How does lochia get infected?

Postpartum infections can stem from open sores in your uterus (at the site of the placenta), lacerations in your cervix, vagina or perineum (especially if you had an episiotomy), or an incision if you've had a C-section.

How do you know if your lochia is infected?

How do I know if my lochia is infected? The biggest sign of infection is foul-smelling or greenish-colored vaginal discharge. Contact your healthcare provider as they may want to check for infection.

What is the most common cause of postpartum infection?

The majority of postpartum infections result from physiologic and iatrogenic trauma to the abdominal wall and reproductive, genital, and urinary tracts that occur during childbirth or abortion, which allows for the introduction of bacteria into these normally sterile environments.

How do you treat lochia infection?

Treatment of Infections of the Uterus After Delivery

If the uterus is infected, women are usually given antibiotics by vein (intravenously) until they have had no fever for at least 48 hours. Afterward, most women do not need to take antibiotics by mouth.

What causes infection in uterus after birth?

This postpartum infection is caused by bacteria. These bacteria may already be inside you before birth, or they can enter during childbirth. Typically, the bacteria come up from the lower genital or gastrointestinal tract. These organisms then enter the endometrial cavity during birth and cause an infection.

lochia

How do you know if your uterus is infected?

When does postpartum infection begin?

“Postpartum infection is a pretty broad category that would include any infection in the postpartum period, which we generally consider to be at least the first six weeks postpartum,” says Sutton. The three that afflict mothers the most are endometritis, cesarean section incision infection, and mastitis.

When should I worry about lochia?

Fever, severe pain or cramping that lasts more than a few days after delivery, and foul-smelling lochia are warning signs of infection, says Dr. Masterson. You should also contact your doctor if you have to change your pad more than once per hour because it's soaked through with blood.

How do you clean lochia?

Gently pat dry with clean toilet paper or clean wipes. Change the sanitary pad after every void or bowel movement, or at least 4x a day. Both lochia and feces are a medium for bacteria. If you have delivered vaginally, soaking in a bath tub can also help with cleaning and wound healing.

Is lochia foul smelling?

Lochia is the vaginal discharge you have after a vaginal delivery. It has a stale, musty odor like menstrual discharge.

What are the postpartum warning signs that could indicate infection?

Symptoms of uterine infections commonly include pain in the lower abdomen or pelvis, fever (usually within 1 to 3 days after delivery), paleness, chills, a general feeling of illness or discomfort, and often headache and loss of appetite. The heart rate is often rapid. The uterus is swollen, tender, and soft.

How do we avoid postpartum perineum infection?

What postpartum symptoms should not be ignored?

In general, warning signs of serious health conditions include chest pain, trouble breathing, heavy bleeding and extreme pain. If you have any of these signs or symptoms, call your provider right away. If you think your life is in danger, call emergency services (911) or go to the emergency room.

What does abnormal lochia look like?

Bleeding that soaks more than one pad an hour. Blood clots that seem abnormally large (bigger than a plum) A continuous flow that does not seem to stop.

Why does lochia turn red again?

If bright red spotting reappears after your lochia has already lightened up, it could be something called eschar bleeding. This is caused when the scab left behind from your placenta dissolves. This happens around the 10-day mark postpartum, and should only last for a few hours.

Can lochia stop and start again?

Conclusions: Lochia lasted substantially longer than the conventional assumption of 2 weeks. It was common for postpartum bleeding to stop and start again or to be characterized by intermittent spotting or bleeding. Return of menses is rare among fully breast-feeding women in the first 8 weeks postpartum.

When can I stop using peri bottle after birth?

"Generally, people may use the peri bottle for about a week after the birth of a baby, until your bottom feels better or is healed," Dr. Dothager says.

How long does lochia odor last?

“The postpartum body brings smells that may be confused with sweat-related body odor,” says Dr. Alagia. “This includes a vaginal discharge called lochia, which is a mix of amniotic fluid, tissue, and blood. It usually passes through the vagina up to six weeks post-birth.”

What to do if lochia does not stop?

This is known as lochia. It's how your body gets rid of the extra blood and tissue in your uterus that helped your baby grow. Bleeding is heaviest the first few days after your baby is born. But if heavy bleeding continues after that, you may need to call your doctor.

How do you know if you're overdoing it postpartum?

If your postnatal bleeding (lochia) gets heavier or changes colour (becomes pink or red) after activity, you could be overdoing it. You're also likely to feel very tired. Listen to your body. Pace yourself and make sure you get plenty of rest too.

What are the 3 different types of lochia?

Three types of lochia color patterns were identified: type 1--rubra-->serosa-->alba sequence (n = 20); type 2-rubra-->serosa-->alba sequence with prolonged rubra phase and short serosa and alba phases (n = 11); and type 3-with two rubra phases (rubra-->serosa/alba-->rubra-->serosa/alba sequence with near-equal duration ...

Who is at risk for postpartum infection?

Most research on postpartum infections has occurred in high resource countries, where risk factors include poor intrapartum hygiene, low socioeconomic status, primiparity, prolonged rupture of membranes, prolonged labor, and having more than five vaginal exams intrapartum [6].

What does infected uterus discharge look like?

Dark yellow, brown, green or grey discharge may indicate an infection or other issue. Smell: Vaginal discharge may have an odor, but it shouldn't be strong and shouldn't be unpleasant.