How much blood flows after artificial birth. How long does bleeding last after childbirth

The way in which a woman gave birth does not at all affect the appearance of spotting after the end of childbirth. At the time when the placenta is rejected, an open wound appears at the attachment site. But bleeding caused by such a cause is quite natural and does not pose any threat to the female body. But there are cases when, in connection with all sorts of pathologies, bleeding opens.

Causes of bleeding after childbirth

Normal bleeding after childbirth

Abnormal bleeding after childbirth

This is most likely evidence that one cannot do without the help of a doctor. There may be several reasons for such severe bleeding in a woman:

- uterus shrinks very badly, and also it is stretched (blood can flow both in small portions and in a continuous continuous stream);
- pieces of the placenta or fetal membrane remained in the uterus(when the placenta comes off, then at the site of the rupture, the wound turns into a scar. But there are cases when particles of the placenta remain, then healing does not go on and bleeding begins, which does not cause pain. Therefore, in order for this not to cause bleeding, it is necessary on the second day after childbirth, go for an ultrasound and make sure that there is nothing unnecessary left in the uterus);
- bad blood clotting(in this case, the blood will be liquid without lumps. In order to verify poor blood clotting, it is necessary to take an analysis from a vein. With such a problem, bleeding can most often open immediately after childbirth. But there are still cases when this happened after several months after delivery.

If your discharge makes you suspicious, then just in case, you should consult a doctor. In addition, bleeding should be treated exclusively in a hospital.

Length of discharge after childbirth

Postpartum hemorrhage can be the result of gynecological diseases, placental elements remaining in the uterus, weak or absent contractility of this organ.

What are the reasons for bleeding after childbirth?

Bloody discharge in women after the birth of a child appears due to damage to blood vessels at the site of attachment of the placenta to the walls of the uterus. The contractile movements of this organ help the body get rid of the remnants of the "children's place" and restore its previous size. Normally, bleeding after childbirth can last from 2 to 6 weeks, but various pathologies occur, accompanied by profuse blood loss.

How long does bleeding last after childbirth, and? Such questions are often addressed by women to a gynecologist. It is considered normal if blood loss lasts no more than 6 weeks. On average, about 1.5 liters of blood can be released.

How long postpartum bleeding lasts depends on how the baby is fed. During lactation, the uterus contracts much faster, and the recovery of its size is accelerated. This contributes to the rapid cessation of secretions.

The duration of bleeding in the postpartum period is affected by such features:

• transferred caesarean section;
• excessive physical activity;
• stress;
• weak contractility of the uterus;
• the presence of gynecological diseases;
• inflammation caused by placental remnants;
• the imposition of internal seams;
• malposition;
• bleeding during childbirth;
• poor blood clotting;
• taking anticoagulants;
• the birth of a large child;
• extensive trauma to the birth canal;
• placental polyp.

The first 2-3 days after childbirth, the discharge is bright red with clots, quite intense. This is a sign of lochia, which is a detachable wound secretion of the uterus. Gradually, the intensity of secretions decreases, tissue fluid, cells of the decidua and mucus are added to the composition of the secret.

From about the 4th day, the blood goes less strongly, its color changes to red-yellow, later the substance acquires a brown tint. By the end of 5-6 weeks, a clear, bloody secret is released.

Symptoms of early menorrhagia

Postpartum hemorrhage is a profuse loss of blood, which is 0.5% of the body weight of the woman who has given birth. Severe blood loss, which began immediately after the release of the placenta or within the first 2 hours, is called early. This condition refers to postpartum complications and can lead to serious consequences.

Why does bleeding develop in the early postpartum period? The reasons are:

• decreased tone, paralysis of the uterus;
• taking anticoagulants, antiplatelet agents;
• birth injuries of the vagina, body and cervix, pelvic joints;
• uterine rupture;
• accreted or incorrectly located placenta;
• incorrect suturing;
• blood diseases.

With hypotension, atony, the neuromuscular apparatus of the uterus is paralyzed, the organ loses its ability to contract, as a result, severe uterine bleeding develops after childbirth. Pathology is observed with a large weight of the fetus, rapid delivery, inflammatory processes of the myometrium. Most often, this complication occurs in young women, in women with congenital anomalies of the reproductive organs.

