What happens normally?

The uterus continues to contract, and the woman may feel slight contractions, especially during breastfeeding, when the baby sucks intensely. Immediately after birth, the uterus weighs 1 kg. Over the next six weeks she takes her normal weight- 50-60 g. After this, the discharge becomes less intense. Postpartum discharge, called lochia, last 5-6 weeks after birth until the uterus completely returns to its normal size and the wound formed at the site of the separated placenta heals. In the first 2-3 days they are bloody. During this period, the main component of lochia is blood from vessels that have ruptured at the placenta insertion, so the discharge is intensely red. Increased discharge when standing up and other movements is a normal process.

Then, until the end of the first week after birth, the discharge becomes dark red with a brown tint, then yellowish-white, due to the impurity large quantity leukocytes. From the 10th day, the discharge is watery, light-colored, and an ever-increasing amount of mucus is mixed with it. The discharge becomes increasingly scarce and by the end of the third week almost stops, soon disappearing completely. The total number of lochia in the first 8 days of the postpartum period reaches 500-1400 g. specific smell rotten leaves.

When is medical intervention required?

The following situations are pathological, that is, requiring medical intervention:

• There is no postpartum discharge due to spasm of the internal os of the cervix or blockage of the cervical canal with pieces and membranes (in the event that not all membranes came out during childbirth) and blood clots.
• The temperature rises to 38-39°C, but overall health may be quite satisfactory. This condition is called lochiometra. With rare exceptions, it is not an independent disease, it is only one of the manifestations of metroendometritis (inflammation of the mucous membrane and walls of the uterus).
• Discharge from the uterus remains bloody until 5-12 days after birth. Body temperature rises to 38-39°C. Sometimes there is chills when the temperature first rises. The pulse increases to 80-100 beats/min, General health the postpartum woman does not suffer significantly. The woman experiences uterine pain, which persists for 3-7 days. When examined in the blood, the number of protective blood cells of leukocytes and ESR (erythrocyte sedimentation rate) increases, the uterus is slightly enlarged. Such symptoms indicate a mild course of postpartum endometritis - inflammation inner shell uterus.
• Discharge from the uterus becomes brown from the 3rd-4th day and subsequently acquires purulent character. On the 2-4th day after birth, the maternity hospital patient is bothered by headaches, weakness, and pain in the lower abdomen. There is a disturbance in sleep and appetite, the heart rate increases to 90-120 beats/min. Body temperature often rises to 39°C and above, accompanied by chills. The examination reveals an increase in the number of leukocytes and ESR in the blood. Upon examination, pain and increased size of the uterus are revealed. Such phenomena are characteristic of severe endometritis.

Thus, in most cases, pathological postpartum discharge is a manifestation postpartum inflammation uterus.

Factors contributing to the occurrence of endometritis

During pregnancy, especially towards the end, and in early dates postpartum period in women there is a decrease in the body’s immunological defense, which is a favorable factor for the development of inflammatory complications in postpartum period. Restoration of immunological protection to normal level occurs only by the 5-6th day of the postpartum period during vaginal delivery, and after surgery caesarean section- by the 10th day. In postpartum women after caesarean section additional factor the risk of developing postpartum inflammatory complications is surgical trauma, which entails a more significant decrease in immunological reactivity and its more slow recovery than after vaginal delivery.

There are several factors, the presence of which increases the likelihood of postpartum endometritis.

These include:

• malnutrition;
• bad habits;
• infectious inflammatory diseases;
• kidney diseases inflammatory in nature;
• organ diseases internal secretion;
• violation fat metabolism;
• diseases bronchopulmonary system inflammatory in nature;
• anemia (decreased hemoglobin amount);
• immunodeficiency states;
• inflammatory diseases of the female genital organs;
• presence of sexually transmitted diseases;
• long-term use intrauterine contraceptive device before pregnancy;
• a large number of instrumental interventions regarding abortion and spontaneous miscarriages;
• previous caesarean section. Features of the flow real pregnancy can also provide bad influence on the possibility of postpartum endometritis.

