Postpartum bleeding, or lochiae, is a normal process after childbirth, lasting up to six weeks. It varies between vaginal and cesarean deliveries and requires proper care.
Normal Postpartum Bleeding
After childbirth, it is perfectly normal to have vaginal bleeding, whether the delivery was by vaginal birth or by cesarean section. These blood losses correspond to a natural phenomenon that accompanies the recovery of the uterus after the baby's birth.Duration and Nature of Bleeding
Postpartum bleeding, also called "lochiae," can last three to six weeks, with an initial period of heavy bleeding, similar to menstruation, then it will decrease until the fifteenth day and then gradually disappear. One can have, for a time, what is called "spotting" (light and intermittent vaginal blood loss).Bleeding After Cesarean Section
After a cesarean section, the bleedings are not fundamentally different from those observed after a vaginal birth. Even after a cesarean section, the uterus must eliminate the tissues and blood related to pregnancy and heal after the separation of the placenta.Hygiene and Care Recommendations
During the first days, it is recommended to use sanitary pads adapted to the postpartum period, capable of absorbing the more abundant losses. It is preferable to change the protection regularly and to wash hands before and after this change. Tampons and menstrual cups are not recommended during the initial recovery period, due to the risk of infection and ongoing healing.Return of Menstruation
The return of periods, or "return of menses," occurs during a variable period. There will be a return of menses, that is, the return of periods which will appear six weeks to two months after childbirth. It depends on whether the new mother is breastfeeding or not.When to Seek Medical Help
Even though lochiae are normal, certain signs can reveal a complication, including a secondary postpartum hemorrhage or an infection. Among these: a sudden loss of a lot of blood (for example if a large pad is completely soaked in one hour or less) and may be accompanied by large clots; significant dizziness, unusual weakness, discomfort, shortness of breath or palpitations; a fever of 38 °C or higher; foul-smelling discharge; abdominal pains that increase. If there is any doubt regarding postpartum bleeding, do not hesitate to contact your gynecologist or midwife.
