Bloody discharge 2 months after delivery. White discharge

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Good afternoon! I am 23 years old. 7.5 weeks ago there was a natural childbirth, fast, without complications (several tears in the labia minora, sutures were applied). Postpartum period without features. Lochia up to about 6 weeks (first bloody, then bloody and colorless). 3 days ago there was sexual intercourse (there was no pain and blood discharge either during or immediately after). The next day - bleeding, painless, insignificant (about 5-15 ml per day), the blood is bright red. Bleeding continues for 3 days, the same intensity, no other symptoms. There are no chronic diseases. Gynecological history: endometriosis 1-2 tbsp. (a year ago, laparoscopy with cauterization of foci was performed), genital warts of the cervix (negative analysis for highly oncogenic HPV, condyloma was removed simultaneously with laparoscopy). According to blood tests, the hormonal status was normal before pregnancy; menses were regular, profuse, painless. The pregnancy was uneventful, the birth was the first. From birth to the present day - breastfeeding, during the day - according to the regimen (after 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 express. Enough milk, no supplement. Question: what can be caused by bleeding and how much does it require the adoption of some measures? I will go to the gynecologist not earlier than in 2-3 weeks (preliminary appointment). Could it be menstruation (and is there a way to tell it apart from bleeding)? Could this be due to cervical pathology, insufficient recovery of the uterus at the time of the onset of sexual activity, or trauma to the vagina / vulva (including the areas of suturing the labia minora)? Is it possible to resume sexual activity when the bleeding stops? How urgent is it to see a gynecologist? Thanks in advance for your reply!

Good afternoon. You are right, a gynecological examination is necessary to clarify the source, as well as its cause. Normally, if the baby eats more than five times a day, then there is no menstruation. However, there are deviations from this norm. It is possible that you have begun menstruation. This is also a reason to refer to . Ask about the method of contraception for the period of breastfeeding. The most common drugs for nursing mothers are an intrauterine contraceptive (spiral), Benatex suppositories, hormonal contraceptives (lactinet,), which by their composition are also used in the treatment of endometriosis, as well as barrier contraception.

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At the moment, bleeding occurs periodically again (approximately 1 time in 2 weeks, not intense, has already occurred three times). Gynecological examination revealed no pathology of the cervix and vagina. An ultrasound was made (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 hypoechoic heterogeneous (with small hyperechoic inclusions) formation 9x6 mm (polyp? blood clot?), endometrium 4 mm, no focal formations, cervix without features. The ovaries are typically located, 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 intramuscular oxytocin for 1 week (diagnosis: lochiometer? 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 tilted backwards, 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 is typically located on the right, soldered to the uterine rib on the left, the dimensions are normal. There is a dominant follicle in the left ovary (18mm?). a small amount of fluid in the pelvis. fallopian tubes without features. Conclusion: adenomyosis, dilatation of the veins of the small pelvis, indirect signs of adhesions in the small pelvis (I had endometriosis and coagulation of its foci a year ago). There is no data 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 (i.e. today) there were slight discomfort in the lower abdomen on the left and some blood came out. Could this be normal? (e.g. due to ovulation)? Is it normal to have spotting up to 2 times a month? how long can this go on (this situation is already 6 weeks, I’m breastfeeding with a long night break and don’t pump)? Do I need to go to the gynecologist again and how urgent (we have an appointment in 2-3 weeks only)? -be a polyp or something else (and how do you need to be examined to find out)? Ultrasound (the first, against the background of discharge) is attached.

Duration of discharge Composition of lochia Color of postpartum menstruation Number of discharge Odor of lochia Interruption in discharge Lochia after caesarean section

After the baby is born, the placenta separates from the uterus, which provokes the rupture of numerous vessels that connected them together. This is how bleeding is formed, 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 in medicine is called lochia. None of the newly-made mothers will be able to avoid them. However, there are a number of questions they raise. The more a woman is aware of their duration and nature, the less the risk of avoiding complications that often occur against the background of such postpartum "menstruation".

Particular attention during this period should be paid to personal hygiene. To avoid possible infections and an unpleasant smell, because a girl always wants to remain attractive, she should be very careful and attentive to the detergents and cosmetics that you use.

The choice of hygiene products should always be treated more carefully and do not neglect reading the composition. After giving birth, 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, as well as 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 the most suitable for the period of breastfeeding and postpartum adaptation. You can find out more on the website mulsan.ru

The duration of the discharge

Each female body is very individual, and the timing of its recovery after the birth of a child is also different for everyone. Therefore, there can be no unambiguous answer to the question of how long the discharge after childbirth lasts. However, there are limits that are considered the norm, and everything that goes beyond them is a deviation. It is on them that every young mother should be guided.

Norm

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

Tolerances

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

Dangerous deviations

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

You need to know! Many young mothers are happy when their postpartum discharge is over within a month. It seems to them that they “got off with little blood” and can enter the usual rhythm of life. According to statistics, in 98% of such cases, after some time, everything ends with hospitalization, because the body could not be completely cleansed, 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 a young mother in the future. Therefore, every woman should monitor how long the discharge after childbirth lasts, comparing their duration with the norm established in gynecology. If in doubt, it is better to consult a doctor in a timely manner. Much depends not only on how many days they last, but also on other, already qualitative characteristics.