Bleeding after childbirth, the causes of which are hypotension and impaired uterine contractility, can proceed in different ways. In one case, the blood goes in waves. This is caused by periodic contraction of the uterus, which is accompanied by more abundant blood loss (150-300 ml).

Intensive abundant loss of a large volume of blood (up to 1 liter), while the walls of the uterus are absolutely relaxed.

With bleeding of a wave-like nature, contracting drugs are prescribed, an external massage of the uterus is performed, and manual control of the organ cavity for the presence of placental remains is also necessary. With breakthrough bleeding, many measures are ineffective, therefore urgent surgical intervention is indicated. Otherwise, anemia, hemorrhagic shock and death may occur.

Why does late bleeding develop?

Postpartum bleeding that begins 2 hours or up to a month after the birth of a child is called late. After the placenta is released, the obstetrician examines it and evaluates its integrity. The remainder of the placenta in the uterine cavity can be the main cause of severe bleeding. Pathology most often develops within a month. In this case, a woman may not have symptoms of general malaise.

Postpartum hemorrhage causes:

• inflammatory disease of the uterus.
• remains of the placenta;
• weakening of the body;
• the beginning of menstruation;
• endocrine diseases;
• hormonal imbalance.

Severe bleeding after childbirth, which began in the late period, is a doctor's mistake. Before the patient is discharged, an ultrasound scan of the uterus must be performed, if the remains of the placenta are found, instrumental curettage is performed.

How after childbirth? With menorrhagia, the following symptom complex appears:

• discharge of a bright scarlet color can go on for more than 7 days;
• body temperature rises;
• blood goes in clots, has an unpleasant odor;
• menstruation should not begin if the mother is breastfeeding;
• one pad is not enough for 2 hours.

Menstruation can begin a month after the woman left the hospital if the baby is bottle-fed. You can recognize the beginning of critical days by the characteristic symptoms: aching pain in the lower abdomen, swelling of the mammary glands, a small amount of discharge (up to 150 ml). The duration of menstruation may be slightly longer than usual, but. How long the critical days will last depends on the complexity of the transferred birth.

Dysfunctional uterine bleeding of the reproductive period is caused by a violation of the production of hormones by the ovaries, stress, taking certain medications, a lack of vitamins, and infectious diseases of the genitourinary system. Delayed treatment of DMC can lead to infertility.

Methods of prevention and treatment

A woman should not leave the delivery room for 2 hours, it is during this period that bleeding may develop earlier. Medical workers monitor the condition of the patient and, if necessary, provide emergency assistance. In order for the uterus to contract well, the bladder is emptied using a catheter.

After the placenta is released, the obstetrician examines its integrity, and if in doubt, conducts a manual control of the uterine cavity for the presence of residues. Checks for ruptures that occurred during childbirth and can cause uterine bleeding. If necessary, a woman is given an external massage of the uterus, cold is applied.

If there are injuries, tears, suturing is performed under local anesthesia, this helps to stop the bleeding. Oxytocin is administered intravenously to increase uterine contractility and prevent hypotension.

Tamponade is performed to stop the bleeding. A tampon soaked in ether is inserted into the posterior fornix of the vagina, this stimulates the uterus to intensify contractions. If therapeutic agents for uterine bleeding do not give results, a decision is made on surgical intervention.

When symptoms of a pathology appear, it is urgent to call emergency medical care! Stopping late bleeding should be carried out in a hospital setting. In the gynecology department, the uterus is scraped, then antibiotics are prescribed, and drugs that stop the blood (Vikasol, Dicinon) are indicated.

In some cases, women require a plasma transfusion. Vitamins are taken to maintain the body, and iron preparations are necessary for symptoms of anemia. It is important to replenish the loss of fluid, you need to drink plenty of fluids.

First aid for the development of menorrhagia

If bleeding begins a month after childbirth, when the woman is at home, then the following procedures must be performed before the ambulance arrives:

• take a horizontal position so that the legs are higher than the level of the head;
• apply cold to the groin area (ice, frozen foods);
• drink a hemostatic agent.

Preventive measures for uterine bleeding include feeding the baby on demand. During lactation, the hormone oxytocin is produced, which causes uterine contractions. It is impossible to endure when the bladder is full. It is recommended to visit the restroom every 3 hours, especially in the first weeks after childbirth.

