Lochia is a discharge from the genital organs (vagina) of the woman in labor. The process of excretion begins immediately after delivery and continues until the damaged tissues of the uterus return to normal as a result of the regeneration process. The main positive effect of this function of the female body - cleansing the uterus from all those substances that have accumulated in it for 9 months of pregnancy.
Different stages of discharge after childbirth
The number, nature and duration of discharge in all women are different. The duration of normal lohii doctors usually divided into 3 stages. The first stage lasts for 3-4 days after delivery, the second - starts from 4 days and lasts about 7 days, then the 3rd stage begins, which lasts 2-4 weeks.
What is considered normal
How long do Lochia last after giving birth? The most abundant bleeding occurs within 2-3 days after birth. Then the integrity of the tissues in the uterus gradually begin to recover, and the postpartum discharge gradually begins to decline, both their number and duration (duration) decrease.
All young mothers are very concerned about these questions - how long do Lochias go after giving birth, when they end. Do not worry too much, doctors recommend a good study of this topic. If you know exactly how long postpartum lochia last, what the discharge after childbirth looks like, how long they go after the second birth, then you can always independently adequately control the situation.
Most often, during the first 6-7 days, discharge with clots occurs - this is how tissue remains from the uterus (dead endometrium and placenta). After a week, these clots should dry out, discharge should become more liquid. The same can be said about mucus. After about a month and a half, lochia is more like ordinary strokes that occur during menstruation, only the blood is already coagulated.
It is worth starting to worry when something else, like pus, is added to normal blood secretions with mucus or clots. Also, the reason for the indispensable appeal to the doctor should be a situation where, after a certain number of weeks, bleeding and bleeding after childbirth should have ended, and they continue.
The main characteristics of lohii
The rate in the case of lochia is determined by several criteria. One of them is color, texture, size (volume). The second point indicating the normal nature of postpartum discharge is a change in their type, color and volume at different times of the day, depending on the physical activity of the woman. After the body has been at rest for several hours, the discharge may increase, while walking and breastfeeding, they are also more abundant, and then should be less.
If the lochia has the appearance of a scarlet ichorus interspersed with blood clots and mucus, and is very abundant in the first few days after birth, this is normal.
How long do they go and how do Lochias look
Lochia girls will be regardless of how the child appeared - naturally or with surgical intervention. The reason for their occurrence lies in the restoration of the uterus and its purification from the fetal membranes. After the appearance of the baby on the surface of the organ remains a wound from the placenta. Until she heals and mucous does not return to normal, you can watch the wound contents coming out of the vagina. Visually, it may resemble menstruation, but in the composition there are remnants of fetal membranes, ichor, mucus. After some time, their profusion and color will change.
If the process of purification and reduction passes without complications, then the duration of Lochia is 5-8 weeks.
Moreover, abundant end up to 3 weeks, then they are not so strong. Of course, this happens individually, taking into account such factors as:
- age and physical activity
- blood clotting
- the mass of the child
- complications during pregnancy.
It is important to be able to diagnose what is normal and what is a sign of pathology, so always pay attention to these characteristics:
- Composition (1-4 days - blood, clots, 2 week - clots and mucus, a month later - smears (possibly blood).
- Color (1-4 - bright scarlet, 2-3 weeks - brownish, a month later - white or transparent).
- Smell (in the first week - bloody, rotten, beware of rotten and pungent smell!).
How many days does the discharge last after birth? On average, about 42. At the same time, it is precisely the period when they change their color and volume, because it is necessary to make sure that the body is properly and timely cleaned.
How much time go red lochia - another important question. Immediately after the birth of the baby, the placenta is separated very actively, and there are a lot of bloody secretions from the vagina.
The first watch is recommended to the woman to remain in a prone position, having spread a film under herself.
This is not very convenient, but it is important so that the gynecologist can determine if everything is all right. At this time, about 400-500 ml of liquid “pours out” from the girl.
Up to 3-4 days they come out scarlet, you can see clots in them, but this is not a sign of pathology. During this period, a woman has to change a special pad every hour on average. In addition, the girl may feel a sweet or rotten smell - you should not be afraid, but if the scent is putrid - seek medical attention immediately.
How long do serous lochia last? They should last from 4 to 10 days. Their volume decreases, the color changes - now they are brown-pink or brown. The number of leukocytes is growing, so there should be no more blood clots during this period. You can already use conventional pads instead of large postpartum ones.