Lochia composition

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

Fine:

the first 2-3 days after childbirth there are spotting due to bursting 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 the dead endometrium and the remnants of the placenta come out; after a week there will be no more clots, the lochia will become more liquid; no need to be scared 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, the lochia become similar to the usual smears that occur during menstruation, but already with coagulated blood.

So bloody discharge after childbirth, which scares many young mothers, is the norm and should not be a cause for alarm. It is much worse if pus begins to mix with them, which is a serious deviation. You should consult 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 a greenish-yellow color; if mucus and clots continue to go longer than a week after childbirth; watery, transparent lochia is also not considered the norm, 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 dysbacteriosis, which is characterized by abundant discharge with an unpleasant fishy smell.

If a woman knows which discharges after childbirth are considered normal, depending on their composition, and which ones indicate abnormalities, she will be able to seek advice and medical help from a gynecologist in a timely manner. After passing tests (usually a smear, blood and urine), a diagnosis is made and appropriate treatment is prescribed. To understand that not everything is in order with the body will also help the color of lochia.

The color of postpartum menstruation

In addition to the composition of lochia, it is imperative 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 (blood has not yet clotting); after that, brown discharge occurs within 1-2 weeks, which indicate that the postpartum recovery of the uterus occurs without deviations; the last weeks of the lochia should be transparent, slight turbidity 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 can indicate the following processes taking place in the body:

pale yellow, not very abundant lochia may begin by the end of the second week after childbirth - this is the norm and should not cause concern for a young mother; if bright yellow discharge with an admixture of greenery and a putrid odor has gone already 4 or 5 days after the birth of the baby, 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.

Endometritis is useless to treat on its own, at home: it requires serious antibiotic treatment, and in severe cases, surgical removal of the damaged, inflamed epithelium of the uterus is performed to cleanse the mucosa in order to give the upper layer of the membrane the opportunity to recover faster.

green slime

Green discharge, which is much worse than yellow, can also indicate endometritis, because it means an already running 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

It is worth starting to worry if white lochia has gone after childbirth, accompanied by symptoms such as:

unpleasant smell 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). In the presence of such suspicious symptoms, it is imperative to contact a gynecologist so that he takes a swab from the vagina or a bacterial culture. Once the diagnosis is confirmed, appropriate treatment will be prescribed.

black bleeding

If black discharge occurs in the postpartum or lactation period, 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 the restructuring of the woman's hormonal background or hormonal failure.

Useful information. According to statistics, women mostly turn to gynecologists after childbirth with complaints about black discharge, which scares 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 birth of the baby. The uterus during this period is an open wound, the blood does not have time to clot, and the discharge acquires a blood-red, rather bright shade. However, after a week it will change to a brownish-brown color, which will also indicate that healing occurs without deviations. Usually, the discharge becomes cloudy gray-yellow, closer to transparent, a month after childbirth.

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

Number of selections

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

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

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

Even worse, if abundant lochia does not end for too long and go for 2-3 weeks, or even more. This suggests that the healing process is delayed and the uterus cannot fully recover for some reason. They can only be found out during a medical examination, and then eliminated through treatment.

Smell lochia

Women know that any discharge from the body has a specific odor that can only be eliminated through good hygiene. In the postpartum period, this characteristic of lochia can do a good job and report problems in the body in time. Pay attention to how the discharge smells after childbirth.

In the first days they should come with the smell of fresh blood and dampness, after this time a shade of mustiness and charm can 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. Together with other abnormalities (color, profusion), this symptom may indicate inflammation or infection of the uterus.

If you think that postpartum discharge smells very bad, do not hope that this is temporary, will pass soon, or is the norm. In order to avoid complications, the most correct decision in this case would be to consult a doctor at least for a consultation.

Break in secretions

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

If scarlet, fresh bloody discharge has started 2 months after childbirth, it can either be the restoration of the menstrual cycle (in some women, the body is capable of such a quick recovery, especially in the absence of lactation), or rupture of the sutures after heavy physical or emotional stress, or some then other problems that only a doctor can identify and eliminate. If the 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 secretions in order to understand what is happening with the body. Most often, this is how the remnants of the endometrium or placenta come out, which something prevented from leaving immediately after childbirth. If the lochia is dark, with mucus and clots, but without a characteristic putrid, pungent odor and in the absence of pus, most likely, everything will end without any complications. However, in the presence of these symptoms, we can talk about an inflammatory process, which is treated either with antibiotics or through curettage.

Since a break in postpartum discharge may indicate the presence of an inflammatory process in the uterus, do not delay visiting a doctor. After the examination, he will accurately establish whether this is a new menstrual cycle or a deviation from the norm that requires medical intervention. Separately, it is worth paying attention to the lochia after artificial birth.

Lochia after caesarean section

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

the body recovers after a caesarean section in the same way as after a natural birth: blood and dead endometrium come out with secretions; in this case, there is a greater risk of catching an infection or an inflammatory process, so you need to regularly carry out hygiene procedures with special attention; in the first week after artificial birth, bloody discharge is abundant, with the content of 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 delayed, since the uterus in this case does not contract so quickly and the healing process takes a long time; it should be borne in mind that blood after a cesarean section should go no more than 2 weeks.

Every young mother should understand how important the full recovery of the uterus after childbirth plays in her health. How it passes can be understood by lochia. It is necessary to track their duration, the timing when the discharge stops and starts again, their qualitative characteristics. There can be no accidents here: color, smell, quantity - each symptom can be a timely signal for visiting a doctor, identifying a problem and undergoing appropriate treatment.

