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Is Irregular Vaginal Bleeding Normal Post Delivery?
Question: Hi Doctor,
I delivered a baby 5 weeks back and am still having vaginal bleeding. It started decreasing last week but has increased a lot than normal since yesterday. Today I have already gone through 5 pads from morning and it is way above normal. Is it a cause for concern?
I delivered a baby 5 weeks back and am still having vaginal bleeding. It started decreasing last week but has increased a lot than normal since yesterday. Today I have already gone through 5 pads from morning and it is way above normal. Is it a cause for concern?
Brief Answer:
Do ultrasound scan to check for remnants.
Detailed Answer:
Hello,
Thanks for writing to us. Followings are my comments:
1) Light to moderate vaginal bleeding may persist for 2-4 weeks in most cases after delivery. However, heavy or continuous bleeding needs to be concerned.
2) It may be caused by uterus that doesn't contract properly, possibly as a result of fragments of the placenta or the amniotic sac that remain in the uterus after birth, an infection, or both.
3) I suggest you to undergo one pelvic ultrasound scan to check for intrauterine remnants or other pathology. In that case, you may need to do a surgical procedure called a dilation and curettage (D&C) to remove it.
In absence of remnants, Tranexamic acid (500 mg) thrice daily for 3-5 days or cyclic low dose progesterone pill can be given to arrest bleeding. Drink more water and take IRON supplements. Kindly, consult with your treating doctor.
Hope, I have answered your query. Wish your good health and take care yourself. Maintain genital hygiene properly.
For future query, you can directly approach me through
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326
Regards,
Do ultrasound scan to check for remnants.
Detailed Answer:
Hello,
Thanks for writing to us. Followings are my comments:
1) Light to moderate vaginal bleeding may persist for 2-4 weeks in most cases after delivery. However, heavy or continuous bleeding needs to be concerned.
2) It may be caused by uterus that doesn't contract properly, possibly as a result of fragments of the placenta or the amniotic sac that remain in the uterus after birth, an infection, or both.
3) I suggest you to undergo one pelvic ultrasound scan to check for intrauterine remnants or other pathology. In that case, you may need to do a surgical procedure called a dilation and curettage (D&C) to remove it.
In absence of remnants, Tranexamic acid (500 mg) thrice daily for 3-5 days or cyclic low dose progesterone pill can be given to arrest bleeding. Drink more water and take IRON supplements. Kindly, consult with your treating doctor.
Hope, I have answered your query. Wish your good health and take care yourself. Maintain genital hygiene properly.
For future query, you can directly approach me through
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326
Regards,
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Sonia Raina
Answered by
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