Lochia will smell like menstrual blood. Some describe it as musty, metallic, sour or stale. However, it shouldn't smell fishy or foul. This could mean bacteria has gotten into your vagina and caused an infection.
Lochia lasts for about six weeks, starting with heavier bleeding that may contain clots, and gradually turning to a whitish or yellowish discharge. Lochia typically smells similar to a menstrual period and may smell slightly metallic, stale, or musty. It shouldn't smell foul.
Lochia is the vaginal discharge you have after a vaginal delivery. It has a stale, musty odor like menstrual discharge. Lochia for the first 3 days after delivery is dark red in color. A few small blood clots, no larger than a plum, are normal.
Postpartum infections can stem from open sores in your uterus (at the site of the placenta), lacerations in your cervix, vagina or perineum (especially if you had an episiotomy), or an incision if you've had a C-section.
Lochia will smell like menstrual blood. Some describe it as musty, metallic, sour or stale. However, it shouldn't smell fishy or foul. This could mean bacteria has gotten into your vagina and caused an infection.
Gently pat dry with clean toilet paper or clean wipes. Change the sanitary pad after every void or bowel movement, or at least 4x a day. Both lochia and feces are a medium for bacteria. If you have delivered vaginally, soaking in a bath tub can also help with cleaning and wound healing.
“The postpartum body brings smells that may be confused with sweat-related body odor,” says Dr. Alagia. “This includes a vaginal discharge called lochia, which is a mix of amniotic fluid, tissue, and blood. It usually passes through the vagina up to six weeks post-birth.”
If you're nursing your baby, your body will emit a stronger smell through your underarm sweat than normal to help your baby find its source of food (2). This is your body's response to naturally assist your baby in finding the breast, and will begin right after giving birth.
"After delivery, the uterus begins to contract and shrink back down to its usual size, and the uterine lining sheds." This shedding (lochia) not totally unlike menstruation, notes Dr. Masterson, because it's made up of the same kind of blood and tissue.
Should I ever worry about lochia? Your lochia is still bright red a week after your baby's birth. You have abnormally heavy bleeding (saturating a sanitary pad for two hours straight or having blood clots bigger than a golf ball). This is a sign of a late postpartum hemorrhage and requires immediate attention.
Lochia with offensive odour may indicate infection. It is possible for red lochial discharge to still be present at 6–8 weeks. It is more common also after instrumental delivery. Seek medical help if concerned.
Treatment of Lochia
Nothing needs to be done to treat lochia. You should not do anything to prevent lochia or stop it from happening—it's a normal part of your body's postpartum healing process. By the time your uterus has returned to its normal size, you won't be passing much lochia anymore (if at all).
Finally, the lighter bleeding of the lochia serosa stage will fade into discharge; the lochia color will now be more yellowish but can sometimes be mixed with a bit of spotting. This is the final lochia stage, called lochia alba, and it may last for up to six weeks after delivery.
You'll go through three postpartum bleeding stages: lochia rubra, lochia serosa and lochia alba.
If you are breastfeeding, you may notice that you pass more lochia while feeding, since the uterus is contracting in response to hormone shifts activated by nursing or pumping.
How long is the postpartum period? No matter how you delivered your baby, the postpartum recovery period is generally considered to be the first six weeks after childbirth. This doesn't mean that at six weeks you'll magically bounce back to pre-baby condition.
The most important thing to know about postpartum sex is that you can become pregnant before the return of your period (1, 2, 6). This is because ovulation happens before menstrual bleeding (1, 2, 6).
This is known as lochia. It's how your body gets rid of the extra blood and tissue in your uterus that helped your baby grow. Bleeding is heaviest the first few days after your baby is born. But if heavy bleeding continues after that, you may need to call your doctor.
Wait a week to drive a car after a vaginal birth, says Robert Atlas, M.D., an OB-GYN at Mercy Medical Center in Baltimore. "You use your abs to move your foot from the gas to the brake." If you've had a C-section, expect to wait two to three weeks before getting behind the wheel.
Can Postpartum Bleeding Stop and Start Again? Although there may be times when you notice more or less discharge, lochia itself doesn't usually stop altogether only to start up again. Sometimes, the bright red discharge that you had in the first few days after you gave birth may also return.
By waiting to give the newborn the first bath, studies show the newborn is better able to stabilize his or her blood sugar and temperature.
People who have had a C-section will typically have less lochia than those with vaginal births. That's because doctors clean out the uterus after a C-section to ensure the placenta and membranes have been completely removed, says Amy Magneson, M.D., an Ob-Gyn with CareMount Medical in New York.
Treatment of Infections of the Uterus After Delivery
If the uterus is infected, women are usually given antibiotics by vein (intravenously) until they have had no fever for at least 48 hours. Afterward, most women do not need to take antibiotics by mouth.