It can be taken only after consulting a doctor. From herbal medicine recipes, tincture of water pepper, yarrow, shepherd's purse, horsetail, nettle and viburnum bark can be distinguished. , vasoconstrictor, analgesic effect. Stimulate uterine contraction, accelerate tissue healing.

Surgical treatments

If therapy fails, surgical treatment is necessary. Removal of the epithelial layer of the uterus (ablation) is carried out in several ways:

• laser technologies;
• cryodestruction;
• instrumental curettage of the uterine cavity and cervical canal.

In some cases, if early bleeding cannot be stopped after childbirth, the uterus is removed (hysterectomy). Indications for surgical intervention are also endometriosis, fibroma, uterine prolapse. Removal is performed vaginally or abdominally. Only the uterus is excised or a total hysterectomy is performed with resection of the uterus and vagina.

After the birth of a child, for several weeks, lochia is released from the genital tract of a woman. Their number gradually decreases, which indicates the healing of wounds after separation of the placenta. Many women are interested in the question: how long does bleeding last after a normal birth?

This is a very important factor, since it can be used to determine the degree of recovery of the body and deviations from the norm. Over time, lochia changes its composition and color. First, the woman is in the hospital, but then discharged home.

If at first the medical staff monitors her condition, then in the future she must do it on her own. The amount and nature of the discharge indicates the state of health, so you need to notice deviations from the norm in time.

How much blood goes after childbirth?

For 2 hours, the woman and the newborn are in the maternity unit. At this time, normal discharge is quite abundant and bloody, but their total amount should not exceed 400 ml. To prevent complications in the form of bleeding, they can remove urine through a catheter, put ice on the stomach, and intravenously inject drugs to accelerate uterine contraction.

These few hours are the most dangerous, because the muscles of the uterus are relaxed and contractions may not occur, and the blood loss that has begun does not show itself except for dizziness and weakness. So when these symptoms appear and the sheets / diapers get wet quickly, you need to urgently call a nurse.

Complications can also occur when the tissues of the birth canal are torn, so the obstetrician carefully examines the vagina and cervix, and if their integrity is violated, take the necessary measures, that is, suturing the wounds. If the gap is not completely sutured, a hematoma may form, which is then opened and re-sutured.

how long does bleeding last after childbirth?

The recovery process is successful if in the first 2-3 days the lochia is of a bloody nature and is quite plentiful (up to 300 ml in 3 days). At this time, the gasket should fill completely in just 1-2 hours.

Lochia may have blood clots after childbirth, a rotten smell, similar to menstruation. Gradually, their number decreases, and they acquire a brown-red hue, intensify with movement. They also appear on palpation of the abdomen.

To prevent bleeding, you must adhere to certain rules:

• Go to the toilet as soon as you feel the urge to urinate. On the first day, you need to visit the restroom at least every 3 hours. A crowded urea hinders the contraction process;
• Attach the baby to the chest at his first request. The fact is that when the nipples are irritated, oxytocin is released - the hormone responsible for contractions. The blood leaving after childbirth, during breastfeeding, may intensify and be accompanied by cramping pains in the lower abdomen;
• Sleep and rest lying on your stomach. This posture promotes the release of blood clots. The uterus may tilt backwards, but the prone position will bring it closer to the abdominal wall. Thus, the outflow will improve;
• Several times a day, put ice on the stomach, which will improve the condition of blood vessels and speed up contractions.

With overstretching of the uterus and complicated childbirth, oxytocin injections are prescribed to stimulate contractions.

It is worth noting that an increase in the amount of discharge should be a reason to see a doctor, because it may indicate late bleeding. Such a phenomenon can overtake not only in the first days, but also a few weeks after childbirth. So even at home you need to pay attention to how much fluid is released.

Late bleeding is usually caused by a stuck part of the placenta. Sometimes it is not diagnosed immediately after childbirth, then it leads to complications that can be detected during a vaginal examination or ultrasound. If the diagnosis is confirmed, the remains are removed under general anesthesia. Simultaneously carry out infusion and antibiotic therapy.

Sometimes this phenomenon occurs when there is a violation of blood clotting, which can be caused by various diseases. Stopping that kind of blood loss is the hardest thing to do.

Most often, complications arise due to insufficient contraction of the muscles of the uterus. Bleeding after childbirth in this case is also painless, but very plentiful. To stop it, reducers are administered, and blood loss is replenished with intravenous fluids or blood products. If necessary, resort to surgical intervention.