WHAT AND HOW MANY DAYS DISCHARGE GOES AFTER BIRTH

Serious changes in a woman's body begin immediately after childbirth. In large quantities, the hormones necessary for lactation - prolactin and oxytocin - begin to be produced. With the release of the placenta, the level of estrogen and progesterone hormones decreases. In the first hours postpartum discharge are bloody. Doctors are faced with the task of preventing the onset of bleeding. Often, at this moment, a heating pad with ice is placed on the woman’s stomach, and urine is excreted by a catheter. Intravenous drugs are given that cause uterine contractions. The volume of secretions cannot be more than 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 from a woman after a past birth,

which are called lochia, last another 5-6 weeks. They will end after the uterus returns to its usual size before the start of pregnancy. The wounds that formed at the site of the placenta should also heal. What discharge after childbirth occurs in women? 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. In particular, in the place where the placenta was attached to the wall of the uterus.

How long the uterus shrinks in women to its previous size before pregnancy depends on the woman's body, in which the self-purification process begins (it is 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 experts the involution of the uterus, or its restoration. The release of the uterus in due time from rejected tissues means that there are no complications in the woman who has given birth. It is very important to pay serious attention after childbirth, how long the lochia lasts, and their color.

Allocations are constantly changing their character. At first, lochia is similar to the discharge during menstruation, but it is much more abundant. At this stage, this is a good sign, since the cavity of the womb is cleared of wound content. How many days do white lochia last for women? They begin to stand out approximately from the tenth day after childbirth and last about 21 days. The discharge becomes white or yellowish-white, liquid, smearing, without admixture of blood and odorless. How long is the discharge 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 childbirth on the fourth day. The secretions turn pale, acquire a serous-sanious or pinkish-brown color and contain a huge number of leukocytes. There should be no blood clots or bright red discharge during this period. If suddenly they are available, this should seriously alert the woman to consult a doctor for advice. A timely appeal to specialists will help to quickly resolve the problem found. Newly born mothers are often concerned about the question how long does discharge last after childbirth. The normal discharge is their duration of approximately 1.5 months. During this period, the mucous membrane is restored in the uterine cavity. After a caesarean section, the discharge lasts longer, because the uterus, which was injured, decreases more slowly. So, at the end of the first week, the lochia will already be lighter, and the second week is characterized by their transformation into mucous membranes. Until the end of the first month after birth, lochia may contain a small amount of blood. How long the allocation will go depends on a large number of reasons: the course of your pregnancy; the course of childbirth; the method of delivery, in particular caesarean section, after which lochia lasts longer; the intensity of uterine contraction; all kinds of postpartum complications, including infectious inflammation; the physiological characteristics of the woman’s body and its ability to postpartum recovery; breastfeeding: with frequent application the baby to the chest decreases more intensively and the uterus is cleared. CHARACTERISTICS OF DISCHARGE AFTER CHILD (AFTER A WEEK, IN A MONTH)Several weeks after giving birth there is a process of restoration of the endometrium, the mucous membrane of the uterus. At this time, the woman who has given birth has discharge. To prevent postpartum hemorrhage, for prevention, emptying the bladder immediately after childbirth with a catheter is done and ice is placed on the lower abdomen. At the same time, intravenous injections of drugs, methylegrometril or oxytocin, are administered to the woman, which effectively contribute to 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. in one week after childbirth is usually compared with ordinary menstruation. Sometimes women even mistake the discharge for menstruation. It must be well remembered 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 allocations will decrease every day. After 2 weeks they will be reduced. The discharge acquires a yellowish-white color a week after childbirth, but may still be mixed with blood. It will take 3 weeks, and the discharge will become more scarce, but spotting. As before pregnancy, discharge becomes 2 months after childbirth. The cessation of discharge for each woman in labor is an individual process. In general, the discharge of discharge is a month after childbirth. Discharge after a woman's childbirth in a month become slimy. This is a sign that gradually the surface of the uterus acquires its normal structure, and the wounds heal. It should be noted that with a sharp increase in the volume of discharge, an urgent need to consult a doctor. There is a potential risk of late bleeding after childbirth, which includes bleeding that occurs two hours or more after childbirth. It is bad if the discharge goes on 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 secretions for this period will be 500-1500 ml. Serious attention in the discharge after childbirth should be paid to the following points:- there should not be an increase in the woman's temperature; - there should not be a specific and sharp purulent smell from the discharge; - the volume of discharge should gradually decrease. Of course, the discharge has some kind of smell, but rather it is rotten. This is due to the fact that the discharge of blood lingers 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, ended very early after childbirth; - if the discharge is yellow and with an unpleasant odor; - if the duration of heavy discharge is more than two months after childbirth. Perhaps this is bleeding or some problems in the uterus; - yellowish-green lochia characterize the inflammatory process; - if 3-4 months have passed, and dark and purulent discharge continues.
VARIOUS DISCHARGE (BLOODY, MUCOUS, PURULENT WITH ODOUR) AFTER BIRTH Pregnancy is characterized by the absence of menstruation. However, after the birth of a child, lochia begins, bloody prolonged discharge after a past birth. They are bright red for the first 2-3 days. Bloody discharge from a woman who has given birth occurs due to the fact that blood clotting has not yet begun. Ordinary pads can't cope with them, so diapers or special postpartum pads are issued in the maternity hospital. Bloody issues in breastfeeding mothers after childbirth, they end much faster than in non-nursing mothers. Experts and doctors explain this situation by the fact that during feeding, the uterus contracts faster (involution). After childbirth, the uterus with an internal surface weighs about 1 kilogram. In the future, it will gradually decrease in size. Bloody discharge, just, and 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 does not have the ability to fully contract. This leads to heavy bleeding. The doctor should carefully examine the placenta after its separation from both sides. This allows you to identify the problem before the onset of symptoms. Many symptoms indicate that there are some disorders in the woman's body. It is especially necessary to be wary if the discharge unexpectedly began to intensify, there was heavy bleeding, or the discharge began to have a sharp unpleasant odor, and also if the woman found 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 the early onset of sexual activity after childbirth, a woman may be disturbed by odorous discharge. Dark discharge, brown in color, is considered normal, however, if there are bacteria, they will become yellowish or greenish. In addition, they will be more plentiful and liquid, and pain, chills and fever may appear in parallel in the lower abdomen. Such cases require emergency treatment, since endometritis leads to infertility in the future. Personal hygiene serves as a preventive measure for inflammation - it is necessary to wash more often using infusions of string and chamomile. Douching in this case is strictly prohibited. Potassium permanganate should also be excluded, since it has an irritating effect on the mucous membrane in a strong concentration. Pungent and purulent smell indicates the presence of an infection, and maybe even endometritis. Very often, this process can be accompanied by severe pain and high fever. Yeast colpitis is also at risk of 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 After childbirth, the uterus begins its regenerative process, which may be accompanied by blood discharge - lochia. The process is completed when the uterus is covered with completely new epithelium. The color of the discharge in the first 3-6 days is very bright, red. At this time, blood clots and the remains of the placenta may also be rejected. The nature and amount of discharge after childbirth indicate the degree of purification of the uterus and its healing. pink discharge are the result of small detachments of the placenta. After all, blood accumulates under them, then released to the outside. Sometimes such discharge can be accompanied by pulling pains in the lower abdomen, 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 a sharp-smelling, unpleasant green discharge, yellow discharge, yellow-green, greenish discharge. The disease is accompanied by an increase in body temperature, as well as unpleasant pain in the abdomen. Increased secretions after a reduction in their volume or bloody prolonged discharge can be caused by a retention of the placenta in the uterus. This does not allow her to contract normally.