After 10 days there are lochia of white color, smearing character. They are odorless and do not cause discomfort, but last for about 20 days. This is the final stage of wound healing. After the end you can hope for the monthly.
Risk of uterine bleeding
In the first hours after the appearance of the baby, there is a high risk of uterine bleeding if the uterus is badly reduced after relaxing during pregnancy. To prevent this, doctors introduce Oxytocin to the girl and put ice on their belly. During the contractions of this organ, the blood vessels are clamped, this prevents excessive blood loss and its consequences: anemia, dizziness, weakness.
It is important on the first day not to be ashamed of your secretions, show them to the doctor and keep him informed about his condition all the time. This will also affect how much time you will have to spend in the hospital after giving birth.
The situation with natural healing, we have already disassembled, but there are various deviations, noting in time that you can keep healthy. Some of them point to pathologies that need medical intervention.
Secretion takes place after 5 weeks or a little longer. If they lasted less or stopped suddenly, visit a gynecologist. The reason for this may be insufficient contractility of the uterus, then the blood and placenta do not go out and form a stagnation. It must be eliminated immediately, otherwise there is a risk of developing inflammation - endometritis. To avoid stagnation, girls are advised to more often get out of bed and walk, as well as sleep and lie on their stomachs.
If lochia comes out after giving birth for more than 2 months, you should be examined by a doctor immediately.
After all, after such a time you should leave them in the past. The cause of blood may be menstrual, if there are no clots, pus, unpleasant smell. It can also be affected by the gap seams. In any case, pay attention to the color, odor and consistency of what comes out of the vagina, and report to the doctors.
About endometritis, dangerous inflammation, you will tell the yellow or greenish secrets with a sharp aroma. If this also causes fever and a stomach ache, call an ambulance. No matter how long the lochia leaves after the birth of the child, it can be either their stagnation or an infection - neither bodes well. Treatment of this disease takes place only in the hospital, with the help of antibiotics and disinfecting solution, sometimes with vacuum aspiration and curettage.
Lochia after cesarean section
Many girls are interested in how much discharge should go after surgery. In such cases, they go longer, because contractility is difficult because of the suture and swelling of the tissue. However, even in such circumstances, it is considered normal if the end is after 9 weeks. Up to 10 days they can be red, but not longer, then, as with the natural appearance of the baby, they change the shade to brown, then to white.
Menstruation occurs after artificial, as with normal delivery, if the woman had no complications in the form of inflammation, infections, bleeding. After all, the body of the girl who underwent surgery is more unstable and weakened.
Breastfeeding influences how much discharge will go after giving birth to mothers, regardless of the way the baby is born.
Lactation stimulates contractions of the uterus and the liquid comes out better. So take note.
How much lochia goes after childbirth depends on the most newly-made mother and her compliance with certain rules. Below you will find some important tips that are highly recommended.
- To reduce the risk of complications after the appearance of the child, the pregnant from the beginning of the line should be supervised by a doctor. A woman should contact him regularly and take the prescribed medication. The gynecologist proper will assess her individual condition and will tell you when the discharge should end after delivery in her case.
- Before being discharged from the hospital, an ultrasound scan should be done to help assess the condition of the uterus. Within a few weeks, while she is actively healing, you should relax more, do not lift weights and eliminate the pressure on the press.
- Follow the rules of personal hygiene. While the discharge goes, you need to wash more often, after each trip to the toilet. It’s worth while to forget about a hot bath and limit yourself to a warm shower.
- Do not use tampons. They delay the flow and thereby increase the risk of inflammation.
- Start walking 4-5 hours after the appearance of the child, so that there is no stagnation. If you have a cesarean section, it should be done in 10 hours.
- Feed the baby with their milk.
- Immediately inform the doctors if the nature of the secretions changes, you will feel a putrid odor, the bleeding will increase, the temperature will rise.
- It is not recommended to engage in this state of sex. Intimate relationships are possible already when discharge stops after the birth of the baby.
Let's summarize and analyze how long the discharge after childbirth lasts, how long the bloody-colored lochia last and what it is. This process is as natural as the appearance of the baby. After his birth, the uterus throws out unnecessary tissues, the placenta, mucus, blood, and blood is released. All this is similar to the usual periods, perhaps more abundant.
In the first hours their volume reaches 500 ml. Such secretions go up to 4 days, then their shade changes, they become less. After 2-3 weeks, they become white or transparent in color and should end in 42 days. Be careful and see signs of the pathologies described above, immediately inform your doctor.
