Blood discharge after childbirth is a mandatory and completely normal process.
Thus, lochia and placenta remains are excreted from the body.
Discharge throughout the entire postpartum period (approximately 8 weeks) is considered to be the norm.
Blood discharge after childbirth: how much can go normal and what to do if it is abundant and does not end for a long time?
Is this a cause for concern?
Blood after childbirth: how much is going and why is this happening?
Postpartum secretion is a natural physiological process consisting in the rejection of the uterus mucosa by the body. The discharge goes no matter how the baby is born (naturally or with a caesarean). Childbirth is the separation of all fruit membranes. The uterus is then one large bleeding wound.
Restoration of the uterine mucosa begins immediately after the completion of labor. This process takes the uterine glands. In the first days after birth, the discharge consists of blood (80%) and secretion of the uterine glands. Gradually, the amount of blood in the discharge decreases.
Lochia go in both the early and late postnatal periods. The early period is considered to be in the first two hours after delivery. The next 6-8 weeks is late.
Blood after childbirth: how much is going and how does the duration depend
Normally, the duration of postpartum hemorrhage is about 6 weeks. During this time, a woman loses about one and a half liters of blood. Do not be afraid of such a figure, because the woman's body is ready for this in advance. When pregnancy occurs, much more blood begins to circulate in the female body than in an ordinary person.
The duration of bleeding depends on many factors. Significantly reduces this period of breastfeeding. In the woman’s body, there was originally a link between breastfeeding and uterine contraction. Accordingly, the faster the uterus comes to its normal state, the faster the discharge will end.
The duration of discharge is also affected by the process of delivery. In those women who give birth naturally, the blood after childbirth ends faster. After cesarean, the uterus recovers somewhat longer. This is due to the fact that it made an incision, which was subsequently sewn up.
Slightly longer spotting will go in those women who in the postpartum period are subjected to constant stress and heavy physical exertion. Even so, young mothers are recommended after childbirth to rest more and try not to worry.
What other factors affect the duration of discharge from the birth canal:
● multiple pregnancy (the uterus in this case greatly increases in size, which means that the reduction process will be longer),
● impaired blood clotting,
● trauma at birth, internal sutures,
● elements of the placenta, which may remain in the birth canal (in this case, the inflammatory process begins),
● contractile feature of the uterus,
● the existence of fibroids or fibroids.
Blood after childbirth: how much is going and what are the rules of personal hygiene during this period
As long as the bleeding occurs, there is a high risk of developing an infectious disease. To avoid this, you must adhere to certain rules of personal hygiene. In the postpartum period, they will differ somewhat from the generally accepted and well-known:
● special attention should be paid to sanitary pads, it is better to choose those intended specifically for postpartum discharge,
● when the discharge is not so abundant, you can start using the usual pads for menstruation, but you should be careful when choosing them: they must have a high degree of absorption,
● change gaskets more often, despite the fact that it is written on the product bundle that they are able to retain moisture up to 8 hours, you should not spend on advertising, ideally, the gasket should be changed every 3-4 hours,
● tampons with postpartum discharge is strictly prohibited to use, whatever you are guided by and whatever manufacturer is chosen,
● it is desirable to wash away after each change of gasket,
● this can be done using baby soap, it is also important to monitor the water flow: it should be directed from front to back,
● if the doctor indicated the need for home treatment of the sutures, then it should be done with the use of antiseptics - furatsilina or potassium permanganate,
● take a bath categorically contraindicated, wash and wash completely only in the shower.
Blood discharge after childbirth: how many days can go normal and when it is worth sounding the alarm?
Normal postpartum discharge
The first few days after birth, the selection will be as abundant as possible. About 400 ml of blood should come out daily. Most often it is not homogeneous, but with mucus or clots. Do not be afraid, it is quite a natural process. It should be so. These days the highlights go bright red.
After 3 days, the color will gradually change to brown. The closer to the end of the postpartum period (8 weeks), the less will be the discharge. Gradually, they will look like menstruation, then they will become light and turn into ordinary mucus.
When it is worth sounding the alarm
If a woman noticed at the maternity hospital that the discharge has become more intense or less, thicker or, conversely, watery, you should immediately tell the doctor about it.
Also, postpartum secretions should be monitored after discharge from the hospital. Despite the fact that the process of recovery after childbirth in each woman takes place individually, there are general points that should be the reason for going to a gynecologist.
What should alert every young mother
Quick stop selection. If lochia stopped going earlier than 5 weeks after giving birth, this is a serious cause for concern. Every woman should know that the functional layer of the endometrium is fully restored no earlier than 40 days after delivery. If the discharge stopped very soon after the appearance of the baby, it does not mean that the body has a good ability to recover. Most likely this is due to complications. Often they are infectious. However, it may be a cervical spasm. He retains lochia in her cavity, not allowing to go outside. This situation requires an immediate solution, as it leads to serious consequences.
Red color selections. 5 days after giving birth, the lochia takes on its color. Each woman can be an individual. But if the discharge has remained bright red, as in the first days after birth, this is an urgent need to tell the doctor. This may indicate such problems as impaired blood formation or blood clotting.
Lohii color change. If at first the selection changed its color from red to brown, and after a while, they turned red again, this also indicates problems. In most cases, this is due to intrauterine bleeding, which urgently needs to be eliminated. Timely access to a doctor will avoid serious consequences. Repeated color change of the blood after childbirth may indicate the existence of a polyp or rupture of soft tissues in the birth canal.
Odor. If, after some time, the discharge began to have a smell (no matter what), it means that an infection has penetrated into the uterine cavity. It can cause endometritis. By referring to a doctor in time and diagnosing the disease, the young mother can avoid such an unpleasant procedure as curettage. It is carried out when other methods of treatment (taking drugs that suppress the development of microorganisms and forcibly strengthen the contraction of the uterus) have been ineffective.
Blood discharge after childbirth: how many days can go normal and when do menstruation begin?
Absolutely answer the question: when they come monthly, it is impossible. Every woman's body is individual. Usually, if a mother stops breastfeeding by the end of the postpartum period, she will soon begin egg maturation.
For those who continue to breastfeed, menstruation may begin six months after birth, not earlier. At first the cycle will be irregular. Monthly can be both scarce and abundant, as short (up to 1-2 days), and long (up to 7-8 days). You should not be afraid of this, everything is within the normal range. For some moms, menstruation does not appear until the end of lactation. This option is also considered the norm. This is due to the postpartum production of the hormone prolactin. It stimulates the production of milk for feeding the child and helps suppress the formation of hormones in the ovary (ovulation simply does not occur).
The postpartum period is as important as pregnancy and childbirth. At this time, you must also be attentive to your health and condition. At the slightest deviation from the norm, you must visit a doctor. Do not be afraid to talk about all the changes in the bleeding that disturb you. Even if your gynecologist is a man, remember that first of all he is a doctor who is interested in your soonest recovery after childbirth. If something bothers you still in the hospital, be sure to consult him. Many problems are easily solved at the stage of their formation, and not in a neglected form.
After discharge home, do not neglect the rules of personal hygiene and the recommendations of the doctor. Remember, your baby needs a healthy and cheerful mother!
How long does the discharge last after birth?
How long does the discharge last after birth? In general, postpartum discharge is the scientific name of lochia. They begin to appear from the moment of postpartum rejection and usually persist for 7-8 weeks. Over time, lochias become less and less, their color begins to become lighter and lighter, and then the discharge stops.
However, with the accuracy of the question of how long the discharge lasts after the completion of labor, it cannot be answered, since it depends on several factors:
- The physiological characteristics of each woman are different, including the ability of the body to recover quickly after childbirth.
- The course of the pregnancy itself.
- The process of childbirth.
- The intensity of the contraction of the uterus.
- The presence of complications after childbirth.
- Breastfeeding a baby (if a woman breast feeds a baby, the uterus contracts and cleans up much faster).
But, on average, remember, the selection lasts about 1.5 months. During this time, the body is gradually recovering from pregnancy and past birth. If the lochia is over a couple of days or weeks after delivery, you should seek help from specialists, as your uterus does not contract properly, and this is fraught with serious complications. The same applies to the situation where the discharge does not stop a fairly large amount of time, which may indicate bleeding, polyps in the uterus, inflammation, etc.
Discharges one month after delivery
Abundant discharge in the first month is quite desirable - this way the uterus cavity is cleaned. In addition, microbial flora is formed in lochia after childbirth, which can later cause various inflammatory processes inside the body.
At this time, you must carefully observe personal hygiene, because the bleeding wound can be infected. Therefore follows:
- wash toilet thoroughly after using the toilet. It is necessary to wash with warm water, and from the outside, but not inside.
- Every day, swim, take a shower, bath after childbirth can not be taken.
- in the first weeks, days after birth, use sterile diapers, not sanitary pads.
- during a certain time after birth, change the pads 7-8 times a day.
- forget about using hygienic tampons.
Remember that after a month of selection should be a little lighter, because soon they should stop altogether. Continue to maintain hygiene, and do not worry, everything is going according to plan.
If the discharge a month after birth continues and they are abundant, have an unpleasant odor, mucous membranes, then urgently to the doctor! Do not over tighten, it can be dangerous for your health!
Spotting after childbirth
A large amount of blood and mucus is released from a woman immediately after she has given birth to a baby, although it should be so. All this is due to the fact that the surface of the uterus is damaged, as there is now a wound from the attachment of the placenta. Therefore, the bleeding will continue until such time as the wound on the surface of the uterus heals.
It should be understood that the bleeding should not be more than the permissible rate. You can find out about this very easily - if the diaper is over-excreted or the sheets under you will be all wet. You should also be worried if you feel any pain in the uterus or discharge that goes in time with the beat of your heartbeat, which indicates bleeding. In this case, seek medical advice immediately.
Lochia will gradually change. First, it will be a selection that looks like a selection during menstruation, only much more, then they will turn brownish, then yellowish white, lighter and lighter.
Some women have bleeding after childbirth, but they think at first that it is a safe bleeding. To avoid bleeding, you must:
- Regular visits to the toilet - the bladder should not put pressure on the uterus, thereby preventing its reduction.
- Constantly lie on your stomach (the uterus will be cleared from the contents of the wound).
- At the bottom of the abdomen in the delivery room, put a heating pad with ice (and in general, obstetricians should do this by default).
- Avoid heavy physical exertion.
Brown discharge after childbirth
Brown discharge is especially frightening for most mothers, especially if an unpleasant odor occurs. And if you read everything about medicine, and gynecology in particular, then you know that this is an irreversible process that you have to wait out. At this time there are dead particles, some blood cells.
In the first hours after the end of labor, the discharge can already become brown, along with large blood clots. But, basically, the first few days of lochia will be purely bloody.
If the recovery period for a woman passes without complications, on the 5-6th day of the discharge will become brownish in color. An interesting fact is that the brown discharge ends much earlier in those mothers who breastfeed their children. The reason for this is the following - lactation favors the quickest uterine contraction.
In this case, brown lochia last longer for those women who had to do a cesarean section.
However, if there is a sharp, purulent odor with secretions of brown color, pay close attention to this. After all, a possible cause of this phenomenon is an infection brought into the body. Therefore, in this case, immediately seek medical attention.
