Nowadays, cesarean section is the usual "procedure". First, the number of women is growing, who decide to give birth that way. Secondly, the number of pregnancies without complications decreases, so a cesarean section is increasingly carried out “according to indications”. It doesn't matter how exactly your baby sees the light, the main thing is that he is born healthy, and the operation or natural childbirth goes without complications.
Nowadays, cesarean section is the usual "procedure". First, the number of women is growing, who decide to give birth that way. Secondly, the number of pregnancies without complications decreases, so a cesarean section is increasingly carried out “according to indications”. It doesn't matter how exactly your baby sees the light, the main thing is that he is born healthy, and the operation or natural childbirth goes without complications.
A cesarean section is an operation in which a uterus is surgically cut and the baby is removed from it, intersecting and tying the umbilical cord, and also removing the fetal bladder and placenta. Then the incision is sutured, and a sterile bandage is applied to the wound. A woman gradually comes out of anesthesia and another difficult stage begins in her life - the recovery stage. The new mother is concerned about many issues. When can I get up after anesthesia? How to care for the seam? What to eat? And many others.
Doctors and mothers themselves pay special attention to the discharge after cesarean section. After each birth (both natural and by caesarean section), so-called lochia (this is postpartum discharge) is expelled from the woman's vagina. Many women discharge after childbirth is called abundant menstruation. In fact, there are quite a few similarities: the lower abdomen aches a bit, and there is a highlight of red color with clots. Here are just such "monthly" last much longer, and the nature of the discharge tends to change.
"Normal" discharge after cesarean section
So, discharge after birth is already a normal process. Through the genital tract, residues of the placenta and dead endometrial microparticles are excreted along with blood. In the first 2-3 days after the operation, the discharges are bright red and they are fairly abundant. It is difficult to determine the “normal volume” of discharge, because a lot depends on how the operation took place and what complications accompanied the woman during pregnancy and during childbirth. Gradually, the nature of the discharge changes. At first they darken, acquiring a brown tint, and become sero-succinic, then become liquid and brighten. Somewhere in 6-8 weeks the discharge should stop altogether.
Physiological processes after operative delivery
Caesarean section (CS) - abdominal surgery, the purpose of which is artificial delivery. Fetal extraction occurs through an incision in the anterior abdominal cavity and the wall of the uterus.
Many women mistakenly believe that, together with the child and the placenta, the doctor, during the operation, also performs curettage.
Scraping is a surgical procedure, during which the uterine mucosa is removed from foreign epithelial joints using an appropriate tool or vacuum system.
Read about the nature of the discharge after a vacuum in the article on the link.
Such a view is fundamentally wrong. Purification of the internal cavity occurs spontaneously with the help of lochia - mucous secretions, which flush out postpartum "garbage" from the fallopian tubes. This process is quite long, because during this period the uterus spontaneously decreases by more than 20 times. In fact, the cavity and the mucous membranes that surround it are completely restored in the postoperative period, but before activating tissue regeneration processes, the body rejects dead particles left from the placenta and other epithelia that are not removed during cesarean, which come out in the form of blood clots and mucus - lohii
Breastfeeding helps to develop the hormone-oxytocin needed to speed up the process. His "production" is accompanied by discomfort in the abdomen. The development of this component in women who have passed through cesarean. That is why you may need additional introduction of the hormone in the form of injections.
Phased description of discharge after surgery
Allocation after cesarean, schematically, can be divided into several stages:
- The first postoperative period lasts about a week and is accompanied by a volumetric discharge of bright red, maroon, and sometimes scarlet secretions with blood clots.
- The second period may begin as early as the 2nd week after delivery. The amount of discharge is significantly reduced, acquiring a smearing character. Visually, the substance has a brown tint, and blotches are almost imperceptible.
- The third period can last about a month. Allocations are less active, more like a daub. Blood streaks almost do not stand out against the background of a common brownish secretion. At the end of the period, the pigmentation becomes yellowish. Such metamorphoses are associated with the presence in the mucous substance of the substance of a huge number of leukocytes. These secretions "wash" the walls of the uterus, preventing the development of pathogenic bacteria.
- The last stage is marked by the appearance of a transparent substance and marks the scarring of the internal suture and the end of the recovery process after cesarean section.
How long does the discharge last after cesarean section?
The answer to this question directly depends on the general state of the body of the woman in labor and the degree of complications obtained during the labor process. But, based on the above scheme, we can roughly assume their duration. The physiological periods of uterine contraction, scarring of the stitches and mucosal renewal are from 7 to 9 weeks.
If rejection of lubricating physiological fluids lasts longer than the established norm in 2 months, but there are no putrid changes, a sharp smell and burning sensation, and ultrasound showed no abnormalities, then we can talk about a significant drop in hemoglobin level both after pregnancy and due to the difficult stage of recovery after cesarean. For the timely diagnosis of such a deviation, doctors recommend donating blood from a finger at least once every two weeks after surgery.
Most often, a similar pathology is observed in women combining the regenerative process and breastfeeding. In this case, you should immediately seek help from specialists to prevent the development of anemia.
Little discharge after cesarean or none
There is no reason for joy if this process is completed much faster than the deadlines. The fact is that such a phenomenon indicates the development of pathological processes in the uterus and requires immediate medical intervention.
The duration of the discharge, as well as their color and texture, allow the specialist to diagnose the recovery process after cesarean and possible deviations from the physiological norm.
The reason for the lack of bloody discharge after cesarean is the bend or spasm of the cervix. Such a pathology is fraught with the accumulation of rejected liquids in the uterine cavities, which in the process of stagnation begin to fester. When diagnosing these phenomena, you should immediately contact a specialist!