White discharge curdled nature, redness of the genital organs and itching in the vagina are signs of yeast colpitis and thrush. Often, thrush can develop while taking antibiotics. Young mothers are often scared after childbirth brown discharge. Sometimes they come out with an unpleasant smell of blood clots. In conditions of normal recovery after childbirth, which took place without complications, the discharge stops in 4 weeks. By the fourth week, they are already insignificant, spotting. However, they can take up to 6 weeks. Note that breastfeeding women recover faster after childbirth. Their brown discharge ends earlier than non-nursing mothers. Some women are not able to distinguish between normal discharge from the womb and pathological leucorrhoea. Transparent highlights and are normal. However, they are also characteristic of a number of certain diseases. The main source of secretions is fluid seeping through the mucous membrane of the vagina from the lymphatic and blood vessels. This fluid is clear and is called a transudate. The glands of the mucous membrane of the uterine cavity are another source of vaginal discharge. They actively secrete in the second phase of menstruation and secrete mucus. Discharge during gardnerellosis can also be transparent. They are watery, profuse, with a fishy odor. Pathological white discharge is a symptom of an infectious disease. Their consequence is burning, itching, increased humidity in the genital area. As a rule, pathological leucorrhea is caused in women by an 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 symptom of inflammation of the fallopian tubes are 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 disturbed. As a result, mucus secretion increases. Similar white discharge can be found in women with general diseases (disruption of the endocrine system, tuberculosis) and gynecological (polyps, cervicitis, cicatricial changes that occurred due to uterine rupture). Uterine leucorrhea are the result of pathologies of the uterus. 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 by themselves. You should seek medical attention as soon as possible. Sometimes even hospitalization is required. Women can contact the antenatal clinic or the maternity hospital, where you can come at any time of the day or night within 40 days from the date of birth. WHEN NORMAL DISCHARGE IS ENDED AFTER BIRTH IN A WOMAN Normal discharge after childbirth can be bloody and profuse. Don't worry, after a few weeks everything will be back to normal. There may be further discomfort in the genitals. This process is natural, since the genitals during childbirth are significantly stretched. They will be able to acquire their normal shape only after some time. When stitches are applied after childbirth, experts are not recommended to make sudden movements in the first days. Thus, you injure the sutured muscle tissue. After childbirth, the placenta also departs, which indicates when the childbirth process ends. After the birth of a child, a woman is given a drug to stimulate the release of the placenta. After that, abundant discharge is possible. There is no pain, but bleeding can lead to dizziness. Be sure to call your doctor if you experience heavy bleeding. 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 for the rate of various discharges after childbirth:- Discharge after childbirth includes the dying epithelium of the uterus, blood, plasma, ichor and mucus. They are aggravated, as a rule, with pressure on the abdomen or movement. Allocations last an average of a month, and with a caesarean section, this process takes a little longer. At the very beginning, they are similar to menstruation, however, over time, the discharge will brighten and end. This is the norm for such discharge after childbirth; - after a few days, the discharge will become dark in color, and there will be less of them; - after the end of the second week, the discharge will become brown-yellow and come in a more mucous state.