These features include:

• anemia;
• gestosis (a complication of pregnancy, often manifested by edema, increased blood pressure, the appearance of protein in the urine);
• exacerbation of chronic infectious diseases during pregnancy;
• acute infectious diseases suffered during pregnancy;
• colpitis and cervicitis (inflammation of the vagina and cervix);
• polyhydramnios;
• threat of miscarriage;
• surgical correction isthmic-cervical insufficiency (sutures on the cervix);
• low location or placenta previa is the location of the placenta when the latter closes the exit from the uterus.

Features of the course of labor can also affect the possibility of postpartum endometritis. The risk of developing complications increases 3 times with duration birth process and a water-free period of more than 12 hours. Other risk factors during childbirth include: major blood loss, manual examination of the uterus after birth, weakness labor activity, repeated births, polyhydramnios, multiple pregnancy - in a word, all situations in which infection can enter the uterus and bad cut muscles of the uterus after childbirth. Caesarean section is also a significant risk factor for the development of postpartum endometritis. A predisposing factor for the occurrence of endometritis is also the retention of parts of the placenta and membranes in the uterus.

Treatment

Treatment of any form of postpartum endometritis is carried out in a hospital. Patients are given antibacterial drugs, medications that contract the uterus, solutions that help eliminate toxins. It is important good nutrition With increased content proteins and vitamins.

In some cases, as part of the treatment of postpartum endometritis, it is required debridement of the uterine cavity, which includes hysteroscopy (examination of the uterine cavity using optical device), vacuum aspiration of the contents of the uterus - removal of contents using a special vacuum device, the tip of which is inserted into the uterus. This is an operation that is carried out against the background general anesthesia and washing the uterine cavity with antiseptic solutions. When parts are retained in the uterus ovum and their further infection, there is a danger of toxins entering the patient’s body from the source of infection and biologically active substances, contributing to an increase in intoxication and aggravation of the course of the disease. In this case, they are removed by scraping or vacuum aspiration (using a special vacuum device). Removal of parts of the placenta is carried out under general anesthesia.

How to avoid problems

In order to eliminate, if possible, the influence of factors predisposing to the appearance of endomyometritis, every pregnant woman needs to be observed by a doctor and follow all his prescriptions.

If during pregnancy and during childbirth factors that contribute to the development of endometritis are identified, the woman after childbirth is prescribed medications that promote uterine contraction.

After childbirth, a woman must observe the rules of personal hygiene: change the pad every 2 hours, urinate (so that the bladder did not prevent uterine contractions). After each urination, you must wash yourself.

As early as possible (4-6 hours after birth, 10-12 hours after cesarean section), you need to start getting up and walking.

Before discharge from the maternity hospital, as a rule, ultrasonography(ultrasound). This is necessary in order to:

• assess the condition of the uterine cavity, the presence of clots and placental remains in it;
• determine whether the uterus has contracted well, i.e. measure it and compare the resulting dimensions with the size of the uterus, which should be by this time.

Fulfilling all these conditions will help a woman avoid problems with postpartum discharge, and, consequently, the complications of which they are symptoms.

Regardless of whether childbirth took place naturally or through a cesarean section, after the birth of the baby and the expulsion of the placenta, the uterus begins contractile movements that gradually rid it of dead endometrial particles.

The result is a postpartum discharge called lochia. The first couple of hours after childbirth, in the so-called early postpartum period, the discharge is the most intense and bloody, and makes up about 0.4% of the woman’s total body weight, but should not exceed 350 ml. In the next 3-4 days, lochia is also quite abundant, as a result of which special postpartum pads must be changed every two hours to avoid infection; the open wound cavity of the uterus and vagina is a favorable environment for.

____________________________

various infections

How long does the discharge last after childbirth? Normally, postpartum suckers last 6-8 weeks, after which the uterus significantly contracts in size and takes on its prenatal size, the blood vessels contract and bleeding stops completely. When asked about how long discharge after childbirth lasts, it is worth answering that its duration is not always the same and depends on many factors.

