Why is my lochia turning red again?

Understanding Lochia and Its Color Changes
Lochia is the vaginal discharge that occurs after childbirth, consisting of blood, mucus, and uterine tissue. This process is a natural part of postpartum recovery and typically lasts for about six weeks. Initially, lochia is bright red, known as lochia rubra, and can be quite heavy, tapering off to lighter colors over time as the body heals.
Why Is Lochia Turning Red Again?
If you notice that your lochia has turned red again after it had previously lightened, there are several potential explanations. One common reason is increased physical activity. Engaging in more strenuous activities can lead to a resurgence of bleeding as your body responds to the exertion. This is particularly true if you have recently resumed normal activities or exercise.
Another possibility is that you may be experiencing clotting. As the uterus contracts and expels remaining tissue, it can lead to the formation of clots, which may cause the discharge to appear red and heavier.
Additionally, it’s important to consider the timing of this change. If it occurs around the time when your menstrual cycle might be returning, it could be a sign that your body is adjusting hormonally, leading to a temporary increase in bleeding.
When to Seek Medical Attention
While some fluctuations in lochia color and flow can be normal, there are specific signs that warrant a call to your healthcare provider. If the bleeding becomes excessively heavy, you soak through a pad in an hour or less, or if you experience any foul odor, fever, or severe pain, these could be indicators of an infection or other complications.
In summary, while a return to red lochia can be a normal part of postpartum recovery, it’s essential to monitor the situation closely and consult with a healthcare professional if you have any concerns. Your body is undergoing significant changes, and understanding these can help you navigate the postpartum period more confidently.

Is it normal for lochia to turn bright red again?

By the sixth week, the bleeding will likely subside—but it’s not abnormal for lochia to stop, turn red and then fade back again, especially during the early stages. Often, this is simply a side-effect of trying to do too much, too soon after delivery.

What are the red flags for lochia?

Signs Of Abnormal Lochia
The passage of large clots (roughly the size of a golf ball) Excessive bleeding (going through a pad in less than an hour) Foul or fishy smelling discharge. Nausea, chills or fever-like symptoms.

What to do if lochia increases?

Your blood loss (lochia) is too heavy – Although variable for the first few days the amount should gradually decrease over time. If it becomes heavier than it was initially or continues as a heavy or moderate loss for longer than a week, contact your midwife or GP straight away.

What does the last stage of lochia look like?

Stage 3: Lochia Alba
The third stage of postpartum bleeding is called alba and can last two to six weeks after giving birth. Lochia changes from pink to a light brown to yellowish white color. You may still experience occasional spotting of blood.

Can lochia start again after stopping?

Conclusions: Lochia lasted substantially longer than the conventional assumption of 2 weeks. 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.

What to do if a perineal tear is reopened?

Contact Your OB/GYN. If you are experiencing any of the symptoms described above or believe your perineal tear has reopened, contacting your OB/GYN immediately is in your best interest. Your OB/GYN will likely want to examine you and start you on a treatment plan to assist in your recovery.

Does lochia increase with activity?

If your postnatal bleeding (lochia) gets heavier or changes colour (becomes pink or red) after activity, you could be overdoing it. You’re also likely to feel very tired. Listen to your body. Pace yourself and make sure you get plenty of rest too.

How do I know if my lochia is infected?

Typically, there is a foul-smelling discharge from the vagina, which varies in amount. The discharge may or may not contain blood. But sometimes the only symptom is a low-grade fever. When the tissues around the uterus are infected, they swell, causing significant discomfort.

What does infected lochia look like?

How do I know if my lochia is infected? The biggest sign of infection is foul-smelling or greenish-colored vaginal discharge. Contact your healthcare provider as they may want to check for infection.

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.