The big day has come and gone, and you are now staring in wonder at your little bundle of joy. Whether you had a caesarean section or a vaginal birth, you will likely experience some bleeding in the days and weeks after your pregnancy. Postpartum bleeding (lochia) is completely normal. It is your body’s way of ridding itself of the excess blood and tissue that supported your baby. Here is a guide on what to expect postpartum and when to contact your doctor.
Normal Lochia Or Postpartum Bleeding
Normal bleeding after birth will initially be bright red and may contain small blood clots, typically smaller than a golf ball. It should have little to no offensive smell. Over time, the colour will gradually change, becoming pinkish or brownish, and then eventually a yellowish-white before it stops.
You should use maternity pads until the bleeding ceases, as tampons can increase the risk of infection in your healing uterus (this applies for natural delivery and caesarean sections). Expect heavier bleeding in the first few days, gradually decreasing over several weeks. This process can typically last anywhere from four to six weeks.
It is helpful to have a supply of comfortable, high-absorbency maternity pads ready before you give birth. We advise that you avoid using regular menstrual pads initially, as they may not be absorbent enough for the heavier flow in the early postpartum days. On a practical note, you will find wearing dark-coloured underwear a good idea during this time too.
When To Call Your Doctor
If you are in the hospital and experience postpartum haemorrhaging immediately after birth, the medical team will provide immediate care. If you are at home, contact your primary obstetrician in Durban immediately if you experience any of the following:
- A sudden increase in the amount of bleeding.
- Passing large blood clots (bigger than a golf ball).
- Bleeding that soaks through more than one pad per hour.
- A return to bright red bleeding after it had started to lighten.
- Foul-smelling lochia.
- Fever (a temperature of 38°C or higher).
- Increased pain in your abdomen or pelvis.
If your blood pressure drops significantly, you experience sudden severe pain, or you feel increasingly dizzy and faint, please visit your nearest emergency room without delay. These could be signs of a more serious complication.
Do not hesitate to reach out to us at OBGYN Durban if you have any concerns, even if your symptoms are not listed above. We are here to support you during your postpartum recovery.
Is Lochia The Same With A C-Section And A Natural Birth?
Not exactly. While you will experience lochia after both types of birth, the volume can differ. When you have a caesarean section, the doctors will have manually cleared some of the uterine contents during the surgery, which often results in less initial bleeding compared to a vaginal birth. However, the progression of colour change and the overall duration of lochia can be similar.
Regardless of your delivery method, your body needs time to heal and shed the uterine lining. Be patient with yourself and allow your body the necessary time to recover.
Tips for Managing Postpartum Bleeding
To help manage your postpartum bleeding and aid your comfort:
- Rest as much as possible. Physical activity can sometimes increase bleeding.
- Change your maternity pad frequently to maintain hygiene and prevent infection.
- Avoid strenuous activities and heavy lifting during the initial weeks.
- Stay hydrated by drinking plenty of fluids.
- Consider using a peri-bottle with warm water to gently cleanse the perineal area after using the restroom, especially if you had a vaginal delivery.
Everyone’s postpartum experience is unique, and your bleeding might differ slightly from this description. The most important thing is to have good communication with your obstetrician throughout your pregnancy and after birth. We are here to answer your questions and ensure your recovery is going well.
Postpartum bleeding (lochia) is a normal process. However, we understand it can sometimes be a bit daunting. Contact us today with any queries or concerns you may have, and your obstetrician can guide you through to a full recovery.