Postpartum bleeding stopped, then started again?

Postpartum Bleeding Stopped, Then Started Again? Let’s Understand Why!

Hey there, new mums and parents! As experienced moms, we know that postpartum bleeding can be a bit alarming, especially when it seems to have stopped and then starts again. But don’t worry; we’re here to discuss why this happens and provide some friendly suggestions to help you navigate this journey.

Lochia Stages

First, let’s understand the different stages of lochia, which is the normal part of the postpartum transition of the uterus. Lochia is the resulting discharge that occurs after vaginal delivery or cesarean section, and it goes through three stages: lochia rubra, lochia serosa, and lochia alba.

Lochia rubra, the first stage of postpartum bleeding, is a mixture of blood, white blood cells, and tissue from the lining of the uterus. It typically lasts for about three to five days postpartum and is characterized by bright red bleeding and possibly small clots.

The second stage, lochia serosa, is a lighter, pinkish-brown discharge that lasts for about two to three weeks postpartum. Finally, lochia alba, the last stage, is a whitish-yellow discharge that can last up to six weeks postpartum.

Sometimes, after your lochia rubra has lightened or even stopped, you may experience a sudden gush of bright red blood, small clots, or heavy bleeding. This can understandably be worrisome, but it’s essential to know that this is not uncommon.

One Possible Explanation…

One possible explanation for this intermittent spotting is the normal process of the placental site scab, which protects the uterine wall after birth. As the scab dislodges, it can cause the return of red blood cells and heavier vaginal bleeding. Another reason could be hormonal changes, especially in breast-feeding women, as the return of your menstrual cycle can cause a first period that seems more like a heavy period.

Potential Problems

That being said, there are some instances when the bleeding could indicate a more serious condition, such as uterine atony, a common cause of postpartum hemorrhage. This occurs when the uterus doesn’t contract properly after the birth of your baby, leading to uncontrolled bleeding. Retained placenta, another risk factor, happens when a small amount of placental tissue remains in the uterus after delivery, preventing the womb from contracting and leading to excessive blood loss.

Here are some signs that you should seek medical attention:

• Heavy bleeding that requires a change of maternity pads every hour for several consecutive hours
• Blood clots larger than a golf ball
• Severe pain in your abdomen or perineum
• Foul odor in the vaginal discharge
• High fever or chills
• Dizziness, lightheadedness, or rapid heart rate due to much blood loss

If you’re experiencing any of these symptoms, it’s a good idea to contact your healthcare provider or visit the emergency room immediately. They might perform a uterine massage or provide medication to help your uterus contract and stop the bleeding. In rare conditions, a blood transfusion might be necessary.

Tips for Managing Postpartum Bleeding

In addition to monitoring for these symptoms, here are a few tips for managing postpartum bleeding:

• Use maternity pads instead of regular menstrual pads or menstrual cups, as they’re designed to accommodate heavier blood flow and are more comfortable for postpartum recovery. Do not use tampons for postnatal bleeding.
• Avoid sexual intercourse until you’ve been cleared by your healthcare provider, usually around six weeks postpartum, to reduce the risk of infection.
• Practice good hygiene by keeping the nearby area clean and dry, changing pads regularly, and washing your hands before and after doing so.

As a breastfeeding mother, you can also help your uterus contract and return to its normal size by nursing your baby regularly. The release of the hormone oxytocin during breastfeeding helps stimulate uterine contractions, which can aid in postpartum recovery.

It’s important to remember that every woman’s body is different, and the timeline for postpartum bleeding can vary. Read more here on the nhs site about your body after birth.

Exclusive breastfeeding can sometimes delay the return of menses, but this is not always the case. It’s always a good idea to discuss your specific situation with your healthcare provider or health visitor, who can provide personalized guidance and support.

​Differences in Postpartum bleeding for caesarean section and vaginal births

Postpartum bleeding, also known as lochia, occurs after both vaginal births and cesarean sections (C-sections), as the uterus goes through the process of healing and returning to its pre-pregnancy state. However, there can be some differences in the bleeding experience between these two types of delivery.

Vaginal Birth

After a vaginal birth, postpartum bleeding typically begins with bright red blood that may contain small clots. The flow is usually heaviest in the first few days following delivery and gradually lightens over the next few weeks. As the uterus continues to contract and heal, the lochia transitions through the three stages mentioned earlier: lochia rubra, lochia serosa, and lochia alba.

Cesarean Section (C-Section)

Postpartum bleeding after a C-section can be somewhat different. In some cases, women who have undergone a cesarean delivery may experience slightly less bleeding initially, as some blood and uterine lining may have been removed during the surgery. However, the overall process of lochia and the timeline of its stages are generally similar to those of a vaginal birth.

It’s important to note that women who have had a C-section are at a higher risk of infection due to the surgical incision. It’s crucial to keep the incision site clean and dry, and monitor for any signs of infection, such as increased pain, redness, swelling, or foul-smelling discharge.

In both types of delivery, it’s essential to be aware of the signs that might indicate a more serious condition, such as heavy bleeding, large clots, foul odor, fever, or severe pain. If you experience any of these symptoms, contact your healthcare provider or visit the emergency room immediately.

In summary, while there can be some differences in the initial bleeding experience between vaginal births and C-sections, the overall process of postpartum bleeding and the stages of lochia are generally similar for both types of delivery. Always keep an open line of communication with your healthcare provider and seek medical help if you have any concerns about your postpartum bleeding.

When to Expect Your First Postpartum Period and How Breastfeeding Can Affect It

Every woman’s body is different, and the timeline for the return of your first postpartum period can vary greatly. Factors such as hormonal changes, breastfeeding, and individual health conditions all play a role in when your menstrual cycle resumes after giving birth.

For some women, the first postpartum period can occur as early as six weeks after delivery, while others might not see their period return for several months or even longer. It’s important to remember that this wide range of experiences is entirely normal.

Breastfeeding, in particular, can have a significant impact on the return of your menstrual cycle. Exclusive breastfeeding can sometimes delay the return of menses (menstrual bleeding) as the hormones responsible for milk production can also suppress ovulation.

This is especially true in the early months of breastfeeding when your baby is nursing frequently and exclusively relying on your breast milk for nourishment. However, this is not always the case, and some breastfeeding mothers may see their period return relatively soon after giving birth.

Keep in mind that while exclusive breastfeeding may provide some natural contraception in the first six months postpartum, it is not a foolproof method.

Ovulation can occur before the return of your first postpartum period, so it’s important to discuss contraception options with your healthcare provider if you’re not ready for another pregnancy.

Lastly, don’t forget to take care of yourself, new mum! Postpartum recovery can be a challenging time, and it’s essential to prioritize your physical and emotional well-being. Make sure to get enough rest, eat nutritious meals, and stay hydrated. Reach out to friends, family, or other new parents for support, and don’t hesitate to seek professional help if needed.

In summary, postpartum bleeding that stops and starts again can be a normal part of the postpartum transition of the uterus, as it goes through the stages of lochia. However, it’s essential to be aware of the signs that might indicate a more serious condition and seek medical help if necessary. Remember that every woman’s experience is unique, and having open communication with your healthcare provider is key to ensuring a healthy and smooth postpartum recovery.

I hope this information has been helpful, and I wish you the very best on your journey as a new mom. Remember, you’ve got this!