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Does postpartum bleeding increased with breastfeeding?

Understanding Postpartum Bleeding and Breastfeeding
Postpartum bleeding, medically known as lochia, is a common experience for new mothers following childbirth. This bleeding is a natural part of the recovery process as the body sheds the uterine lining and any remaining blood from pregnancy. However, the relationship between postpartum bleeding and breastfeeding is nuanced and warrants a closer look.
The Nature of Postpartum Bleeding
Typically, lochia begins as a heavy flow that gradually decreases over several weeks. Most women can expect this bleeding to taper off within four to six weeks after delivery, although some may experience it for up to eight weeks. The bleeding can vary in character, often stopping and starting again, which can be concerning for new mothers.
Breastfeeding’s Role in Postpartum Recovery
Interestingly, breastfeeding can influence the dynamics of postpartum bleeding. When a mother breastfeeds, her body releases oxytocin, a hormone that plays a crucial role in uterine contractions. These contractions help the uterus return to its pre-pregnancy size and can actually reduce postpartum bleeding. The process of nursing not only aids in healing but also helps to manage the amount of bleeding a mother experiences.
Dr. Greene, a medical expert, notes that while most postpartum bleeding concludes within a month and a half, breastfeeding can facilitate a quicker recovery by promoting uterine contractions. This hormonal response is particularly beneficial in the early weeks postpartum, when the body is still adjusting after childbirth.
Variability in Experiences
Despite the general trends, it’s important to recognize that each woman’s experience with postpartum bleeding can differ significantly. Factors such as the method of delivery, individual health conditions, and the presence of any complications during childbirth can all influence the duration and intensity of bleeding. For instance, women who experience postpartum hemorrhage (PPH) may face additional challenges in breastfeeding, as significant blood loss can impact their overall health and energy levels.
Moreover, while breastfeeding is associated with a reduction in bleeding, some mothers may still experience intermittent spotting or heavier bleeding episodes, particularly if they are not fully breastfeeding. This variability underscores the importance of monitoring one’s body and consulting healthcare providers if there are concerns about bleeding.
Conclusion
In summary, postpartum bleeding is a normal part of the recovery process after childbirth, and breastfeeding can play a beneficial role in managing this bleeding. The release of oxytocin during nursing promotes uterine contractions, which can help reduce the duration and intensity of lochia. However, individual experiences may vary, and mothers should remain vigilant about their health and seek medical advice if they notice any concerning changes in their bleeding patterns. As new mothers navigate this complex period, understanding the interplay between breastfeeding and postpartum recovery can empower them to make informed choices for their health and well-being.

Why am I suddenly bleeding more postpartum?

After the placenta is delivered, these contractions help put pressure on the bleeding vessels in the area where the placenta was attached. If the uterus does not contract strongly enough, these blood vessels bleed freely. This is the most common cause of postpartum hemorrhage.

Are periods different after breastfeeding?

For most Mum’s, the first period after giving birth and stopping breastfeeding is heavier, with increased bleeding and cramping. Whilst this can be quite uncomfortable, it is completely normal. However, if you are needing to change your pad or tampon every hour do not hesitate to contact your Doctor.

What are the signs of a retained placenta?

Symptoms of a retained placenta include:

  • fever.
  • heavy bleeding.
  • bad-smelling discharge from your vagina.
  • many large clots coming out of the vagina.

Does breastfeeding make you bleed more period?

Exclusively breastfeeding can suppress ovulation and delay the return of your menstrual cycle after giving birth. However, when your periods do return, they might be heavier than usual due to hormonal fluctuation.

When does postpartum bleeding peak?

Often, women experience an increase in the amount of bleeding at 7-14 days secondary to the sloughing of the eschar on the placental site. This is the classic time for delayed postpartum hemorrhages to occur.

Does postpartum bleeding increase with activity?

If your postnatal bleeding (lochia) gets heavier or changes colour (becomes pink or red) after activity, you could be overdoing it.

Why is my lochia turning red again?

If bright red spotting reappears after your lochia has already lightened up, it could be something called eschar bleeding. This is caused when the scab left behind from your placenta dissolves. This happens around the 10-day mark postpartum, and should only last for a few hours.

Can breastfeeding cause more postpartum bleeding?

You may notice the bleeding is redder and heavier when you breastfeed. 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.

Can overdoing it cause postpartum bleeding?

Finally, take it easy during your postpartum recovery period. Doing too much too soon can slow down the body’s repair work and cause bleeding to start again, or to become heavy once it’s started tapering off.

Does lochia increase with breastfeeding?

Breastfeeding moms may also notice an increase in lochia during nursing sessions, according to the Cleveland Clinic; a spike in the hormone oxytocin causes contractions which can lead to more uterine shedding. There is a rare postpartum bleeding complication to be aware of called subinvolution.

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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