The duration is affected by:

The course of pregnancy and childbirth;

The body's ability to rapid recovery its functions;

The presence of inflammatory processes in the uterine cavity, as a complication after a difficult birth;

In addition, the duration of lochia depends on the method of childbirth - natural or by cesarean section. During induced labor, discharge usually lasts longer;

The duration of the discharge also depends on whether you are breastfeeding, because the more often you put the baby to the breast, the more intense the uterus contracts, and the faster and more efficiently the process of cleansing the body takes place.

Also, the contractility of the uterus is affected by timely emptying of the bladder and intestines. Lying on your stomach is also very useful. This is especially effective in improving the process of discharge of discharge in those women whose uterus is deviated posteriorly - when lying on the stomach, the angle between the uterus and its cervix disappears, and discharge flows freely. Sometimes doctors advise applying a heating pad with ice to the lower abdomen 2-3 times a day, which promotes intense contraction of the uterus and the vessels of its cavity, improving the outflow of lochia.

Hygiene procedures after childbirth

At all, copious discharge in the first time after childbirth it is very good indicator, because this is how it happens complete cleansing uterine cavity.

In order for the cleansing process to occur without unpleasant consequences in the form of inflammation and various infections, the following rules must be observed:

1. Wash your genitals warm water front to back after each visit to the toilet;

2. Refuse the bath in favor of a shower;

3. Avoid douching;

4. In the first two days after birth, replace regular pads with special sterile diapers;

5. Subsequently, change pads at least 8-9 times a day;

6. Avoid using hygienic tampons for the entire period of discharge: they delay the free discharge of lochia and contribute to the occurrence of postpartum colpitis;

7. Pay attention to the smell of the discharge - it should not be specific or pungent. Fine postpartum lochia They have a somewhat rotten bloody smell, which does not cause concern or inconvenience when maintaining hygiene.

Long-term or short-term discharge after childbirth is a sign of pathology

Be sure to consult a doctor if the discharge continues for more than 7-8 weeks. This may indicate poor contractile function of the uterus, as well as some blood diseases, in particular, poor blood clotting. Such prolonged bleeding are fraught with anemia in a young mother and all sorts of ailments, in addition, through breast milk anemia is passed on to the baby.

But sometimes it happens reverse situation– lochia stops quite quickly. This is also a pathological option, because there is an accumulation of placental and endometrial particles in the uterine cavity, which can subsequently lead to serious inflammation, such as endometritis, which subsequently leads to infertility of the woman. Therefore, in such situations it is necessary to see a doctor and do an ultrasound.

Normal postpartum discharge in the first days is bright red and resembles heavy periods with clots; by the end of the third week they become brown and not so intense, and then disappear completely.

However, in the presence of infections, the discharge takes on a purulent color, becomes more abundant and watery. Typically, such discharge is accompanied by chills and fever; in such cases, you should also not hesitate to go to the doctor. As for returning to the usual sex life, then doctors recommend refraining from sexual intercourse for 30-40 days after childbirth, i.e., until the postpartum discharge completely stops.

The process of restoration of the body will mark the arrival of the usual periods, which will indicate that the body has fully recovered and is ready for a new pregnancy.

Discharge after childbirth, video As soon as the long-awaited baby is born, the mother tries to surround him with care from all sides, sometimes forgetting that her body also needs increased attention. At this time it is restored hormonal background

, tone of the uterus, abdominal wall, and any deviations from the norm can become life-threatening. How to determine whether everything is fine in the body of a woman who has given birth to a child? In the first months, a lot can be judged by the lochia. This is the name for postpartum discharge from the genital tract. How long does the discharge last after childbirth? What is considered normal? Are they harmless? after childbirth? How can you understand what problems need to be treated based on changes in the amount or duration of lochia?

Normal lochia

There are certain standards by which one can judge whether lochia is normal or whether it indicates the need for urgent medical intervention. The characteristics of the discharge must correspond to the period that has passed since birth.

