Past The Puerperium.?
Hello I’m Syifa, I’m 27 years old, I just gave birth to a second child with a normal childbirth assisted by induction, my question has passed the puerperium for 40hrs but still came out fresh blood and even came out like a blood clot, my stomach is still fat like pregnancy 3mth . even though in the third week I didn’t bleed anymore, is that normal? thanks.
Hello, good night Syifa ..
The delivery of puerperal blood from the birth canal is the body's way to remove the lining of the uterus and blood after delivery. Remaining blood in the uterus will continue to come out for at least 2-6 weeks after delivery, with a gradual change in color, starting from bright red or brownish red which then turns dark brown or pink in the first days, then turns to yellowish white in the second week, and even paler (beige-white) in the third week to the fourth week. By the sixth week, the amount of puerperal blood will be less and brown, pink, or creamy yellow.
The condition that you are experiencing right now, where after 40 days of childbirth but blood is still out of the birth canal, then this can be caused by several possibilities:
You immediately experience a new menstrual cycle after the puerperium, this condition can occur and is normal
there are still remnants of pregnancy tissue
torn open birth canal
blood clotting disorders
We recommend that you check with your obstetrician regarding complaints that you experience, bearing in mind you are complaining of blood clots and stomach that still feels enlarged, which may indicate an abnormality in your reproductive tract. The doctor will generally carry out investigations such as ultrasound or blood lab tests, to confirm your diagnosis. You need to be vigilant if: puerperal blood smells bad, you have a fever or chills, the bottom on one or both sides of the stomach feels pain when pressed, puerperal blood is so much that you have to replace the pads every 1-2 hours, there are many clots big, feeling dizzy, fainting, and fast / irregular sleepy beats. If you experience these things, immediately check with your doctor or the nearest emergency room.
That's all, hopefully it helps ..