Yellow discharge after delivery
Discharge acquires a yellowish tinge for about ten days after birth has passed. The uterus is gradually restored, and the yellow discharge only confirms this fact. At this time, it is important to breastfeed the baby, and also not to forget to empty the bladder in time. Thus, the yellow discharge will cease more quickly, and the uterus will return to its original prenatal state.
However, if immediately after the birth of the baby, you notice that you have a discharge of bright yellow color or with a green admixture, you should tell your doctor about it. After all, such lochia can be caused by the fact that inflammatory processes occur in a woman's body. In addition, the selection of this color is usually accompanied by high fever and unpleasant sensations in the lower abdomen.
Perhaps, in the uterus cavity there was a festering, so you should seek the help of a gynecologist, who will refer you to an ultrasound.
Remember that the yellow discharge caused by the infection usually has a sharp purulent odor. To avoid such consequences, you must observe personal hygiene, as well as be under the supervision of a doctor.
But in general, yellow discharge is a common occurrence and they only confirm that everything is proceeding properly.
What does mucous, green, purulent or odorous discharge after childbirth say
It should be understood that abundant purulent discharge, green lochia are not the norm for a woman's body after childbirth. In most cases, such secretions are caused by the disease endometritis, which occurs as a result of inflammatory processes inside the uterus.
Contraction of the uterus, in this case, occurs rather slowly due to the fact that there are lochia in it. Their stagnation inside the uterus and can lead to negative consequences.
Mucous discharge, if they do not exceed the norm, can be observed throughout the month or one and a half months after the end of the birth. The nature of these secretions will change over time, but they will, to some degree or other, manifest themselves until the inner lining of the uterus is fully restored. It is worth worrying only if the mucous lochia has acquired a purulent, unpleasant smell. При возникновении подобных симптомов следует обратиться к гинекологу.
Always remember that postpartum discharge will occur without fail. Do not raise an alarm about this. Although your doctor should be aware of how the recovery period after childbirth. Write down the number when the selection began, then note when they changed their color to brown or yellow. Fix on paper how you feel at the same time, whether there is dizziness, fatigue, etc.
Do not forget that your child needs a healthy mother, so watch your health carefully, observe hygiene, do not ignore the abundant bleeding. If you have any concerns, contact a specialist.
What are the discharge after childbirth?
Lochia consists of blood cells, blood, plasma, fragments of the mucous membrane of the uterus (dying epithelium) and mucus from the cervical canal, so you will notice mucus and clots in them, especially in the first days after childbirth. When pressing on the stomach, as well as when moving, the discharge of wound contents may increase. Consider this, if you want to get out of bed - you will immediately rush. Therefore, we recommend that you first place a diaper under your feet.
Lochia will constantly change its character. At first they resemble the discharge during menstruation, only much more abundant. This is good because it is cleaning the uterus from wound contents. Within a few days, the lochia will become slightly darker in color and less in quantity. On the second week, the discharge will be brownish-yellow, will acquire a mucous consistency, and after the third - yellowish-white. But blood impurities can be observed even for a whole month after giving birth - this is normal.
To avoid bleeding?
Even after transferring the puerperal to the postpartum ward, the likelihood of bleeding is still high. If the amount of discharge increases dramatically, call the doctor right away. And to prevent bleeding, do the following:
- Roll over regularly on the stomach: this will help empty the uterus from the wound contents. Better yet, lie more on your stomach than on your back or side.
- As often as possible go to the toilet, even if you do not feel the urge. Optimally every 2-3 hours, since the full bladder presses on the uterus and prevents its reduction.
- Several times a day, place a hot-water bottle with ice on the lower abdomen: the vessels will contract, which also prevents bleeding.
- Do not lift anything heavy - during exercise, the amount of discharge may increase.
In addition, lochia nursing mothers end up much faster. Therefore, breastfeeding the baby on demand - during sucking in the mother's body, oxytocin is produced, provoking a contraction of the uterine muscles. The woman at the same time feels colic pains, and the discharge itself is intensified.
Discharge after childbirth: norms and deviations
Immediately after childbirth, blood discharge is abundant, but, despite this, you should not use conventional pads, the best option is absorbing diapers. It may seem inconvenient for a woman, and it is better for the doctor to assess the condition.
A few hours later, and then days after the birth, the red discharge has a slightly sweetish odor, since their main composition is invariable blood. In addition, it contains the secret of the uterine glands, activated after childbirth. The volume of discharge decreases gradually.
Deviation from the norm is considered to be a sudden decrease in the amount of brown discharge after childbirth, which indicates a spasm of the cervix. It is also abnormal if the discharge becomes excessively abundant - this means that the contractile activity of the uterus is impaired.
The doctor may decide that the new mommy has blood clotting problems. In the case of the development of DIC, medical procedures will be required, because such a complication is life threatening.
If a woman was undergoing a caesarean section, the picture will be slightly different, namely, how much time is observed after delivery. Duration is delayed, because the uterus can not be reduced so quickly. But it is important to bear in mind that the discharge after cesarean should not go more than two weeks.
Why does a selection occur?
Regardless of the manner in which the delivery took place, women have had discharge for a long time. This is due to the fact that the surface of the uterus after the separation of the placenta is actually an open wound.
In the third period of normal labor, the functional layer of the endometrium is rejected, which is thickened throughout pregnancy. At this time, the uterus begins to shrink.
Having been discharged from the maternity hospital, it is necessary to independently monitor the volume, smell and color of discharge after childbirth.
What determines the duration of the recovery period
A woman wants as soon as possible to get rid of the need to constantly change the pads, in addition, copious excretions make it difficult to restore sex after giving birth.
The question - how long the discharge after childbirth lasts, especially worries a woman. The terms of the uterus involution are different, their duration depends on the course of labor and the characteristics of the organism. Usually the process takes a month, but it happens that after 5-6 weeks the pink discharge remains.
How much discharge will go after delivery, depends on the breastfeeding of the baby. With frequent feedings, the uterus will shrink faster.
If, after such a time, the woman is still worried about blood, you should consult a doctor. Such a long recovery process has its reasons, which need to be determined as soon as possible.
Blood loss for a long time in itself hurts a woman. A sharp increase in the number of lochia is an alarming symptom - the doctor must examine the woman immediately. 2 months after birth, the discharge should be exactly in the past. Therefore, in case of an excessively long recovery process, it is important to take immediate action.
However, too rapid stop of bleeding after childbirth is another good reason to see a specialist. Most likely, the body quickly returned to normal, but there is another option. Blood can accumulate in the uterus without going outside.
Statistics show that 98% of cases of rapid cessation of discharge for a woman end with hospitalization. The female body is not cleaned on its own, and excess residues provoke the development of inflammation.
To assess her condition, a woman should not only monitor the duration of dark discharge, but also the composition.
- A couple of days after birth, there is blood discharge.
- Discharges one week after birth are blood clots that appear due to the release of the endometrium and placenta. A week later there will be no clots, the lochia will become liquid.
- If there is mucus secretion, it does not mean pathology. So the products of the fetal life of the child are displayed. Within a week, mucous discharge that appeared after childbirth will disappear.
- One month after birth, bleeding resembles smears at the end of menstruation.
All of these signs should not worry about the newly minted mummies, because they are the normal course of the recovery process. But if the discharge a month after birth or earlier appear purulent. This is a reason to sound the alarm.
- Pus is excreted in case of inflammation. The cause may be infections, accompanied by fever, pulling pain in the lower abdomen. Externally, lochia look like snot.
- Mucus and clots should appear no sooner than a week after the baby is born.
- Transparent discharge like water is considered abnormal. This may indicate cardiolitis or the separation of fluid from the lymphatic and blood vessels.
It is important that the young mother knows which discharges are normal after birth and which are not, in order to consult a specialist in time.
Color and amount of postpartum discharge
- Within two to three days from the moment of birth, there are bright scarlet secretions. At this stage, the blood has not yet coagulated.
- Two weeks later, there are brown discharge, which speak about the proper recovery.
- At the end of lochia transparent color or with a slight yellowish tinge.
- Pale and scant yellow discharge should not excite a woman. Bright yellow discharge with a green impurity and putrid odor on the fifth day speak of inflammation of the uterine mucosa. If such lochia appeared after 2 weeks, this suggests a latent endometritis.
- When green secretions appear, endometritis can also be suspected, but they are more dangerous than yellow ones, since they are talking about an already running process. To prevent this, you need to contact a specialist when the first traces of pus appear. If you have time, then you can avoid greenish discharge.
- It is worth bothering if you went Lochia with an unpleasant sour odor, cheesy texture. Such white discharge accompanied by itching and redness. This suggests an infection or thrush.
- After childbirth, black discharge without other symptoms is considered normal and is a consequence of hormonal failure. With such secretions women are treated most often because of the color.
The discharge has a peculiar smell. It will also help determine if everything is in order.
First, there must be a smell of fresh blood and dampness, and after a while, staleness and charm will appear. There is nothing pathological.
If after childbirth there is a discharge with an unpleasant smell - putrid, sour, sharp, you should be wary. Together with other changes (color and abundance), such a sign may indicate inflammation or infection.
Signs of inflammatory secretions
If inflammation begins in the uterus, the young mother will notice the following symptoms:
- Unpleasant and painful sensations in the lower abdomen.
- Weakness, dizziness, body aches, etc.
- Temperature increase not related to lactostasis.
- Changes in color, odor and profusion.
The rules of hygiene in the postpartum period
Postpartum excretion is the ideal breeding ground for bacteria. During this period, it is important to monitor intimate hygiene as thoroughly as possible:
- You must choose the right sanitary pads - there are special postpartum, but you can use absorbent diapers. At home, after discharge, it is allowed to switch to conventional gaskets. It is necessary to change them in a timely manner - every 4–6 hours. It depends on how intense the brown discharge is.
- It is forbidden to use tampons.
- It is necessary to regularly hold toilet genitals. A jet of water is sent only from front to back.
- If a woman needs to treat the seams on the perineum, you need to use antiseptics - solution of potassium permanganate or furatsilin.
Every mother should be aware of how important her health is. It is possible to independently determine whether the restoration takes place correctly by how many days the discharge lasts after delivery, by their color and abundance. You should not hope that the unpleasant symptoms will go away and wait for 4 months, and then go to a doctor from hopelessness. It is better to immediately eliminate unpleasant symptoms in order to be able to enjoy motherhood to the full.
Author: Irina Levchenko, doctor,
specifically for Mama66.ru
What should be lochia
The discharge that occurs in a woman after the birth of a child is called lochia. Their appearance is caused by damage to the mucous membrane and vessels of the uterus during childbirth, especially at the place of attachment of the placenta. Discharge after childbirth associated with the purification of the uterus from the remnants of the fetal bladder, detached epithelium, blood clots. They also contain mucus produced in the cervical canal.
Lochia exists until the wound heals in the uterine cavity and it returns to its normal state (the size will be restored, the epithelium will be renewed). If the process of cleansing the uterus passes without complications, then lochia stops after about 5-8 weeks.
How long the cleansing of the uterus lasts and lochia forms depends on the following factors:
- the ability of the uterus to reduce (individual for each woman),
- the age of the woman, the condition of the tissues of the uterus,
- blood clotting, the state of the blood system,
- woman's physical activity
By the look of lochia in the first 3 days resemble menstruation. Their volume gradually decreases from 500 ml to 100 ml per day.
