#HLWDK Daily Health Tips: Why Am I Bleeding?


Q: Good evening Doc. How has your day been? I gave birth 7 weeks ago through C.S and I had flow for 3wks after which I was seeing discharge (not really discharge but I don’t no wat to call it. Blood and watery and the blood was faint (kind of). I saw this for about a week and later nothing was coming out again.

Had a nice time with my hubby last week and in the last 4 days now I’ve been seeing blood again. I don’t want to assume that menstruation has started. So please Doc help me out

A: ‘Bleeding’ after having a baby is normal whether you had an episiotomy or not. As the placenta separates from the uterus when the baby is born, the blood vessels where the placenta was attached start to bleed…understandably, because they are open  They bleed into the uterus (womb). As the womb starts to contract, it seals up the blood vessels such that bleeding stops significantly.

So, the ‘bleeding’ after having a baby is a mixture of blood, bacteria and tissue that has sloughed off the uterus. This discharge is called lochia. In the first couple of days, there’s more blood in lochia giving it a bright red colour which eventually becomes more watery and pikish and eventually becomes yellowish/whitish. This whole process may last 2 to 4 weeks or may come and go, as in the case described above. So, it’s not really a problem 😀

Be sure to check the level of bleeding though and if you feel uncomfortable, please see your doctor. General rules of thumb that suggest there may be a problem are:

• If you’re bleeding heavily…perhaps you’re using a sanitary towel every hour for at least 2 hours or are passing out big clots.
• If your lochia has a bad smell and you start having fever and chills
• If your lochia is still bright red after 4 days of delivery.
Where in doubt, please err on the side of caution and see your doctor.

Ordinarily, sexual intercourse should be considered from about 6 weeks. At this time, you would have gone for a post-natal check and the doctor would, hopefully, have given the A-okay. Return of menses following delivery is varied between individuals. Some women would see theirs a few weeks after, some others after a few months or even a year, while in others there is no return of menses before another pregnancy begins.

Different women also report different changes with their menstrual periods after childbirth. Some report longer periods. Others report shorter periods; some others report less pain and others observe absolutely no change at all. So this could very well be your period but I suggest you see your doctor to confirm this.

 

Have a great week ahead! 😀

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