Hey there, new mama! Congratulations on giving birth to a bundle of joy. Just like during pregnancy, your body goes through surprising changes after delivery. One of them is postpartum bleeding.
We know it isn’t the most glamorous topic to talk about, but understanding bleeding after delivery is crucial for your recovery.
Let’s walk you through everything you need to know about postpartum bleeding – from what it is to how to manage it.
Table of Contents
What is Postpartum Bleeding?
During pregnancy, your body undergoes numerous changes to accommodate the growing life within you.
Once your baby is born, your body doesn’t just snap back to its pre-pregnancy state. You experience vaginal bleeding, which is perfectly normal. There is even a scientific name for it, lochia.
This bleeding is your body’s way of shedding the uterine lining, blood, placental tissue, sloughed-off endometrial lining, and other fluids that support your baby during pregnancy.
Doctor Recommendation: Assist. Prof. Dr. Maria Imran is a leading Gynecologist/obstetrician in Lahore. With experience spanning over 14 years, she is well-trained in dealing with gynecological problems.
What are the Types of Postpartum Bleeding?
There are three main types of Lochia, each with its own characteristics:
- Lochia Rubra: This is the initial bleeding and is typically bright red. It consists of blood, mucus, and uterine tissue. Lochia Rubra usually lasts for about 3 to 5 days after childbirth.
- Lochia Serosa: After the Rubra stage, the bleeding becomes lighter and pinkish or brownish. This stage can last from about the 4th day to the 10th day postpartum.
- Lochia Alba: Towards the end of the first week or the beginning of the second week, the bleeding further decreases and turns whitish or yellowish. This final stage can last up to 6 weeks after delivery.
Why Does Postpartum Bleeding Occur?
Let’s understand scientifically why this bleeding occurs:
Uterine Involution
During pregnancy, your uterus expands to accommodate your growing baby. After childbirth, your uterus contract and return to its pre-pregnancy size.
This process, known as uterine involution, leads to the shedding of the uterine lining and causes bleeding.
Healing of the Placental Site
The site where the placenta was attached to the uterine wall needs healing after childbirth. As this area heals, some bleeding is normal. This process contributes to the Lochia discharge.
What’s Normal and What’s Not About Postpartum Bleeding?
Normal Lochia
Lochia is a natural part of postpartum recovery. It’s normal for the bleeding to be heavier in the first few days and gradually decrease in flow and color.
It’s also common to experience mild cramping as your uterus contracts.
Abnormal Lochia
While some bleeding is normal, look out for potential warning signs.
If you experience heavy bleeding that requires changing pads every hour, pass large blood clots, or notice a foul odor, tell your gynecologist. These signs may point toward infections or other complications.
What to Pack in Your Hospital Bag to Manage Postpartum Bleeding?
As your delivery time approaches, start packing your hospital bag. Here’s a list of all the essential items you should add:
- Maternity Pads: These are special pads designed to handle the heavier bleeding flow. Choose soft, comfortable maternity pads that offer more absorption.
- Comfortable Underwear: Opt for comfortable and high-waisted underwear that can hold the pads in place.
- Extra Clothing: Pack a few sets of loose, comfortable clothing. Dark colors are a good choice to hide any potential stains.
- Wipes or Perineal Bottles: After giving birth, you might be sensitive in the perineal area (area between vagina and anus). Wipes or a perineal bottle filled with warm water can help you clean yourself gently.
- Nursing Bra: If you plan to breastfeed, keep supportive nursing bras that support comfort and convenience.
- Pain Relief: Over-the-counter pain relievers can help manage any discomfort. However, your gynecologist will recommend you pain medications.
- Hygiene Products: Include a mild, fragrance-free soap, and avoid using tampons during bleeding, as they can increase the risk of infection.
How to Manage Postpartum Bleeding?
Now that you know all about lochia, let’s discuss how to manage this natural process with care and comfort:
Choose the Right Hygiene Products
Women generally use sanitary pads in Pakistan. However, if you use tampons or menstrual cups, don’t use them during postpartum bleeding.
Sanitary pads are safer and more hygienic because they reduce the risk of introducing bacteria into your whaling uterus.
Change Pads Regularly
Change pads frequently to prevent infection and maintain good hygiene.
Change it every 2 to 4 hours or whenever it feels soaked. Keeping the area clean and dry will lead to a smoother recovery.
Suggested Read: Some Commonly Asked Questions About Sanitary Pads!
Practice Good Hygiene
During postpartum bleeding, maintaining proper hygiene is of utmost importance.
After using the restroom, always wipe from front to back to prevent the spread of bacteria. And make sure to wash your hands thoroughly after each change.
Rest and Avoid Strenuous Activities
Your body needs time to heal after childbirth, so prioritize rest. Avoid strenuous activities, heavy lifting, and vigorous exercises during the initial weeks of bleeding.
The more your rest, the more your body will recover.
Stay Hydrated and Eat Nutritious Foods
A balanced diet and proper hydration are essential for your overall recovery.
Nutrient-rich foods and plenty of water will support your body as it heals. A dietary routine helps replenish nutrients lost during childbirth and postpartum bleeding.
Monitor the Discharge
Pay attention to the color, amount, and smell of the discharge. Initially, it will be bright red and gradually change to a lighter color.
If you notice a sudden increase in bleeding, the passage of large clots, or a foul odor, contact your gynecologist.
Use Ice Packs and Warm Compresses
Ice packs can help reduce swelling and discomfort in the perineal area.
Conversely, warm compresses can provide relief and improve blood flow. Alternate between these two methods to soothe any soreness or discomfort.
Practice Kegel Exercises
Kegel exercises can help strengthen your pelvic floor muscles. These also promote healing and prevent issues like urinary incontinence.
Start with gentle contractions and gradually increase the duration and intensity as you feel comfortable.
Suggested Read: Pelvic Floor Health During Pregnancy – Can it Impact Baby’s Health?
Be Patient and Kind to Yourself
Remember! Postpartum bleeding is a natural process, and your body is healing at its own pace.
Be patient with yourself, and don’t rush the recovery process. Give yourself the time and care you deserve.
When to Consult a Gynecologist?
Every woman’s postpartum experience is unique. Understanding it before giving birth can save you from surprises.
However, if you feel something’s wrong, consult a healthcare provider. You can book an appointment with the best lady doctors via Healthwire.
