Postpartum bleeding is natural in all women who have just given birth, as the uterus is in the process of returning to its normal size. During this process, the uterus expels all the blood that lined the uterus during pregnancy, and this lasts on average 10 days, depending on each woman. The bleeding starts right after delivery and appears as bright red blood with small clots, along with uterine residues, and as the uterus shrinks the amount of blood decreases, clearing until it becomes pink, then brownish, and finally ends.

What Are the Postpartum Bleeding Care Recommendations?

During the postpartum bleeding period, women should rest as much as possible1, avoid strenuous activities and eat very well in addition to all other necessary care. As there is a large loss of blood and a sharp drop in hormone levels, it is normal to feel weaker and more tired during this period. Sex after childbirth is a topic frequently brought up with doctors in appointments, as not all partners have the patience to wait for the recovery period, which lasts on average 40 days. Specialists recommend that sex not be practiced during this period to avoid the risk of infection, since the healing process has not yet been completed. The couple can use their imagination and try other forms of affection during this time, such as caresses and oral sex2.

When Should I Be Concerned About Postpartum?

Even with all the care taken and advice from the obstetrician, there are still some doubts about what is cause for concern and what is totally normal. Some symptoms, when they occur, may indicate that something is wrong or that the uterus is not returning to normal and the body is not healing properly. You should watch for the following symptoms:

  • When the blood flow is so heavy that you have to change your pad in less than 1 hour, you may be losing more blood than normal
  • After two weeks postpartum, when the blood is already light and then changes back to a bright red color
  • If you experience fever and severe abdominal pain

If the bleeding presents with larger, abnormal clots and a very strong odor during the postpartum period, a doctor should be consulted immediately. Remnants of the placenta and uterine residues may be present, potentially causing infection, and should be removed through a curettage or with medication as soon as possible3.