Types of normal postpartum discharge
Bloody lochia. The first postpartum discharge are bright red in color, have the smell of fresh blood. Consist of blood clots and particles of dead tissue. The color is due to the high content of red blood cells.
Serous lochia. Lighter brownish-pink discharge appears around day 4. The content of erythrocytes decreases, but the number of leukocytes increases. The discharge has a musty smell.
White Lochia. Discharges become yellowish-white on day 10 after birth. They have a more fluid consistency. The smell is absent. Gradually, they are becoming increasingly scarce, smearing. After 5-6 weeks, they only contain mucus from the cervical canal.
Contractions of the uterus, causing the elimination of lochia from its cavity, lead to the appearance of pain in the lower abdomen in women in the first days after birth. The pains are like contractions. And painful sensations are stronger after repeated deliveries.
Sometimes women have black lochia after the 3rd week. If there are no painful symptoms and an unpleasant smell, then such discharge is not considered a pathology. They can appear as a result of hormonal processes occurring in the body and changes in the composition of mucus secreted by the glands of the cervical canal of the cervix.
Postpartum uterine bleeding and its causes
In the first 2 hours after birth, there is a risk of severe uterine bleeding (hypotonic), which may be caused by poor uterine muscle contraction after it relaxes during pregnancy. To prevent this, a drug is administered to the woman to increase uterine contractility (oxytocin). In addition, the bladder is emptied through a catheter, a hot water bottle with ice is placed on the lower abdomen. During the contraction of the uterus, damaged blood vessels are pinched, dangerous blood loss is prevented, signs of which are increasing weakness, dizziness, and headache.
Cause of incessant bleeding in the first hours after the birth of the child can also be ruptures of the cervix, if they went unnoticed or were poorly sewn. When this occurs, local hemorrhages in the tissues of the vagina and perineum. In the presence of bleeding, the doctor, after a careful examination, discovers and opens these hematomas, sews up the tears again.
The consequence of uterine bleeding is anemia - a lack of hemoglobin, a malfunction of the body’s tissues with oxygen. If a woman in this state is breastfeeding a child, then he will also have anemia.
Prevention of postpartum hemorrhage
A frequent emptying of the bladder contributes to the reduction of the uterus and the reduction of blood excretion after birth.
It is important to breastfeed. When nipples are irritated, oxytocin is produced - a pituitary hormone that enhances uterine contraction. During feeding because of this, the woman has pain in the lower abdomen, resembling contractions. And the pain is stronger in those women who have already given birth earlier.
With incessant bleeding, the lower abdomen is cooled with ice.
Danger of congestion in the uterus
Medical help should be urgently requested not only if the woman has bleeding too much, but also when the discharge of blood suddenly stops completely after a few days.
Lochia stagnation in the uterus is called a lohiometer. If not eliminated, inflammation of the endometrium (endometritis) may occur. Lack of lochia is a symptom of a serious postpartum complication. In order to achieve recovery of bleeding, a woman is given oxytocin, which strengthens the contractions, and is injected with a silo to relieve cervical spasm.
In order to avoid stagnation of discharge in the uterus, it is useful for a woman to lie on her stomach. Due to the weakening of the tone of the abdominal muscles after pregnancy and childbirth, the uterus is deflected backward, thus the outflow of blood is disturbed. When a woman is lying on her stomach, the uterus assumes a position in which the outflow improves.
Pathological discharge in postpartum complications
Signs of complications during this period are:
- Yellow color and a sharp odor of discharge. They indicate either stagnation of lochia in the uterus and their suppuration, or infection of a woman during childbirth. The inflammatory process in the uterine mucosa (endometritis) is usually accompanied by fever and pain in the lower abdomen. If the visit to the doctor is postponed for a long time, then due to the appearance of pus in the discharge, they become green.
- Blood excretions after childbirth increase instead of weakening. Sometimes they reappear. This happens even 2 months after the birth of the child. It is possible that this is the first menstruation (the probability of early arrival of menstruation is high in women who do not breastfeed). Однако нередко такие выделения свидетельствуют о неполном удалении последа из матки, за счет чего ее сокращения затруднены.
- Белые творожистые выделения могут появляться, если женщина принимает по состоянию здоровья антибиотики, провоцирующие возникновение дефицита лактобактерий во влагалище и появление молочницы. The woman is worried about itching and burning in the vulva and vagina.
Factors contributing to the occurrence of endometritis
During pregnancy and childbirth, the immunity is sharply reduced in a woman. This triggers an inflammatory process in the endometrium of the uterus after childbirth. The body's resistance to infections begins to increase by the end of the first week in women who gave birth naturally and on day 10 after cesarean section.
The likelihood of endometritis increases if a woman has other serious diseases (endocrine glands, kidneys, respiratory tract). The emergence of endometritis contribute to obesity, anemia, vitamin deficiency, smoking. In addition, inflammation often occurs in women who have had many abortions or have been curetted for medical reasons.
Sometimes the cause of stagnation of lochia and the occurrence of the inflammatory process is the low location of the placenta in the uterus, when the exit to the cervical canal is blocked. If childbirth lasts too long, even though the water is already gone, there is also an increased risk of endometritis.
Treatment of this disease is carried out only in the hospital. Antibiotics, uterine contraction enhancers are used. Disinfectant solutions are introduced into the cavity. In some cases, vacuum aspiration or curettage of the uterus is performed in order to completely remove the endometrium.
Discharge after cesarean section
Bleeding lasts longer and complications occur more often if the woman gave birth by caesarean section. Contractility of the uterus is hampered by the suture imposed, the swelling of the surrounding tissues. The risk of infection during childbirth and inflammation of the mucous membrane of the uterus increases.
However, despite the peculiarities of this method of delivery, bleeding after childbirth should appear within 2 weeks, but no more. Just as in normal childbirth, the color of the discharge gradually changes from bright red to pale brown, and then becomes white.
Ordinary menstruation after cesarean section occurs at about the same time as after the birth of the child in a natural way. They occur later, if the woman had postpartum complications (uterine bleeding, endometritis, blood poisoning) or there are diseases of the thyroid gland and liver.
Prevention of complications
In order to reduce the risk of complications after childbirth, the condition of a woman from the very beginning of pregnancy should be monitored by a doctor. Regular examination allows you to monitor the composition of the blood, detect and treat gynecological and other diseases, strengthen the immune system.
If, after the onset of labor, it appears that the contractility of the uterus is insufficient, then drugs that enhance labor activity are used. They also help speed up the cleansing of the uterus after a baby is born.
In order not to cause stagnation of discharge in the uterus, a woman is recommended to start getting out of bed, walking, already 4-5 hours after normal birth. After a cesarean, this can be done after 10 hours.
Before discharge from the hospital, an ultrasound scan is done to study the condition of the uterus and estimate its size in order to follow the recovery process. For several weeks, the woman is recommended to rest more, to avoid exercises related to the tension of the abdominals, and weight lifting.
Of great importance is the observance of the rules of hygienic care of the body and genitals (frequent washing with warm water, daily bathing in the shower).
A warning: For several weeks, a woman should not take a bath. Warming up the body, firstly, increases blood flow, and secondly, with this bathing increases the likelihood of infection in the internal genital organs.
Douching during this period can be very harmful. It also contributes to the rapid spread of infection and the occurrence of endometritis.
On the first day, instead of sanitary pads, it is recommended to use diapers to avoid leakage. In addition, it is easier to follow the nature and volume of discharge. In the future, the gasket should be changed at least 2 hours later.
The use of tampons is strictly prohibited during the entire period of the existence of Lohia. By blocking the exit from the uterus, they delay the outflow of secretions and the recovery process, creating a greater threat of an inflammatory process.
With a sharp change in the nature of the discharge, increased pain in the lower abdomen, fever, dizziness, a woman needs urgent medical care.
How long does the bleeding last in the early postpartum period?
So, excretion from the uterus during the first 2-6 weeks considered normal. In them, even in the sixth week there may be an admixture of blood.
Sometimes, bleeding after childbirth stops first after a few days, and then resumes.
Typically, this is typical for too active moms who are already in the first week after childbirth tend to the gym. Then just stop the load and the bleeding will stop again.
The bleeding is then not profuse and painless. Its duration is not more than one - two days. Such a repetition of bleeding also does not require an appeal to a doctor.
Now talk about pathological (late) postpartum hemorrhage.
Most often its cause becomes part of the placenta, which remains in the uterus after childbirth and prevents its full reduction. Then, one week after birth, the bleeding does not decrease, but remains as abundant and bright in color.
In this case necessarily get an appointment with a gynecologist as early as possible and carry out an additional “cleaning” of the uterine mucosa.
This the procedure scares many women and they are trying to delay the visit to the doctor, hoping that the bleeding will still stop. This position often leads to the development of inflammation in the uterus, fever, pain.
“Purges” cannot be avoided anyway, but additional treatment after it may be delayed for months. Needless to say, this adversely affects breastfeeding and the further fertility of the woman.
Another case - continuation of not plentiful brown secretions longer than six weeks after delivery. It may be caused by an infection.
Often, such discharge is accompanied by pain in the lower abdomen and fever. If you don’t delay visiting the doctor, this condition is easily treated and does not cause adverse effects.
And of course, the most serious case - This is when the bleeding stopped completely at first, and after one or two weeks it was resumed in the form of abundant discharge from the uterus.
What affects the intensity and duration of bleeding after childbirth? How much does it go and when does the bleeding end after childbirth? What accompanying states should alert the woman and make her more attentive to her health?
Normal occurrence - it stops bleeding due to rapid uterine contraction after childbirth. This is facilitated by breastfeeding as a natural stimulator of uterine muscle contraction, laid down by nature.
In the first days after birth, doctors often prescribe oxytocin injections to artificially speed up the process.
If the uterus after delivery remains in a relaxed state, the bleeding continues and becomes pathological. This often happens due to traumatic delivery, multiple pregnancy, large child or polyhydramnios.
Other reasons - multiple fibrous nodes in the uterus, improper attachment of the placenta, early rejection of the placenta, exhaustion of the woman before childbirth.
Uterine bleeding a few weeks after delivery may be caused by infection.
So bleeding after childbirth is serious processdemanding close supervision of the woman and the reference to the doctor at the slightest doubts and alarms.
Causes of bleeding after childbirth
Severe bleeding in the first hours after the birth of a newborn can provoke:
- Poor coagulability of blood, individual for the woman, as a result of which the blood flows from the genital tract in liquid streams without any symptoms of the onset of thrombus formation (thickened lumps, darkening of the color of the blood). It is not difficult to prevent such bleeding if, on the eve of childbirth, a woman passes an appropriate blood test for clotting.
- The rapid labor activity, which entailed injuries to the birth canal.
- Increment of placental tissue, as a result of which blood will flow, since the uterus cannot fully contract.
- The unsatisfactory ability of the reproductive organ to shrink due to the overstretching of its tissues caused by large fruit, multiple fetuses and polyhydramnios.
- Gynecological problems associated with changes in the structure of the reproductive organ are myoma or uterine fibroma.
Later, bleeding may develop 2 hours after delivery and over the next 6 weeks.
