If you are expecting to give birth soon, you may be wondering about postnatal bleeding, what it is, and why it happens. In this post, we’ll explore what lochia is, what to expect, and how to manage it.
Postnatal bleeding is known as lochia and is the normal vaginal bleeding and discharge that occurs after giving birth. It is made up of blood, mucus, and uterine tissue. It occurs as your body sheds the lining of the uterus and heals.
Did you know this means that you can expect to experience lochia even if you have a cesarean birth?
Lochia can last up to 6 weeks though it usually lightens sooner than that. It’s important to rest and hydrate during this time. If you are feeling uterine contractions especially while nursing your baby, know that this is normal and is helping your recovery.
**It’s important to avoid the use of tampons and of penetrative sex at this time until your care provider gives you the go-ahead.
What’s Normal vs Potential Warning Signs
You can expect to see a gradual decrease in flow over time as well as colour changes. At the beginning, lochia tend to be heavier and a brighter red hue. It can also include small clots and smell metallic (not foul).
Bleeding can be heavier after breastfeeding or first thing in the morning (due to oxytocin stimulating the uterus).
You might also experience some mild cramping or “afterpains,” especially in the first few days.
Managing Lochia
Use sanitary pads or menstrual underwear to absorb the flow, and change them frequently to stay comfortable and prevent infection (yes, you might want to have the big incontinence underwear like Depends for a few days/ couple of weeks as it makes for less mess in the bed).
Wear comfortable clothing that allows for ease of movement and doesn’t rub against your body. Honestly, stay mostly nude or in sleeping attire for the first couple of weeks, stay home and limit
your visitors. Best is to ake it easy and prioritize rest to support your body’s recovery for the first 2-6 weeks MINIMUM.
Next level healing can also include daily (maybe 3x per day) sitz baths. This is where you soak your vulva and butt in a bowl of warm water, perhaps with some soothing healing herbs and epsom salts. Especially good if the vaginal had repairs after birth. KEY IS TO BE CLEAN AND DRY after every siz soak. Stay with legs spread in bed after for 20 minutes or use a hair dryer on low setting to ensure you are dry down there before putting a pad back on.
**Most disposable pads are single use plastic and not breathable enough.
When to Reach Out for Help
It is important to listen to your body and respond to signs of being unwell such as:
➢ Your bleeding becomes suddenly very heavy (soaking a pad in less than an hour) ➢ You pass large clots (larger than a golf ball)
➢ Bleeding smells foul or unusual
➢ You develop fever, chills, or worsening pain
➢ The bleeding gets heavier instead of lighter over time
These could be signals from your body that you have an infection or that there is something holding up your healing and seeing your health provider will bring you relief sooner. Don’t put it off.
Get Support from a Doula
It’s normal to feel overwhelmed or emotional during the postpartum period. Remember that you’re not alone, and there are resources available to support you. Consider a postpartum doula who can provide emotional support, guidance, and care to help you navigate this journey.
If you’re looking for personalized care and support during the postpartum period, consider reaching out to a doula. We can provide you with the care and guidance you need to feel confident and supported during this time. Contact us to learn more about our doula services and how we can support you.