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Lochia serosa which persists to some weeks after birth can indicate late postpartum hemorrhaging, and should be reported to a physician. Lochia alba (or purulenta) is the name for lochia once it has turned whitish or yellowish-white. It typically lasts from the second through the third to sixth weeks after delivery.
Bloody show or show is the passage of a small amount of blood or blood-tinged mucus through the vagina near the end of pregnancy.It is caused by thinning and dilation of the cervix, leading to detachment of the cervical mucus plug that seals the cervix during pregnancy and tearing of small cervical blood vessels, [1] and is one of the signs that labor may be imminent. [2]
Toward the end of the pregnancy, when the cervix thins, some blood is released into the cervix which causes the mucus to become bloody. As the pregnancy progresses into labor, the cervix begins to dilate and the mucus plug is discharged. The plug may come out as a plug, a lump, or simply as increased vaginal discharge over several days. Loss of ...
Discharge may be red and heavy for the first few days as it consists of blood and the superficial mucous membrane that lined the uterus during pregnancy. This discharge normally begins to taper and should become more watery and change in color from pinkish brown to yellowish white. [14]
Vaginal bleeding in the first week of life after birth is a common observation, and pediatricians typically discuss this with new mothers at the time of hospital discharge. [ 13 ] [ 14 ] During childhood, one of the most common causes of vaginal bleeding is presence of a foreign body in the vagina which may be caused by normal self-exploration ...
[2] [5] The discharge can be milky, clear, green, purulent, bloody, or faintly yellow. [6] The consistency can be thick, thin, sticky, or watery. [5] [6] Nipple discharge may be normal, such as milk in late pregnancy or after childbirth, and in newborns during the first weeks of life.
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This clinical sign can be observed during a patient's examination as early as 8 to 12 weeks' gestation, serving as an early sign of pregnancy, but it is rarely seen before 7 weeks' gestation. [1] The discovery of this colour change dates back to approximately 1836 when French doctor Étienne Joseph Jacquemin (1796–1872) first identified it. [2]
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