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Lochia serosa is the term for lochia that has thinned and turned brownish or pink in color. It contains serous exudate , erythrocytes , leukocytes , cervical mucus and microorganisms. This stage continues until around the tenth day after delivery.
The cervical mucus plug (CMP) acts as a protective barrier by deterring the passage of bacteria into the uterus, and contains a variety of antimicrobial agents, including immunoglobulins, and similar antimicrobial peptides to those found in nasal mucus.The CMP inhibits the migration of vaginal bacteria towards the uterus, protecting against ...
Vaginal discharge, termed "lochia", can be expected to continue for several weeks; initially bright red, it gradually becomes pink, changing to brown, and finally to yellow or white. [ 66 ] At one time babies born in hospitals were removed from their mothers shortly after birth and brought to the mother only at feeding times. [ 67 ]
This provides a protective seal for the uterus against the entry of pathogens and against leakage of uterine fluids. The mucus plug is also known to have antibacterial properties. This plug is released as the cervix dilates, either during the first stage of childbirth or shortly before. [29] It is visible as a blood-tinged mucous discharge. [30]
Many childbirth education classes cover emergency birth procedures. Parents are trained to learn the signs of early labor or other indications that may require assistance. Signs of early labor include regular contractions (4 or more within one hour) accompanied with cervical changes, such as effacement or dilation. [14]
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Bloody show or show is the passage of a small amount of blood or blood-tinged mucus through the vagina near the end of pregnancy.It is caused by thinning and dilation of the cervix, leading to detachment of the cervical mucus plug that seals the cervix during pregnancy and tearing of small cervical blood vessels, [1] and is one of the signs that labor may be imminent. [2]
Vaginal rugae can disappear during the second stage of labor. [21] After a vaginal birth, the rugae are not visible and the walls of the vagina are smooth. By the third week postpartum, the vagina has become much smaller and the rugae begin to reform on the vaginal walls.