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A temperature rise above 38 °C (100.4 °F) maintained over 24 hours or recurring during the period from the end of the first to the end of the 10th day after childbirth or abortion. (ICD-10) Oral temperature of 38 °C (100.4 °F) or more on any two of the first ten days postpartum.
As the pregnancy progresses into labor, the cervix begins to dilate and the mucus plug is discharged. The plug may come out as a plug, a lump, or simply as increased vaginal discharge over several days. Loss of the mucus plug does not necessarily mean that delivery or labor is imminent. [2]
Lochia discharge typically continues for four to eight weeks after childbirth, [2] a time known as the postpartum period or puerperium. A 2016 review ties this "lochial period" to worldwide customs of postpartum confinement , a time for the new mother and baby to bond.
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 ]
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.
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Pre-term labor is defined as occurring before 37 weeks, and risks for pre-term labor include pregnancy with multiple fetuses, prior history of premature labor, structural abnormalities of the cervix or uterus, urinary tract, vaginal, or sexually transmitted infections, high blood pressure, drug use, diabetes, blood disorders, or pregnancy ...
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]