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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.
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]
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. [30] It is visible as a blood-tinged mucous discharge. [31]
Vaginal discharge is a mixture of liquid, cells, and bacteria that lubricate and protect the vagina. [1] [2] This mixture is constantly produced by the cells of the vagina and cervix, and it exits the body through the vaginal opening.
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 ]
An increase in vaginal discharge is common during pregnancy due to hormonal changes. The discharge, known as leukorrhea, is usually thin and milky white. However, if the discharge changes color or consistency significantly, it is essential to consult a healthcare provider. [9]
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A score of 8 and above indicates induction of labor is favorable and the possibility of a vaginal delivery with induction will be similar to spontaneous labor. [ 10 ] Cervical effacement is an important component of the Bishop score and is reported as a percentage. 0% indicates the cervix is at normal length, 50% indicates the cervix is half of ...