It is necessary to follow some recommendations for the prevention of emerging postpartum hemorrhage:- breastfeeding the baby on demand. When breastfeeding, uterine contraction occurs because irritation of the nipples of the breast leads to the release of oxytocin. It is a hormone produced in the pituitary gland, an endocrine gland located in the brain. Oxytocin causes the uterus to contract. At this time, cramping pains in the lower abdomen of a woman may be felt. Moreover, in those who gave birth again, they are much stronger. When feeding, the discharge is also stronger; - timely emptying of the bladder. Immediately after childbirth, 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 the normal contraction of the uterus; - lying on the stomach. This position will prevent bleeding and delay the discharge in the uterus. The tone of the uterus after childbirth is weakened. The uterus sometimes deviates backward, causing the outflow of secretions. Lying on your stomach, you bring 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; - 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.
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INTERESTING FOR WOMEN:

First week after delivery Second week after delivery Third week after delivery

Typically, baby care books are very detailed on how to handle a newborn and give little or no advice to moms about postpartum recovery. New guidance on babies from birth to 6 months fills this gap. We talk about the sensations that a woman may experience in the first three weeks after childbirth, and answer popular questions: how many days after childbirth will the discharge stop, the stitches will heal, the stomach will tighten and it will be possible to do simple gymnastics.

First week after childbirth

Bleeding after childbirth - this is normal, and it will be more abundant than during normal periods. Use sanitary pads rather than tampons to minimize the risk of infection. If you notice a clot larger than 3 cm in diameter on the pad, tell the nurse about it - 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 burst into tears around the fifth day. This should pass when the sharp jumps in hormones stop. Lack of sleep can exacerbate this condition, so if you find the opportunity to even take a short nap during the day, this will already noticeably help.

Temperatures above 38°C may indicate infection, although some women feel chills and fever when milk replaces colostrum around the third day. If you have a high fever, talk to your nurse to see if you're okay.

When the milk comes(usually between the third and fifth day), your breasts may become hard. Relief will bring frequent attachment of the baby to the breast. A warm cloth wrap and a warm bath will also help the milk flow freely and make the breasts softer.

You may also feel painful spontaneous milk flow when, for example, the baby is crying. For some women, this causes a sharp burning sensation in the chest, but it quickly passes, and after the fifth week it will no longer appear at all.

If you had C-section, a small amount of liquid may come out of the seam. This is not something to worry about, but if the discharge continues for more than a day, tell your nurse, because sometimes the stitches can come apart.

If you were made episiotomy(surgical incision to enlarge your vagina for childbirth) or you have had a tear, your stitches will probably hurt all week and you may need pain medication. Paracetamol is safe for nursing mothers. If you need something stronger, try paracetamol with codeine (which is also safe), although it can cause constipation. Pain can be relieved by sitting on an ice pack, or by trying special rubber rings made for women in labor. Such rings can be bought in pharmacies.

Hemorrhoids that appeared during childbirth can also be very painful, and if a woman has had a emorroy and before childbirth, then from attempts he only increased. The good news is that even large knots will disappear on their own within a few months after giving birth. In the meantime, avoid constipation and do not stand for too long, as all this will only aggravate your condition. Ask the pharmacy for some cream that will help reduce bleeding and relieve pain. Sometimes stitches 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 cramps in the uterus while breastfeeding because hormones stimulate it to contract so that it returns to its normal size. If the pain is very severe, you can also take paracetamol.

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

First bowel movement may be painful after childbirth, 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 seams won't come apart. If you have not gone to the toilet for four days after giving birth, drink plenty of water and prune broth.

Second week after birth

There is a possibility that you may unexpectedly urinate. Don't worry, this happens to many women and should be gone by the sixth week. Urinary incontinence when 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's important to do special exercises. Squeeze the muscles as if you are trying to stop urination, hold them for a few seconds and do 10 repetitions. Do this every time you breastfeed your baby to make sure you get exercise throughout the day. You won't feel any change at first, but keep going anyway and your muscles will soon get stronger.

If you've had a caesarean section, you still need to do these exercises because your muscles have stretched and weakened while carrying the baby, supporting the baby's weight, and also under the influence of pregnancy hormones.

you still have a big stomach, but now it does not look tight, as if it is about to burst. Rather, it looks like jelly, which probably makes you feel unattractive. But you shouldn't be too upset - remember that your waist is getting thinner day by day, because excess fluid comes out of 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 leaking milk. This will stop within 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 release of milk, press the nipples with your palms, but do not do this too often, because this can reduce its production.

Third week after childbirth

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

You may have had pain in your pelvic region because the distance between your joints widened during pregnancy and childbirth. If the pain persists and is bothering you, then talk to your doctor or midwife - they can refer you to a physical therapist.

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

Sucking on your baby will also help, so keep him close to your breast even if it's uncomfortable. Pumping is helpful too. You can try another position during feeding, for example "from the armpit": put the baby under your arm so that his head peeks out from under your armpit just at the chest.

Oh, how I do not like to remember the first month after cesarean. If it weren’t for the doctor, who, after the examination, advised me to wear corrective underwear instead of a bandage, then I probably would have suffered like that. Of course, I had to look for a suitable one, even look in Switzerland) I found, of course, smart corrective underwear with bamboo fibers) But in general, the main thing that I learned from the situation with a caesarean is that you never have to sit and say "oh, it might get easier." You should always go to the doctor and ask if everything is fine.