In the first days, when the woman is still in the maternity hospital, the condition of lochia should be monitored by a doctor. But if he didn’t pay attention to something, it’s better to ask again than to leave the problem unnoticed. And after discharge, all responsibility for observing how postpartum discharge changes falls on the woman in labor herself. Therefore, she also needs to be able to distinguish between normal and pathological conditions, to know how long lochia should last and at what intervals their appearance will change.

Duration and quantity

To understand how long the discharge lasts after childbirth, you need to understand why it appears. First, the remnants of the placenta and waste products of the fetus are expelled, then blood and lymph are released from the damaged inner layer of the uterus. Its recovery takes approximately 40–50 days. Accordingly, lochia continues for the same amount of time - from 6 to 8 weeks - after childbirth.

The intensity of the discharge depends on how much time has passed after childbirth:

• The first two hours, when the woman in labor must still be in the maternity ward under the close supervision of a doctor, are especially dangerous. There is a lot of discharge; in relation to body weight, it is approximately 0.5%, but not more than 400 ml. Large losses will definitely affect the general condition.
• For another 2 or 3 days, lochia continues to be abundant - 300 ml in 3 days. At this time, it is better to use diaper pads rather than pads to make it easier for the doctor to assess the volume of lochia.
• The next week the amount of discharge is approximately the same as during menstruation. Every day their volume decreases little by little. For hygiene purposes, it is more convenient to use regular pads with high degree absorption of moisture, not diapers. But it is strictly contraindicated to use tampons.
• When the first month has passed after childbirth, lochia should still be observed, but it is already very scanty.
• In 8, at as a last resort, 9 weeks, lochia discharge should stop.

How long the discharge lasts after childbirth depends on the severity of the body’s ability to recover, the woman’s nutrition, and daily routine. They should not be too long (lasting more than 9 weeks) or too short (less than 5 weeks).

Color, smell and consistency

The appearance of the discharge also depends on how long the lochia lasts after childbirth and on its composition.

Norm of qualitative characteristics of postpartum discharge:

• The first few days they are liquid, bright red, with the smell of blood. This is due to the fact that they contain a large percentage pure blood. May meet small clots blood and mucus. Such lochia is considered normal only for a few days.
• By the middle of the first week, their color should change and turn brown. The smell of lochia at this time is similar to normal menstruation.
• When a month has passed after childbirth, the lochia becomes mucous, cloudy, and grayish in color. Over time, there are fewer of them, and the color approaches transparent.

By the end of the postpartum period, the discharge is very scanty and mucous, the same as that of any healthy woman before pregnancy.

Signs of pathology

Any deviation from the parameters described above may indicate the presence serious problems. Throughout the postpartum period, there is a risk of bleeding, infection of the genital tract or uterine cavity. To prevent development severe complications, it is important to know how long lochia lasts normally, and to consult a doctor at the first suspicion of pathological changes.

Possible deviations from the norm:

1. Reducing or increasing the duration of lochia secretion.
2. Abrupt cessation or increase in volume.
3. The discharge stopped, and after a while it started again.
4. Change in color.
5. The appearance of an unpleasant odor.
6. Change in consistency.

You should consult a doctor in any case, even if only one characteristic has changed, for example, just the color has changed.

Quantitative changes

Most a common complication early postpartum period is the development of bleeding. In this case, you feel that the diaper gets wet very quickly, and you may feel a little dizzy. However, there are no pain. This condition can be caused by blood diseases or too weak uterine contractions. For stronger contractions to begin, it is necessary drug therapy(injection of a dose of Oxytocin).

Deviations from the norm in a later period:

• If the remnants of the placenta for some reason are not completely expelled immediately after birth, bleeding may develop even more long term. Its sign will be a sharp increase in the volume of discharge.
• An abrupt cessation of lochia, especially if not even a month has passed after giving birth, may be a sign that something is preventing them from coming out. This could be a backward bend of the uterus, cervical spasm, or a neoplasm. In any case, this can lead to infection of the endometrium and the development of endometriosis.
• If the lochia has not stopped 8 or 9 weeks after birth, you need to undergo an examination to find out why the endometrium is not recovering at the required speed.

