Lochia are the physiological secretions of the postpartum uterus and consist mainly of blood and necrotic tissue. How long lochia after birth? This question is of interest to many women who have given birth to the firstborn.
The composition of the lochia
How many are lochia after childbirth, what is their composition, why did they have such color? Lochia consists of blood, which flows from the region on the wall of the uterus to which was attached the placenta during pregnancy, areas of the endometrium, altered and thickened during pregnancy, blood, mucus from the cervix and dead tissue.
Blood in the lochia gets mainly from a large section of the amended grounds, which remains after the separation of the placenta. Bleeding from this area is controlled by contractions of the muscles of the uterus. The process of healing and restoration of the endometrium takes about 2 weeks.
That's why the bleeding is maximum at the beginning and then gradually decreases. All postnatal discharge take place within 1.5 months after delivery.
Lochia sterile 2-3 days, but after colonized by bacteria, exuding the typical odour which is normal. Not to be confused with the smell from normal lochia and smelling discharge, if you have a postpartum infection.
How long lochia after giving birth, especially premature? The amount of discharge can be scarce after such delivery, but more than usual, after pregnancy with twins or other conditions in which the uterus increases in size more than in normal pregnancy.
The types of lochia
Depending on the color, lochia can be of three types:
1. Red lochia after childbirth. How long are these allocations? They continue the first 4-5 days after birth and have a red color – hence the term. They consist mainly of blood, pieces of fetal membranes, decidual tissue, meconium and mucous tissue of the cervix.
2. After the red lochia appear serous. Primary allocation gradually changes color to brown and then turn yellow for about a week. Serous lochia contain less red blood cells more white blood cells separated from the forming of endometrium, mucus from the cervix.
3. Lochia Alba, or white lochia represent a whitish turbid liquid which is released from the vagina for about 1-2 weeks. These captures are mainly composed of decidual cells, mucus, leukocytes and epithelial cells, cholesterol, fat.
How many are lochia after birth? The duration of this period can be from 4 to 8 weeks, but on average, most often 42 days.
The amount of lochia may vary. Some women have painful contractions of the uterus may cause heavy bleeding with clots, which reduces the healing process.
Breastfeeding stimulates uterine contractions, which leads to an increase in the amount allocated lochia. It is the irritation of the nipple and areola of areolov promotes the release of internal oxytocin, which is necessary for the reduction of the myometrium and involution of the uterus (the restoration of its pre-Natal size).
Sometimes a sharp change in the position of women, for example, during tilting or tilting can result in the evolution of the genital tract a large amount of blood is simply drainage of the collected blood in the vagina, and it should not be a cause for concern.
Remember, however, that the endometrium, which was attached to the placental tissue, as well as some areas of the endometrium are exposed for a long time, and bacteria can easily get on the wound surface from the vagina. Therefore, you should avoid to use tampons. Sanitary pads is the best option for women after childbirth.
For the same reason, you should not have sex in the postpartum period, to avoid infection which is very dangerous for both mother and child.
Swimming in public pools and should be avoided until the allocation of lochia completely stops.
In the postpartum period is recommended using the shower. This will prevent the penetration of infection into the uterus from the vagina and will promote better healing of your episiotomy stitches, if any.
How long are lochia after birth? What should be their intensity? What are the symptoms of a pathological process? Lochia may be abnormal, if there is an infection. Infection can be suspected if:
• lochia remain bright red even after a week
• allocation suddenly become bright red. This comes at the same time, as they have become pale
• there is an unpleasant smell
• all this is accompanied by fever with chills
• lower abdominal pain increases significantly over time.
There is abnormally heavy bleeding, which strip waterproof for 1 hour or less or you have a large number of clots. This is a sign of secondary postpartum bleeding and in need of emergency assistance.
Lochia after operative delivery
Many women believe that the flow of lochia is significantly less after the woman underwent surgery cesarean section, because uterine cavity is cleaned during the operation by a doctor after the delivery. It's not true. The flow of lochia is not dependent on the type of delivery – normal or physiological caesarean section. The number and duration of the discharge is the same in both cases.
In the postpartum period should follow these rules:
2. Avoid excessive walking, or prolonged standing, as this increases blood flow.
3. Not to use vaginal tampons after giving birth because they can contribute to the growth and penetration of bacteria and infection on the wound surface of the uterus.