If the end of the discharge occurred earlier than 5 weeks after surgery, then this phenomenon indicates insufficient contraction of the uterine muscle. Such a pathology can lead to a delay of rejected particles inside the body and start the process of decay. Based on the individual characteristics of the postpartum period, the doctor may recommend that the woman in labor should go for cleaning.
When the discharge after cesarean section does not lose intensity for 10 or more weeks, this process may indicate the onset of internal bleeding or the development of endometritis.
Attention! Endometritis is an extremely dangerous disease, characterized by the presence of an inflammatory process in the inner layer of the uterus-endometrium. This phenomenon requires immediate medical intervention.
Depending on the duration of the inflammatory process, surgical cleaning under the cover of powerful antibiotics may be required.
Lochia ended and began again
It happens, a sharp cessation of discharge after cesarean section, followed by resumption. Among the possible pathologies, this is the most common. This phenomenon is associated with an insufficient reduction of the cervix and, with timely access to a specialist, does not require repeated resectable intervention.
Muscle contractility can be increased with the help of a special massage and oxytocin injections.
What does the color and consistency of lohii?
Surgical intervention in the birth process entails a protracted process of regeneration, which takes place not under the close supervision of a specialist, but at home, in parallel with the care of the child. Therefore, it is especially important to monitor the nature and intensity of physiological fluids rejected after cesarean. Timely recorded changes will help prevent the development of pathological processes.
Bloody lochia with clots
In the first days after the cross-section, similar symptoms should not cause concern in the parturient woman. These physiological fluids are associated with mechanical damage to tissues and blood vessels during contractions. It is necessary to carefully monitor the duration of this type of lochia after cesarean.
The bloody substance should be rejected by the body for 7–8 days. Longer discharge and increasing their volume may indicate the beginning of bleeding!
The clots released during this period are particles of dead endometrium and remnants of the placenta. Their duration also should not exceed 7–8 days.
Most often, this type of discharge appears in a month or one and a half after the COP. This sign is not called the physiological norm, but they do not speak about the development of pathology either. The presence of pink secretions is associated with a protracted process of regeneration of mucous tissues or, most often, about the injury to the surface of the uterus. This complication is associated with the onset of sexual activity before the final restoration of tissues. Serious pathological conditions do not cause, but the appearance of pink discharge requires increased attention in matters of personal hygiene.
What are the types of discharge after cesarean section?
Discharge after cesarean are different. But do they all testify to the successful passage of the recovery period? Consider lochia in volume, color, smell. Knowing the standards, it will be easy for young mothers to navigate on their own and understand when you can safely experience such a phenomenon, and in what cases you need to sound the alarm and turn to specialists.
Normally, during the first 7 days of excretion it is abundant, saturated red. The presence of clots in the composition, but in small quantities.
Further, the number, density of the content begins to decline. Lochias become more mucous, transparent and after 2.5 weeks they acquire a light, whitish shade of the usual whiter type. Partial presence of yellowness is acceptable due to an increased number of leukocytes in the blood. This is a natural process when the body is fighting an infection, but there should be no other side effects (itching, burning) in the genital area.
In the composition may be mucus and discharge after cesarean can move large chunks, flakes. It's not scary. So the uterus is released from the products of fetal development of the fetus, the residual effects of damaged endometrium due to bursting vessels and wounded tissues after the operation. The main thing is that the duration of discharge of clots should be no more than 1 week, and there should not be particles of pus in the composition.
Pus is a clear sign of infection, an inflammatory course in the uterine lining. This is endometriosis, when fever is additionally present, the lower abdomen is painful, with a recoil in the perineum, fetid discharge of a greenish color goes away.
Absolutely colorless, watery lochia with discharge in the form of a liquid transudate can indicate pathology. This is a sign of circulatory disorders in the area of the blood vessels. If the smell of a rotten fish joins, then it is possible to suspect cardiosis or vaginal dysbacteriosis. Requires drug treatment of the underlying disease.
It is the color that can indicate the rate or pathology of lohia secreted. Normally, when they first go red, and then gradually acquire a more brown tone. Permissible discharge of pink secretions, and even with a slight yellowness. But other colors should alert and force a woman to see a doctor:
- a pale yellow tint is acceptable for scant lochia at 3 weeks after cesarean,
- a bright yellow tint with a putrid odor is a sign of endometritis, and when a rich yellow color appears, it is possible to speak of an advanced stage of the disease,
- a green shade is a sign of the development of an inflammatory course in the uterus. Joining pus should be a reason for immediate access to doctors and examination. A common cause is infection of surgical sutures or the uterine cavity, when medication or repeated curettage is required,
- A white, almost transparent shade is a norm that does not threaten the health of a woman, but if there are no other unpleasant symptoms: a sour putrid odor, a cheesy consistency of lochy, itching and burning sensation in the perineum. This suggests an infection in the uterus, when you need to take an analysis for bacposa, identify the pathogen and undergo a course of treatment,
- black shade - the norm, if, again, there is no putrid odor and pus in the composition of the discharge. The reason may be hormonal changes in the body and blood composition in the postpartum period in women.
When do I need to see a doctor?
It is extremely important for young mothers who have undergone a cesarean section to look after their health. In particular, look at the discharge, understand whether there is a danger of developing pathology. After all, any, even minor deviations allocated lohii should be a reason for immediate treatment to doctors.
It is bad when the discharge is long and lasts more than 2 weeks. Also, their rapid termination becomes extremely suspicious. For some reason, the accumulated particles of blood and the endometrium cannot come out naturally. Spasms or a bend of a neck of a uterus can provoke pathology.
