Is this normal or cause for concern?

Avatar for ubergeek
Community Leader
Registered: 09-23-2010
Is this normal or cause for concern?
23
Sat, 06-25-2011 - 10:50pm

Hi -

I had a scheduled (due to breech) section on the 17th. I was discharged from the hospital on Monday. My discharge papers say to call for various issues: fever 100.4+, excess pain, more discharge than at the hospital, etc. I was feeling pretty good but Thursday I noticed some light oozing from one area on my incision. My husband checks my incision for me and he says it's not any different than it has been. The only way I notice the discharge is when I tap the area with gauze to dry after the shower (I also use the hair dryer afterwards to make sure it's really dry). It's very minute and it's not soaking anything, etc. I do have a belly "pouch" hanging which obviously doesn't help matters. :/ I don't have any odd pain...I'm sore like always and my belly skin is numb and a little sensitive.

I've read on the internet that some women experience some oozing (again, I'm not talking soaking through anything oozing, more one tap and there's stuff, then one more tap and there is nothing) while others don't. My doctor left for vacation on Wednesday and I know the office isn't open on Sundays anyway. I don't know if I should call the service tomorrow (not sure who is covering as it's a one doctor practice) or if I should just wait until Monday. (I don't have a fever.)

Would love any input on this. I'm definitely calling the doctor, but am wondering if it's a serious issue or if it's something that can wait until Monday.

Thanks!

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Community Leader
Registered: 01-19-2008
Sun, 06-26-2011 - 10:04pm
Sorry I am just seeing this.

How did your doc close the incision? My doc used stitches that dissolve and the glue stuff on top. I never had any oozing that I noticed. A little redness and irritation from the glue, but the incision seemed good from day one.

As long as you aren't running temp, I would think it's not an emergency, but I'd definitely give your doc office a call in the a.m. It may be completely normal, but I'd just want to be on the safe side if I were you. Have you already had a follow-up check-up?

Come back and let us know what the doc says!! GL!!

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Avatar for ubergeek
Community Leader
Registered: 09-23-2010
Mon, 06-27-2011 - 12:03am

No problem, I didn't have any increase today so I decided to just call during normal business hours first thing tomorrow am.

She used disolvable stitches to close the incision. I did have some steri strips but the final pieces fell off my second day home. I'll definitely let you know what they say. This is all new to territory to me so dealing with this, a new baby, and so on, bleh. ;)

I'm also concerned about my postpartum bleeding as I've been reading it should not be bright red anymore, which it is. It's not a concerning flow, but apparently after 10 days it shouldn't be the color it is. (With my son I stopped bleeding completely after 4 days, but he was a vaginal delivery.) It's always something, lol.

I have no real stomach pains other than twinges here and there and obviously soreness. But nothing that would make me double over. Same goes for the incision. Nothing more than normal soreness (compared to any kind of deep cut I've had).

The oozing does concern me a bit, but like I said, it's a miniscule amount, but the fact that it's there in general worries me slightly.

Thanks!

Community Leader
Registered: 01-19-2008
Mon, 06-27-2011 - 8:19am
I'm really no help with the PP bleeding! For whatever reason, I hemmorhage after my deliveries. After my first, I hemmorhaged right away and they did a D&C directly after the delivery. So, I had barely any red blood after that. Just more fluidlike stuff. My second they treated me right after the delivery as if I had hemmorhaged, and I still passed softball sized clots and bled up to 6 weeks with the last week being more pinkish, but till then was definitely red. My 3rd, I hemmorhaged a few hours after the birth, they treated me at that point, and then I still bled red blood up to 8 weeks PP.

#4 was my only c-section, and it looked really good during that first week. I had only minimal bleeding, and really thought I was completely done by the end of the first week. And then the day that I had my 1 wk PP check-up, I started hemmorhaging at home! UGH! And I was passing golfball sized clots with it. I went through 3 super-overnight sized pads in less than an hour. The doc had to put me on methergine to help stop it. I went on to bleed a full 6 weeks, with the red bleeding stopping by week 5.

So, like I said, I'm a not a great one to judge that by.

