When the birth is over, mom has a lot of new worries. Most of all at this time she is concerned about the issues of how to properly care for the child and how to feed him. However, it is equally important to restore your own strength and health. It will take more than one month. Women need to know which periods after childbirth are normal, and which talk about complications, when you need to see a doctor. Not always breastfeeding is a guarantee that a woman will not get pregnant again. It is necessary to take into account the factors that affect the time of the onset of the first menstruation and their nature.
How is the recovery period after childbirth
After childbirth, the woman begins to restore general and reproductive health. The uterus, stretched during pregnancy, returns to its normal size, gradually heals the wound on its inner surface, where the placenta was located. For several days, the damaged vessels continue to bleed. In addition, the muscles of the uterus contract, pushing out the remnants of the ovum and placenta. This leads to postpartum hemorrhage, which normally quickly subsides, becomes serum, and then turns into a slightly yellowish discharge (lochia).
The duration of the recovery period depends on how the pregnancy and childbirth proceeded, how strong is the health of the woman as a whole. The rate of recovery after childbirth is also influenced by physical and nervous stress, which must be endured. When menstruation begins after childbirth, it depends on whether the woman is breastfeeding, what the feeding regimen is, the total duration of the lactation period, and how quickly the baby is transferred to a mixed diet.
During pregnancy there are significant changes in the state of hormonal levels. The content of prolactin, which is necessary both for the development of the fetus and for the normal state of the expectant mother, is increasing. Prolactin plays an important role in preparing the body for lactation. Due to the action of this hormone in a pregnant woman, the mammary glands are enlarged due to the formation of new ducts and lobules, and colostrum begins to be released, and then milk.
At the same time, an increase in the level of prolactin in the ratio of hormones leads to a decrease in the level of estrogen and progesterone, necessary for menstruation to appear after birth, to restore the menstrual cycle. A woman can become pregnant as soon as she has ovulation.
It should be noted: Many women believe that while they are at least a little breastfeeding, pregnancy cannot occur. But to notice the first ovulation after childbirth is almost impossible. Moreover, if fertilization occurs, the woman may not understand this, taking the absence of menstruation as the norm. Therefore, it is necessary to use contraceptives, especially if there are problems with breastfeeding.
Video: How is recovery after childbirth
How breastfeeding affects the appearance of menstruation
The amount of milk after childbirth directly depends on how often a woman puts her baby to her breast, how well he empties it. The level of prolactin is higher, the greater the need for milk production. As soon as a woman reduces the frequency of feeding, begins to feed the baby with milk mixtures, the level of this hormone decreases. When menstruation can begin after childbirth, it is easy to predict if you know the general patterns that show how the rate of menstruation recovery depends on the processes associated with lactation.
There is the following pattern:
- If a woman breastfeeds her baby exclusively for 7 months or more, and not according to the regimen, but at his first demand (including at night), then her period starts only after the baby is completely weaned from the breast.
- If she adheres to a certain regimen (feeds during the day after 3-4 hours, and at night after 5-6), then menstruation can start earlier, 4-6 months after birth.
- In the case when breastfeeding lasts up to a year, but at the same time, the child begins to be fed almost immediately from birth with mixtures, and from six months already with normal food, then after birth the periods come in 3-4 months.
With forced artificial feeding or deliberate refusal of feeding, the period may begin after
What are the menstruation after childbirth
The generic process as a whole has a positive effect on the state of the uterus. Stretching it during gestation of an enlarging fetus leads to a change in shape, the disappearance of folds and adhesions, contributing to stagnation of menstrual blood. There is a displacement of the uterus, facilitating the removal of blood. In addition, pregnancy contributes to the reduction or resorption of ovarian cysts, the disappearance of small myomatous nodes. Due to this, many women after childbirth menstruation become much less painful than before.
The first 2-3 cycles may be irregular, menstruation come then faster than before, then linger. Gradually, the duration of menstruation and the duration of intermenstrual pause come to normal. The time of the onset of menstruation in the postpartum period does not depend on whether the woman gave birth naturally or made a cesarean section.
Causes of Menstrual Disorders
The deviation from the norm can be attributed to the occurrence of painful menstruation, scanty or too abundant, as well as other symptoms indicating a malfunction of the reproductive system.
Causes of failure of the menstrual cycle can be injuries, inflammatory processes resulting from infection in the birth canal, chronic diseases of the genital organs.
In some women after childbirth, periods may not come within a few months after the end of breastfeeding. Or they come, but they are too scarce. The reason may be hormonal failure, resulting from diseases of the thyroid gland and pituitary. At the same time, the level of prolactin is higher than normal, and there is not enough estrogen in the body. In this case, milk production continues in the mammary glands, and the woman, as a rule, becomes very stout.
The state of the pituitary gland and other endocrine glands is affected by the presence of late toxicosis during pregnancy, intoxication of the body when a blood infection or peritonitis occurs due to complicated labor, a large blood loss that caused oxygen starvation of the brain.
When to see a doctor
The following facts indicate the occurrence of complications and the pathological course of the recovery process:
- Menstruation does not come 2 months after the end of breastfeeding. One of the reasons may be the occurrence of the next pregnancy. The absence of menstruation also indicates the presence of serious diseases of the uterus and ovaries.
- Monthly after childbirth are scanty and last no more than 2 days. This indicates hormonal disorders, ovarian dysfunction.
- Periodically there are severe irregular bleeding, indicating the presence of gaps in the uterus, improper development of the endometrium.
- There are discharges with an unpleasant smell, yellow-green color and an unusual texture. Such whites are a symptom of the onset of inflammatory and infectious processes.
- The cycle is irregular for 4 months after the onset of postpartum menstruation.
- Menstruation becomes painful.
- Menses have a musty odor. The cause may be the formation of adhesions in the uterus, blood stasis.
In the presence of such violations, a woman must always visit a doctor in order to establish the cause and carry out the necessary treatment.
As soon as the first after childbirth menstruation, it is necessary to take contraceptives, even if breastfeeding continues. The doctor will advise which drug is suitable and will not have a harmful effect on the baby.
Endocrine disorders, diabetes mellitus, as well as chronic sleep deprivation and fatigue may be the cause of cycle disorders and deviations in the nature of menstruation. If there are doubts about the nature of menstruation, occurring some time after birth, you should contact a gynecologist. Do not rely on the advice of friends and self-medicate.