PREGNANCY-BIRTH Messages for November, 1999: Re: uterine infection & bleeding still 3 1/2 months post partum

Re: uterine infection & bleeding still 3 1/2 months post partum

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 21 Nov 1999 22:10:39 -0600 (CST)

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In reply to: Michelle: "uterine infection & bleeding still 3 1/2 months post partum"

At Sun, 21 Nov 1999, Michelle wrote: >
>I need some expert advice. I gave birth to my second child on 8-18-99.
>2 weeks after her birth I developed a uterine infection and received an
>antibiotic injection.

An infection 2 weeks post delivery with a vaginal delivery (I'm presuming since you didn't mention C/S) is unusual.

>1 week later I began passing very large clots
>(grapefruit size) and gushing of blood. This continued for 2 weeks.

Retained clot got infected or retained placenta with clot got infected (please note - this last point is purely conjecture and not a definitive diagnosis since retained placenta is possible and infection is uncommon). Sounds like the uterus finally extruded the clot.

>When I went back to my doctor they did not seem very concerned and
>basically dismissed me. Since that time I have continued to bleed and
>pass small clots of tissue.

This may be normal but with a "humongous" clot, an infection and continued bleeding, a sonogram may be in order to evaluate the lining of the uterus.

>There is also a ammonia odor.

Non-specific finding. Can be from a vaginal infection - bacterial vaginosis in particular can cause such an odor (moreso if in contact with the lab chemical potassiium hydroxide - the so called "whiff" test).

>Should I be
>concerned? I do not want to feel like an idiot again if I go back to my
>doctor.

If you're concerned, you call. That's YOUR job. the doctor's job is to figure this all out and explain it so you can understand it and take part in your health maintainence (not to be confused with a health maintainence organization (HMO)).

>Thanks Michelle
>
>--
>Michelle Erickson
>

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: Basal temp question"
Previous message: Mary: "Re: Use of Evening Primrose oil"
In reply to: Michelle: "uterine infection & bleeding still 3 1/2 months post partum"

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