Danger represent discharge, with greens or rich yellow, in particular - with a fetid odor. The most dangerous signs when you need to see a doctor:
- temperature rise,
- heart palpitations and pulsations,
- the appearance of itching, burning in the perineum,
- discharge of discharge with pus, rotten smell like a rotten fish,
- lower abdominal pain.
To provoke a pathology can:
- leaving tampons inside the peritoneal cavity due to the negligence of the surgeon,
- insufficient treatment with antiseptics of surgical sutures,
- non-observance of personal hygiene by women in childbirth during the first days after cesarean section.
Tips for gynecologists
Caesarean section is a difficult operation and side effects are possible. It is important for women to be able to distinguish the rate of discharge from pathology in order to react and eliminate the disease in time.
It often happens that after a cesarean, unpleasant discharges begin to ooze from the sutures. It only speaks of suppuration, when it is no longer possible to avoid re-operation, cleaning the uterus.
In order for the recovery process to pass quickly and without complications, doctors advise young mothers:
- do not neglect the methods of hygiene,
- change gaskets more often: every 3-4 hours in the first days after cesarean, even if they are not too contaminated,
- stop using tampons that favor microbial reproduction in the uterine cavity,
- do not perform douching during the recovery period and wait until the uterus is fully healed,
- try not to wet the stitches on the stomach with water, but treat with antiseptics, brilliant green,
- eliminate for up to 2 months intimate closeness,
- adjust the diet, include in the diet of fruits and vegetables to maintain immunity,
- to undergo observation at the gynecologist, to contact even with the slightest suspicion and alarming signals on the development of pathology.
Of course, every woman wants the postpartum period to end quickly and not distract from the enjoyment of happy motherhood. Postpartum lochia is the norm. The main thing is that there are no other adverse alarm symptoms: prolonged bright discharge with a putrid odor, fever.
Women need to be vigilant and, at the slightest suspicion of deviations from the norm, if there is a heavy discharge or scanty discharge, do not hesitate to consult a doctor.
This phenomenon is considered physiological only in the first 2–3 weeks and only if there is a scanty consistency.Orange smearing viscous substance on the gasket with a strong odor indicates the initial stage of development of endometritis, but the abundant yellow mucous clots with putrid specks indicate an advanced stage of the disease, most often requiring surgical intervention.
Such discharge without accompanying symptoms may begin at the stage of completion of the excretory process. But the itching, redness, cheesy consistency and the characteristic, sour smell require immediate diagnosis with a smear. This symptom may indicate prolonged thrush.
Noticing a rich transparent liquid, the consistency of urine and giving an unpleasant smell associated with rotten fish, a woman should notify her gynecologist about this. Symptoms require immediate medical intervention. Such manifestations are characteristic of serious injury to the circulatory system or lymph. And the substance is transudate, the liquid that fills them. Also, the development of vaginal dysbiosis can be the cause of such unpleasant discharge.
Purulent discharge after cesarean section
This type of physiological fluids is the most dangerous and indicates not just a deviation during the postpartum period, but the development of a serious disease inside the uterus, endometritis.. Green discharge in women after cesarean can occur at any stage of recovery. Often the concomitant signs of putrefactive processes on the mucous membrane are the unpleasant smell of the substance, fever and acute pain syndrome in the lower abdomen.
Purulent discharge of a greenish hue may also indicate that during the recovery process after cesarean, infections:
This is a complex of non-infecting, non-inflammatory pathological changes involving anaerobic microflora. Most often, this phenomenon can be caused by a sharp hormonal alteration of the body and a dysbiotic shift. At the initial stages of development, the disease manifests itself as secretions of a gray shade with a sharp, rejecting odor, itching and burning in the groin area. The presence of thick, viscous secretions of a rich green color indicates neglect of the disease and the need to use antibiotics.
Chlamydia or gonorrhea
These infectious diseases, in the first place, are characterized by a slimming, sparing discharge of a greenish hue and purulent properties. Accompanied by constant pain in the lower abdomen and problematic urination, aggravated by sharp pain.
This infectious fungal disease is accompanied not only by greenish strokes, but by abundant mucous secretions of purulent properties with blood admixture, severe itching and burning in the perineum.
Pay attention, whatever the cause of the occurrence of purulent substances after cesarean section, such symptoms require immediate antibiotic intervention! A running problem can lead a woman to the operating table for curettage.
Not only the color and texture, but also the characteristic smell of vaginal fluids can tell a lot about the quality of the postpartum process.
The discharge, accompanied by a characteristic fragrance for the first 3-5 days after cesarean, can be considered the physiological norm.
The presence in the smears of a sharp, "heavy" flavor is the first sign of the onset of the inflammatory process in the uterus. Such smells are usually provoked by the introduction and spread of pathogenic bacteria.
Prolonged heavy discharge, accompanied by a sour aroma, indicate inflammation of the uterine lining and, most often, accompanied by sharp, cutting pains in the lower abdomen and in the perineum.
Prevention of pathological changes
Surgical delivery is a serious abdominal surgery, which requires not only post-operative treatment of stitches, but also observance of special rules of personal hygiene and care of injured areas:
- In the first month after cesarean, treatment of the perineum is recommended with each toilet visit. Depending on the situation, it can be a shower with baby soap or a special care product, decoction of the string, chamomile or calendula.
- During the first week after the operation, the use of panty liners familiar to women is strictly prohibited by obstetricians. This means of personal hygiene creates the "effect of diaper rash" and contributes to the development of pathogenic bacteria. Replacing the usual attribute is recommended normal diapers or pharmacy gauze with excellent "breathing" properties. But it is advised to change improvised pads every 3-4 hours.
- To improve the contraction of the uterus, gynecologists recommend, at least for the first month, to lie on the stomach for 15–30 minutes.
