to the release of oxytocin. It is a hormone produced by the pituitary gland, an endocrine gland located in the brain. Oxytocin causes the uterus to contract. At this time they may feel cramping pain in the woman’s lower abdomen . Moreover, for those who have given birth again, they are much stronger. When feeding, the discharge is also stronger;

Timely emptying of the bladder. Immediately after giving birth, on the first day you need to go to the toilet every three hours, even though there is no urge to urinate. If the bladder is full, this will interfere with normal contraction of the uterus;

Lying on your stomach. This position will prevent bleeding and delay discharge in the uterus. The tone of the uterus after childbirth is weakened. The uterus sometimes tilts back, causing secretions to drain. Lying on your stomach brings the uterus closer to the anterior abdominal wall . At the same time, the angle between the cervix and its body is leveled, as a result of which the outflow of secretions improves;

Ice pack on the lower abdomen 3-4 times a day. This method will improve the contraction of the uterine vessels and muscles of the uterus.
NEXT ARTICLE.