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Is bleeding during breastfeeding normal postpartum?

Understanding Postpartum Bleeding During Breastfeeding
Postpartum bleeding, commonly referred to as lochia, is a natural part of recovery after childbirth. It typically consists of blood, mucus, and uterine tissue, and can last for several weeks, usually tapering off around six weeks postpartum. However, the experience of bleeding can vary significantly among new mothers, especially those who are breastfeeding.
Is Bleeding Normal While Breastfeeding?
Bleeding during breastfeeding can be a source of concern for many new mothers. It is important to understand that while some bleeding is normal, it can also be indicative of underlying issues. Lochia is expected after delivery, and its characteristics can change over time. Initially, it may be bright red and heavy, gradually transitioning to a lighter color and consistency as the body heals.
Breastfeeding itself can influence postpartum bleeding. The act of nursing stimulates the release of oxytocin, a hormone that not only aids in milk letdown but also promotes uterine contractions. These contractions can help reduce the amount of bleeding by encouraging the uterus to return to its pre-pregnancy size. Therefore, some mothers may notice that their bleeding decreases during breastfeeding sessions.
Inconsistent Cycles and Spotting
For breastfeeding mothers, menstrual cycles can be irregular, particularly in the early months postpartum. This irregularity is largely due to hormonal fluctuations that breastfeeding induces, which can lead to spotting or light bleeding even when a mother is not menstruating. This phenomenon is generally considered normal and is often attributed to the same hormonal changes that suppress ovulation during breastfeeding.
When to Seek Medical Advice
While some bleeding is normal, there are specific signs that should prompt a mother to seek medical attention. Heavy bleeding, especially if it soaks through a pad in an hour or less, or the presence of large clots, can indicate complications such as retained placental fragments or infection. Additionally, if bleeding is accompanied by severe pain, fever, or an unpleasant odor, these could be signs of an infection or other serious conditions that require immediate medical evaluation.
In summary, while some bleeding during breastfeeding is normal and can be influenced by the hormonal changes associated with nursing, it is crucial for new mothers to remain vigilant about their postpartum recovery. Understanding the normal patterns of lochia and recognizing when to seek help can ensure a healthier recovery process.

Why am I bleeding from my breast while breastfeeding?

In most cases blood in breast milk can be due to a cracked nipple or mastitis, according to La Leche League International, a breastfeeding organization.

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

Heavy Flow
Postpartum bleeding is normal for several weeks, up to 6 weeks, following a vaginal delivery,” she says. “The bleeding may also be inconsistent. Just when you think it’s done, you’ll have another day of dark red bleeding.

Should I stop breastfeeding if I’m bleeding?

Usually, even if you have an infection, it’s still safe to breastfeed with blood in your breast milk but some infections are not safe for your baby. For instance, if you have a blood-borne infection, you should talk to a health care provider.

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.

Why did I get my period back while breastfeeding?

If your first postpartum period returns earlier than expected while you’re breast feeding, one reason could be if you’ve stopped breastfeeding overnight. If your baby is sleeping through the night before the age of 6 months, this may cause your period to return earlier than normal which can affect your milk supply.

What are late signs of postpartum hemorrhage?

Symptoms of secondary PPH

  • your vaginal bleeding is getting heavier.
  • clots in the blood.
  • a bad smell from the blood.
  • that you start to feel unwell.
  • aches and pains.
  • shivering.
  • a high temperature (greater than 38 degrees Celsius.

Why did my postpartum bleeding stop then start again?

Postpartum bleeding stopped and started again
While your bleeding should slow down and decrease over time, you might notice times when your postpartum bleeding is stopping and starting again over several weeks. That’s because during the first 6 weeks post-birth, you don’t stop bleeding entirely.

Is it normal to bleed randomly while breastfeeding?

If you begin menstruating again while you’re breastfeeding, you may experience spotting and irregular periods and wonder what’s going on. It’s completely normal to have inconsistent cycles when you’re breastfeeding a baby, and you can chalk it up to the same hormones that caused amenorrhea.

What are the signs of pregnancy while breastfeeding?

In the early stage or first trimester of your pregnancy, you may have nipple tenderness and breast soreness. You may have a decreased food and water intake due to morning sickness and feel tired. Such physical discomfort may increase while breastfeeding.

How long does postpartum bleeding last while breastfeeding?

Lochia is postpartum bleeding and vaginal discharge. It has three stages and lasts up to six weeks.

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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