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

Recovery after natural childbirth

How long does the discharge after childbirth go on, the attending physician tells the patient upon discharge 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 be its nature - the main questions that women ask at the first consultation with a gynecologist from the moment the baby is born.

Norm indicators

Normal discharge after childbirth has a duration of 5 to 7 weeks. However, a deviation of 1 week up or down is an acceptable phenomenon. Statistical data indicate that the restoration of the endometrium in most cases occurs within 6 weeks. Allocations up to 6 weeks after childbirth are not considered as menstrual.

The first menstruation, as a rule, occurs 1.5-2 months after the birth of a 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 in this period is a natural phenomenon, it is impossible to avoid it. They represent a wound secret, which consists of mucous exudate, fragments of the non-viable inner (decidual) lining of the uterus, bursting blood vessels and blood. The appearance of lochia is also affected by the presence of cervical mucus and liquid vaginal secretions.

Postpartum discharge changes color, texture 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 recovery process of the body after childbirth.

What indicates a deviation from the norm

If the discharge continues longer than the period established in gynecology, their color, smell, consistency has changed, a consultation with a gynecologist is required without fail.

Recovery after caesarean section

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

Allocations after caesarean section in case of development of complications differ from natural ones.

Deviations from the norm are indicated by:

renewed scarlet discharge in large quantities;
purulent discharge after childbirth (green), which smells unpleasant;
discharge appeared again after 3 months;
the vaginal secret becomes watery or white;
the volume of secretion is negligible, the discharge is scarce;
clotted blood comes out;
the body temperature has risen;
blood pressure dropped sharply;
pallor of the skin;
weakness;
violation of urination;
thirst for a long time;
severe pain in the lower abdomen, lumbar;
itching and redness of the genitals, postoperative sutures.

After delivery by surgery, women who have given birth sometimes have black blood. In most cases, this is not dangerous and occurs due to changes in the hormonal background caused by labor. A blood test and a vaginal smear will dispel all doubts.

Normal discharge after childbirth ends after 6 weeks. During this period, the uterus is completely cleared. 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 (security mode - at least 2 months);
the use of a condom in the postpartum period will reduce the risk of infection;
full sexual hygiene prevents the occurrence of complications, 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, which stimulates uterine contractions;
increased physical activity is prohibited until the fourth month;
timely antibacterial and antifungal therapy prevents the development of generalized inflammation of the organs of the reproductive system;
taking iron supplements on the recommendation of a doctor will make up for its deficiency in case of massive bleeding;
vitamin and mineral complexes included in the diet contribute to the regeneration of uterine tissues;
good nutrition is a prerequisite for a quick 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 look like and how to distinguish them from pathological secretions. Compliance with the recommendations of the gynecologist and the security regime of the day contribute to the rapid recovery of the body after the birth of a child.

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

Very often, in the period after the birth of a baby, a woman has discharge that has a brownish color. They cause women discomfort and are often the cause of worries. Let's deal with this question - why do such secretions appear and do they pose any danger to health? Is this a norm 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 have given 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 caesarean section, even though the birth was natural. After the birth of the baby, the female body continues to contain endometrial tissue that has died, particles of blood, placenta, which 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 (for about a few hours), because then there is a risk of developing heavy bleeding. However, there is no need to worry much about this, because the workers of the maternity hospital are doing everything possible to prevent this from happening.

Usually women in labor are applied to, and also injected with Oxytocin. These activities are needed in order to ensure the contraction of the uterine muscles, which was 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 a child, the discharge can be very plentiful, so much so that a woman is forced to change the postpartum pad to a new one every half hour. During this period, the discharge has a rotten smell and a bright red color, and large blood clots can also be seen in the lochia. Of course, this process is not very convenient for a woman, she feels uncomfortable, but you need to understand that this is not at all dangerous for health.

After 3-4 days, the lochia are not so active, their volume is significantly reduced. There is also a change in the color of the discharge - they become brown. Mucus may be present in the discharge, but this is absolutely normal. During this period, a woman in labor can already switch from special pads, which are very large in size, to ordinary 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. This process cannot be avoided. Therefore, you should first buy 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 the body of a young mother, 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 smell, similar to the smell of rot, or a sour smell, then this is an occasion to contact the doctor and inform him of 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, the new mother should be especially careful to monitor the aroma of the discharge so that there are no problems.

You also need to make a visit to the gynecologist in case the volume of discharge suddenly increased sharply. If they have almost stopped, and then suddenly become abundant again, saturated red, then you urgently need to run to the doctor.

Usually this situation happens due to the fact that internal bleeding has occurred or the afterbirth cannot normally move away, 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 has vaginal dysbacteriosis. If, nevertheless, such a condition is diagnosed, then it is necessary to carry out treatment with drugs. If everything is in order, then the body temperature will be normal. If it has increased, then this already indicates that there is some kind of pathological process.

After all, our body always lets us know about any violations of high temperature. The violation may be indicated by itching that has arisen in the perineum, nausea, weakness, frequent urination, the presence of whitish flakes or pus in the lochia, and a drowsy state.

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

Be sure to notify your doctor that 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 easy recommendations, you can much easier endure all the changes that occur in the body after the appearance of the crumbs, and avoid the development of unpleasant health problems.

Every day, apply ice to the stomach, or rather to its lower part, for a while. This is necessary in order for the intensity of lochia to decrease faster. During this period, you should refuse to feed the baby with artificial mixtures.