Often, women in labor are happy when the lochia ends quickly. But in fact, with normal recovery processes, healing of the uterine mucosa occurs after at least 40 days. If lochia stops earlier, this should be alarming, not pleasing.

Changes in color or odor

The color of lochia may suddenly change if some undesirable processes occur in the uterine cavity or cervix. Often, especially if yellow discharge appears after childbirth, you feel bad smell. No matter how harmless such deviations may seem, any of them is bad sign and cannot pass without medical help.

Possible color changes:

• Bloody discharge after childbirth is considered normal only in the first few days. If a week has passed after childbirth, and they remain bright red, this is already a pathology, a sign of impaired epithelial healing or problems with hematopoiesis. If the lochia has already changed color, but then turns red again, there is a high probability that bleeding has occurred.
• Black color scares women in labor the most. But it is relatively harmless, since it speaks of changes in the composition of the blood caused by hormonal changes.
• Yellow discharge after childbirth occurs when bacteria enter the uterine cavity and endometriosis develops. A faint yellow tint to the discharge after 2 weeks is considered normal. Yellow discharge after childbirth is often accompanied by an unpleasant putrid odor.
• Green discharge after childbirth, mucous or purulent lochia is a sign that infectious process progresses, inflammation is already advanced. In such a situation, there is a risk of developing sepsis. This is due to the fact that the infection can very easily enter the bloodstream through the endometrium, which has not yet recovered.
• The white color of lochia, especially if they have become cheesy, indicates infection with the fungus Candida. This discoloration may be accompanied by itching and burning in the genital area.
• Brown discharge after childbirth usually appears 3 or 4 days after delivery and stops when 3 weeks or at most a month have passed after delivery. If more than a month has passed and brown discharge after childbirth they did not become light, this may indicate slow regeneration of the endometrium.

Each of the above changes is dangerous to the health and even life of a woman, so you should immediately consult a doctor. Remember, the baby needs healthy mom, which monitors both his condition and her own.

Discharge after 2 months

When 2 months have passed after childbirth, there should be no postpartum discharge. At this time, the risk of bleeding is already very low, especially if the postpartum period went well and the discharge has long stopped. But what then does the discharge mean at this time?

After a woman gave birth to a child, her menstrual cycle recovers quickly. If she breastfeeds, ovulation is suppressed. But when the child is on the artificial feeding, menstruation can resume within 2–3 months. Therefore, mucous membranes bloody issues 2 months after the birth of the child may be normal menstruation.

If a woman is breastfeeding, the discharge that appears again will appearance does not look like your period or there are any other reasons to doubt that there is no problem, it is best to contact your doctor. Such cooperation will help you successfully recover from pregnancy and happily raise your baby.

Discharge after childbirth

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

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

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

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

How long in women the uterus contracts to its previous size before pregnancy depends on the woman’s body, in which the process of self-cleaning begins (freed from the remnants of the amniotic membrane, blood clots, mucus and other excess tissue elements). The process of reducing the womb is called by specialists involution of the uterus, or its restoration.

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

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

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

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

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

the course of your pregnancy;

progress of labor;

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

intensity of uterine contraction;

all kinds of postpartum complications, including infectious inflammation;

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

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

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

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

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

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

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

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

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

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

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

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

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

The volume of discharge should gradually decrease.

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

When there is an urgent need to see a doctor:

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

If the discharge is yellow and has an unpleasant odor;

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

Yellowish-green lochia characterizes the inflammatory process;

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

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

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

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

After birth, the uterus with its inner surface weighs approximately 1 kilogram. In the future, it will gradually shrink in size. Bloody discharge just comes out of the uterus, cleansing it. After childbirth, women experience mucous discharge for 1.5 months until inner surface the uterus will not recover.

