When to Be Worried About Postpartum Bleeding
Postpartum bleeding, also known as lochia, is a normal part of the recovery process after childbirth. It refers to the discharge of blood and tissue from the uterus that occurs as the uterus contracts and heals. However, it is important for new mothers to be aware of when postpartum bleeding may be a cause for concern. In this article, we will discuss the signs and symptoms that indicate when postpartum bleeding is a cause for worry.
Understanding Normal Postpartum Bleeding
It is normal for postpartum bleeding to start within a few hours after childbirth and last for about four to six weeks. The bleeding may be heavy at first, with a flow similar to a menstrual period, and then gradually decrease in intensity. The color of the lochia may range from bright red to brown, and eventually to a whitish or yellowish discharge as the uterus continues to heal.
Signs of Abnormal Postpartum Bleeding
While some postpartum bleeding is normal, there are certain signs and symptoms that may indicate a problem. It is important to seek medical attention if you experience any of the following:
1. Heavy bleeding that soaks through more than one pad per hour for several hours in a row.
2. Bleeding that lasts longer than six weeks.
3. A sudden increase in bleeding after the bleeding has decreased.
4. Passing large blood clots, especially if they are larger than a golf ball.
5. Severe cramping or pain that is not relieved by rest or pain medication.
6. A fever higher than 100.4°F (38°C) or chills.
7. Discharge with a foul odor.
8. Swelling, redness, or tenderness in the area of the incision if you had a cesarean section.
Causes of Abnormal Postpartum Bleeding
Abnormal postpartum bleeding can be caused by several factors, including:
1. Uterine atony: This occurs when the uterus does not contract properly after childbirth, leading to excessive bleeding.
2. Placental problems: Conditions such as placenta previa, placenta accreta, or placental abruption can cause abnormal bleeding.
3. Infection: Infections in the uterus or surrounding tissues can lead to postpartum bleeding.
4. Cervical lacerations: Tears in the cervix can cause bleeding that may not stop on its own.
5. Uterine fibroids: Fibroids in the uterus can cause heavy bleeding during and after childbirth.
Seeking Medical Attention
If you are experiencing any of the signs or symptoms of abnormal postpartum bleeding, it is crucial to seek medical attention promptly. Your healthcare provider can perform a physical examination, including a pelvic exam, to determine the cause of the bleeding and recommend appropriate treatment. In some cases, treatment may include medication, such as oxytocin to stimulate uterine contractions, or surgical intervention to remove any retained tissue or to repair tears.
In conclusion, while postpartum bleeding is a normal part of the recovery process, it is important to be aware of the signs and symptoms that may indicate a problem. If you have any concerns about your postpartum bleeding, do not hesitate to contact your healthcare provider for guidance and support.