How many lochias go after childbirth, what is their composition, why do they have such a color? Lochia consists of blood that expires from the area on the wall of the uterus to which the placenta was attached during pregnancy, areas of the endometrium that were changed and thickened during pregnancy, blood, mucus from the cervix, and dead tissue.
The blood in lochia gets mainly from a large area of the modified site, which remained after the placenta was removed. Bleeding from this area is controlled by contractions of the uterus muscles. The process of healing and restoration of the endometrium takes about 2 weeks.
That is why the bleeding is maximal at the beginning and then gradually decreases. All postpartum discharge occurs within 1.5 months after delivery.
Lochia is sterile for 2-3 days, but after it is colonized by bacteria, it emits a typical odor, which is normal. Do not confuse the smell of normal lohia and the smell of discharge, if there is a postpartum infection.
How long do lochia last after giving birth, especially premature? The amount of discharge may be scanty after such birth, but more than usual, after pregnancy with twins or under other conditions in which the uterus increases in size more than during normal pregnancy.
Types of lohii
Depending on the color, lochia can be of three types:
1. Red lochia after childbirth. How long do such selections last? They continue for the first 4-5 days after delivery and are red in color - hence the term. They consist mainly of blood, pieces of fetal membranes, decidual tissue, meconium and cervical mucous tissue.
2. After red lohii appear serous. Primary discharge gradually changes color to brown, and then turns yellow in about a week. Lochia serous contain less red blood cells, but more leukocytes, which are separated from the developing endometrium, mucus from the cervix.
3. Lochia The alba, or white lochia, is a whitish, cloudy fluid that is released from the vagina for about 1-2 weeks. These secretions are mainly composed of decidual cells, mucus, leukocytes and epithelial cells, cholesterol, and fat.
How many lochias go after childbirth? The duration of this period can be from 4 to 8 weeks, but on average most often 42 days.
The amount of lohii can vary. In some women, a painful contraction of the uterus can lead to heavy bleeding with clots, which reduces the healing process.
Breastfeeding stimulates the contraction of the uterus, which leads to an increase in the amount of lochia secreted. It is the irritation of the nipples and areola that promotes the release of internal oxytocin, which is necessary for reducing the myometrium and the involution of the uterus (restoring its prenatal size).
Sometimes an abrupt change in the position of a woman, for example, when standing up or tilting abruptly, can lead to the release of large amounts of blood from the genital tract - this is just a drainage of collected blood into the vagina, and it should not be a cause for concern.
However, it should be remembered that the endometrium to which the placental tissue was attached, as well as some parts of the uterine mucosa are open for a long time, and bacteria can easily get to this wound surface from the vagina. Therefore, you should avoid using tampons. Sanitary pads - this is the best option for women after childbirth.
For the same reason, you should not have sex in the postpartum period to avoid the appearance of an infection that is very dangerous for both the mother and the baby.
Swimming in public pools is also best avoided, until the release of Lochia is completely stopped.
In the postpartum period, the use of the shower is recommended. This will prevent penetration of the infection into the uterus from the vagina, and will also contribute to better healing of the sutures after episiotomy, if any.
How long do Lochia last after giving birth? What should be their intensity? What are the symptoms of the pathological process? Lochia may be abnormal if an infection occurs at this time. Infection may be suspected if:
• Lochiae remain bright red even after a week,
• discharge suddenly turns bright red. This happens while they have already become pale,
• there is an unpleasant smell,
• all this is accompanied by fever with chills,
• lower abdominal pain increases significantly over time.
There is abnormally heavy bleeding, due to which the gasket gets wet for 1 hour or less or there are a large number of clots. This is a sign of secondary postpartum hemorrhage and requires emergency care.
Lochia after operative delivery
Many women believe that the flow of lochia is significantly less after a woman has undergone a cesarean section, since the uterus cavity is cleaned during the operation by a doctor after the child is removed. It is not true. The flow of lochia does not depend on the type of birth - normal physiological or cesarean section. The number and duration of discharge is the same in both cases.
Tips for women
In the postpartum period, these rules should be followed:
1. Rest as much as possible.
2. Avoid excessive walking or long standing, as this increases blood flow.
3. Do not use vaginal tampons after childbirth, because they can contribute to the multiplication and penetration of bacteria and infection on the wound surface of the uterus.