Early cessation of lochia is also a reason to visit a doctor. Perhaps there is a lochiometer - an accumulation of secretions in the uterine cavity. This pathology occurs when the organ is overstretched or posteriorly bent.

If this condition is not eliminated in time, endometritis will appear - inflammation of the uterine mucosa, because lochia is a good breeding ground for microbes. Treatment mainly consists of taking Oxytocin and No-shpa.

blood after childbirth

So how much bleeding after childbirth? Average time is 6-8 weeks. It is this period that the uterus needs for reverse development after pregnancy and delivery. The total amount of lochia ranges from 500 to 1500 ml.

In the first week, they can be compared with normal menstruation, only more abundant and with clots. With each following day, their volume will decrease, and the color will approach yellowish-white. By the end of 4 weeks, they are very scarce, one might say spotting, and after another 14 days they should become the same as before pregnancy.

For those who are breastfeeding, they end earlier, as the uterus contracts much faster. But in women who have had a caesarean section, recovery is slower because the suture interferes with the normal reverse process, and blood flows longer than usual.

actions against bleeding after childbirth

It is important to observe special rules of personal hygiene during the postpartum period. Lochia contains microbial flora, which, under favorable conditions, can contribute to the development of the inflammatory process. That is why it is necessary that the discharge does not linger in the uterus and leaves it.

For your own comfort, use pads or special disposable panties. Change them every 3 hours. It is recommended to give preference to the soft surface of these products, because this way you can better determine the nature of the discharge. You should not take flavored ones, they often cause allergic reactions. Also, don't use tampons.

You need to wash yourself after every trip to the toilet. No baths, only showers. The genitals are washed only from the outside, in the direction from front to back. At this time, douching is not used so as not to infect the infection.

It bleeds more strongly with significant physical exertion, so it is not recommended to lift too heavy things.

It is necessary to seek medical help in such situations:

• Lochia acquired a purulent character, a sharp and unpleasant odor. These phenomena indicate endometritis. It is usually accompanied by fever and pain in the lower abdomen;
• Blood discharge increased after it began to decrease, or their volume is constantly large. These conditions may indicate that there is still an afterbirth in the uterus, which prevents the contraction of the organ and its restoration;
• Curdled discharge from the vagina is a sign of yeast colpitis, which is popularly called thrush. Usually this disease is characterized by itching in the vagina and labia. Sometimes there is redness of the skin in the groin. Significantly increases the risk of developing thrush when taking antibiotics;
• The blood stopped abruptly. This happens when the cervix is ​​blocked by a blood clot. This condition requires medical intervention. It is worth noting that the risk increases after a caesarean section;
• If you have to change several pads in an hour, then this indicates severe bleeding. In this situation, you need to call emergency help.

The above complications do not go away on their own. Sometimes hospital treatment is required. Therefore, it is very important to seek help from specialists in time.

After childbirth, pregnancy is replaced by a new period - postpartum, perhaps no less, and sometimes even more difficult than pregnancy. Many women caring for a newborn child do not pay attention to their own problems, considering them to be something of little importance. This negligence can subsequently result in serious health complications. But they can be prevented.

What is the postpartum period?

The postpartum period begins immediately after the birth of the placenta and lasts approximately 6-8 weeks. During this time, the physical condition of the woman is still far from normal. The uterus, which weighs about 1 kg after childbirth, is an almost continuous wound.

In an effort to return to its normal state, the uterus will constantly shrink, as a result of which its size will gradually decrease. In addition, the uterus seeks to be cleansed, this happens through postpartum secretions, which are called lochia.

In the postpartum period, the discharge continues for about 6-8 weeks, during which time the uterus returns to its normal size. If a woman does not breastfeed her baby, her body begins to function as before, that is, she starts menstruating. In the postpartum period, discharge can be very painful. To avoid complications, it is necessary to create favorable conditions for the discharge, so that the uterus contracts freely, and the lochia stands out freely. If something interferes with this process, the likelihood of bleeding and infection of the uterus increases, and these are already complications that have to be treated in a hospital.

What causes uterine contractions? Mainly, of course, breastfeeding. At first, when the baby begins to suck, the mother feels something similar to contractions, accompanied by throbbing pain in the lower abdomen. The discharge begins to intensify, blood clots appear - these are completely normal phenomena.