Why is there blood after giving birth in this case:
- in the uterus particles of placental tissue linger,
- a bloody clot or several clots cannot leave the uterus as a result of its spasm in the cervix,
- the recovery time of the uterus is delayed due to the inflammatory process in the pelvic area, this condition is characterized by an increase in overall body temperature and prolonged bleeding.
How much does the bleeding last after birth?
Every woman who cares about her health is sure to ask the doctor about how and how many days the blood goes after delivery. Normally, postpartum discharge has a duration of up to 6 weeks, but for many young mothers, they end a little earlier.
During this period of time, the mucous layer of the uterus is restored, and the organ takes on its prenatal form. After operative delivery, the bleeding lasts longer, since the muscles and walls of the uterus were traumatized during the surgery, and it returns to its original state longer.
How much blood will go after delivery, directly depends on the following factors:
- features of the course of pregnancy and labor,
- the path of delivery is natural or operational,
- the natural contractile activity of the uterus,
- complications after childbirth, for example, inflammation in the pelvic organs,
- features of the physiological status of women, health,
- peculiarities of lactation - regular attachment of the infant to the breast, breast-feeding on demand reduces the amount of lochia and increases the contractile activity of the uterus, with the result that the organ begins to cleanse more efficiently.
To reduce the duration of postpartum bleeding and avoid possible complications, it is recommended to observe the following rules:
- regularly emptying the bladder and intestines so that overcrowded organs do not create excessive pressure on the uterus and do not interfere with its contractility,
- carefully observe the hygiene rules to prevent infection of the birth canal,
- eliminate physical activity and intimate relationships for 6 weeks after the birth of a child,
- sleep on your stomach, since in this position the uterus is cleared more intensely,
- adjust breastfeeding as much as possible.
Although bleeding after childbirth is a natural process, this condition requires attention from the woman and the doctor.
How much blood is normal after giving birth, it was said above - about 6 weeks. Postpartum hemorrhage is divided into several stages, which differ from each other by specific signs: staining and intensity of discharge.
On the first day after birth, the amount of discharge will be greater than during normal menstruation. The blood will flow bright scarlet. On the first day, the blood is removed from the vessels that secured the placental sheaths to the wall of the uterus, so there will be a lot of it. Such bleeding is considered normal from the first to the fourth day after delivery.
In the next 10-14 days, the amount of discharge decreases significantly. Accepted immediately after birth, the scarlet hue of discharge at this time changes to a slightly pink, brownish or yellow. The uterus continues to contract, and after 2 weeks the bleeding is minimized to a small amount of discharge per day.
Less commonly, bleeding lasts longer, and up to the 6th week of the postpartum period, a woman is worried about uterine discharge with scarlet blood. If they are slim and unstable, there is nothing wrong with that. Most often, their appearance is preceded by physical exertion, nervous shock and other unfavorable factors.
How much postpartum bleeding will be normal and what it depends on, we told above. But there are pathological conditions.
The need for medical care arises if the postpartum discharge is accompanied by the following symptoms:
- they last more than 6 weeks
- insignificant serous discharge suddenly changes to bright scarlet blood,
- the well-being and general condition of a woman is deteriorating,
- discharge accompanied by significant pain in the abdomen,
- clinical manifestations of intoxication develop - body temperature rises, dizziness, general weakness, nausea, etc., appear,
- bleeding instead of physiological hues become yellow-green and dark brown in color, complemented by a repulsive odor.
Regardless of how much blood flows after childbirth, if the discharge has become more intense and has acquired a scarlet color and liquid structure, you should immediately contact the ambulance service. Painful sensations, an increase in body temperature, a change in the nature and staining of uterine secretions always become evidence of postpartum complications such as endometriosis, an inflammatory process in the pelvis, and other pathological conditions. In such cases, the correct pattern of action will be timely, thorough diagnosis and treatment.
How many days after delivery from the young mother will go discharge - an ambiguous question. Postpartum bleeding normally lasts no more than 6 weeks, but many factors can affect this, including the physiological characteristics of the woman.
During the postpartum period, the woman in labor should monitor the nature of the bleeding, any changes and associated symptoms of this condition. If everything is normal, and the body is restored without complications after birth, then after 6 weeks any uterine discharge should stop.
Pathological discharge, their cause and when it's time to see a doctor
We list the situations in which you must seek medical help:
- Termination of discharge before the fifth week. This may be due to uterine spasm. In this case, lochia cannot get out of the body, which leads to infectious complications.
- The color of the discharge remains bright red after the first 5 days. This may indicate a bleeding disorder or bleeding that has opened.
- After the selection turned brown, they turned red again. Indicates intrauterine bleeding.
- Discharges after childbirth have acquired a putrid or sweetish, unpleasant odor, which may be caused by the development of an infection in the uterus.
For any of the above violations urgent need to consult a doctor . Delay can lead to serious consequences, even death.
Share your experience with us, what hygiene products you used after giving birth, how quickly the recovery process went. The real experience of moms and their tips for those who still have to go through this are very important to our readers!
Childbirth is a very important and complex process for a woman’s body. The whole body of a woman has been preparing for it all nine months. Naturally, after delivery, the body also needs time to recover gradually. One of the most manifest signs of the postpartum period is lochia.
Lochia is a bleeding after childbirth. In this way, the uterus and the birth canal are cleansed of dead endometrial cells, placenta, fluid and blood residues. The stretched walls of the uterus gradually return to almost their original size. This process is called "involution", which means - recovery. And accompanying his bleeding after birth.
Duration of discharge of lochia after childbirth
Young mothers often wonder how much the discharge goes after delivery. Everything is very individual. But after natural childbirth, as a rule, the release of lochia after childbirth is less than after cesarean. Longer excretion of lochia can be observed if the birth was difficult, with mothers of many children, women giving birth older than 30 years, with first-birth, weakened women.
The normal duration of lochia is 5-8 weeks. After two months, the discharge should stop completely. It was at this time that gynecologists advised to come for a consultation and examination without fail.
What should alert a woman in the discharge after childbirth
If immediately after childbirth go discharge abundantly - this is normal. It is necessary to suspect bleeding, if special postpartum pads are fully collected in one hour in blood. You need to urgently inform your doctor.
Если же практически сразу после родов выделения прекращаются или ощутимо уменьшается их количество – это так же повод обратиться к врачу. При скоплении лохий в матке происходит инфицирование, а это очень опасно. A high body temperature, fever or chills and abdominal pain may also indicate an inflammatory process.
You also need to pay attention to the smell of discharge after childbirth. It should be neutral and not sharp. In the first days, there may be a faint smell of lochia after childbirth - this is a normal variant. A sharp, putrid odor is a sign of the development of pathogenic bacteria and inflammation.
Also, the reason for guarding are the scarlet discharge more than two weeks after birth. As an option, when the lochia turned brown and then red again.
If, within an hour of discharge, more than two gaskets are filled, emergency medical care is required. It must be remembered that in case of uterine bleeding this can be life threatening. It is urgent to call an ambulance.
When, against the background of brownish daub, a week after birth, scarlet discharge is observed, the lochia ceases, it goes back quite intensively, and you can be suspicious of a pathology, namely a lohiometer. This happens because of the anatomical features of the uterus, due to the formation of a hematoma, which interferes with the discharge of secretions. Because of this, there is an accumulation of mucus, bleeding and even placenta residues. At the same time, there is an unpleasant smell of discharge.
Postpartum discharge - when urgent medical care is needed
So, signs that a woman after childbirth needs emergency medical consultation are:
- temperature rise,
- painful pulling in the abdomen, perhaps a burning sensation,
- unpleasant putrid smell of lohia,
- sharply stopped discharge
- sharply increased discharge.
The doctor must immediately inspect for an enlarged uterus, diagnose with ultrasound, and if the fear is confirmed, prescribe treatment. In some cases, prescribe antibiotics and drugs that help to reduce the uterus. But sometimes it is necessary to resort to the procedure of scraping.
If the signs are not obvious, but the woman in labor has concerns about the nature of the discharge and her state of health, you can always seek advice at the maternity hospital where the delivery took place or any other. This is a common practice.
Postpartum discharge - prevention of postpartum complications
In order to avoid problems and complications during recovery after childbirth, it is recommended:
- at the discretion of the physician immediately after birth, applying ice to the uterus and oxytocin injections to reduce the uterus,
- the first 6-8 hours to lie down
- periodically lie on the stomach, which improves the discharge of lohia,
- at first, not to lift anything heavy, not to make sudden movements, but not to lie too long, to move a little, especially if the birth took place in a natural way,
- breastfeeding on demand - frequent feeding leads to the natural production of the hormone oxytocin,
- well helps to recover from childbirth bandage or wrapping sheets,
- water procedures should be carried out after each visit to the toilet with the use of baby soap or even household soap; it is better to refuse gels,
- pads for the first time to choose better postpartum, they are designed for the postpartum amount of secretions often change them - at least once every 4 hours. Later, you can switch to regular gaskets with a smooth surface and without fragrances to avoid irritation of the mucous.
In no case in the postpartum period can not use tampons. They interfere with the free flow of blood and can easily provoke inflammation.
Also, while lochia leaves after birth, sex is prohibited, especially unprotected. This can both injure the unhealed uterus and cervix, and provoke the development of pathogenic bacteria. Only after the complete cessation of secretions, you can begin sex life. This period is individual and is 6-8 weeks. And after stopping lochia, it is better to use bactericidal protective agents at first to protect the uterus from bacteria.
Isolation of lochia is an integral part of the recovery period of the body of each woman who has given birth. This process has an important physiological component - the cleaning of the uterus and the birth canal. And, in order for the recovery period to pass without complications, it is extremely important for the newly-made mom to follow the recommendations of the doctors and be attentive to the state of her health.
The mechanism of childbirth is a serious stress for the body. The rejection of the fetus is accompanied by a large number of unpleasant and sometimes dangerous for the woman in labor, for the baby phenomena. Possible:
- incomplete discharge of the placenta,
- numerous breaks.
The natural component of postpartum recovery is lochia (you can see how they look in the photo). The contents of the uterus gradually goes, it is cleared. It is necessary to know in advance how long the discharge goes after childbirth, to be ready for them and to be alerted in time if something goes wrong. Note that after an artificial birth (by caesarean section), lochia can go a little longer. After the second birth, the third uterus will contract faster.
- What should they be?
- Postpartum discharge: normal
- Yellow lochia
- Green lochia
- Brown and bloody lochia
- Mucous discharge
- Purulent lochia
- White discharge
- Pink discharge
- Lochia after childbirth: norm and deviations (by day)
Immediately after the birth, the inner walls of the uterus are a continuous wound surface. It is easy to understand why so much bloody content is separated in the first days after birth. The muscular layer of the uterus is reduced, naturally, vascular contraction occurs under the influence of oxytocin, and blood coagulation and hemorrhaging mechanisms are triggered. These are the natural consequences of having a baby.
Initially, the discharge can be called pure blood - at least, they look that way. This is normal. By the time their duration takes from 2 to 3 days. All that begins later, no longer seems bleeding - the nature of lohii (the so-called postpartum discharge) is changing.