4. Avoid sexual intercourse for 42 days.
How long do Lochia last after giving birth
The most abundant discharge in the first day. Try not to panic if the bleeding seems to increase when you go home. Just a long walk or run can increase the outflow of blood. Если прокладка полностью намокла в течение часа, необходимо прилечь и отдохнуть.If the bleeding continues at the same rate for an hour or more, or if you observe larger clots, then it is extremely important to consult a gynecologist, and if you have heavy bleeding, call an ambulance.
How long do Lochia last after the second birth? Do they really have to be less? Based on the observations and feedback from moms, after the second or subsequent birth, the number and duration of discharge does not change.
Other symptoms requiring medical intervention:
• the discharge remains red for a period of more than 7 days after birth,
• there is an unpleasant putrid odor,
• You have symptoms of fever or chills.
Late postpartum bleeding
How many lochias after childbirth last? Reviews of many young mummies confirm that this process takes no more than 1.5 months. Vaginal discharge is usually pale pink or brown in the second week after birth. Do not be alarmed if you find bright red discharge that appears from time to time during the first 6-8 weeks. Training or increased activity can cause this phenomenon. To stop bleeding and reduce cramps, you need to lie down for a couple of hours. If this does not help, you need to contact the antenatal clinic.
How long do the lochia go after giving birth? How not to confuse them with bleeding? Postpartum bleeding is the most dangerous. If you lose no more than 600-700 ml of blood after an operative delivery or more than 300-400 ml after a vaginal birth, this is classified as normal blood loss. However, in 1 out of 10 cases of the total number of all pregnancies there is such a complication as postpartum hemorrhage. It usually begins within 24 hours after delivery (early postpartum hemorrhage), but this can happen at any time within 6 weeks - late blood loss. After birth, the most common cause is the inability of the uterus to contract as it follows, leading to uncontrolled bleeding from the place where the placenta was attached. Sometimes it can be the result of intact tears in the vagina or cervix. Later, postpartum bleeding can occur as a result of incomplete detachment of placental fragments in the uterus or due to infection. Both of these types of bleeding are dangerous and can lead to the death of the mother.
How long lochia last after giving birth, every woman who is preparing to become a mother should know. But the characteristic signs of late postpartum hemorrhage:
• one laying is not enough for 1 hour,
• Lochia does not change for more than 7 days in color and intensity,
• there are large blood clots of various sizes - with a golf ball or lemon,
• pain or swelling in the abdomen during the first days after birth,
• bleeding can cause loss of consciousness, shortness of breath, dizziness, or rapid heartbeat.
Treatment and Prevention
After birth, the midwife carefully inspects the afterbirth and all shells to make sure that they are intact and that no part is left inside you. After separation and excretion of the placenta, doctors prevent bleeding by injecting oxytocin or methylergometrine intravenously. These drugs stimulate the reduction of myometrium to reduce bleeding. External massage of the uterus is also necessary for the same purpose. Breastfeeding (if planned) will also stimulate natural contractions. Therefore, it is now widely used early breastfeeding immediately after the child was born.
In the early postpartum period, in some cases, massage of the uterus on the fist is required. If the bleeding does not stop, a procedure called “curettage” will be needed in order to examine the uterus and remove pieces of the placenta that were not removed by themselves. If the uterus is damaged, that is, there is a rupture of the wall of the fetus, a laparotomy and hysterectomy may be a necessary method to stop the bleeding.
You should monitor the process of how much lochia is released after childbirth, how long it lasts. Sometimes with intensive bleeding in rare cases it becomes necessary to transfuse components or even whole blood.
How many lochias go after childbirth, is their duration always the same when doctors assume a lot of blood loss? The risk of postpartum bleeding is significantly higher in the following cases:
• high water flow (excessive amount of amniotic fluid),
• placenta previa,
• the birth of a large baby,
• uterine myoma, which does not allow symmetrically contracting uterine fibers,
• the mother is weakened due to anemia during pregnancy, pre-eclampsia, or severe long births,
• The mother takes herbs or drugs that prevent blood clotting, such as ibuprofen, aspirin, or other similar means.
When will monthly begin
How many days are Lochia after childbirth? How to distinguish lochia from menstruation? When does the first menstruation come? If you are not breastfeeding, the first menstruation may come in 1 or 2 months. But sometimes the waiting period is extended to 12 weeks. If you are nursing, your period may begin in a few weeks, although many mothers who breastfeed note that they may not come until the baby is weaned. When the first menstruation occurs, it may differ from previous, prenatal, bloody, regular discharge. It may be harder or longer than normal. Or it may stop suddenly and then start with clots. There may also be copious bloody discharge. You need to monitor your monthly and the amount of blood secreted. If you need to change the gasket more often than every hour, and it lasts for several hours, call your doctor.
