Foul-smelling post-partum discharge needs to be treated with antibiotics and other medications under the supervision of a doctor, as it is caused by an infection of the reproductive tract.
After giving birth, a woman will have a discharge of bad dew, which contains blood, necrotic meconium tissue and so on, and will have a bloody smell, but will not have an obvious odor. If you find that the discharge has an obvious odor after delivery, you should consider whether a reproductive tract infection has occurred and need to go to the hospital for examination in a timely manner.
If you suspect a reproductive tract infection, you need to carefully examine the abdomen, pelvis and perineal wounds to determine the location and severity of the infection, and if necessary, do an ultrasound, CT or MRI to determine whether there is an inflammatory mass or abscess. Routine blood tests will reveal a marked elevation of C-reactive protein.
If a postpartum reproductive tract infection is identified, it needs to be treated with antibiotics under medical supervision. For example, in the absence of a clear pathogen, the drug can be used empirically. If the pathogen is clearly identified, a drug sensitivity test needs to be done, and then sensitive antibiotics are selected for treatment.
If a reproductive tract infection is identified, the cause of the infection needs to be clarified along with nutritional support. For example, if there is retained placenta or fetal membranes, intrauterine infected tissue clamping is done while applying antibiotics.
If there is a perineal wound or abdominal incision infection, incision and drainage is needed. If there is pelvic abscess formation, drainage can be performed via transabdominal or posterior fornix puncture.