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

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

Sometimes, against the background of prolonged discharge, inflammation may begin after childbirth. Mucus and blood are a beneficial environment for pathogenic bacteria. In the absence of personal hygiene and early start During sexual activity after childbirth, a woman may be bothered by discharge with an odor. Considered normal dark discharge, brown in color, however, if there are bacteria, they will turn yellowish or greenish. In addition, they will be more abundant and liquid, and in parallel, pain, chills and fever may appear in the lower abdomen. Such cases require emergency treatment, since endometritis in the long term leads to infertility.

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

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

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

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

COLOR OF DISCHARGE IN A WOMAN GIVING BIRTH

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

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

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

The inflammatory process is characterized yellow discharge after childbirth. Purulent discharge talk about possible development endometritis, infectious disease uterine cavity. The reason to contact a gynecologist for advice should be a strong-smelling, unpleasant green discharge, discharge yellow color, yellow-green, greenish discharge . The disease is accompanied by an increase in body temperature, as well as unpleasant abdominal pain.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Tips on the norm various secretions after childbirth:

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

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

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

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

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

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

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

Ice pack on bottom part abdomen 3-4 times a day. This method will improve the contraction of the uterine vessels and muscles of the uterus.
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Recovery female body takes time after birth. This is especially true for the main reproductive organ – the uterus. Gradually it shrinks, takes on its previous size, and the endometrial layer that lines it from the inside is restored.

After delivery, a blood-colored fluid, lochia, is released for some time. They gradually darken and disappear in 6–8 weeks. What happens after this and what should be normal? female discharge a couple of months after giving birth? It depends on the characteristics of the mother’s body.

Postpartum discharge: what should it be normal?

Before being discharged from the maternity hospital, the woman undergoes a control ultrasound to find out whether there are any blood clots or placenta particles left in the uterus (we recommend reading:). When they are detected, scraping is done. Otherwise, the mother is discharged home. After childbirth, spotting is observed for 4–7 weeks. These are lochia, which consist of mucous exudate, blood and fragments of the decidua that have lost its viability.

When delivering by cesarean section, the recovery of the uterus takes longer, bleeding can last more than 2 months (we recommend reading:). This is due to the fact that the uterus is injured and a suture is placed on it, which reduces its contractile activity. It is important to keep a diary and record the amount and nature of discharge daily. After 4–6 days, they should change color from scarlet to brown and shrink in volume. A natural help in this is breastfeeding, which stimulates contractile activity uterus.

Kinds normal discharge in the postpartum period:

1. Bloody. Lochia initially has a scarlet color and the smell of blood, which is due to the presence of a large number of red blood cells.
2. Serous. Appear by the end of the first week. They have a musty odor and contain many leukocytes.
3. Yellowish-white. Observed from 1.5 weeks after birth, they have a liquid consistency and do not smell. At the 6th week they practically disappear, become colorless and contain only mucus.

Dark brown and black discharge after childbirth without an unpleasant odor can be observed from the third week. They are not recognized as a pathology; they appear against the background hormonal changes in the body and changes in the quality of discharge from cervical canal mucus.

How long do lochia last?

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The duration of lochia is affected by:

• woman's blood clotting;
• features of gestation and the course of delivery (natural, cesarean section);
• size and weight of the fetus (after multiple pregnancy reproductive organ takes longer to recover);
• method of feeding (fuckers stop faster if a woman breastfeeds her baby).

The more actively the uterus contracts, the sooner the lochia will end. On average, they stop within 6 weeks; after a cesarean section, the period may drag on for another 3 weeks (more details in the article:). After three months, the uterus should be completely clean. Continuous, profuse discharge of scarlet color should alert you. Complete absence lochia is also a sign of pathology (hematometers). In this case, the discharge accumulates in the uterus and has no outlet. It is important to seek immediate medical attention.

How does breastfeeding affect lochia?

At breastfeeding Oxytocin is produced, a hormone that has a positive effect on the contractile activity of the uterus. It promotes rapid contraction of the muscle organ and a return to its original size. The volume of lochia becomes smaller every day. To quickly reduce the amount of discharge, you need to put your baby to the breast as often as possible.