The second factor contributing to a faster contraction of the uterus is the timely emptying of the bladder and intestines. The first few days after childbirth, it is advisable for a woman to lie on her stomach more often - this contributes to the outflow of lochia.

If in the postpartum period bleeding ends by the 8th week and does not bring discomfort to the woman, then everything is going as expected. Usually, by the seventh day, the discharge becomes more scarce, the blood content in them decreases, they become light pink, and then completely whitish, mucous - and so on until they completely disappear.

It has been proven that in those women who breastfeed, bleeding in the postpartum period ends faster. If the child was born by caesarean section - on the contrary, everything happens more slowly.

In what cases should you consult a doctor?

You should immediately contact a specialist if the discharge has become purulent, has an unpleasant odor, and after pink, sanious discharge, bright red has begun again. All these signs indicate complications that will not disappear on their own, but will bring a lot of trouble if you do not seek help from a doctor.

Should cause concern bleeding in the early postpartum period that lasts more than 15 days.

What else should be feared?

Be sure to adhere to strict rules of personal hygiene: wash thoroughly after each visit to the toilet, especially in the presence of postpartum stitches. Many doctors recommend using baby soap for these purposes, and even better, no matter how strange it sounds - household, the most ordinary, brown. It is this soap that will help dry the skin well without causing an allergic reaction.

In addition, after each visit, you need to change the gasket - at least every 4 hours. These measures will allow you to protect yourself by 90% from various complications.

The entire postpartum period can not douche, as well as use vaginal tampons. This is a very serious warning - this is the easiest way to infect! A gynecologist also seeks to protect you from infections, which prohibits sexual activity during the postpartum period. Sexual contact is one of the shortest ways to “catch” an infection.

In general, you should be extremely careful when starting sexual relations after childbirth. The fact is that the mucous membranes of a woman remain vulnerable and overly sensitive for a long time, and sexual intercourse may not give her the most pleasant sensations. At first, it is imperative to use a condom, preferably with a lubricant - it will help moisturize the vagina, thereby reducing the woman's pain, and in addition, it will protect the woman from various infections that in the normal, "prenatal" state would not cause the slightest concern.

postpartum problems

All the difficulties that await a woman after childbirth can be divided into serious problems and "little things". In this case, serious complications, as a rule, require treatment in a hospital. However, it is a mistake to think that “little things” can be ignored. If you do not "deal with" them immediately, they can bring a lot of grief in the future.

Factors that may contribute to the development of postpartum hemorrhage:

– Excessively distended uterus – as a result of a multiple pregnancy or a large fetus.
- Difficult prolonged labor.
- Polyhydramnios.
- Non-contracting uterus - this happens due to long labor pains.
- Too fast separation of the child's place.
- Uterine rupture.
- Uterine prolapse.
- Vaginal lacerations.
- The remains of the placenta in the uterus.
- Violation of the mother's blood clotting. This may be a congenital anomaly, or it may be a consequence of taking certain medications, such as aspirin.

Bleeding in the postpartum period: prevention

In order to prevent complications associated with postpartum hemorrhage, if possible, it is necessary to carry out qualified preventive measures. That is why during pregnancy a woman has to take many different blood tests. Doctors examine the number of leukocytes, platelets and erythrocytes, bleeding time, blood clotting time, hemoglobin level ... If any pathology is detected, the doctor prescribes a number of special preventive measures to the pregnant woman.

Such future mothers are at increased risk of bleeding during childbirth or in the postpartum period. The ideal option is if a woman in labor gets into a special maternity hospital specializing in medical care for women with blood diseases. If the doctor deems it appropriate, the woman is given a transfusion of her own blood taken from her in advance.

In addition, immediately after childbirth, women are given a special drug that should accelerate the contraction of the uterus, and therefore, reduce the time of postpartum hemorrhage.

Bleeding after childbirth is a normal process in which the uterine cavity naturally gets rid of lochia and remnants of placental tissue. The very nature of bleeding, its soreness, severity and duration (duration) are always different, and can vary greatly from woman to woman. How much bleeding after childbirth? This question is of great concern to all young mothers, especially those giving birth for the first time.

All women know that without bleeding, childbirth is hardly possible. Everyone is concerned about the question: how much blood should flow, how long will blood flow after childbirth?

Blood can flow for several reasons.

