Bump & Beyond | Postpartum Bleeding

After delivering a baby, postpartum bleeding can be expected whether you deliver vaginally or by cesarean delivery. The medical term for postpartum bleeding is lochia. Lochia is vaginal discharge that occurs after giving birth and is made up of blood, mucus, and uterine tissue. It's a normal part of the postpartum healing process and usually lasts for four to six weeks, but it can last up to 12 weeks. The amount of bleeding can also vary from person to person, but it is typically heavier in the first few days after delivery.

Check out this diagram from Birthbabe about lochia.

The discharge of lochia helps the uterus heal and return to its pre-pregnancy state. The placenta is roughly the size of a dinner plate. Immediately after delivery, there is a wound where the placenta was attached, and this wound needs to heal. That area shrinks and heals as the uterus contracts and returns to its pre-pregnancy size. For that reason, women who have just delivered a baby are at a higher risk of infection. For this reason, there are some guidelines for postpartum women to follow:

• Showers only — no tub baths

• No swimming in pools or the ocean

• No use of saunas or hot tubs

• No vaginal or anal sexual intercourse

• No use of tampons — pads only for postpartum bleeding

• No douching

• Use breathable cotton underwear

• Use antibacterial soap — Soap without fragrance and harsh dyes is best.

It’s really important to maintain good hygiene after giving birth. Plan to change your pads frequently, preferably every one to two hours.

In some cases, postnatal bleeding can be more severe than just lochia and may require medical attention. Seek immediate medical attention if you experience any of the following issues:

• Heavy bleeding: if you soak through a pad in less than an hour

• Passing large blood clots the size of a golf ball or larger

• Prolonged bleeding: if your postnatal bleeding is still heavy after the first few days

• Foul or strong odor

• Severe pain

• Fever or chills

• Dizziness or lightheadedness

When you are preparing for delivery, set up a peri-care station at home with all of your hygiene items. Easy access to these items will make your trips to the bathroom smoother. I had a small basket in my bathroom with pads, a peri-care bottle, and other recovery items. It is important to prioritize your hygiene during postpartum for a smooth and speedy recovery. If you have any concerns with your recovery, reach out to your OB-GYN. Early intervention is key to quick recovery for any issues postpartum.

Bump & Beyond is a blog series from Infirmary Health to provide guidance and education to pre and post-partum moms. Learn more about the author of this blog, childbirth educator, Sarah Mallonee.

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