As soon as the uterus has recovered (usually three months after birth), menstruation may begin. However, it happens that the cycle is restored earlier. The first cycle is usually anovulatory, but it also happens that an egg ready for fertilization is released. For this reason, pregnancy cannot be ruled out during breastfeeding.

Normal or pathological?

Signs of complications in the postpartum period are:

• Yellow discharge with an unpleasant odor. Evidence of suppuration and the onset of endometritis or stagnation of lochia in the uterus. Pathologies indirectly confirm pain in the lower abdomen and an increase in body temperature.
• Increased discharge, sudden uterine bleeding two months after giving birth. Sometimes it can be mistaken for the first menstruation. In contrast, bleeding continues for more than 10 days, accompanied by the release of blood clots.
• Curdled discharge may occur while taking antibiotics. They can provoke a deficiency of lactobacilli in the vagina, which is accompanied by thrush, unpleasant burning and itching.

Bloody discharge after 2–4 months

Bloody discharge after the end of lochia can be spotting, appear in the form of spots or be abundant. They can be provoked gynecological examination, sexual intercourse, enhanced physical exercise, lifting weights.

Each case is individual, so you cannot do without consulting a gynecologist. It is possible that your first period has arrived since giving birth. In this case, it is also important to visit a doctor who will examine the woman and select a contraceptive method.

Brown discharge after 2–4 months

Brown discharge after childbirth is not uncommon (see also:). This color indicates the presence of coagulated blood in them. The appearance of such discharge 3 months after birth is evidence of the beginning of the recovery of the cycle. They may arrive at intervals of 21–34 days. After a couple of similar periods, the discharge will turn red.

When brown discharge continues for more than a month, it does not look like menstruation. Most likely it arose hormonal disbalance, which should be adjusted. For this purpose, ultrasound and tests are indicated, based on which the doctor selects treatment. Often such discharge is observed with endometritis, cervical erosion, which also requires attention and correction.

Bright red discharge after a month or later

If bright red discharge was observed a month after childbirth and disappeared in four days, we can talk about the resumption of menstruation (more details in the article:). This happens to mothers who do not breastfeed. However, one should not exclude pathological processes in the pelvic organs, especially if blood is flowing or smears for 2 weeks or more. Such an early onset of menstruation is a reason to consult a gynecologist. After examination, he will be able to accurately name the cause of the bright red discharge.

Scarlet color may indicate the following anomalies:

• cervical wounds;
• clotting problems;
• rupture of the inner part of the uterine muscle.

Bloody discharge after 2–4 months

Bloody discharge after 2–4 months is one of the normal variants. Many women complain that such discharge either disappears or appears again. At the same time, no painful sensations, temperature rise and other anxiety symptoms. To reassure yourself, it is better to consult a doctor who will evaluate postpartum changes in the body and will allow intimacy.

How to distinguish pathological discharge from the onset of menstruation?

Bloody discharge 2–3 weeks after birth may indicate pathological process, which requires treatment. If bleeding lasts more than 2 weeks, accompanied by the release of clots, you should urgently consult a doctor.

If there is severe blood loss, when one night pad fills up in 1–3 hours and this continues for more than a day, you need to urgently go to the doctor. Similar phenomenon threatens a rapid loss of strength and a decrease in hemoglobin to a critical level (60 g/l). In this case, not only cleaning will be indicated, but also taking iron supplements and plasma transfusion.

Pathological bleeding is possible with endometritis, polyps, adenomyosis, uterine suture dehiscence, fibroids, inflammatory processes in the pelvic organs. They differ from regular periods in duration, abundance, and may have an unpleasant odor or an unusual color.

Postpartum discharge that causes discomfort and differs from the norm should be the reason for an unscheduled visit to the gynecologist. Modern methods diagnostics will allow you to quickly find the cause of complications and stop the discharge, begin treatment of the pathology that caused them.