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This article was co-written by Carrie Noriega, MD. Dr. Noriega is a licensed obstetrician and gynecologist in Cporado. She specializes in women’s health, rheumatology, pulmonary, infectious diseases and digestive diseases. She received her MD from Creighton School of Medicine in Omaha, Nebraska and completed her residency at the University of Missouri – Kansas City in 2005.
There are 13 references cited in this article that you can view at the bottom of the page.
This article has been viewed 2,363 times.
Vaginal bleeding is common in all women after childbirth and usually lasts 6 to 8 weeks. After that, a normal menstrual cycle occurs only when the mother stops breastfeeding or is using birth control pills. Sometimes, it can be difficult to tell when postpartum bleeding ends and your period begins. However, there are many telltale signs you should watch out for.
Steps
Know the difference
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Note the timeframe. The length of time that your period will return after the birth of your baby depends entirely on how long you breastfeed. If you only breastfeed your baby for the first 3 months, your periods are likely to return within a few weeks of weaning, or if you breastfeed for 18 months, your period may be different. may not appear during this time period. Vaginal bleeding, on the other hand, will begin shortly after delivery and may last for about 6 to 8 weeks before tapering off. [1] X Trusted Source University of Rochester Medical Center Go to Source
- Breastfeeding can delay the day because it stimulates the body to release the hormone prpactin and keep progesterone and estrogen levels low. [2] X Trusted Source Mayo Clinic Go to Source
- Even women who are not breastfeeding may not get their period again for a few weeks after giving birth. About 70% of women will have a red light day at 6-12 weeks postpartum. Menstrual cycle should only last 3 to 6 days. [3] X Trusted Source Mayo Clinic Go to Source
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Check the color of the blood. Postpartum bleeding will be a different color from menstrual blood, so it’s also important to document this. [4] X Trusted Source Mayo Clinic Go to Source
- For postpartum bleeding, the blood will be bright red within the first 3 days. Then, from the 4th to the 10th day, the discharge will change color from pinkish red to reddish brown with various components such as old blood, white blood cells, and tissue removed from the lining of the uterus. [5] X Trusted Source Mayo Clinic Go to Source
- After the 10th day, you will see white discharge. This fluid includes white blood cells, mucus, and epidermal cells.
- Although menstrual blood may be bright red at the beginning, it will turn crimson, dark red, or reddish brown as the day approaches the end of your period. [6] X Trusted Source Mayo Clinic Go to Source
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Pay attention to the amount of bleeding. For postpartum bleeding, the amount of blood will be more than menstrual bleeding. Usually, postpartum bleeding will be heavy for the first 4 days and then gradually decrease over the next few days/weeks.
- If the bleeding is wet with a special postpartum tampon for 1 hour and lasts at least 3 hours in a row, or there is a very large blood clot (the size of a gpf ball) after about two to three days first, call your doctor right away.
- For a red light cycle, the most bleeding is about the first 3 to 4 days, but you will lose an average of about 10 ml to 80 ml of blood. [7] X Trusted Source Mayo Clinic Go to Source
- A simple way to interpret blood counts is to understand that a tampon can hold about 5 milliliters of blood. So you can calculate the number of tampons you use and multiply by 5 to determine the total milliliter of bleeding. [8] X Research Sources
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Recognizing postpartum haemorrhage. You can experience postpartum bleeding and on average, 1 in 5 women will experience this. [9] X Research Source Hemorrhage is completely different from postpartum bleeding and requires prompt care from a medical facility. This occurs due to the placenta detaching from its attachment site in the cervix or other tissues, or due to a blood clotting disorder. If left untreated, it can lead to shock and death. [10] X Research Sources Signs of bleeding include: [11] X Research Sources[12] X Research Sources
- Vaginal bleeding that is so heavy that it wets more than one tampon in 1 hour and lasts 2 hours in a row, or continues to bleed bright red with/without blood clots after a vaginal discharge leads to decrease or turn brown.
- Blood pressure drops
- Heart rate increases
- Reduced red blood cell count
Treatment of vaginal bleeding after childbirth
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Adjust your diet. Losing blood means you lose iron. To avoid iron deficiency, increase the amount of iron you absorb through your daily diet. There are tons of foods rich in iron, such as: [13] X Research Source
- Lentils and pinto beans or kidney beans (kidney beans)
- Chicken, liver or beef
- Broccoli or Asparagus
- Okra, parsley and kelp
- Mustard greens or beets
- Raisins, prunes, dried peaches, or dried prune juice
- Rice bran powder
- Molasses
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Take iron supplements. After giving birth, if the bleeding is normal or there is little discharge, it is not necessary to use the drug because this condition will disappear within 6 weeks to two months maximum; however, your doctor may recommend or prescribe some oral iron supplements to help treat any signs of iron deficiency caused by blood loss. [14] X Research Source
- Most over-the-counter iron supplements work and are often better absorbed with acidic juices, like pineapple or orange juice. Consult your doctor or pharmacist for advice if you are unsure about which brand to choose.