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

It is also important to follow personal intimate hygiene. should be changed every 1-2 hours, regardless of how full they are. If this is not done, then a pathogenic microflora will arise, which provokes the manifestation of inflammatory processes.

You also need to wash yourself several times a day (it is recommended to take a shower at first, not a bath), it is forbidden to use intimate gels.

So that in the period after childbirth infectious complications do not develop, a woman in labor should definitely monitor her own hygiene. This will help eliminate the untidy odor. Especially in the first 2 months when lochia is present. It is necessary to ensure the 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. Of the replacement should occur every 3-4 hours. And so the first 30 days after the birth of the crumbs. Otherwise, active reproduction of pathogenic bacteria may begin in them.

It is impossible to use pads with any flavors in the first month after childbirth. They can increase the risk of allergic reactions. Tampons are also contraindicated because they will prevent the discharge from coming out. If a woman is in a supine position, it is recommended to place a diaper on the surface. Doctors often recommend not using ready-made pads. They are advised to replace them with homemade, made of cotton.

In the first weeks of a young mother, you need to wash yourself 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 very thing. You need to wash the labia near the vagina, but you do not need to wash anything inside.

Water of warm temperature can significantly reduce the pain from injuries that were received during the birth process. The perineum in the first weeks after childbirth is possible during urination, because urine can provoke irritation of wounds and cause pain.

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

Discharge after childbirth

WHAT AND HOW MANY DAYS DISCHARGE GOES AFTER BIRTH

Serious changes in the body of a woman start immediately after birth . In large quantities, the hormones necessary for lactation - prolactin and oxytocin - begin to be produced. Decreases with delivery of the placenta levels of the hormones estrogen and progesterone.

In the first hours postpartum discharge are bloody. Doctors are faced with the task of preventing the onset of bleeding. Often, at this moment, a heating pad with ice is placed on the woman’s stomach, and urine is excreted by a catheter. Intravenous drugs are given that cause uterine contractions. The volume of secretions cannot be more than 0.5 liters of blood. Sometimes bleeding increases if the muscles do not contract well, as well as with a serious rupture of the birth canal.

Discharge from a woman after a past birth, which is called lochia , last another 5-6 weeks. They will end after the uterus returns to its usual size before the start of pregnancy. The wounds that formed at the site of the placenta should also heal. What discharge after childbirth occurs in women? 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. In particular, in the place where the placenta was attached to the wall of the uterus.

The release of the uterus in due time from rejected tissues means that there are no complications in the woman who has given birth. It is very important to pay serious attention after childbirth, how long the lochia lasts, and their color. Allocations are constantly changing their character . At first, lochia is similar to the discharge during menstruation, but it is much more abundant. At this stage, this is a good sign, since the cavity of the womb is cleared of wound content.

How many days do white lochia last for women? They begin to stand out approximately from the tenth day after childbirth and last about 21 days. The discharge becomes white or yellowish-white, thin, smearing, free of blood and odorless.

How much is the discharge 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 childbirth on the fourth day. The secretions turn pale, acquire a serous-sanious or pinkish-brown color and contain a huge number of leukocytes. Blood clots or bright red discharge during this period should not be. If suddenly they are available, this should seriously alert the woman to consult a doctor for advice. Timely contacting specialists will help to quickly resolve the detected problem.

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

How long the allocation will go depends on a large number of reasons:

the course of your pregnancy;

the course of childbirth;

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

intensity of uterine contraction;

all kinds of postpartum complications, including infectious inflammation;

physiological characteristics of the woman's body and its ability to postpartum recovery;

breastfeeding: with frequent attachment of the child to the breast, the uterus decreases more intensively and is cleaned.

CHARACTERISTICS OF DISCHARGE AFTER CHILD (AFTER A WEEK, IN A MONTH)

Several weeks after giving birth there is a process of restoration of the endometrium, the mucous membrane of the uterus. At this time, the woman who has given birth has discharge . To prevent postpartum hemorrhage, for prevention, emptying the bladder immediately after childbirth with a catheter is done and ice is placed on the lower abdomen. Intravenously, at the same time, drugs, methylegrometril or oxytocin, are administered to the woman, which effectively contribute to uterine contraction.

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

Allocations in one week after childbirth is usually compared with ordinary menstruation. Sometimes women even mistake the discharge for menstruation. . It must be well remembered that the difference is that the discharge after childbirth is much more abundant than the discharge during menstruation, with blood clots. However allocation will decrease every day. After 2 weeks they will be reduced. The discharge acquires a yellowish-white color a week after birth, but may still be mixed with blood.

It will take 3 weeks, and the discharge will become more scarce, but spotting. As before pregnancy, discharge becomes 2 months after childbirth. The cessation of discharge for each woman in labor is an individual process. In general, the discharge of discharge is a month after childbirth.

Discharge after a woman's childbirth in a month become slimy. This is a sign that gradually the surface of the uterus acquires its normal structure, and the wounds heal.

It should be noted that with a sharp increase in the volume of discharge, an urgent need to consult a doctor. There is a potential risk of late bleeding after childbirth, which includes bleeding that occurs two hours or more after childbirth.

It's bad if the discharge goes on 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 secretions for this period will be 500-1500 ml.

Serious attention in the discharge after childbirth should be paid to the following points:

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

There should not be a specific and sharp purulent smell from the secretions;

The volume of allocations should be gradually reduced.