- The first few weeks after surgical delivery, it is advised to impose an ice heater on the abdomen. This procedure is familiar to many women whose labor activity took place naturally. He warmer superimposed immediately for several hours, and those who have undergone a cross-section, recommended attachment for 5-10 minutes up to 5 times per day.
- Circular massage movements will also have a positive effect on the contractile abilities of the uterus muscles and speed up the recovery process after cesarean.
- Immediately after surgery, a woman in labor is recommended to wear a postpartum restraint.
Normal discharge after cesarean - how they look and how much they go?
In the early postoperative period, the discharge after cesarean section can be easily compared with the usual abundant menstruation - lochia is colored red and contains separate clots.
In the first 7 days after the operation, their total volume can reach 500 ml; normally, the sanitary napkin should be filled no faster than in 2 hours. Every day, the doctor specifies the number of lohia and their color from the woman.
Discharge after cesarean section is enhanced by physical activity, breastfeeding, and palpation of the abdomen. As a result of these actions, the natural contractile activity of the uterus is stimulated, due to which its contents are more effectively expelled.
From the 2nd week, the lochia begins to darken, acquiring a brownish tint. Their volume gradually decreases. By the end of the 5th week, the blood discharge after cesarean section normally should become smearing, weak and acquire a lighter shade.
On the 8th week, the process of restoration of the inner layer of the reproductive organ is almost complete. Thus, the discharge after cesarean section after 2 months becomes light, as before pregnancy. At this time, a woman is recommended to visit a gynecologist for an appropriate examination and choice of contraceptive method.
The nature and intensity of lochias are affected by contractions of the uterine myometrium. After delivery, carried out by caesarean section, this process is worse than after the natural, because part of the muscle fibers are damaged as a result of surgical incision.
In order to improve the contractile activity of the uterus and prevent the development of postpartum hemorrhage, immediately after the operation, the woman begins to administer the drug Oxytocin according to the regimen, and also strongly recommends to establish natural feeding to enhance the synthesis of oxytocin by the body.
Personal care after cesarean
Personal hygiene after operative delivery has its own nuances:
- Sanitary pads are changed as needed, but at least every 3 hours.
- Tampons in the postpartum period are strictly prohibited to use, since their use may cause the development of an infectious process.
- After each visit to the toilet, a woman should wash the genitals with clean water.
- Syringe and take a bath before the end of the recovery period can not, just take a shower.
When to go to the doctor?
Every woman who becomes a mother through surgery should be informed about how long the discharge after cesarean lasts. Too early termination of lohii, as well as protracted - can be a bad sign.
But doctors insist that it is not so much the time frame that is important as the composition, color, smell and total amount of lohia. If the nature of the discharge corresponds to the norm, then there is nothing to worry about. And how long the discharge after cesarean section goes, depends almost entirely on the specific characteristics of the organism. But in this situation, you should consult with your doctor.
It is necessary to inform a specialist if the lochia have ended too soon - in less than 5 weeks, or too late - last 10 or more weeks after the birth. Both of these conditions pose a serious risk.
In the first situation, the uterus could not be completely cleared and blood, mucus and epithelium remains in it, which often ends in a serious inflammatory process. About him should indicate discharge after cesarean section with a smell. Learn more about why the uterus is badly reduced after giving birth →
Protracted lochia are also the result of an infectious process - endometritis. The danger is also the situation when the discharge either ends or increases again: a similar case also does not fit into the norm format.
Yellow discharge after cesarean section without the presence of foreign smell are normal only by the end of the first 3 weeks after delivery. But if they continue even after this time, they are considered a sign of pathology - an advanced form of endometritis, which must be treated under the supervision of a doctor.
Purulent discharge after cesarean colored in green indicates an acute infectious pathology in the uterus.
White discharge from the genital tract is not dangerous, until such symptoms as redness and itching in the intimate area, discharge with a sour smell and a curd consistency do not join them. Most likely, we are talking about vaginal candidiasis - a frequent companion of antibiotic therapy, necessarily prescribed after operative delivery. But the exact diagnosis will be called only by a specialist.
Observing how much discharge goes after a cesarean section, assessing their character, the young mother will understand whether the recovery postpartum stage is delayed or everything is fine. If there are deviations from the norm, do not hesitate to contact a doctor.
Examination and treatment, which will have to go if necessary - these are trifles compared with the complications that may arise if you let the situation take its course.
What else to pay attention to?
Fear of a woman should cause not only the changed nature of postpartum discharge, but also such warning signs as abdominal pain and fever.
But the last symptom can also be a variant of the norm, if the young mother has not yet established lactation and has the first pronounced flush of milk.
Sometimes on the background of insufficient care or infection, a woman in the postpartum period appears discharge from the suture after cesarean section.
This pathology is characterized by the following symptoms: hyperemia, fever, swelling and succinic or purulent discharge from the suture after cesarean.
If you do not notice this complication in time or self-medicate, the suture will fester and the young mother will need surgical assistance.
Usually every woman who became a mother by caesarean, visits a specialist 2 months after the appearance of the baby. During this time, it becomes known how the recovery process proceeds, whether there are any complications.
But to control whether the postpartum discharge is normal, the woman will have to go on her own in time to seek medical help.
Author: Olga Rogozhkina, doctor,
specifically for Mama66.ru
Why after cesarean section are discharge?
During pregnancy, the uterus experiences the greatest changes. By the 9th month, it increases almost 500 times, and after the baby is born, a continuous wound surface forms inside it. Restoration involves the healing of wounds, the formation of a new epithelium and many other processes. The first stage is the discharge of uterine lochia. This process takes place both during natural childbirth and during Cesarean section.