4. To avoid sexual intercourse within 42 days.
How long lochia after childbirth
Most copious in the first day. Try not to panic if the bleeding seems to increase when you go home. Just a long walk or Jogging can strengthen the flow of blood. If the gasket was completely soaked within an hour, you need to lie down and rest. If bleeding continues at the same pace for one hour or more, or if you see clots of bigger size, it is extremely important to go immediately to the gynecologist, and when heavy bleeding to call an ambulance.
How long lochia after the second birth, whether or not they should be smaller? Based on the observations and opinions of the moms, after second or subsequent births, the number and duration allocations do not change.
Other symptoms requiring medical intervention:
• allocations remain red for a period of more than 7 days after birth
• has an unpleasant putrid smell
• you have symptoms of fever or chills.
Later postpartum bleeding
Lochia after childbirth how many lasts? Many young mothers acknowledge that this process takes no more than 1.5 months. Normally vaginal discharge has a pale pink or brown color in the second week after birth. Don't be alarmed if you find bright red discharge that appear from time to time during the first 6-8 weeks. Exercise or increased activity can cause such phenomenon. To stop bleeding and reduce spasms need to lie down for a few hours. If this does not help, you should contact the antenatal clinic.
How much time are lochia after birth? How not to confuse them with bleeding? Postpartum haemorrhage is the most dangerous. If you lose no more than 600-700 ml of blood after surgical delivery, or more than 300-400 ml after vaginal birth, it is classified as normal blood loss. However, in 1 of 10 cases of the total number of all pregnancies have complications such as postpartum bleeding. It usually starts within 24 hours after childbirth (early postpartum hemorrhage), but it can occur at any time during the 6 weeks – late blood loss. After birth the most common cause is failure of the uterus to contract as it should, leading to uncontrolled bleeding from where the placenta was attached. Sometimes it can be the consequence of neuritic tears in the vagina or the cervix. Later postpartum bleeding may occur as the result of partial detachment of fragments of the placenta in the uterus or infection. Both of these types of bleeding is dangerous and can lead to the death of his mother.
How long lochia after childbirth, it is necessary to know every woman preparing to become a mother. But the characteristic signs of late postpartum hemorrhage:
• one strip is not enough for 1 hour
• lochia do not change for more than 7 days in the color and intensity
• there are large blood clots that vary in size from a Golf ball or lemon
• pain or swelling in the stomach during the first days after birth
• bleeding can cause loss of consciousness, shortness of breath, dizziness or heart palpitations.
Treatment and prevention
After birth, the midwife carefully examines the placenta and all the shell to make sure that they are intact and that no parts are left inside of you. After the separation and allocation of the placenta, doctors warn the bleeding, inserting intravenous oxytocin or methylergometrine. These drugs stimulate contraction of the myometrium to reduce bleeding. The outer massage of the uterus is also necessary for the same purpose. Breastfeeding (if planned) will also stimulate natural contractions. So now widely used for early breastfeeding immediately after the baby is born.
In the early postpartum period in some cases requiring uterine massage in his fist. If the bleeding does not stop, you will need a procedure called “curettage” in order to examine the uterus and remove the pieces of placenta that were not extracted independently. If the uterus is damaged, i.e. there is a break wall prodovolstvia, laparotomy and hysterectomy may be a necessary method to stop bleeding.
You should follow the process in which the number of allocated lochia after childbirth how many lasts. Sometimes if there is intense bleeding in rare cases there is a need for transfusion of components or even whole blood.
How many are lochia after giving birth, whether their duration is the same when doctors suggest most blood loss? The risk of postpartum hemorrhage is significantly higher in the following cases:
• multiple births.
• polyhydramnios (excessive amniotic fluid)
• induced birth
• the birth of a large baby
• uterine fibroids, which makes it possible to symmetrically shrink the uterine fibers
• the mother is weakened due to anemia during pregnancy, preeclampsia or severe long-term birth
• the mother is taking herbs or drugs that interfere with blood clotting, such as ibuprofen, aspirin or other similar means.
When will periods start
How many days go lochia after birth? How to distinguish lochia periods? When it comes to first menstruation? If you are not breastfeeding, first menstruation can come after 1 or 2 months. But sometimes the waiting period is extended to 12 weeks. If you are nursing, your period may come a few weeks, although many mothers who breastfeed say that my period may not come until the baby is weaned. When the first menstruation, it may differ from previous prenatal regular bloody discharge. It may be heavier or longer than normal. Or she could just suddenly end and then begin with clots. Can also be copious bleeding. You need to keep track of your monthly and the amount of blood. If you need to change the gasket more often than every hour, and it lasts for several hours, call your doctor.