Postpartum discharge: When is it abnormal?

This is an automatically translated article.

The article was professionally consulted with Master, Doctor Nguyen Van Thanh - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Nha Trang International General Hospital.
Postpartum discharge is a normal phenomenon after giving birth, but this makes women feel extremely uncomfortable, especially when the discharge lasts for a long time.

1. What is translation?

Postpartum discharge is a normal physiological phenomenon.
The discharge from the vagina after the mother completes the birth is called postpartum discharge.
The discharge will include blood, tissues from the lining of the uterus, and possibly bacteria.
The uterus will contract to close the blood vessels and, as a result, the amount of blood out will be reduced, after the fetus is out of the body.
The discharge will have a color change within a few days. The bright red color of the discharge will fade over the first few weeks as the flow becomes less frequent.
Postpartum discharge can be from 2-4 weeks depending on the location of each subject. Within 2 months, this condition should go away.

2. How long does postpartum fluid usually last?

Immediately after giving birth, whether vaginal birth or cesarean section, discharge will appear.
The color of the discharge will change from bright red to red-brown for 1 week, then the discharge will turn yellow or milky about 10 days after
Postpartum discharge usually lasts from 2-4 weeks. This also depends on the location of each person.
The discharge after cesarean section is usually less than that of vaginal delivery.
The first 3 days postpartum, the discharge consists of thin blood and small dark clots.
4-8 days after giving birth, the discharge will become thinner, there is less mucus in the blood, so the color of the blood will be lighter.
9 days after giving birth, the discharge is colorless, just clear yellow or milky.
If you have a baby or are breastfeeding, the discharge will go away faster due to the faster contraction of the uterus.
If the mother is too active or too early, overworked, the discharge may appear again.

Tình trạng sản dịch sau sinh thường kéo dài từ 2 - 4 tuần
Tình trạng sản dịch sau sinh thường kéo dài từ 2 - 4 tuần

3. Postpartum fluid: When is it abnormal?

Normal vaginal discharge will not have a bad smell, only a slight fishy smell, usually lasts about 20 days, a few women can last from 40-45 days and the amount will also decrease markedly.
The discharge will change color from bright red and gradually to clear yellow.
However, a lot of women after giving birth have abnormal signs of discharge, especially the phenomenon of postpartum fluid retention. Here are some abnormal signs of postpartum discharge:
Vaginal discharge has a bad smell, an unpleasant odor Normal discharge will not contain pus, but when it flows through the vagina, the discharge loses its sterile nature and may The body will be infected with pathogenic bacteria such as staphylococcus, bacilli, streptococcus... Then, the product will have a fishy odor and an alkaline pH. The discharge will have a foul odor when infected. The discharge is bright red and is as much as the first week after birth Prolapsed or dark red discharge persists and blood again needs to be monitored after delivery Bleeding is heavier When well rested, bleeding is still more and bright red after 4 days of birth There are many blood clots When pressing on the bottom of the uterus, the discharge is black with a bad smell When the abdomen is pressed, there is a lump inside and the abdomen is hard Irregular heartbeat Low-grade fever or cold Feeling chills Women will feel dizzy, feel tired 6 weeks after giving birth, vaginal bleeding will return, if not too much and without other symptoms, it may be preterm. However, it's important to get tested to make sure nothing out of the ordinary is happening.

Sản dịch sau sinh có mùi hôi bất thường là hiện tượng bất thường
Sản dịch sau sinh có mùi hôi bất thường là hiện tượng bất thường

4. Note during production time

Do not use tampons too early: should not be used during the first 6 weeks because it may accidentally introduce bacteria into the uterus. The best option is still to use tampons. Always keep absolute hygiene: Every day should shower and clean the body. Change tampons every hour. Should choose loose clothes, if the stains are not washed, they should be discarded, not reused. Need to pay attention to unusual signs such as bleeding, abdominal pain or fever... these signs are all dangerous complications. It takes time for medical facilities to check. When seeing signs of slowing down of the epidemic and having a fever, it is necessary to immediately think of the phenomenon of stopping the discharge. It is necessary to monitor your own health status, when detecting abnormal signs, you should immediately go to specialized facilities for proper examination and treatment, to avoid postpartum effects to protect your health. self.
To ease the pain of childbirth, Vinmec offers a maternity package with a complete "painless delivery" service during and after birth using non-morphine epidural and anaesthetic techniques. shy nerve. During the birth process, the mother will be guided by the midwives on how to push and breathe properly, the baby will be born in just 10-15 minutes. After birth, the baby will be cared for in a sterile room before being returned to the mother.
Pregnant women will rest in a high-class hospital room, designed according to international hotel standards, 1 mother 1 room with full facilities and modern equipment. Mothers will be consulted by nutritionists on how to feed the baby before being discharged from the hospital. Postpartum follow-up with both mother and baby with leading Obstetricians and Pediatricians.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

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