The two main differences are the duration of the recovery period and the increased risk of infection, since during operative labor the uterus cavity is opened. Uterine secretions change color and texture depending on the stage of healing and the state of the woman. When the discharge ends, the woman must necessarily see a gynecologist.
What should be the normal allocation?
Lochia first have a red color, then brown, and at the last stage they become mucous. In order to maintain a normal state and prevent the development of complications in the form of discoloration, frequency and volume of lochy, obstetricians give the following recommendations to patients:
- follow hygiene carefully,
- give preference to posture lying on your stomach during sleep,
- leave a cold heating pad on your stomach for 3-5 minutes,
- wear a bandage
- keep an eye on the chair
- not to allow stagnation of urine or feces,
- exclude sexual intercourse.
Color, smell, texture
Selections after cesarean section differ by basic parameters, such as color, smell and texture, in different weeks. After surgery, the presence of clots is not an alarm. They only say that the uterus self-cleans, their absence, on the contrary, should be alerted. Doctors recommend focusing on the following indicators of the rate for discharge after cesarean:
- In the 1st week. For 7 days after cesarean section, the patient has saturated red discharge. Lochia also contains mucus, which is absent after normal delivery. They also contain clots - particles of the placenta.
- In the second week. During this period, they become dark, almost brown, and also acquire the smell of iron. Clots while disappearing.
- After the first month. Discharges darken even more, becoming almost black with the smell of iron.
- Two months later. The volume of discharge decreases, they become mucous, transparent or yellow.
Duration and intensity
Many women in labor are interested in how many days the discharge goes. Uterine lochia after childbirth without surgery last less. After cesarean section, they can stand out for 2.5 months. Initially, the volume of discharge reaches 300 ml per day, gradually decreasing. A mobile lifestyle, frequent attachment of the newborn to the breast affects the amount of discharge. With its increase or intense bleeding 10–20 days after cesarean section, the patient should appear to a specialist.
The first warning sign of pathology is a prolonged discharge. Normally, they should not go more than 8-10 weeks. When purulent processes also change their color and smell. You will need to contact a gynecologist under the following circumstances:
- Lochia with blood go more than 14 days. Protracted bleeding is the first sign of inflammation in the uterus.
- Blood excretion lasts less than three days. The spotting, which lasts less than three days or intermittently, gives reason to suspect that the uterus is weakly reduced, as a result of which the need for medical acceleration of the process increases.
Green, purulent, with an unpleasant smell
If one day the lochia turned green with an unpleasant, fetid odor, you should not hesitate, you should as soon as possible seem to a specialist. These characteristics indicate an inflammatory pathology in the endometrium of the uterus - endometritis. Additional symptoms of endometritis:
- high temperature readings
- pulling pains in the lower abdomen,
- general weakness
Green secretions can signal infectious diseases in the uterus, vulva, fallopian tubes. These include:
- Bacterial vaginosis. Thick green discharge accompanied by itching and redness of the labia.
- Chlamydia and gonorrhea. The amount of discharge does not change, but there is pain during urination and a sharp pain in the lower abdomen.
- Colpit This inflammation of the mucous membrane of the vulva, accompanied by itching, burning, purulent secretions mixed with blood.
The treatment of such diseases is carried out on an outpatient basis. The patient is prescribed antibiotics, vitamins, and then bacterial preparations to restore normal microflora.
Lochia, which change their consistency, indicate a flow of liquid transudate from the lymphatic vessels. If a specific fishy smell was added to the transparent watery discharge, this means that the patient has Gardnerelle (vaginal dysbacteriosis).
Regardless of the course of labor, it is necessary to monitor the nature of uterine secretions. Any causeless manifestation may be a symptom of a serious disease, the treatment of which is not always carried out on an outpatient basis.
We run out too early or for a long time.
Normally, lochia completely disappears only after 4–5 weeks. Прекращение выделений раньше вышеуказанного срок, безусловно, должно насторожить. Оно может быть проявлением загиба шейки матки, при котором нарушается отхождение выделений и возникает застой.Patients after abdominal surgery are often faced with such a problem due to a decrease in the contractility of the uterus. A congestion in the uterus can trigger a decay process.
This disorder is treated by massage and injections with oxytocin. In order to avoid re-surgical intervention, the patient must immediately see a gynecologist.
Many after cesarean also face the problem of prolonged discharge. Blood lochia normally end after 14 days, physiological lasts up to 5–8 weeks. Prolonged discharge may indicate endometritis.
Scanty or abundant
The amount of discharge is one of the main indicators of the recovery of the body after surgical delivery. If the lochia is too small or too much, it can also be a sign of a serious gynecological pathology. The reasons for the decrease in their volume include:
- lack of preparation of the birth canal before surgery,
- impaired uterine contractility,
- constriction of the cervix, causing a violation of the outflow of secretions.
Abundant lochia can also be a sign of a violation of the functionality of the reproductive system. Increased is the volume of discharge exceeding 300 ml per day. The reasons for this condition include:
- bleeding disorder,
- the opening bleeding from a newly stitched seam,
- impaired uterine contractility,
- residues of tissues in the uterus that can provoke festering.
A woman should be relived only when the brown and red discharge continues for more than 2 weeks. All of the above symptoms, as a rule, are accompanied by pain, not typical for uterine contraction. In order to receive effective treatment, it is necessary to appear to a specialist and undergo all the necessary diagnostic measures. The examination includes analysis of coagulability, examination on the chair, a visual assessment of the size of the uterus, and diagnostics of the uterine cavity by means of ultrasound.
White curd with itching
White substance in underwear after cesarean without accompanying manifestations is not a reason for experiencing or emergency hospitalization. They may appear 2 weeks after delivery. White discharge, having a cheesy consistency and an unpleasant smell, is a symptom of vaginal candidiasis. The problem of fungal infection is one of the major among patients who have undergone abdominal surgery. The postoperative period after surgical delivery requires antimicrobial therapy, a side effect of which is the development of thrush.
