Things to know about vaginal discharge and preterm menstruation after birth

This is an automatically translated article.


Posted by Doctor Nguyen Thi Le - Department of Obstetrics and Gynecology - Vinmec Danang International General Hospital.

Normal discharge will not have a bad smell, only a slight fishy smell, usually lasts for about 1 month, a few women can last from 40-45 days and the amount will also decrease markedly. will change color from bright red and then gradually to clear yellow. Thus, the discharge will be less and less in quantity, fading in color each day after birth.

1. What is postpartum fluid?


Postpartum discharge is the discharge from the vulva during the early part of the postpartum period.
Ingredients: including debris of the decidua (endometrium), blood clots and thin blood, cells and secretions from the vagina
Properties: sterile, strong fishy smell, alkaline pH, 2 The first 3 days the discharge is bright red, then dark red. From day 4-8, the product was thinner and more opaque with fish blood. From day 8 to 12, the discharge is just mucus, in
Quantity: day 1 and day 2 come out a lot, usually after about 2 weeks it will go away.
Postpartum discharge usually lasts from 2 to 4 weeks. This also depends on the location of each person. Women who have given birth or are breast-feeding, the discharge will disappear faster due to the faster contraction of the uterus.

Trắc nghiệm: Những điều cần biết về kiêng cữ sau sinh

Sau sinh, cơ thể sản phụ sẽ có rất nhiều sự thay đổi, việc thực hiện tốt các kiêng cữ sau sinh và bổ sung đầy đủ các chất dinh dưỡng cho cơ thể sẽ giúp ích rất nhiều trong quá trình hồi phục sức khỏe. Bài trắc nghiệm dưới đây sẽ giúp mọi người có cái nhìn tổng quan về kiêng cữ sau sinh và thực hiện sao cho phù hợp nhất.

The following content is prepared under supervision of Thạc sĩ, Bác sĩ y khoa, Tạ Quốc Bản , Sản phụ khoa , Khoa Sản phụ khoa - Bệnh viện Đa khoa Quốc tế Vinmec Phú Quốc

Tạ Quốc Bản
Tạ Quốc Bản
Thạc sĩ, Bác sĩ y khoa,
Sản phụ khoa
Khoa Sản phụ khoa - Bệnh viện Đa khoa Quốc tế Vinmec Phú Quốc

2. Abnormalities in postpartum fluid


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 be infected with pathogenic bacteria such as staphylococcus, bacilli, streptococcus... At that time, the product will have a fishy odor and an alkaline pH. The discharge will have a foul odor when infected.

Dịch âm đạo có mùi hôi khó chịu là dấu hiệu bất thường của sản dịch sau sinh
Dịch âm đạo có mùi hôi khó chịu là dấu hiệu bất thường của sản dịch sau sinh

The discharge is bright red and is as much as the first week after birth The discharge lasts or stops dark red again bleeding needs to be monitored after delivery Bleeding more When fully rested, bleeding still profuse 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 pressing on the abdomen, there is a lump inside and the abdomen is hard Postpartum women have these signs accompanied by: irregular heartbeat, low-grade fever or chills, feeling dizzy, fatigue.

3. Note during the release time


Do not use tampons too early: Do not use during the first 6 weeks because it may accidentally introduce bacteria into the uterus. The best option is still to use tampons. Always keep clean: Every day should shower and clean the body. Regularly change tampons every 4-6 hours. Should choose loose clothes, if the stains are not washed, they should be discarded, not reused. When seeing signs of slowing down of the epidemic and having a fever, it is necessary to immediately think of the phenomenon of fluid retention. It is necessary to pay attention to abnormal signs and seek medical attention when necessary.

Khi gặp tình trạng bế sản dịch, phụ nữ cần đến cơ sở y tế để được hỗ trợ
Khi gặp tình trạng bế sản dịch, phụ nữ cần đến cơ sở y tế để được hỗ trợ

4. What is the postpartum period?


After the end of the discharge is also the time when the uterine lining recovers, according to physiology, about the 21st day postpartum is the time when the uterine lining has recovered and can shed causing bleeding, also known as preterm menstruation. .
Preterm menstruation consists of blood, uterine lining, mucus and white blood cells, usually lasts 3-5 days.
Premature menstruation after giving birth is very normal and common that almost every woman encounters. It occurs normally like menstruation and is a sign that a woman's uterus is recovering and will function as it should before pregnancy.

5. Abnormal preterm menstruation after birth


Accompanied by unpleasant odors, itching and abdominal pain. This could be a sign of an infection of the uterus, appendages such as the fallopian tubes, ovaries, or a vaginal infection. Accompanied by high fever or body chills. The blood remains bright red and bleeds for more than a week. Dizziness, lightheadedness, or feeling weak. These are all manifestations of many different gynecological diseases, so when there are these abnormalities, mothers should see a doctor.

Cơ thể phụ nữ có thể xuất hiện tình trạng sốt cao
Cơ thể phụ nữ có thể xuất hiện tình trạng sốt cao

6. Note during premenstrual period


During the period of preterm period after giving birth, the mother should keep the private area clean, change tampons regularly, every 4 hours, avoid genital infections because the humid vaginal environment is easy to create favorable conditions. for bacteria to multiply and cause disease.
Pay attention to a nutritious diet, eat lots of green vegetables, drink lots of water.
Rest, relax mentally, avoid stress, fatigue.
Light exercise, normal activities.
After having a preterm period, it is possible to get pregnant (although this rate is not high, it can still happen because the ovaries and uterine lining have recovered). Therefore, mothers who need to have a safe method of contraception can use condoms. Furthermore, having sex around the time of a preterm period increases the risk of infection. Therefore, it is necessary to clean the intimate area before and after sex.
To help customers detect and treat gynecological diseases early, Vinmec International General Hospital has a basic gynecological examination and screening package, helping customers detect early inflammatory diseases and help treat Easy, inexpensive treatment. Screening detects gynecological cancer (cervical cancer) early even when there are no symptoms.
Basic gynecological examination and screening package for female customers, has no age limit and may have the following symptoms:
Abnormal vaginal bleeding Having menstrual problems: irregular menstrual cycle, irregular menstrual cycle Irregular vaginal discharge (smell, different color) Vaginal pain and itching Female clients have several risk factors such as poor personal hygiene, Unsafe sex, abortion,... Female customers have other symptoms such as: Abnormal vaginal discharge, itching, pain in the private area, abnormal vaginal bleeding. To register for examination and treatment at Vinmec International General Hospital, you can contact Vinmec Health System nationwide, or register online HERE
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