1. Poor blood clotting. This parameter is always individual in nature, and it often happens that blood flows from the female genital organs in liquid small streams, and no signs of the beginning of the clotting process are visible. Such a situation can be foreseen if a woman passes the appropriate tests before giving birth.
2. Rapid (rapid) childbirth, due to which serious injuries of the birth canal were formed.
3. An increase in tissue of the placenta and membranes that interferes with the normal contraction of the uterus. This also causes bleeding.
4. The inability of the reproductive organs to contract due to excessive stretching of the tissues caused by the large size of the fetus (either multiple pregnancy or polyhydramnios).
5. Some individual gynecological problems are fibroids, fibroids, long uterine recovery, problems with myometrial contraction.

How long does it take to bleed after childbirth? It's always different.

How long can blood flow?

How long does bleeding last after childbirth? It depends on several factors:

• How was the pregnancy?
• when did the discharge start?
• how did the birth go - naturally, or did you have to resort to stimulation;
• how natural are uterine contractions;
• Are there any postpartum complications?
• what is the general individual health status of the woman;
• what are the features of lactation (breastfeeding at the request of the child reduces the number of lochia, stimulates the contractile activity of the uterus);
• whether there is an accreta of the placenta.

Each of these reasons, to one degree or another, affects how long postpartum bleeding will go (continue).

Rules for personal hygiene after childbirth

How much blood will flow after childbirth depends largely on the woman's implementation of a number of recommendations. To stop bleeding as quickly as possible and avoid possible complications, you need to follow a few rules.

1. Go to the toilet regularly to eliminate the pressure of a full intestine and bladder on the uterus. The uterus should contract normally.
2. Carefully maintain cleanliness and hygiene to prevent infection.
3. Exclude any physical activity and sexual relations for at least one and a half months after childbirth.
4. During sleep, try to lie on your stomach.
5. Establish a breastfeeding schedule as much as possible.

How long blood flows after childbirth is always an individual matter. Therefore, an even longer list of recommendations can be added to the general standard requirements for each woman, the correct implementation of which depends not only on the success of the postpartum treatment of the woman's body, but also on the effectiveness of preparation for the next pregnancy.

Prevention and diagnostic procedures

Modern medicine makes it possible to assess the risks of postpartum hemorrhage in time. A woman should be examined during pregnancy for the level of hemoglobin, the number of erythrocytes and platelets in the blood serum. It is necessary to determine the time of bleeding and blood clotting. Then it will be possible to guess how many days the bleeding lasts after childbirth, how much blood can come out after childbirth. This procedure is required.

Norm and pathology

Normally, postpartum discharge from the uterus () lasts no more than 1.5 months. The woman does not experience much inconvenience from them. During the first 20 hours, blood can flow most intensively, and there is nothing to worry about. After a few days, the amount and intensity of discharge will begin to gradually decrease. If pregnancy and childbirth went well, and if after childbirth a normal lactation regime was quickly established, then the mucous layer of the uterus will heal quickly.

• more than three days there is blood of a dark red color;
• discharge acquired an unpleasant odor;
• the postpartum hemorrhage does not just continue in the puerperal, but blood loss increases, it becomes necessary to change hygiene products every hour;
• the number of injuries (ruptures) after childbirth does not decrease;
• the woman is very weak, her temperature is not normal, even loss of consciousness is possible;
• bleeding does not stop after 6 weeks.

normal bleeding

Postpartum hemorrhage is usually divided into several stages. The main differences are in the color and intensity of the discharge. On the very first day after childbirth, blood flows profusely, there is much more discharge than during menstruation, they have a bright scarlet color. On the first day after birth, it bleeds from the vessels that fastened the placenta to the wall of the uterus. This is precisely the reason why the blood flows profusely at first. How much blood can flow the first time after childbirth? In a normal physiological state - no more than 4 days.

Pathology

To avoid complications after childbirth, it is necessary to be able to distinguish pathology from the norm.

• bleeds unevenly after childbirth - bright scarlet blood suddenly comes to replace insignificant secretions;
• 2 weeks after childbirth, not only bleeding persists, but also pain;
• bleeding and a month after birth bright red.

When is medical assistance required?

When should you seek medical help? No matter how much blood flows after childbirth, if the discharge becomes more frequent, more abundant and redder, then immediate medical attention is needed. First of all, go to the gynecologist. Especially if the bleeding has not passed and does not pass for more than 4 days.