Postpartum discharge: normal
If a month has passed, and nothing stands out from the uterus, you need to go to the doctor even if you feel well. The nature of the discharge has changed dramatically? Also a reason to visit a doctor. The normal duration of the separation of Lochia - up to 8 weeks. Doctors say that the discharge takes place within 5 to 9 weeks - this also fits within the normal range. Lochia that go 7 weeks is a normal indicator. Normal discharge after childbirth differs from those considered pathological in several ways.
Discharge after childbirth with an unpleasant smell
The smell of discharge after childbirth is their significant characteristic. If we talk about the norm, then immediately after birth smell discharge blood. This is natural: the main component is blood. After 7 days, when the scarlet and brown discharge ends, the smell becomes faded.
It should be alerted if the discharge went with an unpleasant smell, the reasons for this may lie in the disease. Females evaluate odor differently: “Smelly”, “Smell bad”, “With the smell of rot”, “With the smell of fish”. All these are bad symptoms. The discharge, even light, with an unpleasant smell, is a reason for a visit to the doctor.
Green discharge after childbirth
Green discharge after childbirth after 2 months or earlier is a sign that something is wrong in the body. This color of lochia at any stage is not normal. Greenish or yellow-green lochia suggests that a bacterial infection is present in the uterus, vagina or fallopian tubes. If you do not cope with it in time, endometritis can begin - a disease that causes inflammation of the uterine lining.
Often the selection of such a shade causes trichomoniasis. Trichomonas settles in the vagina, and it is dangerous because, if untreated, the infection rises higher.
The first signs of trichomoniasis:
In addition, the woman will feel a burning sensation in the vagina, irritation. Mucous membranes may turn red. If you begin treatment immediately, without delaying, you can quickly cope with the illness and prevent the infection from penetrating further.
Brown and bloody discharge after childbirth
Spotting should not last long. Bloody and dark red should end no later than a few days. The most dangerous are the first hours after the birth of the baby, when the uterus is still, in fact, a continuous bleeding wound. Bleeding may occur at this time. Doctors carefully monitor the condition of the woman in labor and send her to the postnatal ward, put a bubble with ice wrapped in tissue in the area of the lower abdomen, give an injection of oxytocin, put the baby to the chest. Intensive observation lasts 1.5-2 hours.
After cesarean section, as well as after vaginal delivery, bloody lochia is observed. Only the process of involution of the uterus can go slower because of the suture, and therefore they can last a little longer. After cleaning the uterus, if the placenta did not come out on its own, there will also be a bloody discharge.
Brown discharge after childbirth after 2 months is possibly a pathological reaction of the body. So comes coagulated blood. There can be many reasons - from hormonal disruption to beginners to recover from menstruation (if the mother does not breastfeed), the nature of which may at first be unusual, since the hormonal background has changed. The reason may be.
If two months have passed after delivery, and you have spotting found, even under the condition that the baby is breastfed, it is necessary to consult a doctor. Either a new menstrual cycle begins, or a serious inflammatory process is underway. And he may not even be accompanied by pain.
Perhaps the presence of tumors, polyps, the appearance of endometrial hyperplasia. When the discharge stopped and suddenly started again - this is the reason for the survey anyway. If it is confirmed that this menstrual flow, you need to be protected. You need to know what, with the recovery cycle appear. During menstruation, the amount of milk may decrease. It is necessary to have patience and continue breastfeeding. To supplements to resort only in extreme cases.
Mucous discharge after childbirth
The discharge of a small amount of mucous discharge a week after the birth of the child is the norm. At this time, the mother's body, or rather the uterus, continues to be cleaned, the work of the mucous membranes of the genital organs, which produce mucus, is restored. Over the next week, their volume decreases.
Further, the appearance of mucous secretions, when the lochia has almost disappeared, may indicate ovulation. At the same time they are thick mucous, similar to egg white. If the mother is breastfeeding, but has already introduced complementary foods, ovulation may come with a high degree of probability within 2-3 months. In non-nursing women, the process of egg maturation begins again after the second month or even earlier. Pregnancy during this period is extremely undesirable - because the body has not yet returned to normal, so you need to be carefully protected. Yellow mucous discharge may indicate infection. The mucus secretions intensified, found an unpleasant smell? Consult a doctor.
Purulent discharge after childbirth
An extremely dangerous symptom is purulent discharge after childbirth, whenever they arise: in a month, in 3 months, in 7 weeks. Purulent discharge is one of the leading symptoms of inflammation. Endometritis or salpingitis is possible.
It is often noted:
- lower abdominal pain,
- hyperthermia - increased body temperature.
White discharge after childbirth
White discharge after childbirth is a sign of thrush, which tends to escalate with any fluctuations in immunity. The main symptom of thrush is the cheesy consistency of discharge. It is not worth delaying with her treatment: it is not dangerous in itself, however, it can provoke the infiltration of inflammation along the ascending path, and then the accession of a bacterial infection is likely. Untreated candidiasis causes considerable discomfort to the mother.
Thrush is difficult to confuse with other diseases: it is manifested, in addition to the characteristic cheesy discharge with a sour smell, itching and burning, as well as constant irritation in the vaginal area. Why do not pass these allocations on their own? The body is weakened, it is difficult for it to cope with a multiplied fungus, local immunity cannot cope - help is needed. The appearance of discharge with the smell of fish - speaks of dysbiosis and the appearance of gardnelelosis. Gardnerella is a conditionally pathogenic organism that is constantly present on the vaginal mucosa. But in favorable conditions, its reproduction does not slow down, and itching and smell appear. Often its reproduction occurs against the background of thrush.
When does the discharge end after childbirth?
A woman must know when discharges pass away after giving birth - then she will be able to detect any problems in time. Normally, this happens after 8 weeks, in extreme cases, 9 weeks. Discharges greater than 2 months are rare. Usually, by this time, doctors lift the ban on sex life. In this case, from the genital tract of a woman, nothing should stand out. Any strange leucorrhoea or blood that appeared during or after sexual intercourse is a reason to contact a gynecologist.
In order to reduce the likelihood of infection in the uterus, a woman must observe good hygiene during the entire postpartum period:
- wash daily (you can wash with plain water),
- change gaskets every 2-3 hours
- Do not use tampons.
Bloody lochia and the duration of their appearance should not be frightening - rather, the sudden cessation of discharge and the appearance of an unpleasant smell should be alarming. Suffer a little: it only seems that it is so long. Soon (in a month and a half) the body will recover, you will feel better, and you will be able to safely enjoy the happiness of motherhood.
Every woman who gave birth in her life at least once knows that after the completion of labor in the body, serious changes begin. It is also accompanied by secretions of various kinds: bloody, brown, yellow, etc. Newly-born mothers get very scared when they see these discharges, they start to worry about infection getting into their bodies, bleeding started, etc. However, this is normal and this process cannot be avoided.
The main thing is to ensure that the discharge does not exceed the norm, and that there is no pain, otherwise you will need the help of a gynecologist.
Do not confuse postpartum discharge with menstruation.
Lochia - the so-called discharge from the uterus, is not just blood. This is a mixture of leukocytes, remnants of the fetal membranes, rejected tissue, which are present in the uterus after the placenta detaches. Since its surface is a continuous wound, the discharge immediately after birth is especially abundant. This has its plus: the more intense the lochia, the less likely it is that there will be blood clots or tissue residues in the uterus, which may require cleaning. How many days after birth blood discharge goes, their profusion does not have an effect. The process of excretion of lochia in the body is regulated by the amount of the hormone oxytocin, which begins to be produced after birth, the larger it is, the more active the uterus throws out extra particles of the placenta. Lochia differs from menstruation in its volume: normally, after a natural childbirth, a woman loses up to 500 ml of blood in the first hours, whereas during menstruation this figure does not exceed 100 ml over the entire period. By the look of lochia brighter, the intensity of their color decreases gradually. Although bleeding in a month after birth may already be menstruation, especially if the baby is not breastfeeding. It all depends on the physiological features.
What is considered the norm
Abundant discharge goes during the first five to seven days. It is assumed that during this time the pieces of dead endometrium and placenta leave the uterus and the blood that comes out does not contain them, but is only a consequence of the fact that the involution of the uterus continues. It is not for nothing that discharge of a woman in labor from the maternity hospital is preceded by a gynecologist's examination, who is convinced that the uterus does not contain particles of the placenta and has decreased to a certain size, since immediately after birth its weight is about a kilogram, and in a non-pregnant state this figure is no more than 100 grams . The condition of the uterus is directly related to what should be the discharge after birth at certain intervals. It should be reduced, indicating a normal course of the recovery process. If this does not happen, doctors stimulate the reduction with droppers with oxytocin and other activities. In some, the discharge may be less on the third day, while others remain intense for a longer time. It is believed that the number of births may affect the volume of discharge: with each subsequent uterus is reduced less and less intensively, respectively, and the blood is released more slowly, because clots may be present in it a week after delivery. In this case, it is much more important not how much spotting goes after delivery, but how intense it is. Риск кровотечения присутствует даже при благополучном родоразрешении, потому в первые часы женщина находится под пристальным вниманием врачей. Для сокращения кровопотери на живот может накладываться грелка со льдом.
Лохий не должно быть слишком мало
If they are absent or insignificant, this may indicate a complication, in medicine called a lohiometer. Blood accumulates in the uterus, and this can happen when it bends or if the cervical canal is blocked. Most often, the complication manifests itself on days 7-9 after birth. You can diagnose the problem during the examination: the uterus remains enlarged. But its most important feature is that the discharge is either completely absent or minimal. Therefore, a woman herself should not only have information about what should be the discharge after childbirth, but also be able to relate her condition to the typical norms set aside by medicine for the recovery period, since not timely detected lohiometer can lead to endometriosis. After diagnosis, the disease can be treated quite easily by means of bimanual palpation of the uterus in the bend, the introduction of no-shpy and oxytocin, the expansion of the cervical canal. If such procedures do not bring results, curettage or vacuum aspiration is prescribed.
How excreta changes in the postpartum period
If we talk about the classic course of recovery, then in the chain of what should be the discharge after childbirth, the scarlet blood, saturated in color, is replaced by brown. Although there are cases when the first discharge is not too bright, it is caused by a large number of red blood cells present in them, which is also a kind of norm. Separate blood clots can be found in secretions not only in the first week, when they are particularly intense. Brown lochia gradually turn pale, become yellowish, and then colorless, in appearance more resembling mucus. From the beginning of this process to the complete disappearance of lochia, it can take from 4 to 8 weeks. In this case, lochia does not stop at once, like menstruation, they gradually disappear.
Duration of discharge
How much time the discharge goes after childbirth is due to many factors:
- method of delivery (with caesarean section, the discharge is longer because of the inability of the uterus with the scar to fully contract),
- the presence or absence of postpartum complications, the latter also adversely affect the recovery process,
- the degree of activity (the faster a woman starts walking, the more often she lies on her stomach, the better the blood flow),
- type of feeding.
The latter also has an effect on how many days after birth the bleeding occurs. Contributes to the involution of the uterus hormones, produced in the body of a woman when breastfeeding.
Smell of discharge
Excretions from the body, regardless of their source, have their own specific odor and lochia - no exception. In the early days, they smell just like ordinary blood. A hint of prettiness in this fragrance appears a little later, when the discharge becomes brown. Naturally, we are talking about discharge, the owner of which does not forget about regular hygiene.
