POSTPARTUM VAGINAL DISCHARGE: When should mothers seek medical attention?

Postpartum vaginal discharge (Lochia) is a normal occurrence but in some cases it is important to see a doctor.

Dr. Ngo Ngoc Loat, Obstetrics & Gynecology specialist at Hanoi French Hospital, explains:

“Lochia is the vaginal discharge common after giving birth. It contains a mix of blood, mucus, and uterine tissue. The source of blood is the uterine muscle after placental separation, though it can also come from wounds in the uterus, cervix, and vagina during childbirth. Typically, lochia gradually decreases in quantity and lightens in color during the postpartum period (four to six weeks after delivery).”

Lochia is classified in three stages:

•        Lochia rubra (lasting three to four days)

       Dark or bright red blood

       Flows like a heavy period

       Small clots are normal

       Mild, period-like cramping

•        Lochia serosa (lasting four to 12 days)

       Pinkish brown discharge that’s less bloody

       Flow is moderate

       Less clotting or no clots

•        Lochia alba (lasting 12 days to six weeks)

       Yellowish white discharge

       Little or no blood

       Light flow

       No clots

✔️ Mothers should promptly see a doctor if they experience the following:

•        Blood clots larger than a chicken egg

•        Excessive and continuous bleeding

•        Increased lochia volume

•        Lochia with a foul smell

•        Sudden and prolonged abdominal pain

•        Fever and chills

•        Rapid heartbeat, palpitations, and discomfort

•        Pelvic pain

Any unusual signs should prompt mothers to visit the hospital for early examination and timely management to avoid the risk of postpartum infections and maternal health issues.

To schedule an appointment with an obstetrician, please call our hotline at 024 3577 1100, message the “Hanoi Franch Hospital” fanpage, or contact our Zalo official account zalo.me/2008009049335817955.