- You should take these supplements about once a day, but you can increase the number of times depending on your anemia. The drug should be taken after meals to avoid constipation and this is also a common side effect. A few other stomach upset symptoms are also commonly associated, such as nausea or vomiting. You may also have green stools.
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Medical treatment for postpartum haemorrhage. If you are experiencing postpartum bleeding, you need to be taken to a medical facility immediately to avoid shock. Treatment will include:
- Blood transfusions are essential in supporting vital organs such as the brain, cardiovascular system, kidneys and liver, and helping to prevent organ damage. Performing a blood transfusion helps to make up for the lost blood. [15] X Trusted Source Mayo Clinic Go to Source
- Oxytocin is given by intravenous injection, which stimulates uterine contractions and controls bleeding. [16] X Trusted Source Mayo Clinic Go to Source
- Oxytocin primarily works by stimulating uterine contractions by acting on specific receptors on the lining of the uterine smooth muscle. It also increases the amount of calcium present in the intracellular space to promote contraction. [17] X Trusted Source Mayo Clinic Go to Source
Understanding physiological processes
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Know the cause of postpartum bleeding. If everything goes in the right order, after delivery the uterus will continue to contract to push the remaining placenta out. This is also the process of blocking all the blood vessels that support the nourishment of the fetus. Postpartum bleeding is made up of remnants.
- Bleeding occurs when the uterus goes through a “contraction phase” — a normal physiological response in which the uterus returns to its pre-pregnancy state. any unwanted complications.
- After a while, the lining of the uterus will be sloughed off and pushed out of the body. This is called translation.
- The above processes are completely normal. The uterus will heal on its own and the bleeding/fluid should disappear within 6 weeks.
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Know the cause of period bleeding. During a woman’s menstrual cycle, the uterus is covered with a nutrient-rich lining in preparation for the arrival of a fertilized egg. [18] X Trusted Source Mayo Clinic Go to Source
- If fertilization does not take place, this lining will shrink and peel on its own before being ejected from the body along with the unfertilized egg. As the uterus sheds the old lining, a new one will form and the red light cycle begins again. [19] X Trusted Source Mayo Clinic Go to Source
- Each menstrual cycle usually lasts for 2 to 7 days and repeats for an average of 28 days, although each woman’s cycle is different. [20] X Trusted Source Mayo Clinic Go to Source
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Recognize abnormal bleeding after birth. In some cases, after giving birth, the bleeding can be excessive and dangerous to health. Excessive bleeding is when the blood soaks one or more tampons in an hour, has a clot the size of or larger than a gpf ball, or continues to notice bright red blood after 4 days. [21] X Research Source There are many different reasons for this phenomenon, such as: [22] X Research Source
- Uterine atony — This is the most common cause of heavy bleeding after delivery. This happens when the uterus can’t continue to contract — due to labor that is too long, inflammation, exhaustion, or the use of pain relievers (such as NSAIDs, nitrates) — allowing blood to flow freely out of the uterus. body. [23] X Trusted Source University of Rochester Medical Center Go to source
- Missing Placenta — Simply put, when the placenta has not completely separated from the uterus. Placenta left in the uterus will lead to postpartum bleeding. [24] X Trusted Source University of Rochester Medical Center Go to Source
- Uterine trauma — Injury to the uterus occurs from a variety of causes, such as an intense delivery, i.e. an attempt to expel the remaining placenta from the body (by hand, with a special assistive device, or with labor inducers, such as Oxytocin). All of this can cause damage to the genitals or the lining of the uterus, causing large amounts of blood to flow. [25] X Trusted Source University of Rochester Medical Center Go to Source
- Other causes — Other potential causes of postpartum haemorrhage such as a dilated uterus (possibly from twins), preeclampsia, infection, or obesity. [26] X Trusted Source University of Rochester Medical Center Go to Source
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This article was co-written by Carrie Noriega, MD. Dr. Noriega is a licensed obstetrician and gynecologist in Cporado. She specializes in women’s health, rheumatology, pulmonary, infectious diseases and digestive diseases. She received her MD from Creighton School of Medicine in Omaha, Nebraska and completed her residency at the University of Missouri – Kansas City in 2005.
There are 13 references cited in this article that you can view at the bottom of the page.
This article has been viewed 2,363 times.
Vaginal bleeding is common in all women after childbirth and usually lasts 6 to 8 weeks. After that, a normal menstrual cycle occurs only when the mother stops breastfeeding or is using birth control pills. Sometimes, it can be difficult to tell when postpartum bleeding ends and your period begins. However, there are many telltale signs you should watch out for.
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