Of course, the discharge has some smell , but rather, he is rotten. This is due to the fact that the discharge of blood lingers 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, ended very early after childbirth;

If the discharge is yellow and with an unpleasant odor;

If the duration of copious discharge 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 DISCHARGE (BLOODY, MUCOUS, PURULENT WITH ODOUR) AFTER BIRTH

Pregnancy is characterized by the absence of menstruation. However, after the birth of a child, lochia begins, bloody prolonged discharge after a past birth. They are bright red for the first 2-3 days. Bloody discharge from a woman who has given birth occur due to the fact that blood clotting has not yet begun. Ordinary pads can't cope with them, so diapers or special postpartum pads are issued in the maternity hospital.

Bloody issues in breastfeeding mothers after childbirth, they end much faster than in non-nursing mothers. Experts and doctors explain this situation by the fact that during feeding, the uterus contracts faster (involution).

After childbirth, the uterus with an internal surface weighs about 1 kilogram. In the future, it will gradually decrease in size. Bloody discharge, just, and 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 does not have the ability to fully contract. This leads to heavy bleeding. The doctor should carefully examine the placenta after its separation from both sides. This allows you to identify the problem before symptoms occur.

Many symptoms indicate that there are some disorders in the woman's body. It is especially necessary to be alert if the discharge unexpectedly began to intensify, there was heavy bleeding, or the discharge began to have a sharp unpleasant odor, and also if the woman found curdled and purulent discharge.

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

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

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

Yeast colpitis is also at risk for discharge after childbirth. It can be identified by the characteristic curdled secretions.

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

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

The nature and amount of discharge after childbirth indicate the degree of purification of the uterus and its healing.

pink discharge are the result of small detachments of the placenta . After all, blood accumulates under them, then released to the outside. Sometimes such discharge can be accompanied by pulling pains in the lower abdomen, 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 a sharp-smelling, unpleasant green discharge, yellow discharge, yellow-green, greenish discharge. The disease is accompanied by an increase in body temperature, as well as unpleasant pain in the abdomen.

Strengthening of secretions after reduction of their volume or bloody prolonged discharge can be caused by a retention of the placenta in the uterus. This does not allow her to contract normally.

White discharge curdled nature, redness of the genital organs and itching in the vagina are signs of yeast colpitis and thrush. Often, thrush can develop while taking antibiotics.

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

Some women are not able to distinguish between normal discharge from the womb and pathological leucorrhoea. Transparent highlights and are normal. However, they are also characteristic of a number of certain diseases. The main source of secretions is fluid seeping through the mucous membrane of the vagina from the lymphatic and blood vessels. This fluid is clear and is called a transudate. The glands of the mucous membrane of the uterine cavity are another source of vaginal discharge. They actively secrete in the second phase of menstruation and secrete mucus.

Discharge from gardnerellosis can also be transparent. . They are watery, copious, with a fishy odor.

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

As a rule, pathological leucorrhea is caused in women by an 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 lining of the cervix.

The main symptom of inflammation of the fallopian tubes are 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 cervical glands is disturbed. . As a result, mucus secretion increases. Similar white discharge can be found in women with general diseases (disruption of the endocrine system, tuberculosis) and gynecological (polyps, cervicitis, cicatricial changes that occurred due to uterine rupture).

Uterine leucorrhea are the result of pathologies of the uterus. They are also caused by neoplasms - myoma , polyps, cancer.

Do not think that such complications in a woman who has given birth can go by themselves. You should seek medical attention as soon as possible. Sometimes even hospitalization is required. Women can contact the antenatal clinic or the maternity hospital, where you can come at any time of the day or night within 40 days from the date of birth.

WHEN NORMAL DISCHARGE IS ENDED AFTER BIRTH IN A WOMAN

Normal discharge after childbirth can be bloody and profuse. Don't worry, after a few weeks everything will be back to normal. There may be further discomfort in the genitals. This process is natural, since the genitals during childbirth are significantly stretched. They will be able to acquire their normal form only after some time.

With stitches 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 departs, which indicates when the process of childbirth ends. After the birth of a child, a woman is given a drug to stimulate the release of the placenta. After that, abundant discharge is possible. There is no pain, but bleeding can lead to dizziness . Be sure to call your doctor if you experience heavy bleeding. 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 for the rate of various discharges after childbirth:

- Discharge after childbirth includes the dying epithelium of the uterus, blood, plasma, ichor and mucus. They usually increase when pressing on the abdomen or moving . Allocations last an average of a month, and with a caesarean section, this process takes a little longer. At the very beginning, they are similar to menstruation, however, over time, the discharge will brighten and end. This is the norm of such discharge after childbirth;

After a few days, the discharge will become dark in color, and there will be fewer of them;

After the completion of the second week, the discharge will turn brown-yellow and become more mucous.

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

- breastfeeding the baby on demand. When breastfeeding uterine contraction occurs as irritation of the nipples of the breast leads to the release of oxytocin. It is a hormone produced in 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 lower abdomen of a woman . Moreover, in those who gave birth again, they are much stronger. When feeding, the discharge is also stronger;

Prompt emptying of the bladder. Immediately after childbirth, 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 the normal contraction of the uterus;

Lying on the stomach. This position will prevent bleeding and delay the discharge in the uterus. The tone of the uterus after childbirth is weakened. The uterus sometimes deviates backward, causing the outflow of secretions. Lying on your stomach, you bring 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.
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