Postpartum Bleeding

How much bleeding postpartum is normal?

Vaginal bleeding after delivery is a normal and natural process. It is part of your body healing and returning to homeostasis after having your baby.

Vaginal bleeding is expected whether you have a vaginal delivery or a c-section.

In the beginning, this bleeding will look and feel like a very heavy period and will change over time. Occasionally you may also notice some blood clots on your pad/underwear or falling into the toilet when you use the bathroom.

Cramping is normal and expected as the uterus decreases in size; however, a sudden increase in abdominal pain, fever, or foul odor would be out of the ordinary and a reason to seek medical care.

Bleeding in the first few hours after birth

Bleeding will resemble a heavy period with some clots. It is not uncommon to pass clots up to the size of the palm of your hand.

This will be especially noticeable when you sit on the toilet or stand after laying down for a period of time.

It is very important to empty your bladder frequently during this time to keep the bleeding under control. If your bladder is very full your uterus is unable to properly contract.

Bleeding in the first 3-7 days

Bleeding will lessen and change to a darker brown color.

Bleeding after the first week

Bleeding will slow even more and become a pink/brown color.

Bleeding 10-14 days postpartum

At this point, the bleeding will change to a yellowish/white creamy color discharge.

You may notice a change in the consistency as well.

When will the bleeding stop?

Bleeding usually stops around 6 weeks postpartum.

When is bleeding too much?

If you are soaking your pad every hour or more frequently.

If you have clots that are golf ball size or larger.

What do you do if you notice too much bleeding?

• Pee. This will move your bladder out of the way and allow the uterus to contract.
• Rest. Often bleeding increases suddenly when you increase activity before your body is ready.
• Drink water. Ideally with electrolytes and eat.
• Nurse your baby. Nursing your baby will help your uterus cramp down.
• Gently massage your uterus with your hand.

If the bleeding does not decrease after performing these basic interventions, reach out to your birth provider immediately for further guidance.

It is very important to pay attention to how you are feeling. If you are bleeding yet feeling completely normal otherwise, perform the above interventions. If you are feeling dizzy, faint, or otherwise unwell after resting, eating, and drinking this is a cause for concern.

It is common to feel tired and in need of rest postpartum but you shouldn’t be feeling faint or ill.

Do you have more questions about what to expect postpartum or want to share your experience?

Reach out to me! I would love to hear from you.