Diagnosis of vaginal candidiasis includes bacposev or a smear on the microflora of the vagina. Treatment is prescribed in accordance with the results of the study.
Care of the external genital organs after cesarean section
Proper care of the genital organs after surgery is the only sure way to avoid infection and speed recovery. Among the basic rules that must be followed by women in labor are:
- Regular change of gaskets. A woman should replace the old pads with new 3-4 times a day. Preference should be given to postpartum hygiene products with maximum absorption.
- Hygienic treatment of the genital organs after stool. When washing away, you should abandon cosmetics. You need to choose soap without dyes and fragrances.
- Frequent change of underwear. A patient who has experienced operative labor should change her panties after each wash.
In addition to the rules of hygiene, a woman should know some of the rules that contribute to the rapid discharge of lohia after operative delivery. Doctors give patients the following tips:
- Emphasis on breastfeeding. It contributes to the release into the blood of oxytocin, which affects the frequency and intensity of uterine muscle contractions.
- Sleep on the belly. In this position, the contractility of the uterus is normalized.
- Reception of the antibacterial preparations appointed by the doctor. Prompt delivery increases the risk of infection, so the use of antibacterial agents for the mother in this case exceeds the harm to the baby.
Any operation, like childbirth itself, is a serious stress for the body tired after pregnancy. Therefore, a woman needs to be sensitive to him, feel the slightest deviations and know what should be the allocation after a cesarean section and what is considered normal. This will allow her to notice the alarm signals in time and be treated if necessary. Many sources indicate that lochia after the COP is no different from those that occur after natural childbirth. In fact, this is far from the case. Differences still exist.
- The wound surface is much more extensive after cesarean, therefore the risk of infection or inflammation of the genitals is very high. So during the discharge after the operation, it is necessary to carry out all the prescribed hygiene procedures very carefully and not 1 time per day.
- At the very beginning, just after cesarean, about 5-7 days, the discharge is not only bloody, but also contains a lot of mucus, which is not observed after natural delivery.
- The normal color of the discharge after cesarean section for several days is bright red, rich scarlet, and it is much juicier than with the natural process of childbirth.
- Contraction of the uterus and its healing after cesarean is a longer and protracted process, therefore the duration of the discharge is also different and is 1-2 weeks longer.
These differences should not frighten and alarm the young, maybe not yet experienced mommy in such matters, since this is the rate of discharge after cesarean, which says that everything is in order. But in order to see what is wrong in time, you need to know about the deviations with which you will first of all have to contact specialists. Usually they differ little from problem lohii after natural childbirth.
One of the most exciting questions is how long the discharge after a cesarean section lasts, in order to know for sure whether the recovery period was delayed or the process goes within the permitted limits. Information on the terms that fit into the norm, will allow to control the real menstrual cycle, which should soon be adjusted.
The rate of discharge after cesarean in terms of from 7 to 9 weeks. So the discharge 2 months after cesarean does not pose any danger to the health of the young mother.
If after a cesarean, the discharge ended too quickly (within 6 weeks) or was very prolonged (up to 10 weeks), this is not a reason to panic. Yes, the scope of the norms are no longer met, but these indicators can be determined only by the individual characteristics of the organism. If this composition, smell, thickness, color, the number of lohii do not indicate complications, do not worry. Although, even in this situation, it would not hurt to report this to the doctor.
Seeing a doctor is necessary if the duration of discharge in the postpartum period after cesarean is beyond the norm. This is either too fast ending (less than 5 weeks), or too long process (more than 10 weeks). Equally dangerous is both. In the first case, the remnants of dead endometrium for some reason could not get out and there is a high probability of their decay. If the lochia is too long, endometritis or an infectious process in the abdominal cavity or genitals can be diagnosed. It is also dangerous that the discharge after cesarean ended and started again: this also indicates some deviations in the process of uterine repair.
Knowing how much the discharge goes after cesarean section during the normal healing process, a woman can not worry about the fact that she had a very long period of time or, on the contrary, passed too quickly. After all, in this and in the other case, we will have to take appropriate measures: go to the doctor’s office, undergo additional examinations and, in case of detection of diseases or complications, undergo a course of treatment, as if they did not want to.
be careful. You should not be happy if your discharge has ceased a month after cesarean. Such a quick process very often ends up with inflammation or infection that requires surgical cleaning of the uterus.
Throughout the recovery period after surgery, the nature of Lochia will change. Blood clots will initially recede, since the uterus at this time is an extensive, open, bleeding wound. But over time, in the healing process, they will change to mucus, dead skin cells and other postpartum debris.
This, too, must be very carefully monitored. If, for example, bleeding after cesarean does not end up in any way, it will be an alarming signal that, for some reason, damaged tissue cannot be regenerated. Such cases require medical intervention and treatment. Therefore, follow the character of their lohii and their duration.
- Presence of blood
The presence of blood in lochia at first should not raise doubts in young mummies: broken vessels and damaged tissue heal. However, here the important point is exactly the time, how many days the spotting after cesarean goes: if it is more than 7-8, then this is not normal and you need to sound the alarm.
- Presence of clots
It is also quite understandable in this period of time: they are cells of an already dead endometrium and placenta. Already after 7-8 days they will leave, so that the discharge will become more liquid.
- Mucous discharge
If mucous discharge in the first days after cesarean has also been added to the bloody one, this is also the norm: this way the body is cleansed of the products of the intrauterine activity of the baby.
