Whether a woman has given birth vaginally or via cesarean section, you will have vaginal discharge. (Fun!) This article outlines what to expect and what is considered "normal" discharge after childbirth. 

Discharge After Birth:

Lochia: After a vaginal or cesarean birth, women experience lochia, a discharge that consists of blood, mucus, and uterine tissue.

  • Phases:

    • Lochia Rubra (Days 1-3): Dark or bright red and similar to a heavy menstrual flow. Small clots are normal.

      • Lochia Serosa (Days 4-10): Pink or brownish and less heavy, less bloody and more watery.

      • Lochia Alba (After Day 10): Yellowish or white and gradually tapers off. Little to no blood, or light spotting.

    • Duration: Lochia typically lasts for a few weeks to up to six weeks postpartum, with the color and flow gradually decreasing. Some people have traces of lochia for up to eight weeks.

    • Changes Over Time: It's normal for the discharge to change in color and consistency as the body heals. You might notice a slight increase in lochia after increased activity, breastfeeding, or when getting out of bed in the morning.

Warning Signs:

  • Foul Odor: Lochia should not have a foul odor (normal lochia can smell like the stale / musty odor of period discharge). If a strong, unpleasant (i.e. rotten) smell is present, it may indicate infection.

  • Excessive Bleeding: If bleeding becomes heavy and saturates a pad within an hour, it's important to seek medical attention promptly.

  • Infection Indicators (C-sections specifically): Pay attention to signs of infection, including increased redness, swelling, warmth, or pus-like discharge with a foul odor around the incision site. Also, notify your healthcare provider if any areas of your incision open or separate.

General Postpartum Discharge Tips:

  • Use Comfortable Absorbent Pads: Choose pads or adult diapers. Avoid tampons during the initial postpartum period no matter how you gave birth.

  • Stay Hydrated: Drinking plenty of water supports overall healing and helps prevent dehydration.

  • Monitor for Warning Signs: Keep an eye out for warning signs of infection or excessive bleeding and seek medical attention if needed.

  • Rest and Prioritize Self-Care: Adequate rest and self-care are crucial for a healthy recovery. Allow the body the time it needs to heal.

As always, consult with healthcare professionals for personalized advice and support throughout the postpartum experience.

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