No matter how many days the discharge goes after childbirth, their smell should not cause negative emotions. If it seems that he is giving away rot or something else unpleasant, you should not pull on a visit to the gynecologist. In itself, the improvement will not come, because the reason for this smell is not the discharge, but the processes occurring inside the uterus. It can be inflammation and infection.
When to see a doctor
Examination by a gynecologist a month after childbirth is required. But there are situations when it is not necessary to understand how much time the discharge goes after delivery, and ask for help earlier. If the discharge has changed its color from white-yellow or brown to scarlet again, or their number has increased dramatically, although several weeks have passed since the birth, it may have started bleeding. The reasons for the latter are varied, it is impossible to treat it at home, and a large blood loss can be fraught with very serious complications. Another reason to visit a gynecologist is if the bleeding a month after giving birth or earlier acquire a sharp odor or unusual color: a green tint of mucus indicates an inflammatory process, pus or clots resembling cottage cheese. In the case when two months have passed after the birth, and the lochia does not stop, it is also necessary to do an ultrasound and undergo a specialist examination. This applies to cases where lochia is accompanied by a sharp temperature jump, which can be caused by inflammation of the uterine mucosa. Women should remember that complications can occur after a rather long period of time after childbirth.
What else should be considered
It is important to know not only how many days the discharge goes after delivery, but also what rules should be followed. The first one concerns personal hygiene. It is advisable to wash away after each toilet trip, this minimizes the risk of an inflammatory process. For excreta, only gaskets can be used, but not tampons. The latter prevent the flow of blood, due to the stagnation of which inflammation is also possible. For the same reason, it is forbidden to take a bath, replacing it with a shower for a while, or bathe in open water: a sterile liquid should not get into the uterus. Not allowed during this period and douching. As for intimate relationships, even during childbirth, which passed without complications, gynecologists recommend to refrain from them until the complete termination of lochia. In addition to the likelihood of infection inside the uterus, physical activity during this process, which can lead to increased bleeding, is not desirable. Therefore, information is useful not only about how many days the discharge goes after childbirth, but also regarding the simple rules of behavior for women that help preserve health.
Home »Postpartum period» Assessment of the nature of postpartum discharge. Bloody discharge after childbirth: when is it time to visit a doctor
How many after the birth goes spotting?
The postpartum period for many looks like the end of a physically difficult and anxious time. In fact, this is a new serious stage in which there should be a place not only for the care of the baby, but also for the control of the mother's health. It is carried out by both the doctors and herself. Therefore, it is important to know how much bleeding after delivery goes, which are normal. After all, the female reproductive system returns to the former state not immediately.
Read in this article.
How does the uterus change in the first weeks after birth
The expulsion of the afterbirth is the final stage of labor, which does not mean that the uterus and its inner surface will immediately acquire the same parameters. Her mucosa served as an attachment of the fetal membranes, the body endured a heavy load for 9 months. The recovery will take time in which the uterus is freed from the excess.
It happens like this:
- At an early stage after childbirth, rehabilitation is accompanied by secretions (lochia), which include blood, mucus, plasma, and residues of placental tissue. Therefore, there are quite a lot of them at once, the color is bright red, and there are clots in the liquid. However, blood loss is normally not more than 400 g, but it is only 2 hours after birth.
- In the first few days, the lochia is quite intense. But since the inner surface of the uterus heals, their color is not so bright, and the volume is reduced. And yet they resemble the appearance of menstrual flow, and the number of surpass them.
- In the second week, the color of the lohii noticeably brightens, the volume decreases, and the consistency becomes more uniform and constitutes mucus. Inclusion of blood in them is the norm.
- By the third week of the selection is more similar to the usual secret produced by the cervix. They have a creamy color, rather thick consistency. Blots of blood on this period are also possible and do not indicate danger.
How to avoid bleeding
Since there are many blood vessels in the uterus mucosa, the likelihood of bleeding is present from the moment the childbirth is completed and lasts for a long time.
To avoid it from the very beginning, stimulating the contraction of the organ is administered to a woman and a cold is placed on the lower abdomen. Then protection from bleeding becomes her care too.
There are many opportunities not to give him a chance:
- To lie on the belly more often. So the uterus is faster and without tension will be cleaned of excess tissue, will take a more physiologically correct position.
- Prevent overflowing to the bladder. If there is a lot of fluid in it, the body puts pressure on the uterus, causing rupture of blood vessels. To avoid this, you need to urinate often, despite the lack of urge. The first day after a normal birth go to the toilet every 3 hours.
- Try to breast feed your baby from birth. Frequent attachment contributes to the production of oxytocin. It is a hormone that enhances the contractile capacity of the uterus. He will help her to quickly cleanse and recover.
- Apply to the lower abdomen a vessel with ice. The method helps the motor activity of the muscles of the uterus, but prevents damage to the blood vessels.
- Forget while recovering about physical exertion. This is especially true for the first month after birth. Sex, too, is still prohibited.
When Lochia Will Stop
After childbirth, a woman can not wait to return to normal life. Therefore, I want to know how much time after birth go spotting. It seems to some that it lasts too long.
The time for cleansing the uterus from tissue residues and the healing of its inner surface depends on several circumstances:
- How was the pregnancy. The more complex, the slower the recovery.
- Features of the birth. If there were problems in their course that resulted in damage to the genitals, or a cesarean section was performed, the lochia will last longer.
- The absence or presence of difficulties in the postpartum period. Inflammation or infection, even without affecting the reproductive organs, will increase the recovery period.
- The way of feeding the baby. Lactation and frequent attachment to the chest will reduce the time in which secretions will be detected.
- Health and immunity of women. The characteristics of her body can make the recovery period of the uterine epithelium longer or shorter.
But even with these factors in mind, the answer to the question of how much bleeding after childbirth ends is unequivocal: they normally do not go longer than 6-8 weeks.
If the blood in the discharge is detected and later, it is a direct need to seek help from a doctor.
When you need a doctor
Not all recovery goes well. To understand that there are problems, it is possible on the following grounds:
- Discharge is small from the early postpartum period, their number has sharply and suddenly decreased. This indicates a delay of lochia in the uterus, threatening endometritis and other infections.
- Allocations are too rapid when their volume should decrease. This is already a bleeding, speaking of weak contractions of the uterus or the delay in the cavity of its afterbirth particles. Here we need an ambulance, and not an independent visit to the doctor.
- The discharge acquired a strong odor, yellow-green color, complemented by abdominal pain, fever, and general weakness. This may be acute endometritis.
- Discharges have the appearance of cottage cheese and a sour odor, the genitals itch, the vulva turns red and swollen. This means that the candida fungus is activated in the genital tract.
When to wait for menstruation
No less important than the nature and time of termination of lohii, information concerns the first arrival of menstruation. Here everything is as individual as with the period of postpartum discharge. But the method of feeding a baby is crucial. If he receives only breast milk from birth, the level of the hormone prolactin is high in the mother's body. It inhibits the work of the ovaries, so the germ cell does not come out, and the endometrium remains at one stage of development and is not updated.
With frequent attachment of the baby to the breast, this situation can last up to 4-8 months. In some women, menstrual function is restored only with the addition of a child’s diet with more “adult” food and is irregular.
If the baby is bottle-fed, the return of the ovaries to their normal work goes faster. And menstruation may begin 2-3 months after the birth of the baby.
We recommend to read an article about menstruation after lohii. You will learn when the first menstrual periods should begin, about the difference between normal menstruation and the pathological state.
Spotting after childbirth is an indicator of women's health. Do not ignore the problems with them, because many gynecological diseases begin or turn into a chronic form from here.
When do menstruation come after lohii?
Inexperienced moms can take the discharge after birth for menstruation. . And the discharge becomes bloody again, but with a yellow or green admixture, which is a deviation from the norm.
Then the spotting begins. Do not take them for menstruation, it is not yet. So after childbirth, the mucous membrane of the uterus heals at the site of attachment of the placenta.
When menstruation begins after childbirth
1. How many after birth go monthly? The duration of menstruation remains the same. However, do not confuse with monthly physiological bleeding after childbirth (lochia).
What is the spotting after childbirth?
Lochia is a postpartum discharge from the uterus that occurs because of its reverse involution.
The processes of restoration of the mucous membrane of the uterus after delivery are very similar to the healing processes of the wound surface, accompanied by the separation of the wound secretion. Depending on the amount of time elapsed after childbirth, the discharge has a different color and character. The first 2-3 days they are bloody, as they include a large number of red blood cells (erythrocytes), leaked from the children's place and the vessels of the falling shell.
On the 4th day, the content of erythrocytes in the secretions is significantly reduced, and they are replaced by leukocytes (white blood cells), as well as cells of the detached epithelium.
A week after giving birth, mucus appears in the lochia (getting there from the cervix of the uterus), the erythrocytes disappear almost completely, and only leukocytes and cells of the detached epithelium remain. During this period, postpartum excretions take on the appearance of a gray-white opaque liquid. After about 2-2.5 weeks, the inner mucous layer of the uterus is fully restored and the discharge stops.
Normally, in a healthy woman in the first week after birth, about 1–1.5 l of lochia is released. This fluid can have a neutral or alkaline reaction, and its smell depends on the presence of one or another microflora.
It should be emphasized that in normal the uterine cavity is absolutely sterile, but, according to experts, after delivery (in the first 3-4 days), certain types of bacteria can penetrate through the open cervix. However, they are usually non-aggressive, and are not capable of causing the development of the disease process.
Despite the fact that bleeding after childbirth is the norm, they require close attention from doctors, because sometimes it is through lochia that the development of a pathological condition can be determined.
- A very dangerous symptom is a fairly long presence in the postpartum discharge of blood.
- Very abundant lochia (in an hour you have to change more than one gasket).
- The presence of large blood clots in the discharge.
- The appearance on the 4-5th day of bright red discharge, not ceasing even in the prone position.
- Unpleasant smell lohii.
- High body temperature and chills.
- Complete cessation of postpartum discharge in the first week (such a condition may signal a blockage of the cervix with a blood clot, or a bend of the uterus).
Pathological discharge after childbirth
In the event that in the postpartum period, for one reason or another, there is a disorder in the recovery process of the mucous membrane of the uterus, the discharge also changes its character.
With a delay of placental tissue residues, insufficient uterine contraction, or the presence of any injuries, blood is present in the postpartum discharge much longer than the indicated time.
In the presence of pus in lochia, the development of an inflammatory process in the uterine cavity is suspected.
With a slow regeneration (recovery) of the mucous membrane, bleeding can last more than one and a half months. This condition can lead to the development of the inflammatory process in the endometrium.
Normally, in the postpartum period, the uterus retains its sterility only for three days, after which various microorganisms begin to penetrate from the vagina, which can provoke the development of inflammation. In the event that a bacterial infection develops in a woman’s internal genital tract, the discharge becomes yellowish or greenish. They become more abundant, with an unpleasant putrid odor. However, women in labor often complain of pain in the lower abdomen, chills and fever. To avoid such a condition, one should not neglect the elementary rules of hygiene, and also, change the gaskets as often as possible.
Causes of bleeding after childbirth
- Атония или гипотония матки, связанная с её чрезмерным растяжением, ослаблением или дряблостью (при слабой сократительной деятельности этого органа кровь из влагалища вытекает либо сплошной струей, либо отдельными порциями). Данное состояние требует срочной врачебной помощи, так как промедление может стоить женщине жизни.
