Content

• Steps

Vaginal bleeding usually occurs in all women after childbirth and usually lasts 6 to 8 weeks. After that, normal menstrual cycles appear only when the mother stops breastfeeding or is taking birth control pills. Sometimes, it can be difficult to tell when postpartum bleeding ends and the menstrual cycle begins. However, there are many identifying signs you should be cautious of.

Steps

Part 1 of 3: Know the difference

1. 

   Note the time frame. How long your menstrual cycle returns after the baby is born depends entirely on how long you breastfeed. If you only breastfeed your baby for the first 3 months, your cycle is likely to return within a few weeks of weaning, or if you breastfeed within 18 months, your cycle is likely to return. may not appear during this time. Vaginal bleeding, on the other hand, will start soon after birth and can last for about 6 to 8 weeks before gradually decreasing.
   • Breastfeeding can delay the red light because it stimulates the body to release the hormone prolactin and keeps the levels of the hormones progesterone and estrogen low.
   • Even women who are not breastfeeding cannot get their period again for a few weeks after giving birth. About 70% of women will have a red light return day 6 to 12 after birth. The menstrual cycle should only last 3 to 6 days.

2. 

   
   
   Check the color of the blood. Postpartum bleeding will have a different color than menstrual blood, so it's also important to keep this note.
   • For postpartum bleeding, the blood will be bright red within the first 3 days. Then, from day 4 to day 10, secretions change color from reddish pink to reddish-brown with various components such as old blood, white blood cells and tissue removed from the uterine lining.
   • After day 10, you should see white translation. This fluid includes white blood cells, mucus and epidermal cells.
   • Although the menstrual bleeding may be bright red at the beginning, it will turn crimson, black red, or reddish-brown as it approaches the end of the cycle.

3. 

   
   
   Pay attention to the amount of bleeding. With postpartum bleeding, more bleeding is required than with menstrual bleeding. Usually, after giving birth, blood will bleed in the first 4 days and then gradually decrease over the next few days / week.
   • If the bleeding is wet with a postpartum women's tampon for 1 hour and lasts at least 3 hours in a row, or has a blood clot that is too large (the size of a golf ball) after about two to three days First, call a doctor immediately.
   • For the red light cycle, the most bleeding is in the first 3 to 4 days, however you will lose an average of about 10 ml to 80 ml.
   • A simple way to explain blood counts is to understand that a tampon can hold about 5 ml of blood. So you can calculate the amount of tampons you use and multiply by 5 to determine the total milliliter of bleeding.

4. 

   
   
   Recognize postpartum haemorrhage. You can experience postpartum hemorrhage, and on average 1 to 5 of every 100 women will. Hemorrhage is completely different from bleeding after giving birth and requires prompt care from a medical facility. This is caused by the placenta falling out of the attachment site in the cervix or other tissues, or by a blood clotting disorder. If left untreated, it can lead to shock and death. Signs of bleeding include:
   • Vaginal bleeding so much that it gets soaked with more than one tampon for 1 hour and lasts 2 hours in a row, or continues to come back bright red blood with / without a clot after secretion Direction descends or turns brown.
   • Reduced blood pressure
   • Increased heart rate
   • Reduces the number of red blood cells
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Part 2 of 3: Treatment for postpartum vaginal bleeding

1. 

   Adjust your diet. Losing blood means losing iron. To avoid iron deficiency, increase the amount of iron you absorb through your daily diet. There are plenty of iron-rich foods out there, like:
   • Lentils and pinto beans or kidney beans (kidney beans)
   • Chicken, liver or beef
   • Broccoli or asparagus
   • Okra, parsley and kelp
   • Mustard greens or vegetables (beets)
   • Raisins, plum, peach, or prune juice
   • Rice bran flour
   • Molasses

2. 

   Take iron supplements. After giving birth, if the secretions are normal or the secretions are little, then it is not necessary to use the medicine because this condition will disappear within a maximum of 6 weeks to two months; however, your doctor may recommend or prescribe you some iron supplements to help treat any signs of iron deficiency caused by blood loss.
   • Most pharmacy iron supplements are effective and are usually better absorbed with acidic juices, like pineapple juice or orange juice. Consult your doctor or pharmacist for advice if you are unsure which brand to choose.
   • You should take these supplements about once a day, but may increase the number of doses depending on the condition of your anemia. It is recommended to take the medicine after meals to avoid constipation, and this is also a common side effect. Several other gastric upset symptoms are also common, such as nausea or vomiting. You can also go green manure.

3. 

   Get medical treatment for postpartum haemorrhage. If you are experiencing postpartum bleeding, you should seek immediate medical attention to avoid shock. Treatments will include:
   • Blood transfusion is essential in supporting vital organs such as the brain, cardiovascular system, kidneys and liver, and helps prevent internal damage. Performing a blood transfusion helps make up for the lost blood.
   • Oxytocin is given intravenously, helping to stimulate uterine contractions and control bleeding.
   • Oxytocin mainly works by stimulating the uterus to contract strongly by acting on special receptors on the mucosa in the smooth muscle of the uterus. It also increases the amount of calcium present in the intracellular space to promote contraction.
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Part 3 of 3: Understanding physiological processes

1. 

   Know the cause of bleeding after giving birth. If everything goes according to the correct order, after birth the uterus will continue to contract to push the remaining placenta out. This is also the process of blocking all the blood vessels that help nourish the fetus. Postpartum bleeding is composed of remains.
   • Bleeding occurs when the uterus goes through a "contraction phase" - a normal physiological reaction in which the uterus returns to its unborn state. any undesirable complications.
   • After a while, the uterine lining will flake off and push out of the body. This is called translation.
   • The above processes are completely normal. The uterus will heal on its own and bleeding / fluid should go away within 6 weeks.

2. 

   Know the cause of cycle bleeding. During a woman's menstrual cycle, the uterus is covered with a nutrient-rich lining that prepares the appearance of a fertilized egg.
   • If fertilization does not take place, the mucosa will contract and peel off before being ejected from the body with the unfertilized egg.When the uterus removes the old lining, the new lining forms and the red light cycle begins again.
   • Each menstrual cycle usually lasts 2 to 7 days and repeats for an average of 28 days, although each woman will cycle differently.

3. 

   Recognize unusual postpartum bleeding. In some cases, after giving birth, the blood can bleed too much and endanger the health. Excessive bleeding is when the blood soaks up one or more tampons in an hour, has a clot the size or size of a golf ball, or continues to notice a bright red color. 4 days. There are many different causes for this phenomenon, such as:
   • Sputum - This is the most common cause of high blood pressure after giving birth. This occurs when the uterus is unable to continue to contract - due to too long labor, inflammation, exhaustion, or the use of pain relievers (such as NSAIDs, nitrates) - causing the blood to flow freely. body.
   • Placenta loss - Understand simply when the placenta is not completely removed from the uterus. Residual placenta in the uterus leads to postpartum bleeding.
   • Injury to the uterus - Trauma to the uterus occurs for many reasons, such as an intense birthing process, that is, an attempt to remove the remaining placenta from the body (with a hand, with special aid, or with labor-inducing drugs, such as Oxytocin). All of this can damage the genitals or the lining of the uterus, causing blood to bleed in large amounts.
   • Other causes - Other potential causes of postpartum haemorrhage such as a dilated uterus (possibly due to twins), pre-eclampsia, inflammation or obesity.
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