- Pink discharge
If a month after cesarean begins pink discharge, it means that the healing process is not over yet. Perhaps, under any mechanical influence, the wounded tissue was again damaged. Very often this happens if a couple is impatient and they, without waiting for the end of the recovery period, begin to have sex too early.
- Brown tint
After 6-7 weeks, the nature of lochia will resemble the usual brownish menstrual smears: the blood will roll and will not be so bright and scarlet.
- Purulent discharge
The danger after cesarean is purulent discharge, which is the first symptom of the endometrium (inflammation of the uterine lining). They are usually yellowish-green, smell very unpleasantly and are accompanied by fever (due to infection), pain in the abdomen and perineum.
- Watery lochia
Should alert the young mommy and watery lochia, devoid of any shade, almost transparent. So can go transudata - fluid contained in the blood or lymphatic vessels. This is bad, as it speaks of circulatory disorders in this area. In addition, watery discharge after cesarean with an unpleasant odor, giving rotten fish - a symptom characteristic of vaginal dysbiosis (gardnerellosis).
If you had to give birth through caesarean, it is necessary to keep track of the nature of the started discharge. It is the impurities in their composition that may indicate a particular disease that will need to be detected and treated. Often, all this threatens again with hospital walls - and this is precisely the moment when mother needs her baby so much. It is much easier to prevent a problem and enjoy unforgettable moments of communication with a crumb. In addition to character, a lot can tell the color of the discharge.
Normally, the color of lochia after cesarean should be red at first, then brown discharges go (towards the end). The rest of the color palette should alert the young mother and force her to go to the hospital for an additional examination in order to find out if everything is alright with her body recovery.
If yellow discharge starts after cesarean, they may indicate the following postpartum processes:
- pale yellow, scanty lochia by the end of 2-3 weeks is the norm,
- bright yellow, almost orange discharge with a greenish tint, putrid odor for 4-6 days - a symptom of a pronounced, but just beginning endometritis,
- abundant, slimy, yellow discharge after 2 weeks - a sign of already hidden and, most likely, the order of running endometritis.
Endometritis cannot be treated on its own: antibiotic therapy or even surgical intervention will be required.
It is not difficult to guess that the green discharge, which began after cesarean, is explained by the presence of pus in them. He points to an infectious, inflammatory process in the uterus. Only a medical examination will help determine its cause and diagnose the disease.
By themselves, without accompanying symptoms, white discharge, which may begin some time after cesarean, do not pose a threat. But as soon as certain signs appear, you need to be alert. These include:
- crotch itch
- redness in the intimate area,
- if there are discharges with a sour smell,
- cheesy consistency.
In such cases, bacterial culture or a vaginal smear is required for accurate diagnosis and appropriate treatment.
If after cesarean, black discharge without smell or pain is observed, they should be taken as normal. They are dictated by hormonal changes in the blood after childbirth. Deviation is if they go some time after the operation.
To avoid complications of the recovery period after cesarean section, you need to monitor the color of postpartum discharge. She can prompt the problem at the very beginning. This will facilitate its elimination and allow you to return to normal very quickly after completing the necessary course of treatment.
The young mommy needs to pay attention also to how many lohias come out of it to judge how the body regenerates. If there is little discharge after cesarean, especially in the very first days, it can be an alarming signal that the tubes, uterine ducts are clogged, a blood clot has formed, and so on.
The opposite situation is no less dangerous: abundant lochia that have not stopped for too long is a disturbing signal that it is impossible to fully restore the uterus after the operation. In both cases, it is necessary to undergo a special examination and find out what is the reason for such deviations.
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If you doubt the naturalness of your cosmetics, check the expiration date, it should not exceed 10 months. Come carefully to the choice of cosmetics, it is important for you and your child.
Any woman wants postpartum lochia to end as soon as possible and nothing will darken happy motherhood. However, do not be too hostile to them. It is they who can serve as the alarming and sometimes the only signal that not everything is in order with the restoration of the body and that some measures must be taken to help it. Especially should be alerted by discharge after cesarean section with a smell and an unrealistically bright shade. Almost always it ends with a course of antibiotic treatment, which is highly undesirable during lactation, or another surgical intervention.
What is the reason for the selection?
It does not matter how exactly a woman has given birth - both after physiological labor and after operative, so-called lochia (postpartum discharge) emerge from the genitals. They are a sign of the reverse development of the uterus, and this process is rather complicated and long.
During pregnancy, the uterus grows and increases in size, this growth is quite intense. As a result, a small female reproductive organ, whose weight does not exceed 50-70 grams, increases by the time of the birth of the baby more than 500 times. Since the uterus is a muscular organ, its smooth musculature is stretched, due to which such an impressive increase occurs.
After childbirth, it should be reduced to its former size. But this does not happen at once. Both after childbirth and after cesarean in the first hours, the uterus remains large, but already has an elongated shape and strongly resembles a deflated ball. Contractions of the uterus contribute to the selection of its internal contents, that is, lohii.
Плацента, выполнявшая питательные и защитные функции для ребенка, отделяется от стенки матки, к которой она за девять месяцев успела плотно прирасти сетью кровеносных сосудов. При родах «детское место» рождается само, а при оперативных родах его извлекает хирург после того, как достанут ребенка и отсекут пуповину.
And in fact, and in another case, the network of vessels, which has already become a link between the female body and the baby, is broken. Bleeding after childbirth is associated with this. For caesarean section, the situation is further complicated by the presence of a surgical incision on the wall of the uterus. The incision is a wound that is additionally bloody.
This determines the amount and color of discharge after cesarean section. They differ from ordinary postpartum. Loss after cesarean is more abundant, they may contain a greater number of blood clots. From time to time in the first few days of lochia will increase, this is due to periods of active contraction of the uterus. A woman will be given cutting drugs, because without them, the uterus with the scar will involution more slowly.
