Hello Dr. Sarmiento,
A pleasant day to you.
Ako nga po pala si M.G.
Kapapanganak ko palang po, barely 3 mos. nung mag 2mos po ako. when i am discharging all the toxins in my body. may kasama po na blood. though nde naman po palage pero lately 2 days po may kasamang blood. nde pa po ako nakakapag pacheckup. what should i po kaya? thanks po!
After giving birth, patients may still have some on-and-off spotting up to 6 weeks.
This may start out as bleeding like menstruation with occasional blood clots. Kung minsan parang maliliit na piraso ng atay. You may even notice that there is increased flow during breast feeding. This is the body’s way of pushing out all the blood /blood clots/”toxins” that are still trapped inside the uterus. That’s why it is really better to breast feed.
Don’t be alarmed if you have been dry for 1-2 days then all of a sudden you have spotting again. As long as, the bleeding is within the acceptable < 3 pads/day, no foul smelling odor, no pain in the puson and no fever. Then, this is normal.
Prolonged bleeding may be a source of bacterial infection. You will need a stronger feminine wash that has antibacterial properties. Be sure to wash the vagina with an antiseptic like GynePro Feminine Wash (Php 60.75) to prevent odors, itchiness and infection of the vaginal wound.
On the other hand, profuse bleeding, meaning >3-5 pads/diapers/day after giving birth may be a sign of a complication called postpartum atony. This occurs when the uterus cannot contract anymore and all the blood vessels remain open. This is an emergency situation. The mother can lose so much blood that she might need an operation called a hysterectomy just to stop the bleeding.
M.G, if you have not been breast feeding, the bleeding you have now might even be your menstruation already. Please see your doctor for advice because pretty soon you also might start ovulating…and you know what that means.