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In the field of obstetrics, lochia is the vaginal discharge after giving birth, containing blood, mucus, and uterine tissue. [1] Lochia discharge typically continues for four to eight weeks after childbirth, [2] a time known as the postpartum period or puerperium.
In neonates, vaginal discharge sometimes occurs in the first few days after birth. This is due to exposure to estrogen while in utero. Neonatal vaginal discharge may be white or clear with a mucous texture, or it may be bloody from normal transient shedding of the endometrium. [9]
Estrogen is produced in large quantities during pregnancy and this causes the vulva to become enlarged. The vaginal opening and the vagina are also enlarged. [54] After childbirth, a vaginal discharge known as lochia is produced and continues for about ten days. [54]
“Brownish or blood-tinged vaginal discharge could be from a vaginal infection, a lost tampon, an ovarian cyst, or something within the uterus like a polyp,” Dr. Ross says. 6. White and clumpy
After birth, the fundus contracts downward into the pelvis one centimeter each day. After two weeks the uterus will have contracted and return into the pelvis. [9] The sensation and strength of postpartum uterine contractions can be stronger in women who have previously delivered a child or children. [10]
The female reproductive tract is made of several connected internal sex organs—the vagina, uterus, and fallopian tubes—and is prone to infections. [1] The vagina allows for sexual intercourse, and is connected to the uterus at the cervix. The uterus (or womb) accommodates the embryo by developing the uterine lining.
After a vaginal birth, the rugae are not visible and the walls of the vagina are smooth. By the third week postpartum, the vagina has become much smaller and the rugae begin to reform on the vaginal walls. Six weeks after birth, the rugae have returned to approximately the same size as they were before the birth.
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