How long does postpartum bleeding last… and when should I worry?

Bleeding is completely normal in postpartum. In this post, we will discuss what is considered to be normal postpartum bleeding and when it is a good idea to seek help from a medical professional.

Postpartum Bleeding Explained

Whether delivering vaginally or with a cesarean, there will be bleeding in the postpartum period. This bleeding is called lochia. Lochia typically lasts two to six weeks postpartum, tapering as time goes on.

The first day postpartum will yield the largest quantity of blood that will appear bright red or reddish-brown. It’s considered typical to soak through a maternity pad every few hours. There is a possibility for clots, which should be shown to a medical professional if larger than a golf ball. These are not necessarily a sign that something is wrong, but it’s better to be safe and inform your midwife or doctor.

By the end of the first week, blood loss should show signs of tapering while the color of blood changes to a darker brown or pinkish red color. By the second week, bleeding should not soak a maternity pad and should start to get lighter in color.

At four weeks postpartum, you may experience the end of lochia followed by fresh red blood loss. This may be your period returning! Some also report that lochia becomes pale if not creamy white in color if still present. If lochia continues until six weeks postpartum, it should be a small or occasional loss of brown, pinkish red, or creamy yellow colored blood.

When to seek immediate help from your midwife or doctor:

·       Any large blood clots after the first 24 hours postpartum

·       Heavy bleeding that persists past the first week

·       Offensive smell, which can be a sign of infection

·       Pain in the pelvis that is not after pain* from birth

*After pains are in the lower pelvis. They occur as the uterus returns to its normal size and position. These are normal and expected.

Seeking help if these symptoms arise is essential to ensuring your well-being postpartum. It never hurts to ask your chosen medical practitioner for advice if you’re worried.