- The presence of residues of the placenta and fetal membranes in the uterine cavity slows down the healing process significantly and can also trigger the development of strong sudden bleeding, a characteristic feature of which is the absence of pain.
- Poor blood clotting (in this case, the bleeding after childbirth does not have clots and is allocated in large volumes).
- Excessive physical activity and early sex after childbirth.
- In a separate group there are cases when the woman has a recurrence of bloody discharge on days 21-28 after giving birth. This is nothing more than a “small menstruation”, that is, a return of the female reproductive system to menstrual function.
What to do to avoid bleeding?
Immediately after the birth of a child, a hot water bottle with ice is placed on the belly of the woman who is under the influence of which blood vessels are reduced and the development of bleeding is prevented.
If some time after birth the amount of bleeding increases dramatically, it is necessary to immediately call a doctor. At the same time, for the purpose of prophylaxis, specialists recommend that women in labor regularly roll over onto the stomach, or lie more on the stomach (in this position, the uterus is more actively emptied from its wound "content"). You should also empty the bladder as often as possible, as it puts pressure on the uterus, preventing its contraction and emptying.
It is categorically contraindicated to lift weights, since physical exertion can provoke increased secretions.
Women who breastfeed should do so at their first request. During the feeding period, oxytocin is secreted in the maternal organism, under the influence of which the contraction of the uterine muscles is intensified, and the uterus involution occurs faster.
Normally, the duration of discharge after birth is 1-1.5 months. During this period, the inner mucous layer of the uterus is fully restored. If this process is accelerated, or, conversely, slowed down, the woman needs a gynecologist consultation.
After the baby is born, there are still accumulations of blood, mucus, particles of dead tissue and placenta in the uterus. This is all called lochia, and they must leave the woman's body.
In addition, the uterus itself is damaged during childbirth. It remains an open wound from the detached placenta with a lot of damaged vessels.
It is from the blood oozing from the healing wound, and the lohia that the postpartum discharge consists. This is a completely natural process of cleansing the body, which should not be afraid. In the first hours it is most active and intense. Since the muscles of the uterus begin to contract, trying to take a natural form, and push all the excess.
It is impossible to completely avoid bleeding after childbirth, since the placenta in any case, detaching from the uterus, damages it. But gradually the amount of discharge should decrease. If this does not occur or bleeding increases, it is necessary to urgently seek medical help.
To avoid worsening your condition, follow these guidelines:
- roll over onto your belly from time to time, this will help the uterus to clear faster,
- every 2–3 hours empty your bladder, even if you don’t feel like it, because a full bladder prevents the uterus from contracting,
- periodically apply a cold heating pad to the lower abdomen for 10–15 minutes, this contributes to the narrowing of blood vessels,
- avoid any physical exertion
- breastfeed, as this leads to a reduction of the uterus and its speedy cleansing.
The first days after birth are particularly dangerous. First, all the Lochia, which are a favorable medium for the reproduction of microbes, have not yet come out. Secondly, the wound in the uterus is open and can be easily infected.
In order to avoid complications, you should follow the simple rules of hygiene:
- On the first day, use sterile diapers instead of gaskets. Then you can go to the usual gaskets to which you are accustomed, just take the maximum number of drops. It is necessary to change such gaskets 8–9 times a day.
- After using the toilet, wash the perineum with warm water, directing the jet from top to bottom. Need to use baby soap. Wash permits only the outer surface.
- It is necessary to take a shower every day, but in no case a bath.
- Use any ointment for healing is possible only with the permission of the doctor.
- It is strictly forbidden to wear tampons instead of pads. This will not only delay the release of lochia and increase the possibility of infection, but may also damage the vagina.
When childbirth was normal without breaks and cracks, then during the first 7-10 days, mothers observe abundant bleeding. Such a physiological process in the body allows you to get rid of the remnants of the afterbirth, lochia and parts of the placenta.
If more than a month has passed since the birth of the baby, and the discharge has not stopped and has become abundant, pay attention to their nature and quantity. If there is no unpleasant smell and there are no dark-colored blood clots, then this is normal.
What should be the allocation of a month after birth:
- Lochii are thicker on the first day, and after a week they become liquid,
- during the first days the blood has a bright scarlet color,
- for 10-14 days the shade changes to brown, the amount decreases,
- mucous discharge light pink, odorless,
- after 4 weeks, the lochia becomes transparent.
Normally, blood discharge from the vagina in the postpartum period lasts for 6-8 weeks, depending on the health of the mother. The volume of blood lost during this period is about 1.5 liters. The body is completely renewed and cleaned.
Causes of spotting in a month after birth:
- Caesarean section was performed,
- in the birth canal there are parts of the afterbirth,
- the presence of fibroids,
- blood clotting is impaired,
- there was a rupture of the uterus or birth canal.
When a woman does not breastfeed, menorrhagia develops. This is due to hormonal imbalance. With this deviation, the monthly before and after the appearance of the infant are accompanied by a large loss of blood.
Abundant menstruation is manifested by poor health, low blood pressure, dizziness. The causes are hormonal disruptions, birth trauma, impaired blood clotting and diseases of the genital organs.
If a month has passed after childbirth, and blood discharge began to increase, you need to consult a doctor. Timely diagnosis will identify the cause and start treatment on time.
Spotting for 4 weeks after birth leads to the death of a woman or the removal of the penis. Mom, in the presence of such signs as profuse hemorrhage, dark clots and abdominal pain, is required to call an ambulance.
Causes of bleeding a month after childbirth:
- atony or hypotonia of the uterus,
- the rest of the afterbirth,
- postpartum injury
- blood disease
- inflammatory processes
- placental polyp,
- hereditary features of the body.
Atony and hypotonia of the uterus represent a deviation, as a result, between the vessels there is an empty space through which blood is seeping. This condition is dangerous to health, since blood loss is up to two liters.
When to consult a doctor if bleeding began a month after birth:
- bloody discharge lasts more than 42 days,
- the shade changed to dark
- appearance of pus, black blotches and unpleasant odor.
Abundant bleeding caused by inflammation due to parts of the placenta remaining in the uterus. Postpartum stitches and hematomas result in blood loss. This is due to suture suppuration or late detection of internal tears.
The gynecologist examines the pathology on examination. To do this, a woman will need to pass blood and urine tests, as well as undergo ultrasound of the genitals. Frequent and heavy bleeding indicate the presence of pathology.
In the postpartum period, the woman should carefully monitor the state of health. If any deviations from the norm appear, or if blood has gone a month after delivery, it is necessary to pay attention to the quality of vaginal discharge.
When to consult a doctor for complications:
- the blood got a bright scarlet shade and became liquid,
- the amount of discharge has increased, there is enough postpartum pads for no more than one hour,
- nagging pains in the abdomen and in the uterus,
- the appearance of blood clots with an unpleasant odor.
Any inflammatory processes in the uterus require diagnosis and treatment. If the woman in time does not pay attention to increased bleeding six weeks after giving birth, the consequences can be negative.
- lack of muscle contractions
- blockage of the uterus,
- inflammatory infections.
Endometriosis develops both in the genitals and in the abdominal region. It is believed that it occurs due to blood entering the fallopian tubes. The disease manifests itself after menstruation and in the postpartum period.
The lack of muscle contractions of the uterus will not allow the body to return to its original appearance. Signs of atony are blood clots, a decrease in blood pressure in a patient. Pathology often leads to death due to large blood loss and hemorrhagic shock.
A complete diagnosis is performed for women who have a predisposition to bleeding. Pathologies are associated with genetic and chronic diseases. Doctors pay attention to the size of the uterus, placenta previa, blood clotting.
How is the inspection for late discharge with blood after childbirth:
- check the bottom of the uterus,
- examination of the genitals,
- measurement of pressure, pulse and body temperature,
- general diagnosis
- prescription of tests and ultrasound.
When a woman has a strong bright red discharge a month after childbirth, the examination begins by checking the bottom of the uterus and bladder. Then assess the quality and quantity of lohii. To do this, weigh the gasket 15 minutes after filling.
Trauma often leads to bleeding, due to which the uterus does not contract and does not return to its former shape. If the organ is checked and no abnormalities are found, pay attention to the pain and vagina.
It is important to monitor the general condition of the patient. Measure pressure, pulse and body temperature. In normal skin should be a light shade, lips pink, mucous membranes without dryness. In case of internal bleeding, the pain will be severe, radiating to the pelvic region. The vagina is swollen, the skin turns to dark blue. Then black discharge appears one month after the birth of the child, which indicates the presence of a laceration inside or outside.
Uterine bleeding is treated in stages, depending on the condition of the woman. First, a diagnosis and examination, which find out the cause of the pathology. During the entire time, the nurse controls the woman's pressure and pulse.
The work of the uterus is restored with the help of drugs. For each patient, the means and dosage is selected individually based on the characteristics of the body. To relieve spasms and stop bleeding, a cold is applied to the lower abdomen.
Drugs to stop bleeding one month after birth:
- Oxytocin - Used to contract muscles. It is used in the form of droppers both in childbirth and after the appearance of a child,
- Methylergometrine - administered intramuscularly only in the postpartum period. Accelerates the contraction of the uterus muscles.
The doctor examines the uterus, a tampon is inserted inside with a means that helps the body to contract. If residues of the placenta are found inside the cavity and in the birth canal, the organ is cleaned under general anesthesia.
If the bleeding cannot be stopped, the problem is solved by surgery:
- uterus removal,
- stapling lacerations and injuries inside the organ,
- squeezing vessels that are damaged.
The operation is applied only as a last resort, when drugs have not resolved the problem. All surgical procedures are performed under general anesthesia. With a strong blood loss, blood transfusions are prescribed.
Discharge after childbirth (bloody, yellow, brown): how long do they last
The third stage of labor is the process of rejection of the placenta, which is attached to the wall of the uterus, growing into it by the vessels. After separation of the placenta, there is a wound with gaping vessels that bleed profusely. These vessels are closed only if the uterus is sufficiently powerful and regularly reduced: then the muscles effectively pinch the vessels, stopping the bleeding.
For the restoration of the vascular wall must pass a certain time, and in this period there are specific postpartum discharge, almost entirely consisting of blood, which are called "lochia."
What discharge after childbirth is considered normal?
Spotting (lochia) that occurs after childbirth is a completely normal condition that reflects healthy physiological processes. In the place where the placenta was located, blood is constantly excreted and the epithelium is rejected, and until the wound in the uterus heals, discharge with blood can be considered a natural symptom.
However, the possibility of the appearance of pathological discharge after childbirth, which a woman can easily take for lochia, is not excluded. In this regard, it is worth knowing those criteria that allow you to distinguish between normal and pathological discharge:
- Quantity: immediately after childbirth, discharge abundant, up to 300-400 ml per day. From 3-5 days their number gradually decreases, and if this pattern is broken, then we can think about the painful nature of these changes.
- Lochia does not have a smell (on the first day there may be a faint smell of blood, which quickly disappears). The appearance of putrid, sweet, tart smell, the smell of rotten fish, etc. - a guaranteed signal of the presence of a woman of a disease.
