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A 2016 review ties this "lochial period" to worldwide customs of postpartum confinement, a time for the new mother and baby to bond. [ 3 ] Lochia is sterile for the first two days, but not so by the third or fourth day, as the uterus begins to be colonized by vaginal commensals such as non-hemolytic streptococci and E. coli . [ 4 ]
[13] [2] The discharge is usually white or slightly gray, and may have a musty smell. [13] [2] The normal discharge of pregnancy does not contain blood or cause itching. [13] The pH of the vaginal discharge in pregnancy tends to be more acidic than normal due to increased production of lactic acid. [13]
During pregnancy, a baby is surrounded and cushioned by a fluid-filled sac. Usually the sac ruptures at the beginning of or during labour. It may cause a gush of fluid or leak in an intermittent or constant flow of small amounts from a woman's vagina. The fluid is clear or pale yellow.
Signs and symptoms usually include a fever greater than 38.0 °C (100.4 °F), chills, low abdominal pain, and possibly bad-smelling vaginal discharge. [1] It usually occurs after the first 24 hours and within the first ten days following delivery.
Mother with newborn baby. The postpartum (or postnatal) period begins after childbirth and is typically considered to last for six weeks. [1] There are three distinct phases of the postnatal period; the acute phase, lasting for six to twelve hours after birth; the subacute phase, lasting six weeks; and the delayed phase, lasting up to six months.
This is a shortened version of the eleventh chapter of the ICD-9: Complications of Pregnancy, Childbirth, and the Puerperium. It covers ICD codes 630 to 679 . The full chapter can be found on pages 355 to 378 of Volume 1, which contains all (sub)categories of the ICD-9.
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In the case of caesarean sections, rates of respiratory death were 14 times higher in pre-labor at 37 compared with 40 weeks gestation, and 8.2 times higher for pre-labor caesarean at 38 weeks. In this review, no studies found decreased neonatal morbidity due to non-medically indicated (elective) delivery before 39 weeks. [34]