Patient's question:
Detailed medical condition and consultation purpose: I gave birth to my child on August 24th of this year. It was my first pregnancy, and I had a vaginal delivery. During the placenta delivery, the midwife said the placenta was not fully delivered. No uterine scraping was performed at that time. However, three days after delivery, I experienced an automatic flow of a piece of placental tissue the size of an infant's fist while using the restroom. The uterus contracted well postpartum. The lochia turned yellowish-white on the 25th day after delivery and turned white on the 45th day. Around 10 days after delivery, while using the restroom, I experienced some bleeding due to constipation, which affected my hemorrhoids. At the same time, I felt my external genitalia suddenly became congested and swollen.Doctor's answer:
After the third trimester of pregnancy, the fetus's pressure can obstruct blood, and the vaginal delivery stretches the labia minora. Additionally, the labia minora becomes congested to adapt to the needs of delivery. Due to the fetus's expansion, the external vaginal sphincter may be injured, and sometimes mild tearing may occur due to the fetus's pressure... These multiple factors can cause swelling and pain in the labia minora. This swelling and pain will require some time to recover.It is recommended to rest more, and when lying down, you can place a pillow under your buttocks or use a hot water bag (electric warmer, etc.) to apply heat to the labia minora. This can help promote the of blood and tissue fluid in the labia minora and alleviate swelling and pain.