- Normal discharge does not bring discomfort and does not irritate the mucous membranes.
- The change in the discharge is strictly staged: in the first 1-2 days, the discharge is bright red and very abundant, until the end of the first week they become scarce and darken a little, and all the remaining time the lochias are brownish “smears”.
All other options for discharge after childbirth can be a sign of the disease, so it is very important to know the main differences between normal lochia and pathological secretions. You must pay proper time to monitor your health in the postpartum period: this can save you from extremely adverse consequences.
When should normal discharge disappear?
Normally, lochia disappear by the end of the first month after childbirth, and a maximum after six weeks. Of course, this is very individual, and the normal periods for the disappearance of discharge for each woman are different (yes, the concept of “norm” is very variable in this respect!).
At the same time, there are averaged values that cover almost all women: this is, nevertheless, a period of 1-1.5 months.
The dynamics of changes in the nature of discharge after childbirth can be represented in five stages, arranging them in chronological order:
- Bright red discharge, consisting almost entirely of unchanged, "fresh" blood. These secretions are abundant (blood is allocated incomparably more than even with the most abundant menstruation): even special pads have to be changed at least four times in 12 hours. This stage takes approximately 2-3 days (less often - up to 4 days).
- A small amount of red discharge (up to 7-8 days) - such lochies no longer cause especially a lot of anxiety, but still require, as a rule, the use of postpartum pads.
- After 7 days, the discharge becomes scanty, dark red or brown.
- The period of allocation lohii ends with the fact that they become smaller every day: in the end, the blood very little "smears", and then disappears altogether.
Pathological discharge: when to go to the doctor?
What can change in the nature of secretions, so that they can be called pathological, has already been said above. But why can this happen?
If the lochia ends too early (before 4-5 weeks), this may indicate a spasm of the uterus and the closure of the cervical canal. It is very important to understand that there is nothing good in this! The rejected epithelium and blood accumulate in the uterus, having no way out - this creates ideal conditions for the reproduction of various pathogenic microorganisms.
Another option is, on the contrary, long-lasting discharge. The reason for this may be:
- Incomplete rejection of the placenta and the delay of some of its parts in the uterus.
- Benign and malignant neoplasms of the uterus and appendages.
- Diseases of the blood coagulation system with a tendency to bleed.
- Changes in the position of the uterus - mainly, its deviation back.
If within a month the lochia never changed its color (that is, it remained bright red), or if the red discharge reappeared after they disappeared, it is worth thinking of uterine bleeding.
Uterine bleeding, whatever it may be, is a dangerous condition. Features of the uterus and blood vessels have massive bleeding: in some cases so much blood is released that a woman dies from blood loss (unless, of course, she was hospitalized in the intensive care unit and she was not transfused with blood products).
Вы должны помнить, что менструации появляются далеко не сразу после родов, а в случае, если ваш ребенок находится на грудном вскармливании, менструаций не будет до момента прекращения кормления. Это так называемая «лактационная аменорея».
If you have not stopped breastfeeding, and the menstruation has already appeared, then this is most likely some kind of bleeding. Contact your gynecologist for inspection: in such a situation, it is imperative to establish the cause of bleeding and undergo treatment.
What discharge is called inflammatory?
Watch carefully for how the discharge changes after childbirth. It is recommended to use gaskets that have no smell, it will help you a lot in observation.
What does changing the smell of lohii mean? Most likely, it is a matter of infection. Depending on what kind of flora affects the mucous membrane of the uterus, the smell will vary: from sweet rotten to the smell of rotten fish.
Excretions during inflammation becomes more. Even if the lochia has almost stopped, their volume may increase again. At the same time, the consistency of the secretions also changes: they can be either thinner or thicker.
There are other signs that there are inflammatory processes in the uterus or appendages. First of all, it is a pain syndrome that accompanies inflammation: pain, as a rule, is localized in the lower abdomen and can radiate (spread) to the lumbar region, thighs, etc.
No less important are general symptoms, which, along with secretions and pain, indicate an inflammatory disease. These are the so-called “general toxicity” signs: headache, weakness, drowsiness. The body temperature rises, which is not typical for non-inflammatory changes in the female genital organs.
Puerperal discharge - what do brown, bloody and yellow discharge mean
After the birth of the baby, within a few weeks each woman continues to have discharge from the genitals. These are lochia that will disturb the girl for several days and even weeks until the lining of the uterus after childbirth has fully recovered.
Postpartum discharge is a normal and natural phenomenon, so you should not be afraid of it. If the health of a young mother is good, then after a certain time they just pass away without a trace.
As you know, the entire birth process ends with the birth of the afterbirth. This is accompanied by copious lochia. They are blood and mucous, as damage from the attachment of the placenta on the surface of the uterus remains. As long as the wound does not heal, wound contents with a faint smell will continue to flow from the vagina of the puerperal, gradually changing its color. Lochia last for quite some time. And they are the most abundant in the first month. How long this will continue depends on several factors. But, if initially immediately after birth, lochia from the genital tract are excreted in large quantities, then over time, the blood impurities in them will be less and less.
Such discharge after childbirth consists of blood cells, plasma, mucus, located in the cervical canal, and epithelial particles. As the wound heals gradually, the color and composition of the lochia begins to change. If immediately after birth in the first month they are usually bright scarlet and they can show blood clots and mucus, then after a while they become lighter. While she is in the hospital, the nature of her lohia is monitored by doctors, but at home the young mother should do it herself to determine if the healing process is going on correctly. Their color and volume can be an alarm for a woman.
For example, should be alerted by purulent or green lochia, having an unpleasant smell. If there are any concerns about this, it is better not to pull, but immediately consult a specialist.
The first hours after delivery
If everything went well, then the first 2-3 hours after the birth of the baby the girl will be in the delivery room. Since there is a risk of bleeding during this period, doctors will carefully observe the woman in labor. All this time she will have abundant mucous spotting after childbirth with a barely perceptible odor, which may also include blood clots. But at the same time their total amount should not exceed 400 milliliters. Otherwise, pathology is possible. A safe amount of lochia is calculated based on the body weight of the woman. It is 0.5 percent of its weight. It is in order to avoid bleeding after childbirth on the lower abdomen of the woman ice is laid, and the bladder is emptied using a catheter.
Postpartum bleeding and discharge in the postpartum period
After childbirth, a new period comes to replace pregnancy — the postnatal period is perhaps no less, and sometimes more, more complicated than pregnancy. Many women involved in caring for a newborn child do not pay attention to their own problems, considering them to be of minor importance. This negligence can later lead to serious health complications. But they can be prevented.
What is the postpartum period?
The postpartum period begins immediately after the birth of the afterbirth and lasts about 6-8 weeks. During this time, the physical condition of the woman is still far from normal. The uterus, which weighs about 1 kg after childbirth, is an almost continuous wound.
In an effort to return to its normal state, the uterus will constantly shrink, with the result that its size will gradually decrease. In addition, the uterus seeks to cleanse, this happens by postpartum secretions, which are called lochia.
In the postpartum period, excretion continues for about 6-8 weeks, during which time the uterus returns to its normal size. If a woman does not breastfeed her child, her body begins to function as before, that is, she begins to menstruate. In the postpartum period, discharge can be quite painful. To avoid complications, it is necessary to create favorable conditions for the discharge, so that the uterus shrinks unhindered, and lochiae stand out freely. If something interferes with this process, the likelihood of bleeding and infection of the uterus increases, and these are complications that have to be treated in the hospital.
What contributes to uterine contraction? Mainly, of course, breastfeeding. At first, when the baby begins to suck, the mother feels something like contractions, accompanied by a pulsating pain in the lower abdomen. The discharge begins to increase, blood clots appear - these are completely normal phenomena.
The second factor contributing to faster uterine contraction is timely emptying of the bladder and intestines. The first few days after giving birth, it is advisable for a woman to lie on her stomach more often - this contributes to the outflow of lochies.
If in the postpartum period, the bleeding ends by the 8th week and does not bring discomfort to the woman, then everything happens as expected. Usually, by the seventh day, the excretions become more scarce, their blood content decreases, they become light pink, and then completely whitish, slimy - and so on until they completely disappear.
It has been proven that for women who breastfeed, bleeding in the postpartum period ends faster. If a child was born by caesarean section - on the contrary, everything happens more slowly.
When should I see a doctor?
You should immediately contact a specialist if the discharge became purulent, have an unpleasant odor, and after the pink, blood-like discharge, the bright red again began. All these signs indicate complications that will not disappear on their own, but will bring a lot of trouble if you do not seek medical help.
Bleeding in the early postpartum period, which lasts more than 15 days, should cause concern.
What else to fear?
Be sure to adhere to strict rules of personal hygiene: wash thoroughly after each toilet, especially in the presence of postpartum sutures. Many doctors recommend using for this purpose baby soap, and even better, oddly enough it sounds - economic, the most common, brown. It is this soap that will help to dry the skin well without causing an allergic reaction.
In addition, after each visit, you need to change the gasket - at least every 4 hours. These measures will allow you to protect yourself from 90% of various complications.
The entire postpartum period can not be douche, as well as use vaginal tampons. This is a very serious warning - this is the easiest way to get an infection! The gynecologist, who prohibits sex life during the postpartum period, also strives to protect you from infections. Sexual contact is one of the shortest ways to catch an infection.
In general, you should be extremely careful when starting sexual relations after childbirth. The fact is that the mucous in a woman for a long time remain vulnerable and overly sensitive, and sexual intercourse can give her not the most pleasant sensations. The first time you must use a condom, preferably with lubricant - it will help moisturize the vagina, thereby reducing the painful sensations of the woman, and besides, she will save the woman from various infections that, in the usual “prenatal” condition, would not cause the slightest concern.
All the difficulties that await a woman after childbirth can be divided into serious problems and "little things". At the same time, serious complications usually require hospital treatment. However, it is erroneous to think that you can ignore the "little things". If you do not "deal" with them immediately, they can bring a lot of grief in the future.
Factors that may contribute to the development of postpartum hemorrhage:
- Overly stretched uterus - as a result of multiple pregnancy or large fetus. - Difficult long childbirth. - Polygon. - Uncontracted uterus - this is due to long labor contractions. - Too fast separation of a child seat. - Uterine ruptures. - Prolapse of the uterus. - Vaginal tears. - The remains of the afterbirth in the uterus. - Violation of the mother's blood clotting. This may be a congenital anomaly, and may be a consequence of taking certain medications, such as aspirin.
Bleeding in the postpartum period: prevention
If possible, to prevent complications associated with postpartum hemorrhage, it is necessary to carry out qualified preventive measures. That is why during pregnancy a woman has to take a lot of different blood tests. Doctors examine the number of leukocytes, platelets and erythrocytes, bleeding time, blood clotting time, hemoglobin level ... In case some pathology is revealed, the doctor prescribes a number of special preventive measures to the pregnant woman.
Such future mothers are at increased risk of bleeding during childbirth or in the postpartum period. The ideal option is if the woman in labor gets into a special maternity hospital specializing in medical care for women with blood diseases. If the doctor deems it appropriate, the woman is transfused with her own blood taken from her in advance.
In addition, immediately after childbirth, a special drug is administered to women, which should speed up uterine contraction, and consequently, reduce the time of postpartum bleeding.