I think you have made the right decision though about calling to have it checked out. It sounds like we had the same type of closing, and I didn't have anything like that. I was surprised how good the incision actually looked. I expected to see something nasty, oozing, & scary, but it just looked like a purple line across my belly. Much like some of my "other" purple lines. LOL

GL!! I hope it's nothing! Oh, and I forgot to say CONGRATULATIONS too!! :)
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iVillage Member
Registered: 03-31-2003
Tue, 06-28-2011 - 4:04pm

I also had some oozing. I had the dissolving stitches inside and steri strips on the outside. In my case, the oozing was caused by the dissolving stitches not dissolving and I had a couple that became infected and tried to work their way out (like a splinter that has festered). It was gross and part of it hurt like a b!tc# because of the stitch poking through my incision and rubbing against my clothes,

Manda :)

Community Leader
Registered: 01-19-2008
Tue, 06-28-2011 - 6:32pm
mandak78 wrote:

I also had some oozing. I had the dissolving stitches inside and steri strips on the outside. In my case, the oozing was caused by the dissolving stitches not dissolving and I had a couple that became infected and tried to work their way out (like a splinter that has festered). It was gross and part of it hurt like a b!tc# because of the stitch poking through my incision and rubbing against my clothes,

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Avatar for ubergeek
Community Leader
Registered: 09-23-2010
Wed, 06-29-2011 - 9:42pm

Oh wow! That's scary.

I did call Monday (sorry for the late update!) and the doctor wanted me to come in just to take a look. She looked and pressed and didn't see anything but told me to put some neosporin or bacitracin on it. She also ended up cutting part of the stitch (it was the end piece and I noticed it was sort of looped and hanging, so I doubt it would have disolved on it's own anytime soon).

However, she noticed that my feet were huge. I had swelling prior to having the baby, but it was typical standing on my feet type swelling that went away at night and slowly came back during the day. But after having the baby my feet blew up. The nurses kept saying it will go away. So I spent my hospital stay barefoot (I'd clean my feet before getting into the bed). On one hand I was supposed to walk around because of the section, but then I was supposed to rest my feet because of the swelling. Anyway, 10 days PP my feet looked like Fred Flintstones. :/ So she told the nurse to take my BP and it was super high. :( She sent me right over to the outpatient lab to get blood work done STAT. I called Tuesday and everything came back normal. I have to go tomorrow for a follow-up BP check (my official post partum checkup is next Tuesday). Never a dull moment. And of course I'm paranoid over what the high BP means. I never had high BP, in pregnancy or other.

Avatar for ubergeek
Community Leader
Registered: 09-23-2010
Wed, 06-29-2011 - 10:06pm

Thanks! I think that may have been/be what I experienced. I've been using neosporin like my doctor said to do since Monday and I haven't had any more oozing. Yay! ;)

I'm glad I called though. I wasn't sure what I should see (or not see) and she said that it was better that she look anyway.

iVillage Member
Registered: 03-31-2003
Wed, 06-29-2011 - 10:12pm
Glad you got it taken care of! My MW's nurses just brushed me off over the phone but luckily DS had a check up with our family dr and she took a look after she checked him out. It sounds awful and was a little horrifying for a girl still not over the fact that she'd been cut open and was still worried about her guts falling out (yes, I have an over-active imagination!). But looking back, it wasn't THAT bad, just gross. On another note, I also had some major swelling in the days after. I think it took about a week to fully go away. My blood pressure was finally normal though, so I'm guessing mine was from over-hydration and pitocin from my induction.

Manda :)

Avatar for ubergeek
Community Leader
Registered: 09-23-2010
Wed, 06-29-2011 - 10:42pm

LOL @ the over active imagination! I am super paranoid over things so I get that. My mind, unfortunately, goes to the worst case scenario in any instance. Luckily I've got a bit of a belly pouch so I can't see my incision without my compact and some tricks with the bathroom mirror. ;) So I just get my husband to look at it, lol.

iVillage Member
Registered: 06-17-2007
Thu, 06-30-2011 - 9:07am

As for the swelling and high bp, they're worried that you may have developed postpartum pre-eclampsia. It's rare but it does happen sometimes. The bloodwork will check your liver enzymes, among other things. I had pre-eclampsia with both my babies, but my second (born in March) was worse. He was delivered at 35w for it. It usually goes away with delivery of the placenta (and it did when my daughter was born in 2008), but not with my son. When he was a week old, I had to go back into the hospital for two days because my bp was so high. They ended up putting me back on labetalol (a beta-blocker that lowers your bp) and I was on it for a week and a half before my bp dropped enough that I could quit taking it. My recommendation to you is to relax as much as you can, drink tons and tons of water too. Apparently there's an association between blood pressure and losing water weight after birth, so drinking water helps out a lot.

As for the oozing, I had a bit, too, after showering and patting dry. And frankly, I bled for 8.5 weeks this time. It was never severe, just lasted forever. I got really annoyed when I was one week pp at the hospital and the OB asked me if I was even still bleeding at all. How annoying that they think we must quit faster!




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