Understanding Postpartum Bleeding: A Guide to What to Expect and How to Manage It

Giving birth is a life-changing experience, and the recovery period that follows comes with its own set of changes. One common experience after childbirth is postpartum bleeding, also known as lochia.

This type of bleeding is a natural part of the body’s healing process, as it clears out leftover blood, tissue, and other materials from the uterus after delivery. While it’s normal, postpartum bleeding can sometimes feel overwhelming, especially if you’re unsure of what to expect.

What is Postpartum Bleeding?

Postpartum bleeding, or lochia, is the body’s way of shedding the lining of the uterus after childbirth. This process usually lasts anywhere from a few weeks to over a month, with bleeding gradually tapering off. The flow can vary in volume, colour, and consistency as the uterus heals and the body returns to its pre-pregnancy state.

The duration and intensity of postpartum bleeding can differ from person to person. Typically, women who have given birth vaginally may experience heavier bleeding than those who have had a C-section, but this varies.

Stages of Postpartum Bleeding

Understanding the stages of lochia can help you prepare and know what’s normal versus what might be cause for concern. Postpartum bleeding generally moves through three stages:

1. Lochia Rubra (Days 1-4): This is the initial stage right after birth, where bleeding is typically bright or dark red and is heavy with small clots. This stage may feel similar to a heavy period and can include some cramping as the uterus contracts to return to its normal size.

2. Lochia Serosa (Days 5-10): After the first few days, the bleeding generally transitions to a pinkish or brownish color and becomes lighter in flow. This stage may last for around a week and signifies that the healing process is progressing.

3. Lochia Alba (Days 10-6 weeks): In the final stage, the discharge becomes light yellow or white and is more of a thin consistency. This stage may last a few weeks and is the body’s way of finishing the healing process.

When to Contact a Healthcare Provider

While postpartum bleeding is natural, there are certain signs to look out for that could indicate a complication. Seek medical advice if you experience any of the following:

• Heavy, bright red bleeding that soaks through a pad in under an hour, especially if it occurs after the initial days.
• Large blood clots (larger than a golf ball).
• Foul-smelling discharge, which can indicate an infection.
• Fever, chills, or increasing pain in the abdominal or pelvic area.

These symptoms could be signs of infection, retained placenta, or other complications, so reaching out to a healthcare provider promptly is important for your safety.

Tips for Managing Postpartum Bleeding Comfortably

Managing postpartum bleeding can feel like a challenge, especially when you’re already adjusting to life with a newborn. Here are some tips to help make it more manageable:

1. Choose Comfortable and Absorbent Pads: In the first days after childbirth, you’ll likely need heavy-duty maternity pads designed for postpartum bleeding. As the flow becomes lighter, you can switch to regular sanitary pads. Avoid tampons, as they can introduce bacteria and cause infection in the healing uterus.

2. Wear Breathable, Comfortable Clothing: Postpartum bleeding can sometimes lead to minor leaks, so wearing comfortable, loose-fitting clothing can be helpful. Opt for underwear and pants that don’t press tightly on your abdomen to avoid discomfort.

3. Use Sustainable Disposal Options: Proper disposal of period products is important for hygiene and environmental impact. Using a sustainable option like FabLittleBag for disposal can make managing postpartum bleeding more convenient and eco-friendly. FabLittleBag’s discreet, hygienic period disposal bags make it easy to dispose of pads without odour or leaks, whether you’re at home or on the go.

4. Stay Hydrated and Rested: Your body needs plenty of fluids to aid in the recovery process. Staying hydrated can also help reduce bloating and support circulation, which is essential for healing. Try to rest as much as possible—your body will need time to adjust after childbirth.

5. Practice Gentle Self-Care: Postpartum recovery isn’t just physical; it can be emotionally challenging as well. Give yourself time and space to adjust, and remember that taking care of your own needs is vital for your overall well-being.

Postpartum Bleeding and Activity Levels

While it’s essential to rest, light activity can actually support your recovery, as long as it’s done with caution. Walking, gentle stretching, or mild exercise can aid circulation and help with physical recovery. Listen to your body, and if you notice an increase in bleeding, slow down and let your body rest.

Final Thoughts: Taking Care of Yourself Postpartum

Postpartum bleeding is a normal part of recovery, but it’s essential to be prepared and informed. Having the right supplies on hand, using eco-friendly disposal options, and listening to your body’s needs will all help you manage this phase comfortably. Remember, it’s okay to ask for help, take things slowly, and give yourself grace as you recover.

Taking the time to care for yourself postpartum is one of the best ways to nurture both your physical and emotional health. Whether this is your first pregnancy or not, each recovery is unique, and there’s no one-size-fits-all approach. Reach out to friends, family, or healthcare professionals if you need support, and embrace this time as a vital part of your journey.