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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes An Offensive Odour Post A C-section?

Just had a c-section two weeks ago I m not bleeding nor do I have a lot of discharge but I do have this foul odor like something died in there is this normal if not can I take some ciprofloxacin HCL pills I ve had .. Just want this smell to go away && my obgyn office is not gone be bck open till the 7th of July!
Mon, 11 Apr 2016
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OBGYN 's  Response
Hallow Dear,

The description of your symptom clearly suggests that you have caught some infection after the delivery. We call it as post partum infection. This infection is causing such a foul smelling discharge.

Instead of starting any antibiotics like Ciprofloxacin of your own, I would advise you to report to your Obstetrician for appropriate treatment.

Ultrasonography will reveal whether any tissue or product of conception is left in the uterine cavity. The possibility of vaginal infection also cannot be ignored.

I feel, you should undergo culture and sensitivity of the discharge which will identify the organisms causing infection and the antibiotics to which they are sensitive. This will facilitate use of the appropriate antibiotics.

With antibiotics your infection will be controlled no doubt; however, you have to be very careful during next pregnancy since this infection could have rendered the Caesarean scar rather weak. So please defer your next pregnancy for at least three years and let the scar heal nicely. Then also, during the next pregnancy, please inform your Obstetrician about this post-Caesarean infection so that he/she will keep a close watch on your uterine scar by ultrasonography. Any pain in the lower abdomen during your next pregnancy should be immediately informed to the Obstetrician. Due to this infection, the chances of Caesarean delivery next time increase considerably.

I hope you got the message.

Dr. Nishikant Shrotri
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What Causes An Offensive Odour Post A C-section?

Hallow Dear, The description of your symptom clearly suggests that you have caught some infection after the delivery. We call it as post partum infection. This infection is causing such a foul smelling discharge. Instead of starting any antibiotics like Ciprofloxacin of your own, I would advise you to report to your Obstetrician for appropriate treatment. Ultrasonography will reveal whether any tissue or product of conception is left in the uterine cavity. The possibility of vaginal infection also cannot be ignored. I feel, you should undergo culture and sensitivity of the discharge which will identify the organisms causing infection and the antibiotics to which they are sensitive. This will facilitate use of the appropriate antibiotics. With antibiotics your infection will be controlled no doubt; however, you have to be very careful during next pregnancy since this infection could have rendered the Caesarean scar rather weak. So please defer your next pregnancy for at least three years and let the scar heal nicely. Then also, during the next pregnancy, please inform your Obstetrician about this post-Caesarean infection so that he/she will keep a close watch on your uterine scar by ultrasonography. Any pain in the lower abdomen during your next pregnancy should be immediately informed to the Obstetrician. Due to this infection, the chances of Caesarean delivery next time increase considerably. I hope you got the message. Dr. Nishikant Shrotri