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Does breastfeeding increase uterine bleeding?

Understanding the Relationship Between Breastfeeding and Uterine Bleeding
Breastfeeding is often heralded for its numerous benefits, not only for the infant but also for the mother. One significant aspect of postpartum recovery is the management of uterine bleeding, particularly in the context of postpartum hemorrhage (PPH). Recent insights suggest that breastfeeding may play a crucial role in reducing uterine bleeding after childbirth.
The Role of Oxytocin
When a mother breastfeeds, her body releases a hormone called oxytocin. This hormone is vital for stimulating uterine contractions, which can help the uterus return to its pre-pregnancy size and firmness. The contractions induced by oxytocin are essential in minimizing the risk of uterine atony, a condition where the uterus fails to contract effectively after delivery, leading to excessive bleeding.
Research indicates that the act of breastfeeding, or even nipple stimulation, can significantly enhance the secretion of oxytocin. This physiological response not only aids in reducing blood loss during the third stage of labor but also contributes to overall uterine health in the postpartum period.
Postpartum Hemorrhage and Breastfeeding
Postpartum hemorrhage is a serious condition characterized by heavy bleeding following childbirth, which can pose life-threatening risks if not managed promptly. Studies have shown that early initiation of breastfeeding can be an effective strategy in reducing the amount of vaginal blood loss during the fourth stage of labor, which is the immediate postpartum period. By promoting uterine contractions through breastfeeding, mothers may experience a decrease in the severity of bleeding, thereby enhancing their recovery.
Conclusion
In summary, breastfeeding appears to have a protective effect against uterine bleeding postpartum. The release of oxytocin during breastfeeding not only facilitates uterine contractions but also helps mitigate the risks associated with postpartum hemorrhage. For new mothers, this underscores the importance of breastfeeding not just for the infant’s health but also as a critical component of their own recovery process. As healthcare providers continue to advocate for breastfeeding, understanding its physiological benefits can empower mothers during their postpartum journey.

How does breastfeeding affect the uterus?

Breastfeeding triggers the release of a hormone called oxytocin that causes the uterus to contract. This helps the uterus return to its normal size more quickly and may decrease the amount of bleeding you have after giving birth. Breastfeeding may make it easier to lose the weight you gained during pregnancy.

Does breastfeeding speed up postpartum bleeding?

Breastfeeding promotes uterine involution, and can help control postpartum bleeding.

Why am I getting my period while breastfeeding?

If you have lower levels of progesterone, you’re likely to get your periods back earlier than people with higher levels (Ingram et al 2004). So it’s possible that you could be breastfeeding around the clock, but still become fertile and start your periods again.

Why am I bleeding 2 weeks after my last period?

Spotting could be due to various factors; some examples are hormonal fluctuations, changes in birth control, stress, or uterine fibroids. In fact, up to 20 percent of women experience spotting after their period.

Does bleeding increase when breastfeeding?

It is normal to experience blood loss for up to six weeks following the birth of your baby. It is heavier than a period but will reduce gradually over a few days after birth. Breastfeeding and being active may increase your blood loss. It should reduce again when you rest.

Is it normal for postpartum bleeding to stop and come back?

It was common for postpartum bleeding to stop and start again or to be characterized by intermittent spotting or bleeding. Return of menses is rare among fully breast-feeding women in the first 8 weeks postpartum.

Why am I bleeding so much after breastfeeding?

This happens because breastfeeding makes your womb contract. You may also feel cramps similar to period pains. The bleeding will carry on for a few weeks. It will gradually turn a brownish colour and decrease until it finally stops.

Why is my postpartum bleeding bright red again?

That’s because during the first 6 weeks post-birth, you don’t stop bleeding entirely. Instead, you might notice your lochia increase in volume or even return to the bright red bleeding you experience in the first week after giving birth.

How does breastfeeding prevent uterine bleeding?

Nipple stimulation either manually, using a breast pump or by encouraging the baby to suckle is one method to reduce postpartum bleeding. It can be used immediately after childbirth to increase the secretion of the hormone called ‘oxytocin’.

Does breastfeeding cause uterine bleeding?

You may still notice occasional bright red discharge or a small gush of bleeding, especially while breastfeeding. This occurs due to contractions of your uterus. Typically, lochia will go away by 6-8 weeks postpartum. During this time, you should only use absorbent pads and avoid tampon use.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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