How many lochias go after giving birth
The postpartum period for each woman lasts depending on the characteristics of her body and the course of labor. In the normal recovery of the uterus is necessary from 3 to 6 weeks. Accompanying this stage is the selection of lohias of various types. Regardless of whether the birth was natural or by caesarean section, the healing process of the uterus, accompanied by special secretions, will still occur.
Before giving birth, a woman needs to realize that already the first hours after the appearance of the child will be accompanied by a slight bleeding. During this period, the woman in labor must be under the supervision of physicians, since in some cases the bleeding can develop into hypotonic. For this reason, if you have weakness and dizziness, as well as heavy bleeding, you should seek help from the medical staff.
Doctors call a valid term for the appearance of lohia up to 9 weeks, if the nature of the discharge during this period has no pathological signs. It is believed that in breastfeeding, the duration of discharge is reduced, and in those undergoing caesarean, on the contrary, a little longer.
The nature of discharge after childbirth
The number of lochies in the first three days is quite large, so women are recommended to use pads specially created for this situation. At this time, bright red blood is saturated with red blood cells. The remains of the placenta and exfoliated particles of the endometrium - the inner layer of the uterus - usually leave it in the first week. A mother in labor observes them as clots when bleeding.
On the 5th - 7th day, leukocytes begin to predominate in the discharge, which makes the lochia serous. A few days later, they acquire a brown shade, are no longer so abundant, and in character are more like menstruation. At this stage, the days of lochia should be thinner than they were for the first time, and mucus can appear in them.
On the 12th - 14th day, the discharge becomes yellowish and less intense. Approximately on the 17th day, they turn into white mucous membranes and last another 20 days. After a month and a half more daub may appear, as with menstruation. Total blood loss during the recovery period should be 500-1500 ml.
When to see a doctor
Far from every offspring organism is able to recover quickly and without consequences. A woman after childbirth needs to pay special attention to the state of her body.
It is bad if lochia has such features:
- stop suddenly in up to 3 weeks,
- last longer than 9 weeks
- have a sharp nasty smell
- greenish yellow
- accompanied by discharge of pus,
- a week later come out with clots and very abundant,
- liquid and clear,
- after a few weeks, become scarlet.
Often, with pathological discharge, a woman's overall health deteriorates: the temperature rises, weakness appears, and pains in the lower abdomen. This feeling suggests that you need to hurry with the treatment of a doctor.
So, pus in lochia signals about inflammation of the endometrium - endometritis, the cause of which is a developing infection. The pathological process can be suspected, and when several weeks have passed after the resolution of the burden, a bright yellow secret comes out of the vagina with an admixture of mucus.
White discharge with a sour smell, which are accompanied by itching and irritation of the external genital organs, suggest a possible development of candidiasis (thrush).
If the lochia has run out, and after a few days they have resumed and are accompanied by a putrid odor, this is how the lochyometer appears. This condition without treatment can lead to the development of endometritis. I call lohiometry pathology, in which, due to the peculiarities of the structure of the uterus, blood, mucus or placenta remains accumulate in it.
It is impossible to cure infections on their own, but it is possible to prevent their development. Since, in the period of lochia, the microflora of the uterus is especially sensitive to infections, it is necessary to keep an eye on personal hygiene when giving birth:
- it is desirable to use special gaskets without flavors,
- change gaskets after 3 hours,
- forget for a while about tampons
- wash every time visiting the toilet
- don't douche
- do not lie in the bath
- take a shower every day.
In addition, in order to avoid delays in the uterus of the particles that need to go out, it is recommended to walk more, periodically sleep on the stomach, wear a special bandage and not deny the baby breastfeeding.
Causes of Lochia
During pregnancy, the placenta functions in the female body, which is tightly attached to the uterine endometrium. It contributes to the breathing, nutrition and protection of the unborn child. After the baby is born, the placenta loses its significance and is released from the uterus as a placenta. Due to this, a bleeding wound is formed on the inner surface of the uterine cavity.
Lochia after childbirth is the result of the healing process of the endometrium of the uterus. They are composed of dead epithelial cells, red blood cells, white blood cells, platelets and blood plasma. In the process of leaving the uterine cavity, the secret of the glands of the cervix and vagina joins lochia.