The discharge in the maternity hospital is closely monitored by the medical staff, since the nature of the Lohii can tell a doctor a lot. At home, after discharge, to observe the discharge of the woman to be on their own. It is very important that you can pay attention in time to possible complications, if any.
In the first 8-10 hours after the operation, the woman should observe strict bed rest, after that, she should definitely get up, sit down, start walking so that the lochia stagnation does not occur. Abundant blood discharge usually lasts no more than five days. At the end of the first day, the edges of the wound in the uterus begin to stick together, fibrin filaments help to stop the bleeding at the place of attachment of the placenta. Therefore, the next day in the discharge appear blood clots. He should not frighten the new mother. They mean that hemostasis is normal, and the processes of blood coagulation and rejection of blood clots in the future proceed correctly.
When the uterus begins to contract, the discharge with clots increases. In order for a woman not to feel acute pain, in the first three days she is given not only reducing drugs, but also painkillers. By the fifth day, the secretions change the consistency and composition. Now pure bloody lochia is replaced by discharge with an increased serum serum content. On the gasket, it may look like a slimy ichor.
After a week, the secretions become even more mucous - the cervix begins to produce a large amount of cervical mucus as the process of repairing the endometrium (the inner layer of the female reproductive organ) begins. At about the same time, in the secretions of a woman, brown patches can be found that resemble small worms in their appearance. These are the tips of a surgical suture that did not directly enter the uterine tissue, and therefore, as the inner scar heals, they are rejected and brought out by the female body.
4 weeks after surgery, the number of lochia decreases significantly, some may have a brownish daub. Normal are also considered to be moderate in volume and homogeneous in consistency of yellowish color without a strong and unpleasant smell. By the 8th week after the operation, the discharge becomes transparent, gradually they return to their normal state.
It is believed that the normal duration of the continuation of the discharge after cesarean section is 2 months, but shifts in terms of 2 weeks in one direction or another are acceptable.
The cesarean section itself is always associated with the risks of possible early or late complications, moreover, it is a gross intervention in the order of things established by nature, and therefore the load on the female body during the recovery period is simply enormous. While in the maternity hospital, early complications usually become noticeable, which are manifested by abundant lochiae, bleeding due to impaired hemostasis of the woman, due to injury of the vascular bundle during the dissection, as well as fever and discoloration and odor of secretions during infection of the wound or cavity uterus.
If the uterus does not contract well enough or does not contract, the bleeding is long and uniform, it does not increase or stop. Sometimes the discharge stops suddenly after a few days. Such situations require immediate medical care, and she will be provided to the puerperal. After discharge home responsibility for the control of discharge falls entirely on the shoulders of women. What situations should you pay special attention to? For any that do not fit into the framework of the norm. Here are just a few reasons to visit a doctor without delay:
- bleeding stopped, but after a few days began again, they are quite abundant,
- 10-12 days after surgery, blood clots reappeared,
- high fever or subfebrile temperature has been maintained for several days
Why after a cesarean section are the discharge?
During surgery, the surgeon cuts not only the abdomen, but also the uterus. Therefore, the opinion that women who gave birth by caesarean section should not have secretions is wrong. The first day after birth, the mother is in intensive care, because she needs constant monitoring. Doctors monitor the condition of the uterus, because with an insufficient reduction there is a risk of developing pathological bleeding. Also evaluate the cardiovascular system using indicators on the monitor.
After abdominal surgery, the uterus is damaged and time is needed to restore its internal mucous membrane. The healing process is accompanied by postpartum secretions (lochia), consisting of mucus, blood and dead epithelium. During the healing process, the hue, structure and volume of the discharge changes. The same thing happens with natural childbirth, only the recovery period is faster.
Discharge after abdominal surgery
Postpartum excretion is a physiological phenomenon by means of which particles of the placenta and dead residues of the endometrium are removed from the body.
- The most abundant discharge from the vagina in the first week and have a rich red color. They resemble the usual monthly, but in a much larger volume. Walking, breastfeeding the baby, changing the position of the body increases blood flow. For the first five days after surgery, bleeding of about 500 ml is considered normal.
- Then the lochias darken and become brown. The appearance of clots - a normal phenomenon associated with low mobility of the mother. For discharge characteristic characteristic odor, similar to iron.
- By the fourth week, the discharge becomes dark brown, their volume is significantly reduced. They become scarce and smearing.
- By 2.5 months, the discharge becomes clear, slimy. Do not cause inconvenience, do not have a smell.
At what stage of the selection will change the color, composition and volume depends on the individual characteristics of the woman who gave birth. But they must begin with red, turn into brown, and end with mucous and clear secretions.
Active contraction of the uterus, affects the intensity of discharge in the initial days after the birth of a child. During abdominal surgery, the muscle fibers are damaged, which significantly complicates its reduction. To stimulate uterine contractions, it is recommended to lie on the abdomen as often as possible, empty the bladder regularly, and apply the baby to the chest on demand. Sucking milk increases uterine contractions, accompanied by painful sensations in the lower abdomen.
How much does the discharge go after a cesarean section?
In the first 6–8 days, the excretions are especially strong, for this period the majority of the excreted fluid falls. In the second week, the amount of discharge begins to decrease, and the end of the month is significantly reduced. At week 5, the lochias become smearing, and after a week they stop altogether.
Postpartum discharge can last up to 1.5 months depending on the individual characteristics of the woman’s body, pregnancy, and the birth itself.
Accurate numbers of the beginning and end of postpartum discharge can not say any doctor. But there is averaged statistics that need to be leveled, and if abnormalities are detected, consult a doctor immediately.