Q: Hi doc I gave birth 25 days ago. I saw my menstruation and now it’s some yellowish discharge and it’s so smelly. Am I in trouble or what? And I’m breastfeeding.
A: ‘Bleeding’ after having a baby is normal whether you had an episiotomy or not. As the placenta separates from the uterus when the baby is born, the blood vessels where the placenta was attached start to bleed…understandably, because they are open 😀 They bleed into the uterus (womb). As the womb starts to contract, it seals up the blood vessels such that bleeding stops significantly.
So, the ‘bleeding’ after having a baby is a mixture of blood, bacteria and tissue that has sloughed off the uterus. This discharge is called lochia. In the first couple of days, there’s more blood in lochia giving it a bright red colour which eventually becomes more watery and pikish and eventually becomes yellowish/whitish. This whole process may last 2 to 4 weeks or may come and go, as in the case described above. So, it’s not really a problem 😀
Be sure to check the level of bleeding though and if you feel uncomfortable, please see your doctor. General rules of thumb that suggest there may be a problem are:
- If you’re bleeding heavily…perhaps you’re using a sanitary towel every hour for at least 2 hours or are passing out big clots.
• If your lochia has a bad smell and you start having fever and chills
• If your lochia is still bright red after 4 days of delivery.
In your case with the bad smell, I strongly suggest that you go and see your doctor for a proper review. Better safe than sorry!
All the best!