Over time, the exposed vessels of the uterine epithelium thrombose, the bleeding from them stops, so the number of formed elements (erythrocytes, leukocytes, platelets) decreases in lochia. Thus, these secretions have two main functions - endometrial regeneration and cleansing from the remnants of the placenta and amniotic bladder.
The duration of lohii depends on a number of factors:
- fetal weight (large child leads to a strong stretching of the uterus, so it takes more time to recover),
- the amount of amniotic fluid (its large amount contributes to more damage to the endometrium),
- the number of births (with repeated birth, the recovery of the uterus is faster)
- the appearance of infection (in the inflammatory process, the duration of lochia increases),
- physiological features of a woman (some women in labor have good blood clotting, therefore lochia last for a much shorter period of time),
- type of delivery (with natural childbirth, the discharge does not last as long as with a caesarean section),
- lactation (breastfeeding promotes rapid regeneration of the uterine epithelium).
The duration of lochia secretion is an individual indicator, on average, they last for one month. However, normally after vaginal delivery and in the absence of complications, these excretions should not be observed for more than 45 days.
Duration lohii after cesarean section on average a month and a half. Their maximum duration in healthy women should not exceed 60 days.
Lochia lasting more than 1.5 months (with a caesarean section for more than 2 months) cause hemoglobin deficiency - anemia. Because of her, a woman may experience symptoms such as weakness, dizziness, loss of appetite, taste perversions, and reduced milk secretion. Anemia in a nursing mother leads to a lack of hemoglobin in a child.
Prolonged lochia can be caused by insufficiency of the contractile activity of the uterus or problems in the blood coagulation system. Both pathological conditions require adjustment with the help of drug therapy.
However, if the lochia have ended in 2 weeks or less, there is a possibility of incomplete cleaning of the uterus. This syndrome can lead to purulent inflammation due to the multiplication of pathogenic flora. Therefore, with the rapid termination of discharge in the postpartum period, the woman requires expert advice.
What do the doctor's say:
Characteristics of normal lohii
At different time periods of the postpartum period, the uterine discharge changes its color and composition three times:
They are observed within 3-5 days after delivery. The volume of scarlet abundant uterine secretions in the first 5 hours from the appearance of the baby into the world should not exceed 400 milliliters. At this time, the woman is under medical supervision. After 5-8 hours after the birth of the child, the late postpartum period begins. During it, the lochiae are abundant, have a bright red tint, have a specific "rotten" smell, they contain a large number of red blood cells and blood plasma. These uterine secretions are observed for another 3-4 days; they give the woman some discomfort due to its profusion.
Usually they are allocated from 5 to 12 days from the moment of birth. Lochia serous changes its color from scarlet to brown or brown. The amount of discharge noticeably decreases, they cease to cause great inconvenience. In the composition of lohii, immune cells - leukocytes - predominate. Serous uterine discharge does not have a strong odor.
Allocations after 10-14 days from the moment of birth of the child into the world are noticeably reduced in their quantity, the woman hardly notices them. Lochia in this period become more transparent, have a whitish or slightly yellow hue, are not accompanied by smell. Gradually, uterine discharge begins to "smear", and then disappear altogether.
Differences lohii from menstruation after childbirth
Some women mistakenly take lochia for menstrual bleeding because they resemble each other. At the beginning, both types of vaginal discharge have the same scarlet appearance, but over time their character becomes different.
Monthly lasts about 7 days, while lochia can be observed up to two months. Menstrual bleeding always has a red or brown tint, may be accompanied by the appearance of clots. Initially, lochia has a scarlet hue, but over time they become brown, pinkish, then whitish.
During lohii, the uterus is reduced in size due to its contractile function; when viewed, the doctor sees a narrowing of her neck. With menstrual bleeding, the organ swells and swells, and the cervical canal expands.
Also, the data selection is different in time of occurrence. Lochia begins immediately after childbirth, menstrual bleeding occurs at the moment when the “breastfeeding” hubbub, prolactin, falls in the blood.
Prolactin secretion is a natural contraception in the postpartum period. The hormone promotes milk synthesis and blocking ovulation. As soon as the mother stops breastfeeding, the amount of prolactin in the blood decreases. This leads to a resumption of the cycle and the appearance of menstrual bleeding. If a woman for some reason does not begin to breastfeed, menstruation begins immediately after the termination of lohii.